COOLIDGE HOUSE

Comprehensive Program ReviewJuly 20, 2012

Program Highlights Developed a More Formalized Training Program for New Hires

◦ Incorporated components from Watson Academy ‘Basic Training’ curriculum with program specific modules.  ◦ This has allowed for more educational/theoretical exposure initially, followed by ‘shadowing’ and/or observation of job

functions by coworkers.

Creation of Emergency Plan ◦ The Plan specifically outlines our strategy to respond to any future power outage affecting the Coolidge and McGrath House facilities.  ◦ In addition to the updated plan, CRJ will be investing in a generator to be installed at Coolidge House –  this will provide backup power in the

event of a future outage, ensuring that electrical power is maintained allowing operations at the facility to continue uninterrupted.

Proof of Identification Document for Residents◦ Currently working with the District Manager of the Social Security Office to create a document for CH, which they will accept as ‘proof’ of

identification to allow them to issue/reissue Social Security Cards to residents.  The District Manager is awaiting approval from Regional Director.

Blister-Packed Medications ◦ Working with Whittier Community Health Center Pharmacy to ‘blister pack’ meds for our clients. ◦ Residents will be able to have prescriptions sent to them from PCP (at Whittier or not), which the pharmacy will fill, blister pack,

and deliver to CH nightly.  Waive med deductible for clients with PCP at Whittier.

  Facility improvements 

◦ All Resident rooms have been repainted, medication storage and distribution system has been enhanced.

Areas in Need of Improvement

Recruitment;

Further development of training curriculum; and

Policy and Procedure updating and development.

Data obtained from HR Personnel Summary

STAFFINGStaff Turnover Rate

3/1/2011 –2/29/2012 (12 Mo.)

SJS Overall: 35.7%

Overdue Performance Evaluations (Over the 6 Mo. Period)

November: 8 FTE; 1 PTE

December: 6 FTE; 1 PTE

January: 8 FTE; 1 PTE

February: 7 FTE; 1 PTE

March: 4 FTE; 1 PTE

April: 4 FTE; 1 PTE

The above reflects 2 PTE and a total of 12 FTEs receiving a late performance evaluation during the 6 mo period (a total of 16 late reviews).

A decrease of 14 for the previous CPR.Last CPR March 1, 2011 to Feb. 29, 2012

0%

10%

20%

30%

40%

50%

60%

39%

49%

Data Obtained from the Adult Utilization Report

Utilization

An Average of 93.4 Clients per Month over the 6 month period.

(A decrease of ~8 clients from previous CPR)

November December January February March April

98.1

94.6

91.5

90.090.5

95.4

Data Obtained from MMRs

Programming

An Average of 0.4 Adaptive Life Skills Hours per Client per Month over the 6 Month Period.

(Consistent with the last CPR)

An Average of 3.3 Cognitive Behavioral Hours per Client per Month over the 6 Month Period.

(A decrease of ~1 hour per client from pervious CPR)

November December January February March April0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

Average No. of Life Skills Hours per Client

Average No. of Cog. Beh. Hours per Client

Data Obtained from MMRs

Programming (cont’d)

Twelve (12) Medication Incidents over the time period

(A decrease of 3 from previous CPR)

November December January February March April0.00

0.01

0.02

0.03

0.04

0.05

0.06

0.04

0.05

0.00

0.01

0.00

0.02

Medication Issues per Client

Data Obtained from the MMR

Completions

An Average of 93% of Clients Successfully Completed the Program over the 6 month period.

(An increase of 9% from previous CPR)

Reasons for Termination:

Drug/Alcohol Use

Out of Place

Continued Noncompliance

Despite Progressive Discipline

November December January February March April

95% 96%89%

94% 92% 92%

Successful CompletionsNovember, 2011 - April, 2012

Data Obtained from the MMR

Completions (cont’d)

An average of 43% of Clients Completed the Program Employed over the 6 month period.

(A decrease of 8% from previous CPR)

a

Employment Areas:

General Labor

Restaurant Services

Retail

Car Salespersons

City/Government Jobs

November December January February March April

45%

50%

32%35%

50%

43%

Percentage Completing with JobsNovember, 2011 – April, 2012

Data Obtained from the MMR

Completions (cont’d)

An average of 100% of Clients Completed the Program with Housing over the 6 month period.

(Consistent with last CPR)

November December January February March April

100% 100% 100% 100% 100% 100%

Percentage of Clients Completing with HousingNovember, 2011 – April, 2012

Figures Obtained from the June 2012 Client Satisfaction Survey Results

Client Satisfaction Surveys

Overall, the program is

clean

Everything in my room is working properly

I receive medical care when I need

it

The food is good

I receive emergency financial

assistance if I need it

I know what to do if there

was a fire

Staff observe me when I

give a urine sample

I know what to do if I

wanted to make a

complaint

The program rules are

clear to me

I know what items are

considered contraband

0

5

10

15

20

25

1 1

6

0

5

1 1

3

0

2

June 2012 - Program Information

Never

Sometimes

Most Times

Always

No Answer/Not Applicable

Figures Obtained from the June 2012 Client Satisfaction Survey Results

Client Satisfaction Surveys (cont’d)

My case man-ager involved

me in decisions regarding my

activities

My case man-ager let me

know how I was doing in the

program

When I met with my case

manager, I had enough time to

meet

I met with my case manager at least bi-weekly

My case man-ager gave me useful sugges-tions, advice,

and guidance to help me suc-

ceed

My case man-ager took time to listen to me

My case man-ager talked to

me in a respect-ful manner

My case man-ager referred me to appropriate services and

programs

0

2

4

6

8

10

12

14

16

18

20

0

3

01 1 1 1 1

June 2012 - Case Management Results

Never

Sometimes

Most Times

Always

No Answer/Not Applicable

Data Obtained from the June 2012 Client Satisfaction Survey Results

Client Satisfaction Surveys (cont’d)

59% of Resident Responses Reported that the Program was Performing “Most Times” or “Always” in the Respective Functions.

This is consistent with the January, 2011 Survey Results (a 2% increase).

14%

18%

22%

37%

9%

Client Satisfaction Results (All Responses; N = 25)

"Never""Sometimes""Most Times""Always""No Answer/ N/A"