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COMMUNITY RESIDENCES INC.
PROVIDER ORGANIZATION BACKGROUND
Community Residences, Inc. (CRI), is a not-for-profit
corporation developed to serve people with special needs in the State of
Connecticut. It is the principal goal of CRI to provide quality services
to people in the least restrictive manner possible. A key to reaching this
goal is the hiring, training and maintenance of a highly qualified,
involved and well-motivated staff.
The objectives of CRI are to:
1. Provide services to people with special needs
that are individualized, have been developed with the participation of
the people that will utilize the services, and with input from people
that know and care about the person.
2. Develop services that enable people with special
needs to live and work in environments that provide opportunities for
the development of relationships with people in their community and
work place.
3. Provide programs to people who receive services
from CRI that are designed to assist in the development of skills that
will maximize their independence and self-reliance.
4. Give people who receive services from CRI
opportunities to make choices that effect their day to day lives and
where appropriate, develop strategies that will assist the individual
in expressing their wants and desires.
5. Develop and operate programs that reflect
positively on the individuals that live or work there and to ensure
that activities and programs are designed in a manner that respect the
individual.
6. Provide staff employed to work with people in
its programs with the knowledge and skills necessary to appropriately
interact with people with disabilities.
7. Promote recruiting persons with disabilities as
board members, staff members and volunteers.
8. To work with families of individuals who have
special needs to find support systems within the community and to
increase community awareness of the needs of individuals who have
special needs.
9. Raise funds through public solicitation and
other legal means for the purpose of furthering the aims of the
organization.
10. CRI provides services to people with special
needs and hires staff regardless of race, creed, color, national
origin, ancestry, age or sex.
PROVIDER EXPERIENCE AND QUALIFICAITONS
CURRENT PROGRAMS AND STRUCTURE OF CRI
The Community Residences Inc. (CRI) provides Day,
Residential, and Foster/Adoptive Homes to over three hundred and fifty
individuals at a variety of locations. Listed below is an overview of the
specific types of services currently provided.
ADULT DAY PROGRAMS
The individuals in the CRI Adult Day Programs are
people who have severe and profound mental retardation and are in need of
significant amounts of physical and occupational therapy. The major thrust
of these programs are to implement the individual's Overall Plan of
Services (OPS) in such a way as to meet the person's developmental,
habilitative and medical needs in the least restrictive environment as is
possible. The staff in this program are actively supported by consultants
who are specialists in Physical Therapy, Occupational Therapy, Speech and
Language Development and Behavioral Psychology. In addition to this, there
is a nurse at the program sites to monitor and evaluate each participant's
medical status. On a daily basis, the staff who work in the Adult Day
Programs are responsible for implementing specialized feeding programs,
motor development programs and utilizing special switches that allow the
men and women in this program to develop abilities that will give them
some control of their environment. In addition regularly scheduled
community outings provide the participants with opportunities to explore
and experience the world outside of the day program setting.
COMMUNITY TRAINING/ FOSTER & Adoptive HOMES
CRI operates Community Training Homes, Foster and
Adoptive Homes children and adults who are clients of the Department of
Mental Retardation (DMR) and the Department of Children and Families (DCF).
In this program, homes are recruited, licensed, and individuals in need of
supervision and support are then placed in the homes. Through its two
contracts with the DMR and DCF, CRI is responsible to recruit, train,
license and provide ongoing support and supervision to CTH and
Foster/Adoptive Care providers. CRI currently serves 130 children and 35
adults in these two programs.
SUPPORTED LIVING
The CRI Supported Living Arrangement (SLA) Program is
designed to provide assistance to people with mild to moderate
disabilities who live independently in their own home. People who are
supported by this program may need assistance with money management, meal
preparation, home care, health maintenance, or any other need area that
can be handled by drop in staff. CRI currently supports 35 individuals
with a variety of needs in supported living. These needs range from issues
with sexuality, social isolation, severe mental retardation, and a variety
of mental health issues.
COMMUNITY LIVING ARRANGEMENTS
The CRI Community Living Arrangement (CLA) Program
provides twenty-four hour supervision to people living in a group home
type environment. The people living in this environment have needs for
significant support in all areas of development. In conjunction with the
individual's day program, CRI attempts to provide habilitative, social and
recreational activities that will enable the individual to develop
increased levels of independence. The CLA's are licensed by the DMR and
are monitored on a regular basis for compliance to regulations and quality
of services.
INTERMEDIATE CARE FACILITY/MENTAL RETARDATION
The six Intermediate Care Facility/Mental Retardation (ICF/MR)
group homes operated by CRI provide services to individuals who have
severe-profound mental retardation and have other significant handicapping
conditions. This highly regulated program which is funded by the
Department of Department of Social Services and monitored by the
Department of Health, is designed to provide active treatment in the least
restrictive environment possible and to utilize an IDT process to
determine needs and develop/monitor the implementation of programs.
During the twenty years of its existence, Community
Residences, Inc. has gained a reputation for developing and operating
programs that are progressive, designed to meet client needs and are
responsibly managed for a supervisory as well as fiscal perspective. Some
of its recent accomplishments are as follows:
1. Designed, developed, and opened three ICF-MR Group
Homes for the people coming out of Hillside Manor Nursing Home and the
New Haven Regional Center. The three houses were developed on schedule
and were licensed by the State Health Department with no deficiencies
from day one of operation.
2. Operates six ICF-MR Group Homes that have
maintained near one hundred percent active treatment rates and have
been recognized by both DMR and the State Department of Health as
begin model programs for people with multiple handicaps.
3. Opened a Group Home for people who had lived in
Connecticut Valley Hospital (CVH) for years and have had significant
psychiatric issues. The home was developed for DMR Region 5 and since
it’s opening, the people in this home have become integrated into
their community and the quality of their lives has significantly
improved.
4. Took over responsibility for the operation in 1992
of a four bed ICF-MR group home. In 1995, took over the operation of
two four-bed ICR-MR Group Homes formerly operated by NCDC. In 1997
took over the operation of five group homes serving dually diagnosed
men and women in Torrington, in 1998, CRI took over the operation of a
25 person day program in Brookfield, and in 2000 took over the
responsibility for a day program in Waterbury serving 50 people. In
each instant and in an expedient fashion:
1. Transitioned the clients to new staff and
management.
2. Assisted family members with the change.
3. Significantly upgraded the day and
residential facilities.
4. Immediately improved the quality of life
for the people
transferred as well as the quality of program
and medical
operations.
5. Met all licensing and regulatory
requirements of DMR.
5. Serve over 350 children and adults in 25 locations
in a personalized, efficient and humanistic fashion while at the same
time meeting the licensing regulations of the State and Federal
Government. This is reflected in excellent licensing surveys and
mid-year reports provided by the Northern, Southern and Western DMR
Regions
CRI has a reputation for operating vocational,
residential and community support programs, which provide high quality
services. This has been accomplished by hiring and supporting direct care
workers and providers who are trained and motivated, by contracting with
clinical consultants that know the needs of the population served, and by
managing each program based on the needs of the participants not the needs
of the Agency.
Direct Care / Provider Staff
It has been the experience of Community Residences,
Inc., that the quality of its programs are directly linked to the level of
training, motivation and accountability of its employees. All staff and
providers hired for CRI operated programs are put through a rigorous
application process and have police checks done to ensure that proper care
is provided for the clients. All staff working within its programs receive
inservice training as per its Policies and Procedures. The number of staff
per program is dependent on the needs of the individual clients and the
number of beds in the home. Each CRI program has a designated Manager who
is responsible for scheduling, staff supervision, and assists in training
all staff hired to work in the program. The CRI Program Coordinator is
responsible for the supervision and support of the Program Manager. The
overall Program, is managed by the Residential, Day, or Community
Placement Director.
Program Administration
All CRI Programs are administratively managed by a
Program Director. Medical Services are supervised by the Director of
Nursing Services and overall Quality Assurance is monitored by a Program
Coordinator. All Secretarial, bookkeeping and accounting necessary for the
successful implementation of this project is coordinated out of the
Community Residences, Inc. office in Southington.
Clinical Support Staff
Dependent on the needs identified by the individual’s
Overall Plan of Service, Community Residences, Inc. will contract with
licensed professionals to provide the necessary support to assist the
staff in the care and programming of the clients. This Support Staff may
consist of any of the following disciplines: Social Work, Occupational
Therapy, Physical Therapy, Speech, Behavior Therapy, Nursing, etc. The
Therapist will, for the majority of their time, be responsible to work
with the Program Manager to assist them to develop appropriate programs
and skills and to monitor the implementation of the programs developed. In
addition, they will be made available to the individual’s IDT for the
development and monitoring of the Overall Plan of Service.
Preferences and Relationships with Family and Community
It is the philosophy of Community Residences, Inc. that
it should do everything possible to assist a participant maintain
relationships with people in their Community in addition to their
families, friends and advocates. In order to facilitate this, CRI will
take the following actions:
1. Maintain Policies and Procedures, which are
supportive to friends and family, and ensure that the clients’
rights for freedom of association are guarded.
2. All CRI operated residential and day facilities
spend time supporting their community by donating food to the homeless
shelters, delivering meals to the elderly, working for the Red Cross
or in some other way giving something back. In this manner the clients
in the homes develop ongoing relationships with people in their
community and are not perceived as a burden to society.
3. CRI is committed to having clients recreate in
the community and to have them fully participate in Connecticut town
life. To this end, and as a part of their regular activities, CRI
encourages clients to do their own clothing and food shopping, to
attend movies and concerts in the community, join sports teams and
interact with their neighbors. It is the responsibility of CRI to make
these opportunities available to the clients and to encourage
integration where ever and whenever possible.
4. Families and friends are encouraged to visit at
the program at any time they choose. Space is made available so that
their visits can be private and staff are encouraged to be welcoming
and supportive. In addition to this, CRI will often volunteer to
transport clients to their families’ home so that they can enjoy a
day or weekend visit. This is especially helpful to families when the
client is in an adaptive wheelchair that needs to be transported in a
specialized wheelchair van.
5. CRI is committed to making every effort possible
to include family and advocates in the annual planning process. OPS
meetings are held at a time, which is arranged with the family and
opportunities are made for them to make their feelings and concerns a
part of the meeting.
Methods of Evaluation
CRI’s residential, day and community-based programs
have a reputation for excellence, which has been documented by numerous
successful State and Federal Inspections. This has been accomplished by
taking the attitude that one gets what one “inspects” not what one “expects”.
To this end, CRI has in place the following strategies to ensure that the
people living in its programs get the highest quality of services.
1. Each program operated by CRI has an assigned
quality assurance position. The role of this position is to ensure
that the Agency complies with program standards and regulations.
2. The Quality Assurance position is the pivotal
person for insuring that the program is operating within compliance of
regulations and that the individuals living in the program are being
consistently and effectively managed. The QA position is in the
program on a regular basis, is responsible to work with all
consultants connected to the home and receives supervision from the
Program Director.
3. CRI contracts with experienced, competent
consultants, who are hired to assess client needs, develop programs,
train providers and provide ongoing feedback regarding the client’s
progress. The consultants, as needed, observe providers implementing
programs and provide feedback as to the consistency and
appropriateness of its implementation.
4. Each Home program operated by CRI has a
Registered Nurse assigned. This individual’s responsibility is to
ensure that the individual’s primary health needs are met and that
all necessary steps are taken to prevent health related problems. In
addition, the CRI Nursing staff is available twenty-four hours per day
to support the direct care staff in making decisions related to each
client’s health status.
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