Respite Care (CA-RC) 5: Service Planning and Monitoring
Each caregiver participates in the development and ongoing review of a service plan that is the basis for delivery of appropriate services and support.
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VIEW THE STANDARDS
PurposeRespite Care reduces caregiver stress, promotes the well-being and safety of care recipients, and contributes to stable families.
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
- In a few instances, client or staff signatures are missing and/or not dated; or
- With few exceptions, staff work with persons served, when appropriate, to help them receive needed support, access services, mediate barriers, etc.; 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
- In several instances, client or staff signatures are missing and/or not dated; or
- Quarterly reviews are not being done consistently; or
- Level of care for some clients is clearly inappropriate; or
- Service planning is often done without full client participation; or
- Appropriate family involvement is not documented; or
- Documentation is routinely incomplete and/or missing; or
- Individual staff members work with persons served, when appropriate, to help them receive needed support, access services, mediate barriers, etc., but this is the exception.
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 Evidence||On-Site Evidence||On-Site Activities|
No On-Site Evidence
An assessment-based service plan is developed in a timely manner with the full participation of persons served, and their family when appropriate, and includes:
- agreed upon goals, desired outcomes, and timeframes for achieving them;
- services and supports to be provided, and by whom;
- possibilities for maintaining and strengthening family relationships and other informal social networks;
- procedures for expedited service planning when crisis or urgent need is identified;
- guidelines for requesting additional planned or emergency respite care;
- fees and payment arrangements, when applicable; and
- the individual’s signature.
The organization works in active partnership with persons served to:
- assume a service coordination role, as appropriate, when the need has been identified and no other organization has assumed that responsibility;
- ensure that they receive appropriate advocacy support;
- assist with access to the full array of services to which they are eligible; and
- mediate barriers to services within the service delivery system, including transportation or fees.
Example: Examples of services referenced in (b) and (c) may include, but are not limited to:
- support groups and counselling services;
- health, mental health, and substance use services;
- domestic violence services;
- shelter and housing services;
- social, recreational, and day programs; and
- mentor services.
The worker and a supervisor, or a clinical, service, or peer team, review the case to assess:
- service plan implementation;
- progress toward achieving goals and desired outcomes; and
- the continuing appropriateness of the agreed upon goals.
InterpretationExperienced workers may conduct reviews of their own cases. In such cases, the worker's supervisor reviews a sample of the worker's evaluations as per the requirements of the standard.
The worker and individual, and his or her family when appropriate:
- review progress toward achievement of agreed upon service goals; and
- sign revisions to service goals and plans.