PROVIDER REPORT FOR	

	

	

	

	

	

	

	

	

	
	
LifeShare Management Group, LLC
60 Rogers St 
Suite 2 & 2A Manchester, NH 03103    	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

Version	

	

	

	

	

	

	

	

	
Provider Web Report	

	

	

	

	

	

	

	
Prepared by the Department of Developmental Services
OFFICE OF QUALITY ENHANCEMENT	

	

	

	

	

	

	

				
	SUMMARY OF OVERALL FINDINGS	

				

	

	

Provider	

	
LifeShare Management Group, LLC	

	

	

	

	
Review Dates	

	
1/10/2017 - 1/11/2017	

	

	

	

	
Service Enhancement 
Meeting Date	

	
1/27/2017	

	

	

	

	

	

	
Survey Team	

	
Patty McCarthy (TL)	

John Downing	

	

	

	

	

	

	
Citizen Volunteers	

	

	

		

	

	
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) 1 audit (s) 	
Full Review	
50 / 52 2 Year License 01/27/2017 -  01/27/2019	
	
27 / 27 Certified 01/27/2017 -  01/27/2019	

Placement Services	
1 location(s) 1 audit (s) 	

Full Review	
22 / 22	

Planning and Quality Management	

	
Full Review	
5 / 5	

	

	

			
EXECUTIVE SUMMARY :	

			
LifeShare Management was founded in 1995, as a New Hampshire based company providing supports to residents with developmental disabilities.  Since then, the agency has added Rhode Island, Maine, Georgia, Kansas, Arizona, Florida, South Carolina and Massachusetts to the list of states in which they provide supports to individuals. The agency is newly established in Massachusetts, currently serving 1 individual in placement services.  This placement location was the subject of this full licensing and certification review.  

Despite some significant personnel and management changes within the organization, the agency continues to utilize and enhance their data and communication systems.   Technology systems such as Relias and Therapro are longstanding and effective communication tools for the entire LifeShare Management team.  Team members, including the home provider are accessible to one another 24 hours a day and 7 days a week and communicate in real time on their laptops or through texting. This communication was particularly important while supporting the individual through the transition to their  home and served as an additional safeguard for the individual when the agency's nurse was informed in real time of the individual's current health issues which required prompt medical attention and follow-up.  More formal supervision of agency staff and providers occurred on a weekly or monthly basis depending on the position. 
  
The agency had systems in place to ensure the safety of the individual.  LifeShare had a full compliance team, responsible for tracking data such as incident reports and identifying patterns and trends.  PQI (Performance Quality Improvement) were reports generated every six months by the team.  These reports identified current issues and were reviewed during team meetings which resulted in a developed plan for resolution and accountability.   Monthly reports from the residential coordinators fueled more immediate changes, such as goal modification or organizing transportation to day programs.  Staff and the individual had a solid understanding of the Human Rights and DPPC training provided.  The agency nurse was a full participant in the assessment of the individual served and visited the individual frequently during the individual's transition to the home and at least monthly thereafter.   The RN had administered a self-medication assessment for the individual which included visually witnessing the individual assembling his medications into his weekly medication container which served as an additional safeguard for the individual. 

In addition to ensuring full compliance with the required mandatory staff trainings, the agency provided staff training in the 'The Mandt System' to support its restraint free philosophy.   This system was 'a comprehensive, integrated approach to preventing, de-escalating, and if necessary, intervening when the behavior of an individual poses a threat of harm to themselves and/or others'.  

It is notable that the agency met 100% of the certification indicators for the third consecutive survey cycle. The agency is recognized for the ways in which it supported the individual's choices and preferences.  The home provider knew the individual well and supported his preferences for community, cultural and spiritual activities.  Regular visits and ongoing communication between the residential coordinator and home provider were well-documented and identified issues of concern or experiences that had proven positive for the individual.  The agency encouraged the individual's human rights and self-advocacy, such as supporting his participation in voting in the presidential election.  The agency and the home provider encouraged the individual's relationships with family and friends.  The agency and home provider supported routine telephone and in-person contact with family members and friends through help with transportation and documented these efforts with attention to detail. 

One area the agency can improve upon is the timely submission of documentation related to the ISP process.  Assessments and Support Strategies are required to be submitted to the area office 15 days prior to the ISP date. 

As a result of this full licensing and certification review, 96% of licensing indicators received a rating of met and 100% of the certification indicators received a rating of met.  Due to the highly positive outcomes during this review, the agency will conduct its own follow-up for the two licensing indicators which received a rating of not met, within 60 days of the Service Enhancement meeting.  LifeShare Management is congratulated for these positive survey results and is recognized for its commitment to provide quality services.	

	

LICENSURE FINDINGS	

	

	

	
Met / Rated	
Not Met / Rated	
% Met	

Organizational	
4/4	
0/4	

Residential and Individual Home Supports	
46/48	
2/48	

    Placement Services

	

Critical Indicators	
4/4	
0/4	

Total	
50/52	
2/52	
96%	

2 Year License	

	

# indicators for 60 Day Follow-up	
	
2	

	

	

			

	

	
Residential Areas Needing Improvement on Standards not met/Follow-up to occur:	

Indicator #	
Indicator	
Area Needing Improvement	

 L86	
Required assessments concerning individual needs and abilities are completed in preparation for the ISP.	
The agency needs to ensure assessments are submitted to the area office 15 days prior to the ISP.	

 L87	
Support strategies necessary to assist an individual to meet their goals and objectives are completed and submitted as part of the ISP.	
The agency needs to ensure Support Strategies are submitted to the area office 15 days prior to the ISP.	

	

						

	

CERTIFICATION FINDINGS	

	

	

	
Met / Rated	
Not Met / Rated	
% Met	

Certification - Planning and Quality Management	
5/5	
0/5	

Residential and Individual Home Supports	
22/22	
0/22	

Placement Services	
22/22	
0/22	

TOTAL	
27/27	
0/27	
100%	

Certified	

	

	

	

	

					
						
	MASTER SCORE SHEET LICENSURE	

						
	Organizational: LifeShare Management Group, LLC	

						
	
Indicator #	
Indicator	
Met/Rated	
Rating(Met,Not Met,NotRated)	

 L48	
HRC	
1/1	
Met	

 L75	
Qualified staff	
1/1	
Met	

 L76	
Track trainings	
1/1	
Met	

 L83	
HR training	
1/1	
Met	

						
	Residential and Individual Home Supports:	

						
	
Ind. #	
Ind.	
Loc. or Indiv.	
Res. Sup.	
Ind. Home Sup.	
Place.	
Resp.	
ABI-MFP Res. Sup.	
ABI-MFP Place.	
Total Met/Rated	
Rating	

 L1	
Abuse/neglect training	
I	

1/1	

	
1/1	
Met	

 L5	
Safety Plan	
L	

1/1	

	
1/1	
Met	

O	
 L6	
Evacuation	
L	

1/1	

	
1/1	
Met	

 L8	
Emergency Fact Sheets	
I	

1/1	

	
1/1	
Met	

 L9	
Safe use of equipment	
L	

1/1	

	
1/1	
Met	

O	
 L11	
Required inspections	
L	

1/1	

	
1/1	
Met	

O	
 L12	
Smoke detectors	
L	

1/1	

	
1/1	
Met	

O	
 L13	
Clean location	
L	

1/1	

	
1/1	
Met	

 L14	
Site in good repair	
L	

1/1	

	
1/1	
Met	

 L15	
Hot water	
L	

1/1	

	
1/1	
Met	

 L16	
Accessibility	
L	

1/1	

	
1/1	
Met	

 L17	
Egress at grade 	
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	

 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	

1/1	

	
1/1	
Met	

 L32	
Verbal & written	
I	

1/1	

	
1/1	
Met	

 L33	
Physical exam	
I	

1/1	

	
1/1	
Met	

 L34	
Dental exam	
I	

1/1	

	
1/1	
Met	

 L35	
Preventive screenings	
I	

1/1	

	
1/1	
Met	

 L36	
Recommended tests	
I	

1/1	

	
1/1	
Met	

 L37	
Prompt treatment	
I	

1/1	

	
1/1	
Met	

 L40	
Nutritional food	
L	

1/1	

	
1/1	
Met	

 L41	
Healthy diet	
L	

1/1	

	
1/1	
Met	

 L42	
Physical activity	
L	

1/1	

	
1/1	
Met	

 L43	
Health Care Record	
I	

1/1	

	
1/1	
Met	

 L47	
Self medication	
I	

1/1	

	
1/1	
Met	

 L49	
Informed of human rights	
I	

1/1	

	
1/1	
Met	

 L50	
Respectful Comm.	
L	

1/1	

	
1/1	
Met	

 L51	
Possessions	
I	

1/1	

	
1/1	
Met	

 L52	
Phone calls	
I	

1/1	

	
1/1	
Met	

 L53	
Visitation	
I	

1/1	

	
1/1	
Met	

 L54	
Privacy	
L	

1/1	

	
1/1	
Met	

 L55	
Informed consent	
I	

1/1	

	
1/1	
Met	

 L70	
Charges for care calc.	
I	

1/1	

	
1/1	
Met	

 L71	
Charges for care appeal	
I	

1/1	

	
1/1	
Met	

 L77	
Unique needs training	
I	

1/1	

	
1/1	
Met	

 L80	
Symptoms of illness	
L	

1/1	

	
1/1	
Met	

 L81	
Medical emergency	
L	

1/1	

	
1/1	
Met	

 L85	
Supervision 	
L	

1/1	

	
1/1	
Met	

 L86	
Required assessments	
I	

0/1	

	
0/1	
Not Met
(0 %)	

 L87	
Support strategies	
I	

0/1	

	
0/1	
Not Met
(0 %)	

 L88	
Strategies implemented	
I	

1/1	

	
1/1	
Met	

 L90	
Personal space/ bedroom privacy	
I	

1/1	

	
1/1	
Met	

#Std. Met/# 48 Indicator	

	

	

46/48	

	
Total Score	

	

	

50/52	

	

	

	

	
96.15%	

		
						
	MASTER SCORE SHEET CERTIFICATION	

						
	
Certification - Planning and Quality Management	

Indicator #	
Indicator	
Met/Rated	
Rating	

 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	

	

	

						
Placement Services	

Indicator #	
Indicator	
Met/Rated	
Rating	

 C7	
Feedback on staff performance	
1/1	
Met	

 C8	
Family/guardian communication	
1/1	
Met	

 C9	
Personal relationships	
1/1	
Met	

 C10	
Social skill development	
1/1	
Met	

 C11	
Get together w/family & friends	
1/1	
Met	

 C12	
Intimacy	
1/1	
Met	

 C13	
Skills to maximize independence 	
1/1	
Met	

 C14	
Choices in routines & schedules	
1/1	
Met	

 C15	
Personalize living space	
1/1	
Met	

 C16	
Explore interests	
1/1	
Met	

 C17	
Community activities	
1/1	
Met	

 C18	
Purchase personal belongings	
1/1	
Met	

 C19	
Knowledgeable decisions	
1/1	
Met	

 C20	
Emergency back-up plans	
1/1	
Met	

 C46	
Use of generic resources	
1/1	
Met	

 C47	
Transportation to/ from community	
1/1	
Met	

 C48	
Neighborhood connections	
1/1	
Met	

 C49	
Physical setting is consistent 	
1/1	
Met	

 C51	
Ongoing satisfaction with services/ supports	
1/1	
Met	

 C52	
Leisure activities and free-time choices /control	
1/1	
Met	

 C53	
Food/ dining choices	
1/1	
Met	

 C54	
Assistive technology	
1/1	
Met