1. WELCOME TO DRCC’S NEW EMPLOYEE ORIENTATION DAY ONE

2. Now is the time…

3. INTRODUCTIONS Tell us something about yourself…
Name and Program that you work at.
Have you ever done this type of work before?
How did you find out about DRCC?

4. Have you completed all necessary forms?
EMPLOYEE FORMS
Have you completed all necessary forms?
Flex Plan/401K

5. NEO Review You are now going to receive your NEO Review form.
Throughout the day, reinforce what you’re learning by filling out the review.
We’ll go through all the answers at the end of the day.
NEO EVALUATION—You each have one in your green binders—please fill it out!

6. Who are we?
DRCC… ...is a nonprofit organization providing residential and support services to children and adults with developmental disabilities and traumatic brain injuries. Founded in 1966, DRCC currently serves more than 400 individuals in St. Louis, Lake, Cook and Carlton counties and employs over 700 employees.

7. DRCC HISTORY
In 1966 a group of concerned parents and professionals organized Duluth Regional Care Center (DRCC) as a private non-profit corporation to meet the residential needs of teenagers and adults who were developmentally disabled. At that time, there were few community programs. The first people entered the Baldwin House in 1971.

8. DRCC’s Mission:
To support individuals with disabilities by creating opportunities to live rich and meaningful lives with family, friends, work and community.

9. DRCC’s Guiding Values:
We value:
Assisting individuals to exercise their rights to make choices that affect their lives.
Enhancing the competence of persons served by building on their strengths and interests.

10. DRCC’s Guiding Values:
We value:
Balancing the concerns of health and safety with the individual’s personal rights, including the right to take risks.
Building and maintaining relationships with others, including families, neighbors, co-workers and friends.

11. DRCC’s Guiding Values:
We value:
Providing opportunities to actively participate in the community and assist individuals to identify and work to overcome obstacles which may interfere with full community involvement.

12. DRCC’s Guiding Values:
We value:
Promoting and maintaining a positive image of the individuals who use our services.
Developing supportive work teams that embrace and carry out DRCC’s Mission.

13. DRCC’s Guiding Values:
We value:
Creating homes that are comfortable places for individuals to live and work – homes that are accessible, comfortable, clean, and well-maintained.

14. DRCC’s Guiding Values:
We value:
Maximizing the allocation of our resources to the employees who support the individuals we serve.
Recruiting, developing, and retaining a high quality workforce who will support the individuals we serve.

15. DRCC’s Guiding Values:
We value:
Being good stewards of the public monies we receive to provide services.
Providing a safe, nurturing and enjoyable environment in which to live and work.

16. DRCC provides training and support to individuals in three different settings.
DRCC ASPEN

17. RESIDENTIAL SERVICES
Community Residences are licensed homes that provide 24-hour-a-day support and supervision for individuals with disabilities. Typically, three or four roommates share a home or an apartment, with each individual having their own bedroom.
Individuals are encouraged and supported to make decisions that enable them to have control over their life choices.

18. SEMI-INDEPENDENT LIVING SERVICES (SILS)
Semi-Independent Living Services (SILS) are available for individuals who have many of the skills necessary to live independently in the community but still need some supports to insure that they can be successful. SILS services generally focus on developing and maintaining positive relationships, staying healthy and safe, finding fun things to do, managing money, and successfully maintaining an apartment/house.

19. IN-HOME FAMILY SUPPORT (IHFS)
In-Home Family Support Services provides assistance to individuals and their families when they are living at home. The program provides individualized training for the person that focuses on the acquisition of independent living skills, the development of interpersonal skills, and education to family members relevant to the needs of their son/daughter.

20. INSTITUTIONS TO INDEPENDENCE
VIDEO -
INSTITUTIONS TO INDEPENDENCE

21. PERSON CENTERED THINKING
It’s as easy as listening to people about things like:
Where to live;
How to spend time each day;
Who to spend time with; and,
Hopes and dreams for the future.
It’s also about supporting people in the choices
they make about their life.

22. The Core Concept of PCT:
BALANCING the scales between
Important TO
Important FOR

23. Think of the People You Are Going to Support
What is important to him/her?
What is important to his/her family?
What is important to his/her work site or day services?
What are characteristics of people who support him/her best?
People First Language

24. Working with Parents and Family Members
Look at the family as the “expert”
Introduce yourself—every time
Impressions are important!
Advice from the 2011 Parent Panel

25. COMMUNITY INCLUSION Be respected and appreciated as
Inclusion means…that all people, regardless of their abilities, disabilities, or health care needs, have the right to:
Be respected and appreciated as
valuable members of their
communities.

26. COMMUNITY INCLUSION Inclusion means:
Participate in recreational activities
in neighborhood settings.
Work at jobs in the community
that pay a competitive wage and
have careers that use their
capacities to the fullest.

27. COMMUNITY INCLUSION Inclusion means: Attend general education classes
with peers from preschool through
college and continuing education.
No one is “too disabled” to be part
of their community.

28. NORMALIZATION What does it means?
Normalization means…a normal rhythm of the day, week, year…a normal range of choices, responsibilities and interactions…a normal place to live.
Reference: The Normalization Principle by Bengt Nirje, 1980

30. ACTIVITIES ON RELATING TO PEOPLE WITH DISABILITIES

31. “DOING OUR BEST WORK” by Peter Leidy
VIDEO -
“DOING OUR BEST WORK” by Peter Leidy

32. DRCC Policies and Procedures
Where is the P&P manual located?
What are your responsibilities as staff for the implementation of DRCC’s policies and procedures?

33. Admission Policy
Admission to a DRCC program will be based on the ability of the program to meet the needs of the individual.
DRCC will not discriminate because of race, creed, color, age, sex, sexual orientation, religion, disability, national origin, marital status, or status with regard to public assistance.

34. Admission Criteria After receiving a referral from a case manager:
1. The applicant must be an adult (with the exception of IHFS).
2. The applicant must have a diagnosis judged by the Management Team to be an appropriate candidate for services.
3. The applicant has the capacity to participate in and benefit from the program.
4. The applicant has the ability to pay for services.
5. Prior to a final decision, the applicant may participate in pre-placement visits.

35. Service Suspension & Service Termination
It is the policy of DRCC to ensure our procedures for temporary service suspension or termination promote continuity of care and service coordination for persons receiving services.

36. Suspension or Termination Procedures
1. For suspension or termination, the client must be at risk to self or others, have medical issues the program can’t provide for, or have not paid for service from DRCC.
2. Services can also be terminated if DRCC ceases to operate or the lead agency (the county social services) terminates service eligibility.
3. DRCC must take action to try and eliminate the need for service suspension or termination.
4. DRCC must provide written notice of the suspension or termination; maintain the client’s records for seven years; and report a final summary after the termination is complete. DRCC will work with the client’s support team for continuity of care as requested.

37. SERVICE RECIPIENT RIGHTS
We are obligated to follow the Home & Community- Based Services – Service Recipient Rights, under the law, Minnesota Statutes, section 245D.
DRCC aggressively promotes the rights of the individuals we serve. As part of its mission, DRCC works to assure that individuals learn to assert as much control over their lives as possible.

38. I HAVE THE RIGHT TO:
Take part in planning and evaluating the services that will be provided to me.
Have services and supports provided to me in a way that respects me and considers my preferences.
Refuse or stop services and be informed about what will happen if I refuse or stop services.
Know, before I start to receive services from this program, if the program has the skills and ability to meet my need for services and supports.

39. I HAVE THE RIGHT TO:
Know the conditions and terms governing the provisions of services, including the program’s admission criteria and policies and procedures related to temporary service suspension and service termination.
Have the program help coordinate my care if I transfer to another provider to ensure continuity of care.
Know what services this program provides and how much they cost, regardless of who will be paying for the services, and to be notified if those charges change.

40. I HAVE THE RIGHT TO:
Know, before I start to receive services, if the cost of my care will be paid for by insurance, government funding, or other sources, and be told of any charges I may have to pay.
To have staff that is trained and qualified to meet my needs and support.
Have my personal, financial, service, health, and medical information kept private and be notified if these records have been shared.
Have access to my records and recorded information that the program has about me as allowed by state and federal law, regulation, or rule.

41. I HAVE THE RIGHT TO:
Be free from abuse, neglect or financial exploitation by the program or its staff.
Be free from staff trying to control my behavior by physically holding me or using a restraint to keep me from moving, giving me medication I don’t want to take or that isn’t prescribed for me, or putting me in time out or seclusion; except if and when manual restraint is needed in an emergency to protect me or others from physical harm.
Receive services in a clean and safe location.

42. I HAVE THE RIGHT TO:
Be treated with courtesy and respect and have my property treated with respect.
Be allowed to reasonably follow my cultural and ethnic practices and religion.
Be free from prejudice and harassment regarding my race, gender, age, disability, spirituality, and sexual orientation.

43. I HAVE THE RIGHT TO:
Be told about and to use the program’s grievance policy and procedures, including knowing how to contact persons responsible for helping me to get my problems with the program fixed and how to file a social services appeal under the law.
Know the names, addresses and phone numbers of people who can help me, including the ombudsman, and to be given information about how to file a complaint with these offices.

44. I HAVE THE RIGHT TO:
Exercise my rights on my own or have a family member or another person help me exercise my rights, without retaliation from the program.
Give or not give written informed consent to take part in any research or experimental treatment.
Choose my own friends and spend time with them.
Have personal privacy.
Take part in activities that I choose.

45. I HAVE THE RIGHT TO:
Have free, daily, private access to and use of a telephone for local calls, and long-distance calls made collect or paid by me.
Receive and send mail and s and not have them opened by anyone else unless I ask.
Use of and have free access to common areas (this includes the kitchen).

46. Grievance Procedure
It is the policy DRCC to ensure that people served by this program have the right to respectful and responsive services. We are committed to providing a simple complaint process for the people served in our program and their authorized or legal representatives to bring complaints and grievances forward and have them resolved in a timely manner.
Grievances will be responded to within 14 days and resolved within 30 days.

47. Staff’s role
To provide assistance with the complaint process to the service recipient and their authorized representative.
The assistance may include providing information to assist the person with their complaint and working actively to resolve the complaint.

48. For further information from DRCC’s policy and procedure manual, talk to your Program Director, Program Manager or the Executive Director.

49. GROUP ACTIVITY on RECIPIENT RIGHTS What is a promotion of rights?
What would be a violation?

50. “OFFENSE TAKEN” Community responds to the “R” word.
VIDEO -
“OFFENSE TAKEN” Community responds to the “R” word.

51. WHEN WAS THE LAST TIME YOU HAD DRIVER’S TRAINING?

52. Driving Safely Winter Driving

53. Data Privacy
All information contained in a person’s record will be handled in a manner consistent with the Government Data Practices Act. DRCC will be responsible for assuring the safekeeping of records, securing them against loss or use by unauthorized persons.

54. P.A.R.R.
Each client with DRCC operates under a P.A.R.R. form, which lists guardians and clients consents for different rights and restrictions.
The P.A.R.R. form has a list of who can receive information regarding the clients.

55. HIPAA
What is HIPAA? – HIPAA is an acronym for “Health Insurance Portability and Accountability Act”. This is a federal law that regulates the disclosure of private health information. The law specifies when a health provider can disclose information, what types of information can be disclosed, to whom it may be disclosed, and what rights clients/patients have. The law also regulates the electronic transmission of data.

56. HIPAA and Data Privacy
Summary: Information about individuals who receive services from DRCC should be treated respectfully, confidentially, and be well safeguarded. Information should not be disclosed without the individual’s consent unless it is allowed or required by law.
Questions about HIPAA or Data Privacy should be directed to your Program Director, Program Managers or the Executive Director.

57. VULNERABLE ADULTS
The Vulnerable Adult Act was passed by the Minnesota legislature in The purpose of the act is:
To protect adults who, because of physical or mental disability or dependency on institutional services, are particularly vulnerable to maltreatment.
To provide safe residential services for vulnerable adults who have been maltreated.

58. Being a Mandated Reporter
As an employee of DRCC, you are considered a Mandated Reporter.
In the event you suspect abuse, neglect or financial exploitation, you are obligated to file a report.
DRCC policy on Vulnerable Adults provides information relative to the Act and the Rule developed by the State of Minnesota.
The Minnesota Adult Abuse Report Center (MAARC) number is

59. DHS VULNERABLE ADULT TRAINING and QUIZ

60. GUIDELINES FOR GOOD DOCUMENTATION
Assure record is safe
Assure individual privacy.
Separate records for each person.
Use only ink for writing.
If you make a mistake, cross it out with a single line and initial.
Sign your entire name and your position at the end of your entry.
Draw line through blank space at the end of any sentence that doesn’t completely use up the space.
Don’t document for others.

61. SPECIFICS ON WRITING INDIVIDUAL NOTES
You want to write so that someone who does not know the person will easily understand what is being related:
Who, What, When, Where, How and Why
D=Description
A=Action (Staff)
R=Response (Client)
O=Outcome/Follow-up

62. DOCUMENTATION SAMPLES
“Real crabby today”
“For an unknown reason, Mary threw her spoon, swore at another client, and left the house screaming,
‘I’m running away’.”
“She had a good day”
“Upon returning home, John talked to staff, saying he was tired and going to take a nap for an hour. After napping, John scheduled a time to grocery shop and prepare an evening meal with staff.”

63. PRACTICE WRITING INDIVIDUAL NOTES

64. Based on the 3 facts below, how would you write an Individual Note for Bill if he were your consumer/client?
Bill went to work at Udac from am – 3pm.
He came home and did some household chores.
He spent time in the community.

65. WHERE DO YOU FIND DOCUMENTS AND FORMS? Time Entry

66. Form #PS62 “Incident Report”
Incident Reporting
All incidents must be reported to the client’s legal representative and case manager within 24 hours of the occurrence.
Form #PS62 “Incident Report”
is to be completed.

67. WHEN DO YOU FILL OUT AN INCIDENT REPORT?

68. Documentation of Incidents & Emergencies
“Incident” means any of the following:
An atypical event, accident, illness or injury not requiring emergency medical attention, fall, med error, or a non-severe behavioral incident.
Any medical emergency, unexpected serious illness, or significant unexpected change in an illness or medical condition that requires the program to call 911, physical treatment, or hospitalization.

69. Documentation of Incidents & Emergencies
Any mental health crisis that requires the program to call 911 or a mental health crisis intervention team.
An act or situation involving a person that requires the program to call 911, law enforcement, or the fire department.
Unauthorized or unexplained absence from a program.

70. Documentation of Incidents & Emergencies
Conduct by a person against another person that: is so severe, pervasive, or objectively offensive that it substantially interferes with a person’s opportunities to participate in or receive service or support; places the person in actual and reasonable fear or harm; places the person in actual and reasonable fear of damage to property of the person; or substantially disrupts the orderly operation of the program.

71. Documentation of Incidents & Emergencies
Any sexual activity between persons that involves force or coercion.
Any emergency use of manual restraint.
A report of alleged or suspected child or vulnerable adult maltreatment.
Death or serious injury.

72. Incident Report Scenario
It is 8:15 PM on a Tuesday evening. You are the only staff on duty at your program. You are assisting Mary with laundry.
You and Mary are both carrying baskets of clothes. Mary is walking up the stairs in front of you when she trips and falls forward. She lands on her knees on the stairs. She is quick to stand up and keep walking, but you notice when she gets to the top of the stairs, she is limping.
What is your next step?
Write an Incident Report regarding this scenario.

73. WHEN TO CALL FOR HELP
In the event of a fire or medical emergency, call 911.
Contact the Program Director and/or Program Manager.
If you cannot reach the Program Director or Manager, call the main office ( ) which is answered by DRCC personnel or the answering service 24 hours/day, 7 days/week.
Tell the operator you need to speak with the on-call staff and give them your name and number.

74. Appropriate and Safe Techniques Regarding ADL’s
Helping someone take a shower
Brushing teeth
Washing hair

75. Ways to promote a healthy diet following CDS guidelines.
GROUP ACTIVITY
Ways to promote a
healthy diet
following
CDS guidelines.

76. AFFIRMATIVE ACTION
DRCC is committed to providing equal opportunity in employment to all qualified applicants and employees regardless of race, color, creed, religion, national origin, sex, marital status, status with regards to public assistance, membership or activity in a local commission, disability, sexual orientation or age.

77. Who has read through DRCC’s
Personnel Handbook?

78. Guidelines for Staff
DRCC wants the programs it operates to truly be home for the individuals living there.
An important part of each staff person’s job is to help make the program or facility a comfortable home.
Staff are asked to participate as members of the household while they are working, eating with clients, helping with cooking/cleaning, and participating in community recreational activities.

79. Guidelines for Staff
Staff who work in programs where staff and residents share meals may eat meals when it is part of their job responsibilities.
It is expected that staff will eat with clients in a family style manner, eating the same food.
It is not acceptable for staff to use DRCC funds to purchase “special” items that are exclusively for staff use.
DRCC Vehicles may not be used for personal use.

80. ARE YOU READY TO ANSWER THE QUESTIONS ON THE NEO REVIEW??

81. We appreciate your feedback!
Please hand in your
NEO Day 1
Evaluation.

82. Truly successful people are
REMINDER:
Truly successful people are
CONTRIBUTORS!