Group Living Services (CA-GLS) 16: Care and Supervision
The organization provides 24-hour-a-day care and supervision that is respectful, supportive, and tailored to each resident’s developmental, educational, clinical, and safety needs and attentive to effects of congregate living.
Examples: This approach can help to anticipate, prevent, and reduce the occurrence of bullying and other unsafe or negative peer interactions.
Examples: Regarding element (d), being flexible with codified rules that contradict a resident’s best interest can allow the organization to provide individualized care that is tailored to the resident’s needs. For example, being flexible with bedtimes for a resident who may have experienced nighttime trauma rather than strictly enforcing a lights out time allows the organization to be responsive to the needs of residents.
Resident care and supervision is provided by:
personnel-to-participant ratios for day time and overnight hours that are appropriate to the program model, length of treatment, population served, and their age, developmental and clinical needs;
a sufficient number of qualified personnel on-site to respond to emergency/crisis situations and meet special needs of residents during busy or more stressful periods;
an on-call, professional clinical staff member available on a 24-hour basis;
rotating after-hours and holiday coverage when needed; and
same-gender and cross gender supervision when indicated by individual treatment needs.
The organization must demonstrate that based on their program model and the population served their staffing ratios for day time and overnight coverage are addressing potential risks and meeting the needs of their clients.
The organization may use direct care workers or counsellors to provide supervision to residents. Personnel must be awake at all times unless convincing evidence demonstrates the resident group does not need awake supervision during sleeping hours. Examples of reasons certain homes or programs might not have awake personnel are: care for a long-term, stable population; majority of unit residents are ready to move to a less restrictive setting; low runaway rates; and low rates of night-time incidents. Electronic supervision is not an acceptable alternative to supervision by personnel.
Regarding element (c) the professional clinical staff person is permitted to sleep during sleeping hours.
Examples: National recommendations for the supervision of children in residential care is that there are no more than four children per worker during waking hours and no more than eight children per worker during overnight hours. Additionally, several sources indicate that improved outcomes, including better engagement and retention, are found in addiction treatment programs with low staffing ratios. For example, low staff-to-client ratios contribute to a high level of service and keeping clients involved in rehabilitation for longer periods, which helps individuals reach their ultimate goal of overcoming addiction.
The organization establishes procedures for preventing and responding to missing and runaway children that address:
creating an environment that provides a sense of safety, support, and community;
identifying risks or triggers that may indicate likeliness to run away from programs;
communication and reporting to relevant staff, authorities, and parents or legal guardians; and
welcoming, screening, and debriefing when children return to the program.
NAThe organization does not serve children or families with children.