Standards for Canadian organizations

2020 Edition

Adult Day Services (CA-AD) 6: Support Services for Caregivers

Caregivers receive coordinated services and support to help resolve issues related to caretaking.
2020 Edition

Currently viewing: ADULT DAY SERVICES (CA-AD)



Individuals who participate regularly in Adult Day Services achieve and maintain an optimal level of well-being, functioning and health, and remain in their preferred community residence.
All elements or requirements outlined in the standard are evident in practice, as indicated by full implementation of the practices outlined in the Practice Standards.
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice Standards; e.g.,
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality; or
  • Procedures need strengthening; or
  • With few exceptions, procedures are understood by staff and are being used; or
  • For the most part, established timeframes are met; or
  • Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations and training; or
  • Active client participation occurs to a considerable extent.
Practice requires significant improvement, as noted in the ratings for the Practice Standards. Service quality or program functioning may be compromised; e.g.,
  • Procedures and/or case record documentation need significant strengthening; or
  • Procedures are not well-understood or used appropriately; or
  • Timeframes are often missed; or
  • Several client records are missing important information; or
  • Client participation is inconsistent. 
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice Standards; e.g.,
  • No written procedures, or procedures are clearly inadequate or not being used; or 
  • Documentation is routinely incomplete and/or missing.      
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Procedures for referring individuals to services
  • Community resource and referral list
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review case records

CA-AD 6.01

Providers work with service recipients and their caregivers to:
  1. coordinate services; and
  2. resolve obstacles to accessing or receiving services, including transportation or fees.

CA-AD 6.02

Caregivers receive support to address issues related to caretaking and caregiver stress, and are provided with referrals for needed services including:
  1. support groups and counselling services;
  2. health, mental health, and substance use services;
  3. domestic violence services;
  4. shelter and housing services;
  5. respite care;
  6. social, recreational and day programs; and
  7. mentor services.

CA-AD 6.03

The organization maintains a comprehensive, up-to-date list of community resources.
Note: Adult Day Services can be considered a form of respite care for caregivers. See also COA’s Home Care and Support Services (CA-HCS), and Respite Care (CA-RC) standards.