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QUALITY ASSURANCE

                                                                                                                                                   

Living Alternatives for the Developmentally Disabled, Inc. (L.A.D.D., Inc.) is accredited by CARF, The Commission on Accreditation of Rehabilitation Facilities.  Carf is a nationally recognized, not-for-profit accrediting body. CARF promotes equality, value, and optimal outcomes of services through an accreditation process that centers on enhancing the lives of the persons served. 
L.A.D.D., Inc. maintains outcome based documentation on all services and has a commitment to continuously improve and develop all areas. 

Strategic Planning

Strategic Planning is part of the Continuous Quality Improvement process for L.A.D.D., Inc.  The Steering   Committee, Board of Directors and Quality Assurance Department revise the plan according to the ever changing environment in which we provide services.  The Strategic Plan is reviewed each month during the Steering Committee Meeting to ensure we are achieving progress towards the goals that have been set.  Goals are determined through analysis of Satisfaction Survey results, Committee Meetings, regulatory inspections, Family Staff Meetings, Person Centered Planning, Quality Assurance data collections, and Risk Management. 

Quality Improvement Plan

L.A.D.D., Inc. has an extensive Quality Improvement Plan that is monitored on a monthly basis by the QA Department and the Steering Committee.  Some of the following items are tracked through the QI Plan: staff training, Adult Foster Care (AFC) agreements, SIP Leases, revised and deleted forms, Incident Reports, Recipient Rights Complaints, PCP dates, Safety and Quality Assurance committees, Person Centered Planning Surveys, Community Access, Residential Person Centered planning goals, CLS person centered planning goals, Guardian, Family, and friend contact, Health and Safety Skill Training, and staff turnover rates to name a few.  The QI Plan guides the Board of Directors, Steering Committee, Management and Professional Care Technicians in providing services with high quality standards.  The QI Plan is available in each program and at the Regional and Corporate Offices.

Health and Safety Skills

L.A.D.D., Inc. is committed to ensuring that the people for whom we provide support services receive on   going health and safety training, while striving to remove barriers that affect them.  This is an important part of the Mission, Vision and Values of L.A.D.D., Inc. and we will strive to keep this area growing. Many individuals have Health and Safety Skill Goals included in their individual Person Centered Plans, as well as it being a part of the Quality Improvement Plan for L.A.D.D., Inc.  We will continue to assist the people we support in this area.  Some examples of the health and safety skills trained while in the community are: hand washing in a public restroom, review of exit signs, stop signs, communicating with strangers, and parking lot safety.

Program Reviews
Program Reviews are completed to increase the awareness of the activities that occur in the program before, during, and after regular business hours, and to insure high quality services.  All shifts and program types are observed using a Program Review, including CLS, CLS Residential, Residential, and SIH.  Program Review goals are monitored as part of the Quality Improvement Plan. 

Community Access

L.A.D.D., Inc. is committed to ensuring that the people for whom we provide support services are given the opportunity to be involved in activities in the community.  Employees are encouraged to find recreational opportunities in the community and in the program.  It’s important to provide opportunities to teach socialization skills and other life skills needed to live in the community such as crossing the street, using the “men’s” or “women’s” bathroom, etc. Involving the people served in community activities that are occurring is important so that they feel apart of their community.
L.A.D.D., Inc. is committed to ensuring that community outings reflect the desires of the people receiving support services and should be appropriate for both the people involved and the community setting.  Employees are aware that being sensitive to the environment where the activity will take place in order to be certain the group size is acceptable is an important part of the integration process. 

Barrier Removal Plans

A Barrier Removal Plan is completed at every program where L.A.D.D., Inc. provides support.  The following potential barriers are reviewed: transportation, communication, financial, employment, attitudinal, health and safety.  Barriers that may affect persons supported, personnel and other stakeholders are evaluated.  On an annual basis an internal review of barriers is completed by the Area Supervisor for each program.  Programs are also reviewed by external agencies such as the RMHA, Licensing, Fire Marshall and Insurance Inspectors.  Potential barrier reviews also occur during Monthly Family Staff Trainings.  Identified barriers are reported with facts, location, possible solutions, priority, target completion date, responsible parties, and completion date to the Quality Assurance Department for tracking and monitoring.  Barrier Reports are reviewed by the Steering and Emergency Management Committees. 

Guardian and Family Contact

L.A.D.D., Inc. is committed to encouraging guardian and family contact on a regular basis as well as advocating for Natural and Community Supports through the Person Centered Planning Process.  Guardian, family, and friend    contacts consist of any interaction between the person supported, manager, family and friends of the person supported. This can be a in home or out of home contact, a telephone call, a letter or card in the mail just to name a few.  A Natural Support can be a phone conversation, visit, sending or receiving mail from family or friends, or any assistance or        support that is provided by a person who is not paid to provide the support.  L.A.D.D., Inc. staff may be counted as a Natural Support if the contact occurs out of regular working hours.  If you would like to provide a Natural Support for anyone receiving services from L.A.D.D., Inc. please contact any office for assistance.

Person Centered Planning Goals

In an effort to continuously improve our services and to ensure that we are meeting the needs of everyone supported, L.A.D.D., Inc. tracks all Person Centered Planning Goals for progress as well as the Area Supervisors review all Person Centered Plans within 60 days of the Person Centered Planning date.  The review is to ensure that coordination of planning and scheduling occurs between the Responsible Mental Health Agency (RMHA) and L.A.D.D., Inc.  The 60 Day Reviews ensure that pre planning occurred, the plan contains all     necessary signatures and that the person supported and the guardian are satisfied with the goals.  The review also ensures that goals are measurable and personalized, the issue of Natural Supports is addressed, and that data is being collected on the goals by the responsible persons.  This area of quality assurance is reviewed by the Area Supervisors, QA Department, and Steering Committee on a regular basis. 

The Annual Outcome Report is available to view by clicking here. This document is in Adobe Acrobat format.

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