Standards for public agencies

2020 Edition

Respite Care (PA-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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VIEW THE STANDARDS

Purpose

Respite Care reduces caregiver stress, promotes the well-being and safety of care recipients, and contributes to stable families.
1
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
2
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.
3

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
4
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
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

 

PA-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

PA-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.

 

PA-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 agency 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. The American Academy of Pediatrics recommends that cribs are used by children under 90 centimeters (35 inches) tall.
Note: Please see the Facility Observation Checklist for additional guidance on this standard.

 

PA-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 agency does not provide respite care in a facility.
Note: Please see the Facility Observation Checklist for additional guidance on this standard.

 
Fundamental Practice

PA-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 agency does not provide respite care in the caregiver’s home.

 

PA-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 agency only provides care for infants and young children.
Note: Please see the Facility Observation Checklist for additional guidance on this standard.

 

PA-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 agency does not provide overnight respite care.