Necessary Adjustments Suggestions

Suggestions of Adjustments:

• A calendar of monthly events that individuals served is able to attend if they choose

• Vehicle Logs of different errands or activities the individuals served can do during the timeframe.  

Suggestions of Adjustments:

• Notation IPPs and ISPs should note that the reason the individual is served is precisely that level of support with justification. Person-centered outcomes should be written that are measurable and help the individual progress towards the least restrictive environment as possible as defined by the individual's important for's and important to's. 

Suggestions of Adjustments:

• Client Rights Documents are shared within the home and posted meaningfully for the residents to review.

• Client Rights were discussed during house meetings, with minutes as evidence (omitted residents' names).

• Education with staff on how to explain and share client rights with tenants.

• Program Design amendment to add language regarding client rights procedures with each client.   

Suggestions of Adjustments:

• Adjustments to Program Design encourage the independence of the individual served. Describe how your agency, including your staff (Direct Support Professional), would encourage and coach individuals served.  

• Educating staff about Home and Community Based Services Philosophies, Person-Centered Thinking Courses, or similar.

Suggestions of Adjustments:

• Develop procedures and note them within your Program Design that address staffing needs to be educated on providing CONSENTUAL support. 

  • Asking the tenant: Who would you like to support you with (task)? Would you like some support with (task)? Who would you like to help you do (task)? 

• Develop procedures and note them within your program design of how staff will address choices with each resident and how to honor their requests. 

Suggestions of Adjustments:

• All tenants are to have legal and enforceable contracts of residency. For SDRC residents, this would be an Admission Agreement, including the "Tenant Rights & Responsibilities Admission Agreement," which can be obtained from your house liaison. Admission Agreements over 10 years old should be reviewed and considered for new admission agreements completed. 

Suggestions of Adjustments:

• Photos of individuals' bedrooms with their items decorating the room

• Door locks on each bedroom door always for locking of the door on the outside and inside that had a key or alternative option (such as keypad or thumb print)

• Door lock on a bathroom with a twist lock on the interior to ensure privacy.

Suggestions of Adjustments:

• Move food to an area that is within reach of the tenants to have access to food at any time

• If you create a house menu of food categories, allow tenants to pick the dinner options and allow substitutions the day of if a person does not want to eat that option.

• ISPs of the tenants showing their choice of schedule, including their day activities and choice of community involvement  

Suggestions of Adjustments:

• Remove any house rules or statements within the residence regarding visiting hours or visitors' limitations.

• Schedule and hold house discussions that allow the tenants to make house agreements regarding visitation hours and other things with a clear understanding of the following scheduled house discussions. 

• The House Expectations suggestion document can be located here. 

Suggestions of Adjustments:

• Photos of any adaptive equipment at the residence that supports accessibility throughout the house without barriers for the tenants.

• An updated program design includes an accessibility plan to meet the needs of all residents, including a plan for best supporting new residents.