Standards for private organizations

2020 Edition

Respite Care (RC) 6: Care and Supervision

Care recipients receive individualized care and supervision that promote their safety and well-being.
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 matching care recipients with respite care providers
  • Health and safety procedures
  • Client/staff ratio
  • Most recent safety/risk data, if available
  • Monthly client/staff ratios and coverage schedules for the previous six months, as applicable
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review case records
  • Review coverage schedules at each unit or group

 
Fundamental Practice

RC 6.01

Families are matched with respite care providers that can meet their needs or receive information to enable them to select a suitable respite provider.

Interpretation

Care recipients that require therapeutic or medical treatment should be matched with a provider that has appropriate skills and qualifications.

 
Fundamental Practice

RC 6.02

Respite care providers:
  1. are familiar with the care recipient’s daily routine, preferred foods and activities, and needed therapeutic or medical care; 
  2. respect the culture, race, ethnicity, language, religion, and sexual orientation of the care recipient; and
  3. offer activities with content appropriate to the interests, age, development, physical abilities, interpersonal characteristics, and special needs of the care recipient.

Interpretation

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.

 
Fundamental Practice

RC 6.03

Crisis respite care provides needed developmentally and age appropriate interventions to help the care recipient cope with trauma or stress associated with the crisis.
NA The organization does not provide crisis respite care.

 
Fundamental Practice

RC 6.04

The program provides close supervision of care recipients to ensure safety and service quality, and provider-care recipient ratios do not exceed:
  1. one to four when children are under school age;
  2. one to eight during waking hours; and
  3. one to twelve during sleeping hours.

Interpretation

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.

 
Fundamental Practice

RC 6.05

When care recipients experience accidents, health problems, or changes in appearance or behavior, information is promptly recorded and reported to caregivers and administration, and follow-up occurs, as needed.

 
Fundamental Practice

RC 6.06

Respite care providers return care recipients only to the caregiver, or another person approved by the caregiver.

 
Fundamental Practice

RC 6.07

Procedures indicate how to respond by using appropriate organizational or community resources when a caregiver poses a safety risk or an individual requires protection.
Examples: Situations can include for example when individuals are intoxicated by drugs or alcohol, mentally or physically unstable, or who present a safety concern.