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Community Strategies: Randi Mundell’s Cluster: CS CT Simsbury, Windsor and Manchester CS CT consumer Community Strategies: Randi Mundell’s Cluster: CS CT Simsbury, Windsor and Manchester CS CT consumer received Gold Medal at the Special Olympics Comprehensive Program Review December 6, 2013

CLUSTER HIGHLIGHTS • Team work (staff shortages, turn over, investigations have led to programs CLUSTER HIGHLIGHTS • Team work (staff shortages, turn over, investigations have led to programs being short staffed and the programs and staff pulled together to get through this rough time) • CS-CT has become its own entity as a CRJ division • Manchester, CT program opened on 8/9/13 • Coventry, CT program opened on 10/21/13 CHALLENGES • CS-CT is a new vendor for the CT Department of Disability Services and has faced many learning curves in all CRJ departments while becoming acclimated. • High number of Medication Incidents & Occurrences • High number of Elopements

STAFFING Staff Turnover Rates Performance Evaluations Staff Training STAFFING Staff Turnover Rates Performance Evaluations Staff Training

STAFF TURNOVER RATES (October 2012 – September 2013) Data obtained from HR Turnover Reports STAFF TURNOVER RATES (October 2012 – September 2013) Data obtained from HR Turnover Reports

STAFF OVERDUE PERFORMANCE EVALUATIONS April 2012 – September 2013 Programs Overdue Evaluations FT PT STAFF OVERDUE PERFORMANCE EVALUATIONS April 2012 – September 2013 Programs Overdue Evaluations FT PT Simsbury 1 0 Windsor 6 1 Manchester (Data from 8/13 -9/13) 1 0 CS CT Total 8 1 Data obtained from HR Department & HR Personnel Summary

 Ø Total of 1, 392. 5 training hours were completed Ø Average of Ø Total of 1, 392. 5 training hours were completed Ø Average of 61. 1 hours (Simsbury); and 60. 1 hours(Windsor) per staff over six months. Ø Average of 61. 2 hours (Manchester) over two months (8/1 -9/30/13) Ø Overall average of 61. 1 hours per staff over six months. Data obtained from MMRs and HR Reports

CLIENT RELATED • Clinical Hours • Elopements (Walk-Aways) • Medication • De-escalation and Restraints CLIENT RELATED • Clinical Hours • Elopements (Walk-Aways) • Medication • De-escalation and Restraints • Mainstream/Community Inclusion Activities

CLINICAL HOURS April 2012 – September 2013 Data obtained from MMRs CLINICAL HOURS April 2012 – September 2013 Data obtained from MMRs

Client Elopements (Walk-Aways) April 2013 – September 2013 April May June July August September Client Elopements (Walk-Aways) April 2013 – September 2013 April May June July August September Simsbury 2 3 1 6 6 2 20 Windsor 0 1 1 1 0 0 3 Manchester N/A N/A 0 3 3 CS CT Total 2 4 2 7 6 5 26 Data obtained from MMRs Subtotal

MEDICATION INCIDENTS & OCCURRENCES April 2013 - September 2013 Ø Ø Ø Total of MEDICATION INCIDENTS & OCCURRENCES April 2013 - September 2013 Ø Ø Ø Total of 101 medication incidents and occurrences Simsbury average per client over six months = 4. 9; Windsor average per client over six months = 1. 5; Manchester average per client over two months =. 2; the Overall Average for CS CT is 2. 1 per client over six months 58 out of 101 medication incidents and occurrences or 57% are client refusals of psychotropic medications Data obtained from MMRs

DE-ESCALATIONS : RESTRAINTS April 2013 – September 2013 Total Ratio Simsbury 93 : 22 DE-ESCALATIONS : RESTRAINTS April 2013 – September 2013 Total Ratio Simsbury 93 : 22 4 : 1 Windsor 52 : 3 17 : 1 Manchester 26 : 8 3 : 1 (8/13/-9/13) Overall- CS CT 171 De-escalations: 5 : 1 33 Restraints Data obtained from MMRs

Client Activities Participated In and Offered (April 2013 – September 2013) Client Activities Participated In and Offered (April 2013 – September 2013)

Client Activities Participated In and Offered (April 2013 – September 2013) Client Activities Participated In and Offered (April 2013 – September 2013)

QUALITY ASSURANCE • KEY MMR RESULTS • Action Plan: N/A – CS CT is QUALITY ASSURANCE • KEY MMR RESULTS • Action Plan: N/A – CS CT is a new cluster configuration. This is their first official CPR.

KEY MMR RESULTS FOR CS CT As of September 30, 2013: Client Related: Ø KEY MMR RESULTS FOR CS CT As of September 30, 2013: Client Related: Ø 3/9 or 33. 3% of the clients are in Day Programs Ø 3/9 or 33. 3% of the clients are in school Ø 3/9 or 33. 3% of the clients are in sheltered workshop/job training Ø 4 client incidents involving contraband Ø 7/9 or 78% of clients choosing healthy living opportunities within program Staff Certifications: Ø 43% certified in Medication Administration (Simsbury = 40%; Windsor = 63%; Manchester = 25%) Ø 100% certified in First Aid/CPR/AED and PAC/CPI