PROVIDER WEB REPORT FOR

NE CENTER FOR CHILDREN.
33 Turnpike Road
Southboro, MA 01772

Date Of Report

March 15, 2011

Version
Provider Web Report

Prepared by the Department of Developmental Services
OFFICE OF QUALITY ENHANCEMENT

SUMMARY OF OVERALL FINDINGS
 
Provider:  NE CENTER FOR CHILDREN.	

Review Dates:  2/3/2011 - 2/9/2011	

Service Enhancement Meeting Date:  2/23/2011	

Survey Team  Jill Walulak (TL) 

 	

Survey scope and findings for Residential and Individual Home Supports	
Service Group Type	Sample Size	Licensure Scope	Licensure Level	Certification Scope	Certification Level	
Residential and Individual Home Supports	1 location(s) 3 audit (s) 	Full Review	69 / 74 2 Year License 02/23/2011 - 02/23/2013	 

 	 

 	
Residential Services	1 location(s) 3 audit (s) 	 

 
 	Full Review	14 / 14 Certified - with all indicators std. met	

EXECUTIVE SUMMARY
The New England Center for Children (NECC), headquartered in Southborough MA, is a nonprofit organization providing educational and residential supports to children and adults with autism and other developmental disabilities.  Funding is provided through contractual agreements with the Department of Education, the Department of Developmental Services and through private sources.  The organization's residential services funded through the Department of Developmental Services were subject to this licensure and certification review.  The findings of the survey identified the following areas of strength and expertise.  

The agency's mission 'to transform the lives of individuals with autism worldwide through education, research and technology' was operationalized across services.  Since its last licensing and certification review, the agency had developed a computer-based 'Autism Curriculum Encyclopedia' (ACE), which is a compilation of best practices for assessment and teaching methods for individuals with autism and developmental disabilities that the agency has established over the past thirty five years.  
Through the utilization of the ACE program, assessments were conducted and ISP objectives were developed that focused on each person's unique needs and abilities.  Survey findings revealed that individuals were achieving greater independence in the areas of communication, vocational skills, money management, household tasks and interpersonal skills. 

The organization demonstrated a strong commitment to supporting people to be active members of their communities.  Individuals were routinely engaged in accessing community resources for personal needs and enjoyment.  Additionally, individuals were actively involved in volunteer situations in nursing homes and other organizations in their community.  Through these opportunities individuals had developed meaningful connections to others.

The agency placed emphasis on the importance of having a well-trained and competent workforce. Staff working within the residential homes had Bachelors degrees in related fields and a number of staff were working towards Graduate degrees.  Clinical expertise along with ongoing staff development and supervision had a positive impact on individuals' personal growth.  Staff at all levels within the organization were creative and continuously involved in active teaching that promoted greater independence and self-reliance in the context of people's everyday routines and activities.  

In summary, The New England Center for Children provides quality services that are individualized and promote personal growth and independence for the individuals it supports.  Survey findings also identified areas for service improvement.  The agency will need to have a fully constituted human rights committee that meets all the mandated composition requirements.  Other areas of focus include ensuring that special dietary needs are followed and that Emergency Fact Sheets contain all relevant and necessary information.

 

LICENSURE FINDINGS

 	Met / Rated	Not Met / Rated	% Met	
Organizational	4/5	1/5	 	
Residential and Individual Home Supports	65/69	4/69	 

    Residential Services	 	 	 	
Critical Indicators	7/7	0/7	 	
Total	69/74	5/74	93%	
2 Year License	 	 	 	
# indicators for 60 Day Follow-up	 
 	5	 

Organizational Areas Needing Improvement on Standards not met/Follow-up to occur:	
Indicator #	Indicator	Area Needing Improvement	
 L48	The agency has an effective Human Rights Committee.	The agency needs to ensure that its human rights committee meets the composition requirements mandated by DDS regulations.  The committee needs to include an attorney, law student or paralegal with relevant expertise.	
Residential Commendations on Standards Met:	
Indicator #	Indicator	Commendations	
 L31	Staff understand and can communicate with individuals in their primary language and method of communicating.	 The agency is commended for its efforts to assist individuals in the area of communication.  Survey findings revealed that individual's unique needs in this area had been routinely assessed and individuals and staff were using a variety of communication methods, such as picture books and augmentative devices, in an effort to increase people's independence in this area.  	
 L42	Individuals are supported to engage in physical activity. 	 The agency is commended for its efforts to assist individuals to be physically active through a variety of different means.  Physical activity such as swimming, walking and the daily use of exercise equipment was strongly supported by staff and well incorporated into the everyday routines of individuals.  	
Residential Areas Needing Improvement on Standards not met/Follow-up to occur:	
Indicator #	Indicator	Area Needing Improvement	
 L8	Emergency fact sheets are current and accurate and available on site.	The agency needs to ensure that Emergency Fact Sheets contain all current and relevant medical information such as allergies and medical diagnosis.  	
 L15	Hot water temperature tests between 110 and 130 degrees.	The agency needs to ensure that the hot water temperature in its residential homes is maintained within acceptable limits. (110-130 degrees)	
 L39	Special dietary requirements are followed. 	The agency needs to ensure that staff are knowledgeable about special dietary requirements and that specialized diets are being consistently followed.  	
 L71	Individuals are notified of their appeal rights for their charges for care.	The agency needs to ensure that individuals and/or their guardians are informed of their right to appeal charges for care.  	

CERTIFICATION FINDINGS

 
 	Met / Rated	Not Met / Rated	
Certification - Planning and Quality Management	6/6	0/6	
Residential and Individual Home Supports 	 

    Residential Services	14/14 	0/14 	
 
 Residential Services Commendations on Standards Met:	
Indicator #	Indicator	Commendations	
 C13	Staff (Home Providers) provide support for individuals to develop skills to enable them to maximize independence and participation in typical activities and routines. 	 The agency's practices and methods for supporting individuals to maximize independence in their lives is commendable.  Through the use of the agency's ACE program and its approach to learning through Applied Behavior Analysis, individualized service plans were developed that focused on skill building and the promotion of independence in all areas of people's lives.  	
 C17	Community activities are provided and are based on the individual's preferences and interests. 	 The agency is commended for its practice of supporting individuals to have a meaningful presence in community life.  Individuals were routinely engaged in volunteering, paid employment and religious activities. Additionally, individuals were regularly accessing a variety of community resources for personal needs and enjoyment.  	

 

 

MASTER SCORE SHEET LICENSURE
Organizational: NE CENTER FOR CHILDREN.
Indicator #	Indicator	Met/Rated	Rating(Met, Not Met, Not Rated)	
 L48	HRC	0/1	Not Met(0 % )	
 L74	Screen employees	1/1	Met	
 L75	Qualified staff	1/1	Met	
 L76	Track trainings	1/1	Met	
 L83	HR training	4/4	Met	
 
Residential and Individual Home Supports:
Indicator #	Indicator	Location or Individual indicator	Residential Supports	Individual Home Support	Placement Support	Respite Support	Total Met/Rated	Rating	
 L1	Abuse/neglect training	I	3/3	 

 

 	3/3	Met	
 L5	Safety Plan	L	1/1	 

 	1/1	Met	
 L6	Evacuation	L	1/1	 	 	 	1/1	Met	
 L7	Fire Drills	L	1/1	 	 	 	1/1	Met	
 L8	Emergency Fact Sheets	I	2/3	 

 

 	2/3	Not Met
(66.67 %)	
 L9	Safe use of equipment	L	1/1	 

 

 	1/1	Met	
 L10	Reduce risk interventions	I	3/3	 

 	 

 	 

 	3/3	Met	
 L11	Required inspections	L	1/1	 

 

 	1/1	Met	
 L12	Smoke detectors	L	1/1	 

 	1/1	Met	
 L13	Clean location	L	1/1	 

 	1/1	Met	
 L14	Site in good repair	L	1/1	 

 

 	1/1	Met	
 L15	Hot water	L	0/1	 

 	0/1	Not Met
(0 %)	
 L16	Accessibility	L	1/1	 

 	1/1	Met	
 L17	Egress at grade 	L	1/1	 

 	1/1	Met	
Indicator #	Indicator	Location or Individual indicator	Residential Supports	Individual Home Support	Placement Support	Respite Support	Total Met/Rated	Rating	
 L18	Above grade egress	L	1/1	 

 

 	1/1	Met	
 L19	Bedroom location	L	1/1	 

 	1/1	Met	
 L20	Exit doors	L	1/1	 	 	 	1/1	Met	
 L21	Safe electrical equipment	L	1/1	 

 

 	1/1	Met	
 L22	Clean appliances	L	1/1	 

 	1/1	Met	
 L23	Egress door locks	L	1/1	 

 	1/1	Met	
 L24	Locked door access	L	1/1	 

 

 	1/1	Met	
 L25	Dangerous substances	L	1/1	 

 

 	1/1	Met	
 L26	Walkway safety	L	1/1	 

 	1/1	Met	
 L28	Flammables	L	1/1	 

 	1/1	Met	
 L29	Rubbish/combustibles	L	1/1	 

 

 	1/1	Met	
 L30	Protective railings	L	1/1	 

 	1/1	Met	
 L31	Communication method	I	3/3	 

 

 	3/3	Met	
 L32	Verbal & written	I	3/3	 

 	3/3	Met	
 L33	Physical exam	I	3/3	 

 	3/3	Met	
 L34	Dental exam	I	3/3	 

 	3/3	Met	
 L35	Preventive screenings	I	3/3	 

 	3/3	Met	
 L36	Recommended tests	I	3/3	 

 	3/3	Met	
 L37	Prompt treatment	I	3/3	 

 	3/3	Met	
 L38	Physician’s orders	I	3/3	 

 	3/3	Met	
 L39	Dietary requirements	I	2/3	 

 

 	2/3	Not Met
(66.67 %)	
 L40	Nutritional food	L	1/1	 

 	1/1	Met	
Indicator #	Indicator	Location or Individual indicator	Residential Supports	Individual Home Support	Placement Support	Respite Support	Total Met/Rated	Rating	
 L41	Healthy diet	L	1/1	 

 	1/1	Met	
 L42	Physical activity	L	1/1	 

 	1/1	Met	
 L43	Health Care Record	I	3/3	 

 

 	3/3	Met	
 L44	MAP registration	L	1/1	 

 	1/1	Met	
 L45	Medication storage	L	1/1	 

 	1/1	Met	
 L46	Med. Administration	I	3/3	 

 

 	3/3	Met	
 L49	Informed of human rights	I	3/3	 

 

 	3/3	Met	
 L50	Respectful Comm.	L	1/1	 

 	1/1	Met	
 L51	Possessions	I	3/3	 

 	3/3	Met	
 L52	Phone calls	I	3/3	 

 	3/3	Met	
 L53	Visitation	I	3/3	 	 	 	3/3	Met	
 L54	Privacy	L	1/1	 	 	 	1/1	Met	
 L56	Restrictive practices	I	3/3	 

 	3/3	Met	
 L57	Written behavior plans	I	3/3	 

 

 	3/3	Met	
 L58	Behavior plan component	I	3/3	 

 

 	3/3	Met	
 L59	Behavior plan review	I	3/3	 

 

 	3/3	Met	
 L60	Data maintenance	I	3/3	 

 

 	3/3	Met	
 L63	Med. treatment plan form	I	2/2	 

 

 	2/2	Met	
 L64	Med. treatment plan rev.	I	2/2	 

 

 	2/2	Met	
 L67	Money mgmt. plan	I	3/3	 

 	3/3	Met	
 L68	Funds expenditure	I	3/3	 

 

 	3/3	Met	
Indicator #	Indicator	Location or Individual indicator	Residential Supports	Individual Home Support	Placement Support	Respite Support	Total Met/Rated	Rating	
 L69	Expenditure tracking	I	3/3	 

 	3/3	Met	
 L70	Charges for care calc.	I	3/3	 

 

 	3/3	Met	
 L71	Charges for care appeal	I	0/3	 

 

 	0/3	Not Met
(0 %)	
 L77	Unique needs training	I	3/3	 

 

 	3/3	Met	
 L78	Restrictive Int. Training	L	1/1	 

 

 	1/1	Met	
 L80	Symptoms of illness	L	1/1	 

 	1/1	Met	
 L81	Medical emergency	L	1/1	 

 	1/1	Met	
 L82	Medication admin.	L	1/1	 

 	1/1	Met	
 L85	Supervision 	L	1/1	 

 	1/1	Met	
 L86	Required assessments	I	3/3	 

 

 	3/3	Met	
 L87	Support strategies	I	3/3	 

 	3/3	Met	
 L88	Strategies implemented	I	3/3	 

 

 	3/3	Met	
#Std. Met/# 69 Indicator	 

 

 	 

 

 	65/69	 

Total Score	 

 	 

 	69/74	 

 	 

 	 

 	93.24%	 

 

MASTER SCORE SHEET CERTIFICATION
Certification - Planning and Quality Management	
Indicator #	Indicator	Met/Rated	Rating	
 C1	Provider data collection	1/1	Met	
 C2	Data analysis	1/1	Met	
 C3	Service satisfaction	1/1	Met	
 C4	Utilizes input from stakeholders	1/1	Met	
 C5	Measure progress	1/1	Met	
 C6	Future directions planning	1/1	Met	
 
Residential Services	
Indicator #	Indicator	Met/Rated	Rating	
 C7	Feedback on staff performance	3/3	Met	
 C8	Family/guardian communication	3/3	Met	
 C9	Personal relationships	3/3	Met	
 C10	Social skill development	3/3	Met	
 C11	Get together w/family & friends	3/3	Met	
 C12	Intimacy	3/3	Met	
 C13	Skills to maximize independence 	3/3	Met	
 C14	Choices in routines & schedules	3/3	Met	
 C15	Personalize living space	1/1	Met	
 C16	Explore interests	3/3	Met	
 C17	Community activities	3/3	Met	
 C18	Purchase personal belongings	3/3	Met	
 C19	Knowledgeable decisions	3/3	Met	
 C20	Emergency back-up plans	1/1	Met