Department of Developmental Services
Office of Quality Enhancement

PROVIDER REPORT 

FOR

ANODYNE CORPORATION
1515 Hancock Street, 2nd Floor
Quincy, MA  02169

 

March 23, 2011

SUMMARY OF OVERALL FINDINGS

Provider:  Anodyne Corporation
Review Dates:  2/22/2011  -  2/28/2011
Service Enhancement Meeting Date:  3/16/2011 at 10:00 a.m.
Survey Team:  Scott F. Nolan

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	4 Locations  
4 Audits 	Full Review	62 / 63 
Two-Year License 03/11/2011 - 03/11/2013	 

 	 

 	
Placement Services	4 Locations 
4 Audits 	 

 
 	Full Review	14 / 14 Certified - with all indicators stds. Met.	

 
 
EXECUTIVE SUMMARY
Anodyne has been a provider of home and health services for over 37 years; the agency has been providing family and respite services to people with disabilities funded by the Department of Developmental Services (DDS) for the past 25 years.  The agency's Shared Living Program was established upon offering individuals a home placement that is unique and tailored to their needs while offering personal choices and promoting opportunities to become members of their community.  The agency prides itself on being 'proactive' in response to individual needs.  This is carried out in a planned, thoughtful approach built upon respectful partnerships with all stakeholders. 

The agency currently serves twenty-seven individuals in its Shared Living Program in the Greater Boston, South Shore, Brockton and Fall River areas. The findings of this Licensure and Certification review were based on a random selection of service: four audits were conducted in individualized home supports.

Since the last review (February 2009), the agency continued its practice of providing ongoing guidance and assistance to shared living providers to support individuals to meet their needs while promoting opportunities for personal growth.  The agency offered providers additional training to enhance their knowledge and skills in some of the following areas: fall prevention, home health aide and mobility training.  Another area the agency addressed was ensuring that 

members with the required expertise (medical, clinical, and legal) attended quarterly Human 
Rights Committee meetings. Meeting minutes indicated regular attendance by committee members and a review of right issues.

A primary strength of the agency was the mutually respectful and caring relationships that individuals shared with their home providers.  Home providers had been with the agency from approximately two years to over twenty years which provided stability and consistency for individuals to make progress in meeting their goals, become involved in community activities, and build trusting relationships with individual's family members.  An emphasis on communication between the agency, provider, and family has resulted in collaborative relationships being built to ensure positive outcomes for individuals.  Another area of strength was the agency's oversight and monitoring of its shared living supports.  This included: monthly visits to discuss all areas of service delivery, a comprehensive annual inspection which included timely follow-up of identified issues and ongoing review of incidents/investigations.  It was noted that when the agency has shared and delegated management responsibility of individuals' funds, the agency needs to strengthen some of its written training plans with an increased focus on how home providers may assist individuals to manage their money more independently.

In the Certification area, home providers assisted and supported individuals to develop appropriate social skills.  This resulted in greater involvement with members of the community and opportunities to participate in various social activities.  This was a clear strength of the agency.  

The agency met 62 out of 63 licensing indicators (98%), and 100% of all certification indicators.  The agency is recognized for its proactive approach to providing quality supports to individuals in shared living.  Anodyne received a Two-Year License for its Residential Supports services.

 

LICENSURE FINDINGS
 
  	Met / 
Rated	Not Met / Rated	
% Met	
Organizational	9/9	0/9	 	
Residential and Individual Home Supports	53/54	1/54	 

   Residential Services
   Placement Services
   Respite Services
   Individual Home Supports	 

 

  

  
 	
Critical Indicators	7/7	0/7	 	
Total	62/63	1/63	98%	
Two-Year License	 	 	 	
# Indicators for 60 Day Follow-up	 
 	1	 

 	 	
Residential Areas Needing Improvement on Standard Not Me/Follow-up to Occur:	
Indicator #	Indicator	Area Needing Improvement	
 L67	There is a written plan in place accompanied by a training plan when the agency has shared or delegated money management responsibility.	When the agency shares the responsibility of managing a person’s funds a written plan that clearly identifies the level and type of support to be provided by the agency needs to be developed.  This should identify the amount of money a person can independently manage and what strategies are utilized to foster independence in this area.  A training plan needs to be documented in the individual's record (and ISP) and include strategies to eliminate the need for such assis-tance, unless it is established by clinical evaluation that the individual cannot learn how to manage or spend any portion of his or her funds, even with supports.

 

CERTIFICATION FINDINGS

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

    Placement Services	14/14 	0/14 	

Placement Services Commendations on Standards Met:	
Indicator #	Indicator	Commendation	
 C10	Staff (Home Providers) support individuals to develop appropriate social skills.  	The longstanding relationships that home providers developed with individuals and family members at the four locations surveyed had resulted in a solid understanding of the person's social skills.  Providers assisted individuals to learn and practice skills that would promote positive interactions with family and community members.  For example, individuals were encouraged to call or send cards to family which fostered positive communication, socialize with neighbors, and participate in community activities.  Providers capitalized on "teachable moments" to practice skills in the community.  The agency is commended for supporting home providers to assist individuals to develop social skills that promote personal growth.	

MASTER SCORE SHEET LICENSURE
Organizational: 
Indicator
#	Indicator	Met/Rated	Rating
(Met, Not Met, Not Rated)	
 L3	Immediate action	1/1	Met	
 L4	Action taken	2/2	Met	
 L48	HRC	1/1	Met	
 L74	Screen employees	1/1	Met	
 L75	Qualified staff	1/1	Met	
 L76	Track trainings	3/3	Met	
 L83	HR training	3/3	Met	
 L86	Required assessments	2/2	Met	
 L88	Strategies implemented	2/2	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	 

 
 	4/4	 
 
 	4/4	Met	
 L2	Abuse/
Neglect reporting	L	 

 
 	4/4	 
 
 	4/4	Met	
 L5	Safety 
Plan	L	 
 	 
 	4/4	 
 	4/4	Met	
 L6	Evacuation	L	 	 	4/4	 
	4/4	Met	
 L8	Emergency Fact Sheets	I	 
  	 
  	3/4	 
  	3/4	Met	
 L9	Safe use of equipment	L	 
  	 
  	4/4	 
  	4/4	Met	
 L11	Required inspections	L	 
  	 
  	4/4	 
  	4/4	Met	
 L12	Smoke detectors	L	 
 	 
 	4/4	 
 	4/4	Met	
 L13	Clean location	L	 
 	 
 	4/4	 
 	4/4	Met	
 L14	Site in good repair	L	  
 	 
  	4/4	 
  	4/4	Met	
 L15	Hot 
water	L	 	 
	4/4	 	4/4	Met	
 L16	Accessibility	L	 
 	 
 	4/4	 
 	4/4	Met	
 L21	Safe electrical equipment	L	 

 
 	4/4	 
 
 	4/4	Met	
 L22	Clean appliances	L	 
 	 
 	4/4	 
 	4/4	Met	
 L25	Dangerous substances	L	 
  	 
  	4/4	 
  	4/4	Met	
Residential and Individual Home Supports, cont.

Indicator #	
Indicator	Location or Individual Indicator	
Residential Supports	Individual Home Support	
Placement Support	
Respite Support	
Total Met/Rated	
Rating	
 L26	Walkway safety	L	 
 	 
 	4/4	 
 	4/4	Met	
 L28	Flammables	L	 
 	 
 	4/4	 
 	4/4	Met	
 L29	Rubbish/
Combust-ibles	L	  
 	 
  	4/4	  
 	4/4	Met	
 L30	Protective railings	L	 
 	 
 	4/4	 
 	4/4	Met	
 L31	Communica-tion method	I	 
  	  
 	4/4	 
  	4/4	Met	
 L32	Verbal & written	I	 
 	 
 	4/4	 
 	4/4	Met	
 L33	Physical exam	I	 
 	 
 	4/4	 
 	4/4	Met	
 L34	Dental 
exam	I	 
 	 
 	4/4	 
 	4/4	Met	
 L35	Preventive screenings	I	  
	 
 	4/4	 
 	4/4	Met	
L36	Recom-mended tests	I	 
 	 
 	4/4	 
 	4/4	Met	
 L37	Prompt treatment	I	 
 	 
 	4/4	 
 	4/4	Met	
 L38	Physician’s orders	I	 
 	 
 	1/1	 
 	1/1	Met	
 L40	Nutritional food	L	 
 	 
 	4/4	 
 	4/4	Met	
 L41	Healthy 
diet	L	 
 	 
 	3/3	 
 	3/3	Met	
 L42	Physical activity	L	 
 	 
 	4/4	 
 	4/4	Met	
 L43	Health Care Record	I	 
  	 
  	4/4	 
  	4/4	Met	
 L46	Med. Admin-istration	I	  
 	 
  	4/4	 
  	4/4	Met	
 L47	Self-
medication	I	 
 	 
 	1/1	 
 	1/1	Met	
 L49	Informed of human rights	I	  
 	 
  	4/4	 
  	4/4	Met	
 L50	Respectful communica-tion	L	 
 	 
 	4/4	 
 	4/4	Met	
 L51	Possessions	I	 
 	 
 	4/4	 
 	4/4	Met	
 L52	Phone 
calls	I	 
 	 
 	4/4	 
 	4/4	Met	
 L53	Visitation	I	 	 
	4/4	 	4/4	Met	
 L54	Privacy	L	 
	 	4/4	 	4/4	Met	
 L55	Informed consent	I	 

 	4/4	 
 	4/4	Met	

Residential and Individual Home Supports, cont.

Indicator #	
Indicator	Location or Individual Indicator	
Residential Supports	Individual Home Support	
Placement Support	
Respite Support	
Total Met/Rated	
Rating	
 L63	Med. Treatment Plan form	I	 

 
 	2/2	 
 
 	2/2	Met	
 L64	Med. Treatment Plan review	I	 

 
 	2/2	 
 
 	2/2	Met	
 L67	Money Mgmt. Plan	I	 
 	 
 	2/3	 
 	2/3	Not Met
(66.67%)	
 L68	Funds expenditure	I	 
  	  
 	3/3	 
  	3/3	Met	
 L69	Expenditure tracking	I	 
 	 
 	3/3	 
 	3/3	Met	
L70	Charges for Care calc.	I	  
 	  
 	4/4	  
 	4/4	Met	
 L71	Charges for Care appeal	I	 
  	 
  	4/4	 
  	4/4	Met	
 L77	Unique needs training	I	  

 
 	4/4	 
 
 	4/4	Met	
L80	Symptoms of illness	L	 
 	 
 	4/4	 
 	4/4	Met	
 L81	Medical emergency	L	 
 	 
 	4/4	 
 	4/4	Met	
 L85	Supervision 	L	 
 	 
 	4/4	 
 	4/4	Met	
 L86	Required assessments	I	  
 	  
 	2/2	  
 	2/2	Met	
 L87	Support strategies	I	 
 	 
 	2/2	 
 	2/2	Met	
 L88	Strategies implemented	I	  
 	 
  	4/4	 
  	4/4	Met	
#Std. Met/ # 54 Indicator	 

 

 	 

 

 	53/54	 

Total Score	 

 	 

 	62/63	 

 	 

 	 

 	98.41%	 

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	

 
Placement Services	
Indicator #	Indicator	Met/Rated	Rating	
 C7	Feedback on staff performance	4/4	Met	
 C8	Family/guardian communication	4/4	Met	
 C9	Personal relationships	4/4	Met	
 C10	Social skill development	4/4	Met	
 C11	Get together w/family & friends	4/4	Met	
 C12	Intimacy	4/4	Met	
 C13	Skills to maximize independence 	4/4	Met	
 C14	Choices in routines & schedules	4/4	Met	
 C15	Personalize living space	4/4	Met	
 C16	Explore interests	4/4	Met	
 C17	Community activities	4/4	Met	
 C18	Purchase personal belongings	4/4	Met	
 C19	Knowledgeable decisions	4/4	Met	
 C20	Emergency back-up plans	4/4	Met	

 
.