1. Residential Services (IRSS)
Deluxe Home Health Care Agency provides Residential Services (IRSS) using both Personal Care Alternative (PCA) and Host Home models. Deluxe Home Health Care Agency offers PCA and Host Home options designed to support 1-3 persons in services living together. PCA settings are flexible environments that can be individualized to the meet each person’s support needs. Settings may include the person’s own home/apartment or an agency owned/leased property. PCA settings may also include Family Caregiver (FCG) environments in which persons choose to receive residential services in their family home. Host Homes are single-person caregivers, couples or families who open their home to a person with IDD. Persons live in the home and receive support to live independently in the community and home of their choice.
Deluxe Home Health Care Agency takes the lead in developing each person’s Individual Services and Supports Plan (ISSP) and serves as a key member of the person’s Interdisciplinary Team (IDT). Deluxe Home Health Care Agency monitors the quality of services on a monthly basis, provides 24-hour on call support, nursing support, special diet accommodations, accessible homes, transportation to medical appointments, medication administration, access to community services, and opportunities to build meaningful relationships.
Deluxe Home Health Care Agency provides support in the following areas as part of its IRSS program:
- Provide choice and control of living environment, including interviewing and choosing housemates and assistants
- Ensure person-centered practices and principles are implemented in each home environment
- Allow individuals to decorate and personalize home environment
- Community Integration
- Provide opportunities for individuals to engage in meaningful community social activities
- Assist individuals to develop natural support networks
- Expose individuals to social networks and activities that are available to the broader community
- Ensure individuals are educated and understand their rights and how to use them
- Ensure the least restrictive interventions necessary to ensure an individual’s health and safety
- Provide individuals with balanced and nutritious meals and snacks
- Educate and expose persons to all aspects of food preparation/planning, including shopping and meal preparation
- Provide individuals with medication administration support according to their level of self-medication
- Educate individuals regarding their medications and potential side effects, particularly controlled substances
- Assist individuals who may require behavioral support services
- Develop and implement Behavioral Support plans
- Provide transportation support for non-medical, social, and employment activities
- Community integration
- Assist individuals to have as much control over their personal finances as possible
- Manage resources, track receipts and keep an active record of all personal items
- Educate and expose individuals to money management skills
- Ensure that home environments are monitored for health and safety (minimum-quarterly)
- Review and monitor medications
- Ensure home is clean and organized and that bedrooms are comfortable and personalized
- Review and ensure healthy diets are provided and offered
2. Personal Care Services (PCA)
Personal Assistance services provide necessary personnel and supports to meet the daily living needs of a person with a developmental disability or assistance to enable a client to accomplish tasks that the client may complete without assistance if the client did not have a disability. Personal Assistance services may include support or training with a wide range of activities necessary to meet the daily living needs of the person in the home and community and may take the form of hands-on assistance by actually performing a task for the client or cueing to prompt the client to perform a task including personal care such as hygiene, bathing, eating, dressing, grooming, shopping, meal planning, bowel and bladder care, transferring, supervision, and relief to a family member that normally provides personal care. Deluxe Home Health Care Agency LLC staff will provide the opportunity for the client to learn the personal care skills; they will also cue and prompt individuals through the skills necessary to participate in these daily activities. This service requires skills assessment and ISSP which must be completed prior to service being provided.
3. Homemaker Services (HOB/HOE)
Homemaker services are general household activities provided in the home of an eligible client by an agency to maintain a healthy and safe home environment for a client, when the person ordinarily responsible for these activities is absent or unable to manage these tasks. Covered benefits shall be for the benefit of the client and not for the benefit of other persons living in the home. Services shall be applied only to the permanent living space of the client.
Homemaker Services may include the following:
- Routine light house cleaning, such as dusting, vacuuming, mopping, and cleaning bathroom and kitchen areas.
- Meal Preparation
- Bed Making
- Teaching the skills listed above to clients who are capable of learning to do such tasks for themselves.
Homemaker Services do not include:
- Personal Care Services
- Services the person can perform independently
- Services Provided by family members
- Homemakers service provided in uncertified congregate facilities that are not a benefit.
There are two types of Homemaker Services: Enhanced and Basic Homemaker Services
- Basic Homemaker (HOB): Basic homemaker services consist of the performance of basic household tasks within the participant’s primary residence (i.e. cleaning laundry or household care) including maintenance which are related to the participant’s disability and provided by a qualified homemaker when the parent or primary caretaker is unable to manage the home and care for the participant in the home. ISSP is required to monitor and track the services’ goals.
- Enhanced Homemaker (HOE) services require a qualified homemaker that consists of the same household tasks as described under Basic Homemaker services with the addition of either habilitation or extraordinary cleaning. H.O.E supports provide the opportunity to learn household tasks such as cleaning or doing laundry. Homemakers cue or prompt individuals through the skills they need to independently care for a household. In instances where there are extraordinary needs due to a risk of health and safety we will assist the individual and support partner in pursuing outside resources to remedy the situation. ISSP is required to monitor and track the services goals.
4. Supported Community Connections (SCC)
- Supported Community Connections (SCC) support the abilities and skills necessary to enable the participant to access typical activities and functions of community life such as those chosen by the general population, including community education or training, retirement, and volunteer activities. Supported Community Connections provides a wide variety of opportunities to facilitate and build relationships and natural supports in the community, while utilizing the community as a learning environment to provide services and supports as identified in a participant’s service plan. These activities are conducted in a variety of settings in which participants interact with non-disabled individuals (other than those individuals who are providing services to the participant). These types of services may include socialization, adaptive skills, and personnel to accompany and support the participant in community settings, resources necessary for participation in activities, and supplies related to skill acquisition, retention, or improvement. These services are provided by the service agency as established by the reimbursement rate. Supported Community Connections may be provided in a group setting (or groups traveling together into the community) and/or may be provided on a one-to-one basis as a learning environment to provide instruction when identified in the service plan.
- Considerations: Does the activity provide the opportunity to build relationships and natural supports in the community? Does the participant have the opportunity to have meaningful interaction with community? Are the activities included within the residential services/rate?
- Exclusions: Movies and activities exclusively for recreational purposes, 18-21 y/o during the school year, 18-21 y/o during school breaks that qualifies for Extended School Year
5. Community Connector (CC)
In instances where families with children participating in the CES program need assistance with accessing community activities and resources with their child, Community Connector services may be provided by a support partner. This service will require oversight by an experienced provider, or the child’s Behavior Therapist.
6. Non-medical Transportation
- Non-medical transportation services includes transportation which enables clients to gain access to non-medical community services and resources, as required by the care plan to prevent institutionalization.
- Non-medical transportation services shall include, but not be limited to, transportation between the client’s home and non-medical services or resources such as adult day services, shopping, therapeutic swimming, dentist appointments, counseling sessions, and other services as required by the care plan to prevent institutionalization.
7. Respite (RSN/RSDA)
- Respite Care means services provided to an eligible client who is unable to care for himself/herself on a short term basis because of the absence or the need for relief of those persons normally providing care. Respite Care is provided in the clients’ residence and may be provided by different levels of providers depending upon the needs of the client. Skilled versus unskilled care are dependent upon the needs of the client and the physician’s order.
- Respite care may be provided for up to a maximum of 30 days per year.
- Respite may be provided in the participant’s home or private place of residence or the private residence of a respite care provider. Respite is to be provided in an age appropriate manner. The eligible client age 12 or older may receive respite during the time the caregiver works because some age typical peers do not need ongoing supervision at that age and the need for the respite is based on the client’s disability. ISSP is required if the service is provided in the client’s home.
- Respite Individual: The participant receives respite in a one-on-one situation
- Respite Individual Day: The participant receives respite in a one-on-one situation for more than 10 cumulative hours in a 24 hour period.
- Respite Overnight Group: The participant receives respite in a setting which is defined as a facility that offers 24-hour supervision through supervised overnight group accommodations.
8. Mentorship (MEN)
Services provided to participants to promote self-advocacy through the methods such as instructing, providing experiences, modeling and advising. Mentor provides the assistance with understanding complicated health and safety information, as well as completing and reviewing safety assessments. Mentor will accompany the participants to medical appointments to aid in communication with providers and to assist the individual with follow-up. Mentors meet with the individual’s one-on-one to instruct and model, as well as to further assist the individual interviewing potential providers and finding resources in their families or in the community. Mentorship Assessment is required prior to providing services.
Mentorship activities may also include such as assistance with his/her participation on private and public boards, advisory groups and commissions, and person specific training costs associated with providing unique supported living services to an individual, such as training in child and infant care for parent(s) who themselves have a developmental disability.