Standards for Canadian organizations

2020 Edition

Residential Treatment Services (CA-RTX) 16: Residential Facilities

Residential facilities contribute to a physically and psychologically safe, healthy, homelike, non-institutional, therapeutic environment.

Interpretation

“Homelike” settings are assessed within the context of the organization’s location and environment.
2020 Edition

Currently viewing: RESIDENTIAL TREATMENT SERVICES (CA-RTX)

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Purpose

Residential Treatment Services provide individualized therapeutic interventions and a range of services, including education for residents to increase productive and pro-social behaviour, improve functioning and well-being, and return to a stable living arrangement in the community.
Note: Please see the Facility Observation Checklist for additional guidance on this standard.
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 maintaining a clean and safe environment
No On-Site Evidence
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Residents
  • Observe facilities and outdoor area/grounds

CA-RTX 16.01

Living quarters consist of separate cottages or units in a residential building that include:
  1. a common room, dining and/or kitchen area, and space for indoor recreation;
  2. private areas where residents can meet with family and friends; and
  3. private facilities for bathing, toileting, and personal hygiene, that are developmentally appropriate.

CA-RTX 16.02

Personal accommodations for residents are age, developmentally, gender, and culturally appropriate and include:
  1. single rooms, rooms for groups of two to four residents, and/or accommodations for larger groups, if appropriate for therapeutic reasons;
  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. a non-stacking crib for each infant and toddler that is 24 months or younger that meets safety guidelines, as applicable; and
  4. a safe place such as a locker to keep personal belongings and valuables.
Examples: Some provincial regulations require 7.4 metres of floor space for single rooms and at least 5.6 square metres for each person in rooms housing more than one individual. Group assignments and room accommodations may be adjusted as appropriate to the service provided, therapeutic considerations, level of risk, or developmental appropriateness.

CA-RTX 16.03

Organizations that serve families house families as a unit and keep sibling or family groups together, whenever possible.
NA The program does not serve families, or housing families as a unit is not possible or prohibited by law.

CA-RTX 16.04

Residents participate actively in:
  1. decorating and personalizing their sleeping area;
  2. choosing clothing based on their personal preferences;
  3. food preparation and meal planning; and
  4. contributing to decisions about how to make living areas inviting, comfortable, and reflective of the residents’ interests and diversity.

Interpretation

Some standards elements may not be applicable for crisis stabilization and short-term diagnostic programs due to length of stay and program design.

Interpretation

Residents should be provided with a variety of nutritious food options. Special diets should be planned to meet the modified needs of individual residents. Recognizing that there are communities where access to affordable, quality food is limited, it is important for personnel to take into consideration where residents will reside after they are discharged so healthy eating habits can continue long after they leave care.

CA-RTX 16.05

Facilities support quality therapeutic programs and settings accommodate:
  1. individual, small, and large group activities;
  2. activities that invite use of community resources;
  3. a variety of after school, evening, weekend, holiday, and school break programs for use by residents, guests, family, and community members;
  4. a variety of activities that are focused around the resident's home, community, and extended family and friends;
  5. quiet reading, study hours, and help with school assignments;
  6. individual hobbies and group projects that may be large and constructed over time; and
  7. alternatives to watching television, such as art, photography, or other creative activities.

Interpretation

Some standards elements may not be applicable for crisis stabilization and short-term diagnostic programs due to length of stay and program design.

CA-RTX 16.06

Residential facilities provide:
  1. sufficient supplies and equipment to meet residents’ needs;
  2. access to a telephone, computer, and the internet, as permitted, for use by residents and personnel;
  3. adequate space for administrative support functions, food preparation, housekeeping, laundry, maintenance, and storage;
  4. rooms for providing on-site services, as needed;
  5. accommodations for informal gathering of residents including during inclement weather;
  6. at least one room suitably furnished for the use of on-duty personnel; and
  7. private sleeping accommodations for personnel who sleep at the facility, if applicable.

Fundamental Practice

CA-RTX 16.07

Indoor and outdoor settings are clean, maintained in good condition, and promote the health and safety of personnel and residents.

Interpretation

The facility’s outdoor area should contain sufficient space for recreational activities. Outdoor equipment should meet playground equipment safety standards and be appropriate for the number, age, and developmental level of residents. Programs serving children should have outdoor and indoor play spaces with adequate toys, books, and other recreational supplies.