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.
Procedures for matching care recipients with respite care providers
Health and safety procedures
Most recent safety/risk data, if available
Monthly client/staff ratios and coverage schedules for the previous six months, as applicable
Interviews may include:
Review case records
Review coverage schedules at each unit or group
Families are matched with respite care providers that can meet their needs or receive information to enable them to select a suitable respite provider.
Care recipients that require therapeutic or medical treatment should be matched with a provider that has appropriate skills and qualifications.
Respite care providers:
are familiar with the care recipient’s daily routine, preferred foods and activities, and needed therapeutic or medical care;
respect the culture, race, ethnicity, language, religion, and sexual orientation of the care recipient; and
offer activities with content appropriate to the interests, age, development, physical abilities, interpersonal characteristics, and special needs of the care recipient.
When the care recipient is involved in regular therapeutic, educational, or employment activities, the respite provider should work with caregivers to plan for continued participation.
Crisis respite care provides needed developmentally and age appropriate interventions to help the care recipient cope with trauma or stress associated with the crisis.
NAThe organization does not provide crisis respite care.
The program provides close supervision of care recipients to ensure safety and service quality, and provider-care recipient ratios do not exceed:
one to four when children are under school age;
one to eight during waking hours; and
one to twelve during sleeping hours.
Ratios should be adjusted to meet the special needs of individuals that require therapeutic or medical care, or close monitoring, and include all other children or adults being cared for in the home or facility. Ratios should demonstrate capacity for safe evacuation of care recipients in case of an emergency.
When care recipients experience accidents, health problems, or changes in appearance or behaviour, information is promptly recorded and reported to caregivers and administration, and follow-up occurs, as needed.
Respite care providers return care recipients only to the caregiver, or another person approved by the caregiver.
Procedures indicate how to respond by using appropriate organizational or community resources when a caregiver poses a safety risk or an individual requires protection.