Milieu Family Services–Home Sharing Services Annual General Report 2009-2010
Milieu Family Services
Home SharingServices
Annual General Report
April 2009 – March 2010
Home Sharing ServicesProgram Overview
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Milieu Family Services–Home Sharing Services Annual General Report 2009-2010
Milieu’s Home Sharing Services provides supports to Adults with developmental disabilities that wish to share a home with someone who provides ongoing support. Milieu’s Home Sharing Support Model is a broad and flexible service that includes a wide variety of support and living arrangements. In some situations, home sharing involves very close relationships. The individuals within the home share not only share their personal space, but, also their lives. The members of the home spend a lot of time together and are actively involved in one another’s daily activities. In other situations, the home sharing arrangement is characterized by more independent relationships. The members of the home generally go their own ways and come together at specific times or for specific purposes.
However, despite the endless variations, there are some commonalities within all of these arrangements. Those who are contracted to provide home sharing have the following responsibilities:
Treat the individual with respect and dignity at all times
Fully integrate and treat the individual as an equal participant in the home and community
Ensure the individual’s safety and general well-being
Provide support and guidance
Offer nutritious meals that respect cultural backgrounds and dietary needs
Provide positive adult role modeling
Create an atmosphere that fosters independence and personal growth while ensuring the individual remains safe
Ensure the individual is provided with appropriate medical and dental care and follow routines prescribed by health professional
Nurture positive relationships between the individual and members of his/her family and support network
Encourage and support the individual to connect with community and to access generic services
Milieu provides each contracted caregiver with a complete handbook outlining the contractor’s obligations with respect to, the above notes responsibilities. This handbook is reviewed and signed off annually at during their contract renewal process. A Home Sharing Survey was established to include caregivers in the survey process. This year 10 surveys were given out, and 7 were returned. This is down from last year’s returns of 90% to 70%.
The Annual Home Sharing Review is a user-friendly, time efficient tool that allows the caregiver to perform a self analysis and then review with the Home Sharing Coordinator. This tool can and is used to review our Home Sharing Services on a placement by placement basis.
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Milieu Family Services–Home Sharing Services Annual General Report 2009-2010
Home Sharing ServicesDemographics
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Milieu Family Services–Home Sharing Services Annual General Report 2009-2010
Home Sharing Services supported16 individuals with developmental disabilitiesGender / 8 Female, 8 Males
Ethnicity / 15Caucasian (European Descent), 1 Indo Canadian
Age / 4 at 19-29, 2 at 30-39, 3 at 40-49, 7 at 50-59,
Communication / 4 Non-Verbal, 8 Verbal, 2 Non-Verbal (Sign), 1 Non-Verbal (Limited Sign), 1 Non-Verbal (light writer)
Sensory Issues / 3 Blind,1 Blind-Deaf, 2 Deaf, 10 No Issues
Mobility / 14 Full, 2 Wheelchair
Function Level / 7 High, 3 Mid, 4 Low
Specific Diagnosis / 4 Autistic, 1 Prader Willie Syndrome, 1 Fetal Alcohol Syndrome and Autistic, 1 Ramsay Hunt Syndrome-Bulimia-Anorexia Nervosa, 1 Conduct Disorder-Oppositional Defiant, 1 Encephalopathy and Disintegrative Disorder, 1 Developmentally Disabled, 1 Down Syndrome and Autistic, 1 FAS, 1 Cerebral Palsy and Epilepsy, 1 Severe mood and Behavioral Dysregulation (SMBD), 1 Down Syndrome, 1 Cerebral Palsy
Home Sharing Services Changes
Over the past year, there have been some changes to our demographics. Unfortunately, one of the individual’s in home sharing passed away. We also had an individual move and therefore, have to leave our service. There was also one new individual added into our services. They are all included in the demographics above.
Home Sharing Survey Results
Home Sharing Services has rapidly expanded over the past few years and Milieu felt it was important to include caregivers in the survey process. The following is a breakdown of Home Sharing survey questions and responses.
Home Sharing Survey QuestionsResponses
In reference to Milieu Family Services:
1. The Agency sets a service standard for meeting the Individual’s expectations. 57%strongly agree;43%agree
2. The Agency responds to the needs of people with developmental disabilities.57%strongly agree; 43%agree
3. The Agency is committed to a person centered approach.71%strongly agree; 29%agree
4. The Agency effectively communicates its expectations to Home Sharing Providers.86%strongly agree; 14%agree
5. I am adequately informed about issues that will affect my work as a Home Sharing Provider.86%strongly agree; 14%agree
6. I am able to contact the Home Sharing Coordinator when needed.86%strongly agree; 14%agree
7. I am able to contact the Director when needed.71%strongly agree;14%agree; 14%N/A
8. I am aware of who I am to contact at Milieu Family Services if I have a concern.100%yes
9. Rate the level of response when addressing your concerns as a Home Sharing Provider.
a)Concerns were listened to43%excellent; 43%good; 14%fair
b)Concerns were responded to57%excellent; 29%good; 14%fair
10. In reference to my role as a Home Sharing Provider:
I was provided with an accurate description of what would be expected of me as a Home 57%strongly agree; 43%agree
Sharing Provider.
11. I have a clear understanding of my contractual obligations as a Home Sharing Provider.71%strongly agree; 29%agree
12. The Home Sharing Provider Handbook provides me with useful information in how to complete43%strongly agree; 57%agree
my work as a Home Sharing Provider.
13. I am able to access respite support when needed. 43%strongly agree;57%agree
14. My role as a Home Sharing Provider makes good use of my skills.71%strongly agree;22%agree
15. I am provided with opportunities to network with other Home Sharing Providers.29%strongly agree; 43%agree; 29%disagree
16. I feel valued as a Home Sharing Provider.71%strongly agree; 29%agree
17. I feel that participating in continuing education once per year has increased my effectiveness43%strongly agree; 57%agree
as a Home Sharing Provider.
18. In reference to Personal Life Planning:
I understand the Personal Goal Planning process.71%strongly agree; 29%agree
19. I understand my role and responsibilities in the Personal Goal Planning process.71%strongly agree; 29% agree
20. I am supported by Milieu where needed to fulfill my responsibilities in respect to the Personal71%strongly agree; 29%agree
Goal Planning process.
21. I support the Individual to achieve their goals and dreams.86%strongly agree; 14%agree
22. In reference to reporting:
I feel I have received enough technical support and training to input my monthly reports on86%strongly agree; 14%agree
ShareVision.
23. I feel the time spent submitting my online reporting through the use of ShareVision is efficient.57%strongly agree; 43%agree
24. I am satisfied with the level of support from the Home Share Coordinator.71%strongly agree; 29%agree
25. I am satisfied with Milieu Family Services.71%strongly agree; 29%agree
26. Rate the following forms of communication with your designated Milieu Home Sharing Coordinator:
a)E-mail86%very effective; 14%effective
b)Phone Calls71%very effective; 14%effective; 14%not
effective
c)Monthly Reports71%very effective; 29%effective
d)Health & Safety Reviews71% very effective; 14%effective;
14%n/a
e)Personal Goal Planning Meetings71%very effective; 14%effective;
14%n/a
27. Rate the communication between the following groups:
a)Home Sharing Provider and designated Home Sharing Coordinator71%very effective; 29%effective
b)Home Sharing Provider and Milieu Day Services29%very effective; 29%effective;
14%not effective; 29%n/a
c)Home Sharing Provider and Individual’s Personal Network29%very effective; 43%effective; 29%n/a
Home Sharing ServicesOutcomes Data Results
Outcome / Indicator / Target / Data Source / Results / Targetachieved
Caregivers are satisfied with the level of contact from the Home Sharing Coordinator? / Percent of caregivers that report satisfaction / 75% / Home Sharing Survey/Meetings/Phone Calls / 100% / Yes
Home Sharing caregivers report that continuing education training once per year has increased the effectiveness of their service delivery. / Percentage of Caregivers that report continuing education has increased the effectiveness in their service delivery. / 75% / Home Sharing Survey/Meetings/Phone Calls/Contract Review / 100% / Yes
Home Sharing Caregivers report efficiency in the time spent submitting their on-line monthly reporting through the use of ShareVision. / Percentage of Caregivers that report efficiency in their time spent submitting their on-line monthly reporting through the use of ShareVision. / 75% / Phone Calls, meetings and
Home Sharing Survey / 100% / Yes
Caregivers are satisfied with the accessibility of Milieu information about meetings and events to Home Sharing Providers. / Percentage of caregivers that report that Milieu information about meetings and events are accessible. / 75% / Home Sharing Survey
Emails, phone calls, meetings / 100% / Yes
Home Sharing Caregivers report the Home Sharing coordinator’s attendance at 2 meetings or more in a year, phone calls and emails has increased their satisfaction with the level of contact they receive from the Home Sharing Coordinator. / Percentage of caregivers who report
the Home Sharing coordinator’s attendance at 2 meetings or more in a year has increased their satisfaction with the level of contact they receive from the Home Sharing Coordinator. / 75% / Home Sharing Survey / 100% / Yes
Home Sharing Services Analysis
Within the 5 Home Sharing Outcomes areas, 5 of the 5 targets were achieved.
Home Sharing Services Satisfaction
Outcome: Caregivers are satisfied with the level of contact from the Home Sharing Coordinator?
Action Plan: The Home Sharing Providers report that the Home Sharing coordinator’s attendance at 2 meetings or more in a year, as well as phone calls and emails have increased their satisfaction with the level of contact they receive from the Home Sharing Coordinator.
Complete:Yes, this was a question on the Home Sharing Survey. Of the survey’s returned, 100% said they were satisfied with the level of contact that they had with their Home Sharing Coordinator compared to 11% in the previous year.
Home Sharing Services Effectiveness
Outcome: Home Sharing caregivers report that continuing education training once per year has increased the effectiveness of their service delivery.
Action Plan: Milieu updated their Home Sharing Provider Contracts this year. Home Sharing Providers are now expected to attend at least one continuing education course a year.
Complete:Yes, 100% of returned surveys reported that the Home Sharing Providers felt that participating in continuing education once per year increased their effectiveness as a Home Sharing Provider.
Home Sharing Services Efficiency
Outcome: Home Sharing Caregivers report efficiency in the time spent submitting their on-line monthly reporting through the use of Sharevision.
Action Plan: Each month, Home Sharing Providers are expected to submit a monthly report on ShareVision. Once every three months, they are expected to fill out and participate in an emergency drill. The Home Sharing Coordinator will support the Home Sharing Providers with any ShareVision questions they may have.
Complete:Yes, 100% of the surveys returned, said that the Home Sharing Providers had received enough technical support and training to input their reports as well as felt that their time spent submitting these reports were efficient.
Home Sharing Services Accessibility
Outcome: Caregivers are satisfied with the accessibility of Milieu information about meetings and events to Home Sharing Providers.
Action Plan: The Home Sharing Coordinator focused on making Agency information available to Home Sharing Providers this year. This included information on contractual obligations, ShareVision, and Agency changes.
Complete:Yes. 100% of returned surveys felt that they were provided with useful information and were adequately informed about issues affecting their work.
Home Sharing 2010-2011 Strategic Plan
Satisfaction
Outcome:Increase the opportunities for the Home Sharing Providers to connect.
Action Plan: Home Sharing Providers made note on the Survey that they did not feel they had many opportunities to connect with other Home Sharing Providers. The Home Sharing Coordinator will make sure that they are invited to the Family Forums quarterly as well as the Family Picnic in the fall.
Effectiveness
Outcome: Maximize the Home Sharing Provider’s effectiveness by giving them an updated Home Sharing Provider Handbook outlining their roles and responsibilities.
Action Plan:The Home Sharing Coordinator will update the Home Sharing Provider’s Handbook and give a copy to each Home Sharing Provider so that they fully understand their role.
Efficiency
Outcome:Decrease the amount of time it takes to screen a new Home Sharing Provider by increasing the efficiency of screening tools.
Action Plan: The Home Sharing Coordinator has recently taken a Home Sharing Screening Course and will be
updating all of the Agency’s information in order to make the screening process more efficient.
Accessibility
Outcome: Maximize the accessibility of ShareVision to parents of individuals supported through Home Sharing.
Action Plan: The Home Sharing Coordinator will give access to parents/family of individuals supported through Home Sharing to ShareVision. ShareVision documents how goals are going and has other important information about the individuals. Parents will also be able to access Agency information such as Annual Reports and dates for Family Forums.
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