Standards for Canadian organizations

2020 Edition

Respite Care (CA-RC) 7: Service Environment

Respite care is provided in an environment that ensures the individual’s health and safety.
2020 Edition

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Purpose

Respite Care reduces caregiver stress, promotes the well-being and safety of care recipients, and contributes to stable families.
1
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.
2
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.
3
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. 
4
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 reviewing and approving respite homes
  • Procedures regarding care recipients’ rights to make telephone calls
  • Documentation of licensing/approval
  • Sample of safety plans, if applicable
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Respite providers
    4. Care recipients
  • Review case records
  • Observe facility

 

CA-RC 7.01

The family receives respite care in a location appropriate to their needs and preferences.
Examples: Respite care can be provided in the family’s home, the provider’s home, the community, or a facility.

 
Fundamental Practice

CA-RC 7.02

Prior to use, all facilities and provider homes are licensed or approved as required by law or regulation, and regularly inspected to evaluate:
  1. fire, health, and safety hazards;
  2. cleanliness;
  3. adequacy and appropriateness of space and furnishings; and
  4. the safety and appropriateness of toys, materials, or equipment.

 

CA-RC 7.03

When overnight care is provided, accommodations include:
  1. sleeping arrangements appropriate to the number, age, special needs, and gender of the individuals in the home or facility;
  2. adequately and attractively furnished rooms with a separate bed for each resident, including a clean, comfortable, covered mattress, pillow, sufficient linens, and blankets; 
  3. rooms that are adequately and attractively furnished with a separate bed for each individual , including a clean, comfortable, covered mattress, pillow, sufficient linens, and blankets; 
  4. a non-stacking crib for each infant and toddler that is 24 months or younger that meets safety guidelines, as applicable; and
  5. a safe place, such as a locker, to keep personal belongings and valuables.
NA The organization does not provide overnight respite care.
Examples: The Consumer Product Safety Commission (CPSC) provides standards to ensure safety for full-size and non-full size cribs.
Note: Please see the Facility Observation Checklist for additional guidance on this standard.

 

CA-RC 7.04

When respite care is provided in a facility, space and amenities are adequate for the scope of the service provided, and include:
  1. indoor and outdoor recreation areas;
  2. dining, bathing, toileting, and personal hygiene facilities;
  3. private areas for meetings with individuals and caregivers;
  4. space for resting; and
  5. rooms for providing on-site services, when available.
NA The organization does not provide respite care in a facility.
Note: Please see the Facility Observation Checklist for additional guidance on this standard.

 
Fundamental Practice

CA-RC 7.05

When respite care is provided in the caregiver’s home, the provider is familiar with the safety plan for the home.

Interpretation

The provider should be familiar with the location of first aid, medical, emergency, and other supplies needed to provide care, and the ways to safely evacuate the individual receiving care.
NA The organization does not provide respite care in the caregiver’s home.

 

CA-RC 7.06

Care recipients can have private telephone conversations and any restrictions are:
  1. requested by the caregiver;
  2. approved in advance by the program director or an appropriate designee; and
  3. documented in the case record.
NA The organization only provides care for infants and young children.
Note: Please see the Facility Observation Checklist for additional guidance on this standard.

 

CA-RC 7.07

Care recipients receiving overnight respite care have sufficient uninterrupted sleep and, when practical, follow their usual and familiar routines for bedtime, bathing, and meals.
NA The organization does not provide overnight respite care.