1. 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

2. 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

3. STAFFING
Staff Turnover Rates
Performance Evaluations
Staff Training

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

5. 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

6. 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

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

8. CLINICAL HOURS April 2012 – September 2013
Data obtained from MMRs

9. 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

10. 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

11. 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: Restraints
5 : 1
Data obtained from MMRs

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

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

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

15. 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