1. Team Advocacy Project SCARCH Spring Conference April 16, 2015 Anna Maria Darwin, Attorney and Protection and Independence Team Leader

2. Learning Objectives You will be able to ◦ Know how P & A has access to CRCF’s ◦ Identify who Team Advocacy is ◦ Understand how Team chooses a facility ◦ Recognize the parts of an inspection ◦ Use resources that Team Advocacy provides to benefit your facility and residents

3. What is Team Advocacy? Conducts “unannounced visits to review the living conditions of a residential facility, including the plans of care for individuals in a residential care facility and a community mental health center day program” (SC Code 43-33-350) Inspections are led by the Team Advocate with assistance from trained Volunteer(s) Funding sources: DMH and U.S. Dept. of HHS

4. Facility Selection Not in response to a complaint Ordinarily not more frequently than every two years per licensed facility Facilities are chosen from the DHEC list of CRCFs County representation Availability of a trained volunteer. The law that grants us access requires the use of a trained volunteer at all times

5. What happens during an inspection? Team Advocate: ◦ Reviews resident records ◦ Medication & MAR review ◦ Staff records ◦ Emergency evacuation plan ◦ Inspects condition of facility Volunteer: ◦ Interviews residents ◦ Observes a meal ◦ Takes notes ◦ Inspects facility with Team Advocate

6. Survey tools: Review of Residence Safety & Compliance issues Homelike atmosphere Staffing Meal observation Cleanliness

7. Survey tools: Resident Interview Open-ended and yes/no questions about: ◦ Resident’s feelings about the facility, food, and the rooms and roommates ◦ Resident’s clothing, hygiene, and special equipment supplies ◦ Personal Needs Allowances ◦ Access to the doctor ◦ Access to the community

8. What happens after an inspection? A written report is mailed within 5 business days to the administrator of the facility, all involved agencies, and advocacy organizations Agencies follow up on issues addressed during the inspection Administrator is encouraged to respond

9. Who Receives a Copy of the Report? DHEC LLR DMH DDSN DSS Attorney General SHARE: Self-Help Association Regarding Emotions DHHS Long Term Care Ombudsman NAMI MHA Veterans Administration

10. What is P&A’ role? We talk to the administrator, staff, and residents We report dangerous items and situations immediately We compliment good works

11. Thank You! Questions??