Comprehensive Program Review December 6, 2013 Community Strategies: Randi Mundell’s Cluster: CS CT Simsbury, Windsor and Manchester CS CT consumer received Gold Medal at the Special Olympics Comprehensive Program Review December 6, 2013

CLUSTER HIGHLIGHTS CHALLENGES Team work (staff shortages, turn over, investigations have led to programs being short staffed and the programs and staff pulled together to get through this rough time) CS-CT has become its own entity as a CRJ division Manchester, CT program opened on 8/9/13 Coventry, CT program opened on 10/21/13 CHALLENGES CS-CT is a new vendor for the CT Department of Disability Services and has faced many learning curves in all CRJ departments while becoming acclimated. High number of Medication Incidents & Occurrences High number of Elopements  

STAFFING Staff Turnover Rates Performance Evaluations Staff Training

STAFF TURNOVER RATES (October 2012 – September 2013) Data obtained from HR Turnover Reports

STAFF OVERDUE PERFORMANCE EVALUATIONS April 2012 – September 2013 Programs Overdue Evaluations   FT PT Simsbury 1 Windsor 6 Manchester (Data from 8/13-9/13) CS CT Total 8 Data obtained from HR Department & HR Personnel Summary

STAFF TRAINING HOURS April 2013 – September 2013 Total of 1,392.5 training hours were completed Average of 61.1 hours (Simsbury); and 60.1 hours(Windsor) per staff over six months. Average of 61.2 hours (Manchester) over two months (8/1-9/30/13) Overall average of 61.1 hours per staff over six months. Data obtained from MMRs and HR Reports

CLIENT RELATED Clinical Hours Elopements (Walk-Aways) Medication De-escalation and Restraints Mainstream/Community Inclusion Activities

CLINICAL HOURS April 2012 – September 2013 Data obtained from MMRs

Client Elopements (Walk-Aways) April 2013 – September 2013 April May June July August September Subtotal Simsbury 2 3 1 6 20 Windsor Manchester N/A CS CT Total 4 7 5 26 Data obtained from MMRs

MEDICATION INCIDENTS & OCCURRENCES April 2013 - September 2013 Total of 101 medication incidents and occurrences Simsbury average per client over six months = 4.9; Windsor average per client over six months = 1.5; Manchester average per client over two months = .2; the Overall Average for CS CT is 2.1 per client over six months 58 out of 101 medication incidents and occurrences or 57% are client refusals of psychotropic medications Data obtained from MMRs

DE-ESCALATIONS : RESTRAINTS 171 De-escalations: 33 Restraints April 2013 – September 2013 Total Ratio Simsbury 93 : 22 4 : 1 Windsor 52 : 3 17 :1 Manchester (8/13/-9/13) 26 : 8 3 : 1 Overall- CS CT 171 De-escalations: 33 Restraints 5 : 1 Data obtained from MMRs

COMMUNITY INCLUSION Client Activities Participated In and Offered (April 2013 – September 2013)

MAINSTREAM ACTIVITIES Client Activities Participated In and Offered (April 2013 – September 2013)

QUALITY ASSURANCE KEY MMR RESULTS Action Plan: N/A CS CT is a new cluster configuration. This is their first official CPR.

KEY MMR RESULTS FOR CS CT As of September 30, 2013: Client Related: 3/9 or 33.3% of the clients are in Day Programs 3/9 or 33.3% of the clients are in school 3/9 or 33.3% of the clients are in sheltered workshop/job training 4 client incidents involving contraband 7/9 or 78% of clients choosing healthy living opportunities within program Staff Certifications: 43% certified in Medication Administration (Simsbury = 40%; Windsor = 63%; Manchester = 25%) 100% certified in First Aid/CPR/AED and PAC/CPI