pathways to independence annual management report · community. choice. these are very powerful...

64
Pathways to Independence Annual Management Report 2014

Upload: others

Post on 09-Oct-2020

1 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Pathways to Independence Annual Management

Report

2014

Page 2: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

1

Vision Statement

That all peopleenjoy a high quality of life

as an accepted member

of their chosen community.

Page 3: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

2

Vision Statement .......................................................................................................................................................................................................................... 1

Introduction .................................................................................................................................................................................................................................. 4

For the people we support..................................................................................................................................................................................................... 4

Pathways at a Glance ............................................................................................................................................................................................................... 8

What is CARF? .............................................................................................................................................................................................................................. 8

Overview of services and the characteristics of the people we support ........................................................................................................................... 9

Community Homes ................................................................................................................................................................................................................ 10

Family Homes (Host Family Services) .................................................................................................................................................................................. 11

Supported Independent Living (Supported Living) .......................................................................................................................................................... 12

Respite Services ..................................................................................................................................................................................................................... 13

Program Services ................................................................................................................................................................................................................... 14

The Pathways Management Report ...................................................................................................................................................................................... 15

Alternate format availability ................................................................................................................................................................................................ 15

Alignment with CARF principles .............................................................................................................................................................................................. 16

Stakeholder engagement and feedback ......................................................................................................................................................................... 16

Strategic Plan ......................................................................................................................................................................................................................... 16

Pathways Strategic Plan: Making Lives Better, Together ................................................................................................................................................. 17

Web Based Anonymous Feedback ........................................................................................................................................................................................ 18

2014 Organizational Renewal Employee Survey. ................................................................................................................................................................. 18

Client Satisfaction Survey ......................................................................................................................................................................................................... 22

Tenant Meetings ........................................................................................................................................................................................................................ 24

Accessibility Plan ....................................................................................................................................................................................................................... 25

Types of Barriers ..................................................................................................................................................................................................................... 27

Communication of Accessibility Plan ................................................................................................................................................................................. 29

Page 4: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

3

Items Completed from 2014 Accessibility Plan ................................................................................................................................................................. 29

Items to be addressed in 2015 Accessibility Plan .............................................................................................................................................................. 30

Identified Items Not Being Addressed ................................................................................................................................................................................ 30

Technology and Systems Plan ................................................................................................................................................................................................. 38

Outcomes & Indicators ............................................................................................................................................................................................................ 42

Developmental, ABI and Dual Diagnosis Services ................................................................................................................................................................ 44

Community Housing .................................................................................................................................................................................................................. 45

Community Integration ............................................................................................................................................................................................................ 49

Business and Corporate Services ............................................................................................................................................................................................ 53

Governance .......................................................................................................................................................................................................................... 54

Attendance at Annual General Meeting .......................................................................................................................................................................... 55

Corporate Services ............................................................................................................................................................................................................... 56

Maintenance Requests ........................................................................................................................................................................................................ 58

Human Resources ................................................................................................................................................................................................................. 59

Page 5: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

4

Introduction

For the people we support Pathways to Independence supports people with a developmental disability, an acquired brain injury or

a dual diagnosis to have places to live, things to learn and do, and support to live as independently as

possible in your community.

Talk to us so that we can help you

Meet people

who like to do what you do

Find a home that you would like to live

in

Find a job or

volunteer opportunity

Find someone you can

help or who can

support you

With activities of daily living,

like grocery

shopping and meal

preparation

Page 6: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

5

This book is like a report card. It tells everyone about what

we do, and how we do it. It tells you, your family and other

people what we think we do well, and how we want to do

things differently or improve what we do for you and your

friends at Pathways.

The information in this report card may be confusing or hard to understand. Please ask your worker,

friend or family member for help if you want to know more about this report.

This book has information about:

1. How the employees at Pathways to Independence will work in the next few years to make sure

that there are excellent services for you. This is called a strategic plan. It is on page 17.

2. How Pathways is working to make everything we do accessible for people with

disabilities. The Accessibility plan is on page 25

3. How Pathways will make sure our computers and the information we use is kept confidential and

safe. This means that your personal information like your medical information is kept safe in case

of a natural disaster like in a blackout when all the electricity stops working. The technology plan

is on page 38.

Page 7: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

6

4. How well Pathways does with what the government wants us to complete. For example,

you have a plan that you made that tells people what you like and don’t like. The plan

also has goals that you want to work on. This is your Quality of Life Plan or Service Plan.

Pathways promises the government that every person we support will have a Plan.

The information about the Quality of Life plans that Pathways helps you to complete is on page

45.

There is more information after the Quality of Life Plan picture that tells you different kinds of

information about the programs and services that Pathways to Independence provides.

Page 8: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

7

We support 88 women and 164

men with developmental

disabilities, acquired brain injury

and those who may be dually

diagnosed.

We have 25 homes and

apartments in towns and cities

in the Lennox & Addington,

Quinte, Prince Edward County,

Renfrew and Ottawa Regions of

Ontario

We employ 327 dedicated

professionals.

We have 6 day program

locations, 1 in Ottawa, 1, in

Renfrew, 1 in Picton & 2 in

Belleville and 1 in Quinte

West.

Ethnicity of Persons Served

African American 2

Caucasian 247

First Nations 2

South East Asian 1

29%

53%

18%

AGES OF PERSONS

SERVED

18-44 45-64 65+

101

74

31

0

16

3

15

9

117

77

46

9

0 20 40 60 80 100 120 140

Community Home

Family Home

Supported Living

Outreach Program

Overview of Supported Clients

Total Acquired Brain Injury Developmental Disability

Page 9: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

8

Pathways at a Glance

What is CARF? The acronym CARF stands for the Commission for the Accreditation of Rehabilitation Facilities. CARF is an independent, nonprofit

accreditor of health and human services and the CARF standards are internationally recognized. Pathways believes in reviewing our

services against CARF standards allows us the opportunity to continuously improve our services, and demonstrate our commitment to

transparent and accountable practices to our funders, community partners, family members and the people we support.

Pathways to Independence received our second 3 year accreditation from CARF in December 2012 for the following programs:

Community Homes

Supported Independent

Living

Family Homes Community Integration

Respite

Page 10: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

9

Overview of services and the characteristics of the people we support Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right to a

safe and life enhancing environment, a place to belong, to

share with others….a place to call home.

Pathways to Independence is a community based agency

providing assisted community living services and supports to

adults with an acquired brain injury (ABI), a developmental

disability, or a dual diagnosis based on their unique goals, abilities

and choices. Our services include supportive housing options,

day, vocational and recreation programs, psychiatric counselling

and behaviour therapy, court and justice related services, and

short term respite.

“The persons served and family

members express satisfaction with and

speak highly of the organization’s

services. Many stories of lives falling

apart have been replaced with future

plans full of hope and enthusiasm.”

~ CARF Survey Report, Agency

Strengths, 2012.

Page 11: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

10

Community Homes Staffed seven days a week, 24 hours a day, our supported homes

provide a caring environment to small groups of people making and

sharing a home. Located in both rural and urban environments across

south eastern and eastern Ontario, Pathways homes are customized to

meet the physical and social needs of the people we support.

In 2014, Pathways initiated construction of two new homes for people

living with an ABI, one in Ottawa and one in Napanee. Both homes are

expected to be completed in early 2015. Pathways continues to work

closely with the South East Local Health Integration Network to secure

funding to build another community home for adults with an ABI in

Napanee.

1

12

00

211

14

1

18-44 years 45-64 years 65+

Characteristics of Persons Served in Community

Housing ABI

Male Female Total

19

36

13

3

21

9

22

57

22

18-44 years 45-64 years 65+

Characteristics of Persons Served in Community

Housing Developmental Disability

Male Female Total

Page 12: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

11

Family Homes (Host Family Services)

More opportunities, choices, independence and quality of life are some of the benefits

offered to people with disabilities when they are able to live with a family home provider.

Following a rigorous approval and matching process that includes assessing shared interests,

compatibility, location and access to services, a supported person lives with another family

and shares in their lives. Supported by their natural family and professionals from Pathways to

Independence, the Family Home program provides a stable living option to people with an

acquired brain injury, a developmental disability or a dual diagnosis.

22

11

7

6

22

6

28

33

13

18-44 years

45-64 years

65+

Characteristics of Persons Served in Host

Families (Developmental Disability)

Total Female Male

0

1

1

0

0

1

0

1

2

18-44 years

45-64 years

65+

Characteristics of Persons Served in Host

Families (ABI)

Total Female Male

Page 13: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

12

Supported Independent Living (Supported Living)

For clients who prefer and are able to live on their own, Pathways to Independence assists people to find

apartments and professional staff support based on their individual needs. The agency provides Supported

Independent Living programs for clients with acquired brain injury in Belleville and Ottawa, and for clients with

developmental disabilities in Belleville.

6

12

0

42 2

10

14

2

18-44 years 45-64 years 65+

Characteristics of Persons Served in

Supported Living/Outreach Ottawa:

ABI

Male Female Total

1

3

11

0 0

2

3

1

18-44 years 45-64 years 65+

Characteristics of Persons Served in

Supported Living: Belleville ABI

Male Female Total

127

14 5

2

1612

3

18-44 years 45-64 years 65+

Characteristics of Persons Served in

Supported Living: Developmental

Disability

Male Female Total

Page 14: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

13

Respite Services

Pathways to Independence provides temporary

accommodation at a 24 Hour Supported Home or a family

home in an emergency or as a break from other living

arrangements. Our contract with each Family Home Provider

(Host Family) provides a number of days of respite per year.

The supported person living with Host Family would live in an

existing community home or family home network within

Pathways for the duration of the host family’s respite period.

The characteristics of the people we support who benefit

from respite services are represented in the demographic

data presented for our Community Homes, Supported

Independent Living and Family Homes programs.

Page 15: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

14

Program Services Our day and vocational programs and services are offered to the people we support as well as other

members of the community who can benefit and enjoy our services within the greater Quinte and Ottawa

regions. Aligned with goals and objectives of their person centred plan, and assisted by professional staff

as well as many partners in the broader business and social service community, each supported person

gains opportunities for training, employment or volunteer experience, social interaction and fun through our

programs. The following graph indicates the participation in Pathways day and vocational programs for all

persons served.

49

6

28

10

28 22 24

47

18

95

53

8

44

13

3123 23 23

81

24

75

TAY Evening

Club

Cleaning

Crew

Club ABI-

Belleville

Club ABI-

Quinte West

Ottawa

Club ABI

Renfrew

Club ABI

Helen's

Bakery &

Cafe

Picton

Community

Connections

Belleville CC

&

Recreation

Car Wash Employment

Support

Participation in Day & Vocational Programs

2013 2014

Community Connections/ Recreation - offers social interaction, learning

opportunities and day trips in three communities: Belleville, Ottawa &

Picton.

Helen’s Bakery & Café- offers vocational training and employment opportunities to

the people we support by providing lunches and delicious baked goods to the

community.

Club ABI - programs operating in Belleville, Quinte West and Ottawa that

offers opportunities to people with Acquired Brain Injury to acquire new

skills, build social networks, and have fun.

Transition Age Youth (TAY) Evening Club: provides opportunities for social interaction

and skill development for adults with disabilities who are between the ages of 18-30.

Pathways Car Wash – offers vocational training and employment

opportunities to the people we support by providing a full car cleaning

service to the community.

Employment Opportunities – provides employment preparation to clients for

competitive employment or volunteer opportunities in our community

Cleaning Crew: a supported program that provides vocational skills and paid employment to clients.

Page 16: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

15

The Pathways Management Report Pathways primary purpose is to provide services to adults with disabilities in ways that enhances their quality of life, while ensuring the most

efficient and effective use of human and financial resources. Efficient and effective are terms often assumed to be about controlling costs,

and in many management driven data reports, effective and efficient indicators are used that reflect costs, time used or saved, or number of

instances a service or other utility is accessed. Providing data that measures a person’s quality of life is extremely difficult to do in a

quantifiable manner. This management report identifies measurements and data to illuminate agency growth and direction informed by our

vision, mission and guiding principles. Where practical, benchmark and outcome measures have been identified with best demonstrated

practices, external research, and/or past internal history and in all cases provide a baseline for us to establish goals and objectives to further

enhance our services and programs.

Alternate format availability

Pathways ensures that everyone can access the

same information in a format that facilitates their

understanding and accommodates each

person’s unique requirements. If you require the

information in this report in a different format,

please contact Pathways and we will provide the

information in a manner that meets your needs.

Our contact information is:

289 Pinnacle Street

Belleville, ON, K8N 4Z2

613-962-2541

356 D Woodroffe Ave.

Unit 202

Ottawa ON K2A 3V6

613-233-3322

Page 17: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

16

Alignment with CARF principles

Stakeholder engagement and feedback To learn and grow an organization requires feedback. To change, an organization needs to set goals and measure results to improve

processes and programs. The process of stakeholder feedback and meaningful outcome measurement is a key principle of CARF

accreditation.

Pathways to Independence has both formal and informal channels to solicit feedback. These include;

Client Surveys

Complaint and Appeal processes

Web Based anonymous feedback

Employee Surveys

Community member involvement on Sub Committees of the Board, such as the Membership Committee, the Quality Assurance

Committee.

Client Tenant Meetings.

Strategic Plan The strategic plan is intended to define what Pathways seeks to accomplish over the next three years, to identify the actions we will use to

achieve our desired results, and how well we succeed in achieving our strategic directions and goals. The plan is used to clarify our priorities,

align resources, and unify employees, partners and others involved with delivering our services and supports to our clients.

Our process to develop the plan was very inclusive. Many employees were involved in focus groups and provided input and suggestions to

the draft. Feedback regarding Pathways strengths and areas of future focus was also obtained from our clients, their families and our

community partners. This process was invaluable in its own right, as it engages everyone in the process and helps to create engagement,

foster communication, and helps the agency to stay focused on its priorities.

What is strategic planning? Strategic planning is the process of identifying an organization's long-term goals and objectives and then determining the best approach for

achieving those goals and objectives.

Page 18: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

17

What are the benefits of strategic planning? Makes the management of Pathways easier by providing a framework and clearly defining direction for decision making;

Creates an increased level of commitment to the agency and its goals;

Results in improved quality of services and supports to our clients and employees and provides a way to measure the services;

Helps everyone in the agency to set priorities;

Increases the agency's ability to identify and manage risks from the external environment; and,

Aligns with a CARF requirement and is good business practice.

Pathways Strategic Plan: Making Lives Better, Together

Page 19: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

18

Web Based Anonymous Feedback In an effort to ensure that all people have the opportunity to provide feedback to the agency, Pathways provides an anonymous email

based feedback process on our website; www.pathwaysind.com . In 2014, the web feedback inbox received one message from a family

member seeking assistance from a family member trying to move her brother who has an acquired brain injury to Eastern Ontario.

In all situations the feedback email message is forwarded to the appropriate Manager with a copy to the Executive management team. If

the individual provides their name, the Manager will respond to the person directly.

We encourage people to provide their name and contact information so that we

can respond directly and engage in further discussion. If the person submitting the

feedback wishes to remain anonymous, the email is forwarded on to the appropriate

Manager for information.

2014 Organizational

Renewal Employee Survey. Based on previous employee survey feedback and feedback received from employees at all levels of

the organization in the last few years, the executive team realigned resources and restructured the

agency in 2014. The driving principle for the change was to ensure we were achieving the right

outcomes for the clients. The specific goals are:

1. To improve our employee’s access to their manager.

2. To improve employee’s access to and understanding of the agency mission and vision.

3. To improve employee’s access to ongoing information about the organization through emails, newsletter, annual report, and strategic

plan.

“Right staff+ Right

Resources+ Right

Tools=Right

Outcomes for

Clients”

Page 20: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

19

To achieve a baseline measure from employees, Pathways conducted a short survey in February, 2014. The results are as follows:

Response

Rate

Full

Time

Part

Time

Direct

Support

Management Admin Quinte Region & Area Ottawa and Area

33% 73% 25% 85% 11% 4% 82% 15%

Survey Questions

0

1

3

2

11

16

18

28

61

50

49

56

0 10 20 30 40 50 60 70

I have the information I need to do

my job

I receive the direction I need from

my manager

I receive feedback I need from my

manager

I receive information about the

organization overall

Response to Questions

Enough A little Not at all

1% 2%

37%

59%

I understand Pathways Mission, Vision

and Philosophy

Not at all A Little Enough A lot

Page 21: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

20

8%

17%

50%

23%

I receive communication about the results of

surveys

Not at all A little Enough A lot

8%

17%

50%

23%

I believe the information I share in surveys is

valued and used

Not at all A little Enough A lot

8983

108

2126

10

20

40

60

80

100

120

Strategic Plan Annual Report Newsletter

I am aware of Pathways

Yes No

Page 22: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

21

Other initiatives have also been implemented or will be implemented in the coming year to reinforce the change management agenda to

ensure that Pathways employees are well equipped to support the right outcomes for the people we support.

Right Staff+Right Resources+Right Tools=

Right Outcomes for clientsCommunication

• Increased responsibility and fewer worksites to manage

• Email access to all employees

• Let's Talk

Decision Making & Authority

• Change in Title for all CSM to reflect new responsibilities

• Review of Policies/Procedures

• Accountability Process and Decision tree.

Training/Learning

• Coaching -helping employees make the decision and act

• Financial Resources/Overview of all areas

• What's next? CARF & Quality Assurance, Risk Management

Community Resources/Access

• Building the relationships to benefit the clients wellbeing-ie. justice system

• impact of Passport funding-understanding what is there and how we fit.

Responsibility for Agency Vision/Strategic Plan

• what's your vision for your workgroup?

• understand and work toward strategic plan/QAM outcomes

• understand and integrate CARF

Page 23: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

22

Client Satisfaction Survey In 2012 we asked all of people we support to complete our

second CARF Client Survey. Working closely with support

staff, 153 clients completed the survey.

Overall the category and item scores in the Pathways to Independence Client Survey, 2012, were very positive.

The 11% decline from the 2009 survey in the Participation category causes the agency some concern. Specifically, the agency

is concerned regarding the difference in the positive rating of one question between 2009 and 2012. The question is “I know

where/how to get help in the community”.

In 2009 the positive percentage score for this question was 85.1% compared to an overall positive percentage score of 65.8% in

2012. When analyzed further it appears that the most significant decline in the score is within the Belleville Residential and the

supported clients within the Family Home Program.

153 clients participated in the survey -60% response rate

97 % said they would recommend Pathways to a friend.

96% said Pathways services enabled them to do things better.

96% overall satisfaction with Pathways Services & Programs.

93 93 95 9396

90 9396

82

96

Service

Responsiveness

Informed

Choice

Respect Participation Overall Value

Overall Categories % Positive Responses

2009 2012

Page 24: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

23

The agency developed and implemented an action plan to resolve the issues identified in the client survey.

81.3 80

100 10091.3

0

85.1

52.4

100

69

100

0

69.2 65.8

0

20

40

60

80

100

120

Belleville

Residential

Belleville SIL FHP Clients Ottawa

Residential

Ottawa SIL Belleville ABI all locations

I know where/how to get help in the community.

2009

2012

Page 25: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

24

Tenant Meetings The majority of Pathways community homes have “tenant” meetings on a regular basis. These meetings are intended to provide clients with

the opportunity to share any concerns they may have with staff members. The discussion at the meeting is documented as minutes and

shared with the manager. The manager and staff work to address any concerns raised with the client to ensure the best possible outcome.

Water temperature – has the issue

of too cold water been resolved?

Yes! All the ladies report they are

now having warm water for their

showers. (Napanee Home Tenant

Minutes, March 2014)

(a

Page 26: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

25

Accessibility Plan Pathways accessibility plan addresses accessibility issues at our community home, program locations and in the community at large.

Pathways to Independence is committed to identifying and removing barriers that impede the ability of persons served to fully access our

programs and the broader community as a whole. The plan also addresses accessibility issues that may arise for our employees and members

of the general public.

Pathways to Independence Accessibility Plan is in keeping with the requirements

of the Accessibility for Ontarians with a Disability Act, (AODA) Integrated

Accessibility Standards Regulation 191/11 and CARF’s ASPIRE Standard L:

Accessibility.

The AODA Integrated Accessibility Standards Regulation (IASR) requires not for

profit agencies that employ more than 5 0 people to develop accessibility

policies, programs and procedures in the following areas:

Employment,

Information and Communication,

Transportation, and the

Built environment.

The deadlines for implementing these programs extend to 2017 for some

requirements.

AODA’s Integrated Accessibility Standards have general requirements that are

embedded in the 4 identified areas above. These general standards and their

status are outlined below:

Page 27: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

26

General Requirements (IASR) Action Completion Date

Establishment of Accessibility Policies AODA policy revised to include the Integrated

Standards Criteria and distributed to all

employees.

December 31, 2013.

Establishment of a multi-year Accessibility Plan Agency accessibility plan updated to include

IASR requirements.

December 31, 2014.

Procuring or Acquiring Goods, Services or

Facilities

Review and update of procurement policies to

include IASR requirements.

December 31, 2013.

Incorporate Ontario Human Rights Code

training into AODA training.

Update AODA training materials and include in

orientation training for all employees.

December 31, 2014.

Pathways accessibility plan addresses accessibility issues at our community home, program locations and in the community at large.

Pathways to Independence is committed to identifying and removing barriers that impede the ability of persons served to fully access our

programs and the broader community as a whole. The plan that follows identifies the following:

Those barriers that were removed or otherwise addressed by the agency over the course of the past year.

Those items that the organization still intends to address, as well as new items that have been brought to the agency’s attention.

Some of these items contain firm deadlines for completion, while others do not.

Those items that were identified, but the agency does not feel can be addressed at this time for one reason or another.

Page 28: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

27

Types of Barriers

.

An architectural barrier is any physical factor

that makes accessing buildings or physical

structures difficult for a person with disabilities.

This may include narrow doorways, a staircase

without a banister, bathrooms that are not

physically accessible for all, alarms that are

not able to be heard by individuals with

hearing impairments, or even something as

simple as the location of furniture.

An environmental barrier is any location or

characteristic of the setting that compromises,

hinders or impedes service delivery and the

benefits to be gained. This may include

flickering lights, a heavy scent, or a remote

geographical location that restricts frequent

access to services or events.

A communication barrier is something that

prevents a person with disabilities from having

access to information in a way that

accommodates their disability and/or helps

them to understand information. This may

include not providing access to a TTY service,

or a website that does not allow a person with

a visual disability to increase the type size.

An attitudinal barrier is a negative attitude

that people have towards persons served.

Examples of this may include attitudes of

neighbours or other community members

about having people with disabilities living in

their neighbourhood, or the lack of “person

first” language used by agency personnel.

A financial barrier is a lack of financial resources

that may require an agency to restrict or

cancel a service or program.

An employment barrier is a policy, program,

resource, tool, or way of conducting business

that could restrict a person with disabilities from

getting a job or doing their job well. This may

include an agency only accepting hand

written answers on an interview for a person

with a learning disability, or giving a person

with a visual impairment a job application form

that is in text only.

Page 29: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

28

A transportation barrier is the lack of suitable

and available transportation to allow a person

with a disability to attend or participate in

community services, programs, medical

appointments, employment or other activities.

A community integration barrier is anything that may limit an individual’s ability to access their

community.

Page 30: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

29

Communication of Accessibility Plan The accessibility plan is approved by Senior Management. The plan is presented to all management employees covering all responsibilities of

the agency. Appropriate items will be shared with the support staff at individual worksites as well as the clients.

Items Completed from 2014 Accessibility Plan

Program Barrier Identified Action Completed Cost Completion Date

289

Pinnacle

Accessible program washroom Completed $6,000.00 June 2014

Fry Road Accessible ramp at front entrance

Completed $2,000.00 July 2014

289

Pinnacle

Parking Lot

Repair/replace upper parking lot to

lower parking lot stairs

Completed $11,000.00 July 2014

289

Pinnacle

Accessible door entry to client

access to Client Services

Department

Completed $3,600.00 July 2014

Cannifton

Road

Accessible Entry Door Completed $3,200.00 February 2014

Page 31: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

30

Items to be addressed in 2015 Accessibility Plan

Program Year Item

First

Identified

Barrier Identified Strategies for

Removal or

Prevention and

Comments on

Progress

Potential

Cost Completion

Date

Person(s) Responsible

Napanee

Home(s)

2013 Meet all accessibility

standards for new

bungalow

New Construction Built into

construction

cost

Spring 2015 Operations

Lesley Drive 2013 Repair sidewalk for

safety and access

$7,500 Operations

Cannifton Road 2015 Accessible doors to

patio

$2,500.00 2015 Operations

Identified Items Not Being Addressed Program Year Item

First

Identified

Barrier Identified Strategies for

Removal or

Prevention and

Comments on

Progress

Potential

Cost Timeline for

Completion

Person (s)

Responsible

Accessible

Office

Signage

2010 Financial Receive funding $6,000 TBC Operations

Page 32: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

31

Environmental & Financial Barriers

Program Identified Barrier Action Completed Completion Date

Community Housing

Residents of the Cabin Road

Home located in Ottawa require

a fully accessible home located

closer to the services and

amenities of the city of Ottawa.

1. Review of all housing needs in

keeping with the needs of the persons

served.

2. Assessment of the real estate market

potential for the Cabin Road Home.

3. Preliminary discussions of how to raise

the capital funding required to build a

new home in the city of Ottawa.

4. Purchase of a lot suitable for building

purposes.

5. Selection of a contractor/architect to

develop plans for new home.

6. Secured funding to hire a contract

research consultant to develop

capital campaign to raise $250K.

7. Launched web based capital

campaign “One Brick at a Time”.

8. Continued to raise funds for new

home.

9. Completed architectural drawings.

10. Broke ground on construction of

Bachmann Terrace Home.

11. Negotiated sale of Cabin Road

Home.

1. September 2009

2. Spring 2010

3. Ongoing 2010

4. October 2010

5. September 2011

6. December 2011

7. June 2012

8. September 2013

9. Fall 2013.

10. Summer 2014

11. Fall 2014.

Page 33: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

32

Program Identified Barrier Action Completed Completion

Date

Community Housing

Development and approval of a new home for people living with an ABI

in Napanee to respond to increased need and demand.

1. Review of all housing needs in

keeping with the needs of the

persons served.

2. Work with LHIN and MOH to secure

funding for new home.

3. Purchased land and ensured

appropriate zoning.

4. Completed architectural drawings.

5. Requested RFT to builders.

6. Started construction of one

accessible bungalow in Napanee for

adults with an acquired brain injury.

1. Winter 2011-12

2. Ongoing 2013

3. Fall 2013

4. Winter 2013.

5. Spring 2014

6. Summer 2014

Page 34: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

33

Attitudinal Barriers

Program Identified Barrier Action Completed Completion Date

Community Based Perceptions of persons with

developmental disabilities,

acquired brain injury and

those with dual diagnosis in

the broader community.

Highlight and showcase the

accomplishments of people

with disabilities at all public

Pathways events and

meetings.

1. Promotion of client art to local printers.

Pathways Artist selected for December 2012-15

calendars.

2. Promoted art shows in local library for people

with an ABI

3. Supported individuals involved in a variety of

volunteer and fundraising events in the

community: Rockfest, Dancing with the Stars,

Home to Home Heart to Heart Poinsettia Sales,

2 Golf Tournaments.

4. Promoted Community Access Fund to provide

clients with financial resources to attend events

and activities in the community that they may

not be able to afford.

5. Pathways Client received the Ruth Burrows

Volunteer of the Year award and received

extensive media coverage.

6. Secured sponsors and worked with 3 other

community agencies to host a successful

Conquer Acquired Brain Injury Walk in both

Ottawa and Belleville. Walk covered in local

newspapers and on air radio.

Community Based Perceptions of persons with

developmental disabilities,

acquired brain injury and

those with dual diagnosis in

the broader community

Use Social Media to promote

positive messages and

continue to build awareness.

1. Establish “Friends of Pathways” Facebook

page and twitter account with plan to

promote Pathways events in summer 2012.

2. Create community of followers and follow

other organizations promoting positive

messages about people with disabilities-

Ongoing.

Page 35: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

34

Agency Lack of community based

supports for people living

with an Acquired Brain Injury

and the resources to

develop them.

Focus on developing new

relationships and services with

funders, partners and other

stakeholders in the ABI

community to eventually

expand services.

1. Worked with new ABI system navigator and

South East ABI Network to develop centralized

wait list, consent and referral process.

2. Worked with community partners, municipality

and LHIN’s to establish new ABI homes in

Napanee.

3. New home construction initiated in summer

2014.

Page 36: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

35

Communication Barriers Program Identified Barrier Action Completed Completion Date

Agency Wide Employee understanding of the

Accessibility for Ontarians with a

Disability Act (AODA), and the

public service responsibility when

supporting clients in the community.

1. Inclusion of AODA training in all

new hire orientation

1. Summer 2011 and ongoing

Person Served Pathways written materials and

some client specific policies difficult

to understand and interpret.

How to access services not easily

defined on website.

1. Identification of policies and

client “forms” that could be

revised in simple English with

picture support.

1. Development of new

pathways website with section

devoted to clients and family

members and a Get Services

section that allows clients and

family members to access

forms and DSO.

1. Ongoing

1. August 2013.

Community Wide Difficulty for members of the public

with disabilities to access medical

specialists for consultation.

1. Expand video conferencing

access in community to better

support people with disabilities.

Ongoing.

Transportation Barriers Program Identified Barrier Action Completed Completion Date

None identified in

2014

Page 37: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

36

Employment Barriers Program Identified Barrier Action Completed Completion Date

Agency Wide Review of the Accessibility for Ontarians with

a Disability Act’s requirement to ensure all

employees who have an identified disability

have access to the agency’s emergency

measures information in a format that is

accessible to them.

1. Identified employee who

required accessible

information and ensured

that the employee fully

understood the policy and

procedure of the agency.

2. Supported hearing

impaired candidate

through application and

interview process.

3. Revised job posting to be

compliant with AODA

requirements.

Ongoing

Page 38: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

37

Financial Barriers Program Identified Barrier Action Completed Completion Date

Cabin Road Lack of capital funding to build fully

accessible home and relocate residents

of Cabin Road (Ottawa).

1. Purchase of land on

Bachman Terrace to

custom build home when

funds become available.

2. Selection of a

contractor/architect to

develop plans for new

home.

3. Secured funding to hire a

contract research

consultant to develop

capital campaign to raise

$250K.

4. Launched Capital

Campaign to continue to

raise funds.

5. Secured volunteer trades

and donations of

materials for home.

6. Continued to hold

fundraising events to

secure capital.

1. November 2010

2. September 2011

3. December 2011

4. June 2012

5. Ongoing

6. Ongoing.

Renovation of College

Street Apartments to

supported additional

clients to live

independently.

Lack of capital funding to renovate

apartment building.

1. Review of capital needs

with Pathways Foundation

and discussion to prepare

event for capital projects

in 2014.

2. Inclusion of capital

funding for apartment

creation/renovation in the

solicitation of sponsors for

Pathways 25th anniversary

event

1. November 2013.

2. November 2014.

Page 39: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

38

Technology and Systems Plan In 2014, we chose to continue with the support of Zycom Technology Inc. as our primary technology vendor since Zycom was one of three

vendors endorsed by the LHIN project. We will continue to work closely with Zycom Technology to clearly understand, document and plan for

our Information Technology needs. The goal has been to ensure that we provide a reliable, user friendly, secure, and efficient Information

Technology environment in support

of our employees, Ministry and

government partners, and persons

served.

We worked closely with Zycom

Technology to implement Virtual

Desktop Infrastructure (VDI),

transitioning the majority of desktop

systems to the new technology. Over

the longer term, VDI will allow the

agency to reduce costs, enhance

data security and create the

platform required to continue to

enhance communications with our

employees and partners.

A brief synopsis of current and future

state follows.

Page 40: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

39

Technology & Systems Plan Current State (Dec. 31, 2014) Planned Changes 2015

Hardware

Implement VDI across the agency to

improve access to information for all

employees and ensure a more efficient and

secure system.

Complete assessments of which locations and users

require complete hardware upgrades. These users will

be transitioned to thin clients in keeping with the VDI

strategy.

Review and assess current server capacity and

develop plan to upgrade as required.

Software

Pathways’ operating system is Microsoft

Windows 7, and the agency uses the Microsoft

Office 2013.

Conducted training for all management and

administrative employees on MS Outlook.

Implemented MS 2013 training for employees

as it is installed.

Provided MS Outlook licenses to all part time

staff. This has enhance communication to all

employees who now have a personal

Pathways email address.

Installed and tested Work Force Now with a

planned implementation date of early 2015.

Roll out Workforce Now to allow employees to submit

their payroll information electronically and enable

other employee self- serve features.

Assess the functionality of SAGE Management CRM

module for donor management.

Assess Client Database to ensure it will meet the

changing reporting requirements of funders in the

longer term.

Develop cross functional Sharepoint implementation

team and roll out Sharepoint to all users.

Security Created greater security of data through

secure storage capacity and enhanced

backup features as a result of VDI

installation.

Upgraded secured wireless points in Ottawa location

and upgraded secured internet connection.

Page 41: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

40

Technology & Systems Plan

Current State (December 31, 2014) Planned Changes 2015

Confidentiality

Developed policy and practice to ensure all

tablet and blackberry/cell phone users who

access agency systems are password

protected at all times.

Moved all documentation formerly saved on

desktops to common drive folders through the

VDI transition.

Plan for automated and required

password changes for all users after WFN

rollout for self-serve payroll is complete.

Back Up

New Barracuda backup data device

purchased and installed.

Purchase and implement second

Barracuda backup to be installed in

Ottawa office for secondary backup

and in support of disaster recovery.

Page 42: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

41

Technology & Systems Plan

Current State (December 31, 2012) Planned Changes

Disaster Recovery Preparedness

Maintain a VMware based virtualization of the

server. In the event of a catastrophic failure of

equipment or damage to the server room itself,

server images could be brought online in a

VMware environment, have the most recently

available backups restored to them, and the

servers in this form made available in a relatively

brief space of time.

Continue to work with Zycom to

ensure that key systems are backed

up in Ottawa and Belleville.

Assistive Technology

At this time, Pathways does not have employees

who require technological or electronic assistive

technology. Should the need arise, the

employee’s requirements would be assessed

and equipment purchased as per provincial

legislation.

Pathways regularly conducts ergonomic reviews

for employee workstations and purchases

appropriate furniture and equipment as

needed.

Purchased and trained users the potential of

smart board technology.

Continue to monitor needs and

respond as required.

Page 43: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

42

Outcomes & Indicators Pathways to Independence is accredited by CARF for the following programs;

Community Housing,

Community Integration,

Host Family Services,

Supported Living and,

Respite Services.

In keeping with CARF’s principle of continuous improvement, every program receiving accreditation must clearly identify measurable

outcome based goals and activities to build upon the delivery of services to the persons served by the agency. CARF further requires

indicators the following four categories:

1. Efficiency: measures resource allocation & use such as time spent, dollars spent, numbers served.

2. Effectiveness: measures how services and programs impact the people we

support.

3. Service Access: measures some aspect of the barriers involved to use or access

services by the client

4. Satisfaction: measures the extent to which the people we support and other

stakeholders are happy or satisfied with the services Pathways provides.

The following table, Outcome Measures Index, aligns the indicators Pathways to

Independence uses to guide and manage the day to day operations of the agency

with the CARF requirements to demonstrate measures that are effective, efficient or

demonstrate service access for each program seeking accreditation.

Page 44: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

43

Outcome Measures Index

Program Efficiency Measure Effectiveness Measure Service Access Measure Satisfaction

Measure

Community

Housing

1. Medication Error

Discrepancy &

Refusal

1. QLP/ABI Service Plan

2. Injury Management

3. Persons Served Participating in

Volunteerism

1. Access to Psychiatric Services

2. Access to Behaviour Therapy

Services

3. Access to Employment Supports

Client Survey

Community

Integration

1. Medication Error

Discrepancy &

Refusal

1. Quality of Life/ELSP Planning

2. Injury Management

3. Persons Served Participation in

Volunteerism

1. Access to Employment Supports

2. Access to Psychiatric Services

3. Access to Behaviour Therapy

Services

Client Survey

Host Family

Services

1. Respite Days

Provided

1. QLP/ABI Service Plan

2. Injury Management

1. Access to Psychiatric Services

2. Access to Behaviour Therapy

Services

3. Access to Employment Supports

4. Respite Days Provided

Client Survey

Supported Living 1. Medication Error

Discrepancy &

Refusal

1. Quality of Life/ELSP Planning

2. Injury Management

1. Access to Psychiatric Services

2. Access to Behaviour Therapy

Services

3. Access to Employment Supports

Client Survey

Respite Services 1. Respite Days

Provided

1. QLP/ABI Service Plan

2. Injury Management

1. Access to Psychiatric Services

2. Access to Behaviour Therapy

Services

3. Access to Employment Supports

4. Respite Days Provided

Client Survey

Corporate

Services

1. Attendance at

Annual General

Meeting

2. Monthly Financial

Statements

3. WSIB Lost Hours

1. Maintenance Indicator

2. Mandatory Training

Page 45: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

44

Developmental, ABI and Dual Diagnosis Services Pathways to Independence is a community based agency providing assisted community living services and supports to 252 adults with an

acquired brain injury (ABI), a developmental disability, or a dual

diagnosis based on their unique goals, abilities and choices. Our

services include supportive housing options, day, vocational and

recreation programs, psychiatric counselling and behaviour therapy,

court and justice related services, and respite.

Operating in the South East and Champlain Regions of Ontario,

Pathways is fully accredited by the Commission for the Accreditation

of Rehabilitation Facilities (CARF). Pathways is a preferred provider of

community based ABI services and supports through the Local Health

Integration Networks that service the Champlain and South East

regions of Ontario.

These supports are provided by professional staff, contracted services

with community partners, professionals, family home providers and

volunteers. Pathways Client Services Division has primary responsibility

for the provision of direct care to the people we support.

Executive & Board of Directors

Finance, IT & Operations

Human Resources

Developmental Services, ABI Services and

Dual Diagnosis Client Services

Person Served

Page 46: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

45

Community Housing

The residential component of our services includes fully supported group homes, supported independent living and family homes. The

following indicators are provided to inform key areas of service and support in our residential areas.

Quality of Life/ABI Service Plan Indicator Name of Indicator QLP/ ABI Service Plan

Completion

Data Period January 1-December 31, 2014 Numerator

Denominator Total number of QLP/ABI SP’s

Complete

Total number of clients requiring a

plan

Type of Indicator Effectiveness Data

Sources

Client Database Target or Goal

Consistently

Achieved

No

Applies to All persons served

Department Client Services Data Limitations: Some clients refuse to have a plan, are ill or

incarcerated during the planning period.

Goal 100% Completion per

planning year

Follow Up or Action Plan: Client Services Team

will continue to monitor and follow up with

regular reports of plans due. Definitions: Pathways utilizes the planning the Quality of

Life Planning tool (QLP) or ABI Service Plan. This tool is

used for most people; however, palliative care plans,

transition plans or case conferences are captured as

plans.

QLP Plan or Service Plan Completion DS ABI

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

# of plans complete- SIL 2 7 11 18 1 2 3 7

# of plans complete- Supported Home 1 19 45 51 0 2 2 12

# of plans complete-Family Home 5 20 35 32 0 0 0 0

Total Number of Plans complete YTD 8 46 91 192 1 5 10 32

Total Number of Plans Required 18 68 134 201 4 9 13 32

Percentage Complete 44% 68% 68% 96% 25% 56% 77% 100%

Page 47: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

46

Injury Management Name of

Indicator

Injury Management Data Period January1-

December 31, 2014

Numerator

Denominator

Total number of reported Injuries per

year

NA

Type of

Indicator

Effectiveness Data

Sources

Accident and Injury

Reports

Target or Goal Consistently

Achieved

No

Applies

to

All persons served

Department Client Services Data Limitations

Some supported individuals, particularly those in Supported

Independent Living do not always report if they have a minor injury

resulting in incomplete or inaccurate records. The data represented

is based on total reported accident and injury reports.

Goal To identify the number of

injuries occurring by home or

department.

Follow Up or Action Plan:

The increase in injuries in ABI is primarily due to two

clients in community homes who experienced

several falls in the last year due to declining

physical mobility and health.

Definitions:

Injury: Any occurrence resulting in the need for

medical treatment, including first aid.

67

5

70

12

0 10 20 30 40 50 60 70 80

DS

ABI

Injury Management

2014 2013

Page 48: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

47

Medication Error, Discrepancy or Refusal Name of Indicator Medication Error,

Discrepancy or Refusal

Data Period January 1-December

31, 2014

Numerator

Denominator

Total Number of Medication Errors,

Discrepancies or Refusals

N/A

Type of Indicator Efficiency Data Sources Medication Error

Reports

Target or Goal

Consistently

Achieved

No

Applies to All persons served

Department Client Services Data

Limitations

Clients who self- medicate may not report

medication errors, discrepancies or refusals.

Goal Zero Medication Errors

Follow Up or Action Plan

Continue to monitor. Complete medication refresher training for all qualified employees in Q1 2015.

2014 Medication

Error,

Discrepancy or

Refusal Summary

YTD

Developmental

Service ABI

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

Medication Error 5 8 6 6 4 4 0 0

Medication

Discrepancy 0 5 0 1 1 0 0 0

Medication

Refusal 32 22 18 4 1 0 0 0

Total 15 22 24 26 2 1 3 3

Medication Error includes; incorrect medication

administered, medication administered at the wrong time,

omission, or the wrong client received the medication

Medication Discrepancy includes;

pharmacy dispensed wrong medication,

failure to sign/initial MAR

Medication Refusal occurs when an individual

refuses medication as prescribed.

27

4

65

33

7

77

0 20 40 60 80 100 120 140 160

Medication Error

Medication Discrepancy

Medication Refusal

Overall Medication Error, Discrepancy &

Refusal

2013 2014

Page 49: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

48

Respite Days Provided Name of

Indicator

Respite provided Data Period January 1 - December

31, 2014

Numerator

Denominator

Total Number of days of respite provided

NA

Type of Indicator Service Access Data

Sources

Developmental

Services Ontario for DS

Intake Services for ABI

Target or Goal

Consistently

Achieved

Yes

Applies to Caregivers requiring respite

Department Client Services Data

Limitations The DSO is now responsible to direct all

requests for respite, and we accommodate

based on availability.

Goal To accommodate requests for respite from Family Home Providers and

caregivers.

Follow Up or

Action Plan

Definitions Community Respite: Respite offered to families or organizations.

Respite may occur in a supported home or a family (host)

situation.

124

days

In 2014, the agency provided 62 days of respite for an adult with an ABI in Ottawa, and 62

days of respite for 5 adults with ABI in our Cloverleaf Home.

Page 50: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

49

Community Integration

Access to Psychiatric Services

Name of Indicator Client Access to

Psychiatric Services

Data Period January 1-December

31, 2014

Numerator

Denominator

Number of requests for services

accommodated

Number of requests for service

received

Type of Indicator Service Access Data Sources Psychiatric Clinic Files Target or Goal

Consistently Achieved

Yes

Applies to All persons served Department Client Services Data Limitations:

Only requests for service that meet eligibility criteria are included

Goal

To accommodate 80% of referrals

Follow Up or Action Plan

In 2014 Pathways changed the vendor and approach to the services provided by a psychiatrist. In 2012 and 13, Pathways operated a community based clinic

and the psychiatrist supported the needs of people who were not Pathways clients. In 2014, the decision was made to work with Kingston Psychiatric Partners

and to only provide psychiatric support to Pathways clients.

0 20 40 60 80 100 120 140

2012

2013

2014

2012 2013 2014

number of referrals

accommodated79 103 54

number of referrals

recevied79 116 54

Client Access to Psychiatric Services

number of referrals accommodated number of referrals recevied

Page 51: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

50

Access to Behaviour Therapy Services Name of

Indicator

Access to

Behaviour

Therapy Services

Data Period January 1-

December 31,

2014

Numerator

Denominator

Total number of requests accommodated

Total number of requests received

Type of Indicator Service Access Data Sources Behaviour

Therapy Clinic

Files

Target or Goal

Consistently

Achieved

Yes

Applies to All persons served Department Support

Services

Data Limitations: None

Goal

To accommodate 100% of requests for Behaviour Therapy

Follow Up or Action Plan: All requests for service are reviewed

monthly or as required by the clinical team.

73 73

56

73 73

56

0

10

20

30

40

50

60

70

80

2012 2013 2014

Client Acess to Behaviour Therapy

number of referrals received number of referrals accommodated

Page 52: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

51

Persons Served Participation in Volunteerism

Name of

Indicator

Persons Served

Participation in

Volunteerism

Data Period January 1-December

31, 2014

Numerator

Denominator

Total number of volunteer hours completed

by persons served

NA

Type of Indicator Effectiveness Data

Sources

Program Reports Target or Goal

Consistently

Achieved

Yes

Applies to Persons Served Department Client Services Data Limitations The people we support may participate in volunteer activities that

we are not aware of. They may participate in volunteer activities

offered by other service providers (i.e. COPE, QVSS) that are not

included. Goal 1200 Hours contributed to communities by persons served

annually.

Follow Up or Action Plan:

Increase in the Number of Hours volunteered in ABI is due to

the opening of the Club ABI in Renfrew. One man volunteers

at the club 48 hours a month.

1151914

209

1221

0

500

1000

1500

2000

2500

2013 2014

Client Volunteer Hours

DS ABI

Page 53: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

52

Access to Employment Support

Name of

Indicator

Access to Employment

Support Request &

Accommodation

Data Period January 1-

December 31,

2014

Numerator

Denominator

Number of days of employment support

requested

Number of days of employment support

accommodated.

Type of

Indicator

Service Access Data Sources Client Database,

Program Reports

Target or Goal

Consistently Achieved

No

Applies to All persons served Department Client Services Data Limitations

Persons served may request employment support and when offered, refuse

the employment opportunity. Some supported clients are in school and

requesting very specific supports. Over half of the requests for support came

in the month of December, which negatively skews the data trend.

Goal: 70% Accommodation of requests for Employment supports

Definitions: Employment Support Requests referrals completed by or on

behalf of the individual for paid employment opportunities. This may

include community employers and volunteer organizations.

Follow Up or Action Plan

Continue to monitor and to work with local community business partners to

secure paid and volunteer work opportunities.

1848

2548

1635 1628

88%

64%

0%

20%

40%

60%

80%

100%

0

500

1000

1500

2000

2500

3000

2013 2014

Community Employment Supports

Number of supported days requested

Number of supported days accommodated

% accommodated

Page 54: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

53

Business and Corporate Services The business and corporate services functions at Pathways to Independence include Human Resources, Governance, Operations, Finance

and Information Technology. These departments partner with the departments of Developmental, ABI and Dual Diagnosis Services to ensure

the efficient and effective management of human and financial resources and operational expertise in the day to day delivery of client

focused services. This section of the management report will provide information on key indicators for Governance, Operations, Finance, and

Human Resources.

Human Resources

Operations

Finance

Goverance

Page 55: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

54

Governance Pathways to Independence is led by a dedicated volunteer Board of

Directors who provide talent and experience in the crafting of our

Strategic Directions, and provide overall long term direction. The agency

by-laws clearly articulate the role of the Board of Directors, and the

general members of the agency. The agency members are eligible to

vote at our Annual General Meeting and lend their voice as community

partners and advocates for Pathways. As a result, we actively recruit

members and monitor our membership on a regular basis.

Page 56: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

55

Attendance at Annual General Meeting

Name of

Indicator

Members participating in the

AGM annually, including

proxy votes

Data Period

2012-2014 Numerator

Denominator

Total number of members

attending AGM or voting

by proxy

Total number of members

Type of Indicator

Efficiency Data Sources

Membership

committee minutes

AGM minutes

Target or Goal

Consistently

Achieved

No

Applies to All members of Pathways

Goal To have 50% of the

membership exercise their

right to vote at the AGM.

Department Executive

Data Limitations

Proxy votes are sent by mail every year to all

members. Not all members return their proxy vote

and the data is based on returned proxy votes

only.

Definitions: Members: people who have

paid a membership fee to be a

member of Pathways.

Proxy: a signed document in

which a signatory stipulates the

way to vote on specific issues at

the AGM.

Quorum: The minimum number

of members who must be

present in order to conduct

business.

Follow Up or Action Plan

1. The membership

committee is conducting

a satisfaction survey of all

members to gain their

input.

10 12 11159 10

25 21 21

75

6267

33%34% 31%

2012 2013 2014

Membership Participation at Annual General Meeting

Total # of proxy votes

Total # of members attending AGM

Total # of members participating in AGM (attendance & proxy)

Total # of all members

% of members participating

Page 57: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

56

Corporate Services Pathways Corporate Services is responsible for all Operations, Finance and Information Technology functions.

Finance The Finance department is responsible for all:

accounts receivable and payable,

financial statements, and,

financial reports for Pathways to Independence and the Pathways Foundation.

Operations Pathway’s Operations department provides a wide variety of services and support including:

the maintenance for residential homes and apartments,

ensuring the water at each rural location is safe and checked frequently,

managing the fleet, and,

ensuring the general safe conditions in all Pathways residential and program locations.

Information Technology Pathways works closely with a third party vendor, Zycom Technology, to provide the day to day maintenance and support for the information

technology infrastructure and end user support. The IT Systems plan is on page 38.

Page 58: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

57

Finance

Monthly Finance Reports

Name of

Indicator

Monthly Financial Reports Data Period January 1-December

31, 2014

Numerator

Denominator

# of months goal achieved

12

Type of

Indicator

Efficiency Data

Sources

ACCPAC Target or Goal

Consistently Achieved

No

Applies to All Finance Employees Department Finance Data Limitations

None

Goal To have first draft monthly financial

reports available 15 days after the

end of the month. And final

statements distributed by the 20th

Target 75%

Follow Up or Action Plan:

The target was not met in 2014 due to the maternity leave of a key member of the Finance

Department and the introduction of new technology.

75

33

% Goal Met

2013 2014

Page 59: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

58

Maintenance Requests

Name of

Indicator

Maintenance

Requests

Data Period: January 1-December 31-

2014

Numerator

Denominator

Total Number of Maintenance Repair Requests

Total Number of Maintenance Requests Not

Completed

Type of

Indicator

Effectiveness Data Sources: Submitted Maintenance

Requests, Supervisor

Checklist, Professional

Inspections.

Target or Goal

Consistently

Achieved

Yes.

Applies to All persons

submitting

requests

Department: Corporate Services Data

Limitations:

It may take several weeks or months to complete a

maintenance request depending upon its nature, time

of year and availability of resources, such as skilled

trades to complete the request.

Goal Complete 100% of all Health & Safety Requests. Follow Up or

Action Plan

Not Applicable

21

1035

21

1030

0 200 400 600 800 1000 1200

Health & Safety

Other Maintenance

Maintenance Requests

total requests completed total requests received

Page 60: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

59

Human Resources

Pathways to Independence employs 327 people in several different communities in Eastern and South Eastern Ontario.

Close to 75% of our total annual budget is allocated to employee

salaries and benefits. Managing our human resources expenditures in

a proactive and cost efficient manner is extremely important.

Pathways attendance management program is effective, providing

employees with sick time, short and long term disability benefits, and

when ready, a responsive return to work process. We actively monitor

our employee sick time as it represents a significant cost to the

agency. Pathways closely monitors the availability of our part time

employees to ensure that we continue to provide the best services

and supports to our clients. The part time availability directly impacts

the number of hours of paid overtime, resulting in higher costs for the

agency. In 2014, the agency experienced a slight decrease in the

number of paid overtime hours.

Pathways actively promotes healthy and safe work environments in all of our residential, program,

and office locations. Each location has a monthly safety inspection, and the agency has over 45

Health and Safety policies and procedures that provide guidance and direction to employees in

their day to day activities. Pathways also employs a full time Occupational Health and Safety

Officer who investigates all incidents, provides mandatory training and guidance to Managers to

ensure compliance with the Occupational Health and Safety Act. When lost time incidents occur

Pathways’ supervisors work actively with the employee and Human Resources to enable a safe,

prompt and effective return to work.

0.16%

0.49%

0.35%

Paid Overtime contrasted to Paid Hours

2012 2013 2014

Page 61: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

60

Pathways is deeply committed to the ongoing training and development of our employees. In 2014, Pathways employees participated in

over 4,100 hours of training. This represents 13.4 hours of training per employee per year. Over 80 % of the training provided is considered

“mandatory”- required training either through legislation, or deemed required by the agency as the training ensures that best demonstrated

practices are used to provide the best possible support to our clients.

Pathways to Independence also completed its Pay Equity

Maintenance Review in 2014, with no changes.

Page 62: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

61

Workplace Safety & Insurance Board (WSIB) Lost Hours

Name of Indicator WSIB Lost Hours Data Period

January 1 to December 31,

2014

Numerator

Denominator

Number of Lost Hours (WSIB)

Number of Employee Hours Worked

(Monthly)

Type of Indicator

Applies to

Efficiency

All Pathways

employees

Data Sources

HRIS, Employee Incident

Reports, WSIB Form 7, Payroll

Register, Attendance

Records, WSIB, Payroll

Calendar

Target or Goal

Consistently

Achieved

No

Goal No Lost Hours Department Human Resources Data

Limitations Potential for errors in the completion of

attendance records and the correct

coding of illness related payroll codes.

Action Plan

Continue to monitor and review through Slips & Falls Program, staff meetings, and OHS committee

meetings. Engage Dr. Wills in related and/or necessary occupational health & safety matters.

2012 2013 2014

Full Time 500 45.72 282.18

Part Time 192 560.03 237.63

0

100

200

300

400

500

600

Lost Hours Comparison Full vs Part-Time

Employees

6 63

85

0

29 2831

5

4339 39

0

10

20

30

40

50

2012 2013 2014

Year over Year Incident Comparison

No Lost Time Health Care Only Lost Time Health Care

No Lost Time No Health Care Lost Time

Total Incidents.

Page 63: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

Annual Management Report 2014

62

Mandatory Training Name of Indicator Mandatory

Training

Completion

Data Period

January 1 to December 31,

2014

Numerator

Denominator

Number of employees requiring

certification during the time period

Number of employees completing

certification training.

Type of Indicator

Effectiveness

Data Sources

People at Work Training Target or Goal

Consistently

Achieved

No

Applies to:

All full and part

time Pathways

employees

Data

Limitations

None

Goal: 100 %

completion of

mandatory

training.

Department Human Resources Action Plan:

Continue to maintain process of notifying employees

by mail of upcoming recertification requirements and

offer training in a timely manner. Revise sign in process

and reporting process to Managers of employees who

do not show up. Removal of QAM video training in

2015 to be replaced with Abuse Policy sign off.

CPI First Aid H&S QAM

# Required # Completed % Complete # Required # Completed % Complete % Complete YTD % Complete YTD

Jan-Mar 30 30 100% 20 20 100% 21% 25%

April- June 128 128 100% 30 30 100% 63% 58%

July-September 18 18 100% 7 7 100% 83% 70%

Oct-December 24 24 100% 24 24 100% 100% 99%

Page 64: Pathways to Independence Annual Management Report · Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right

63

For information about this report please

contact:

Deborah Paus

Manager, Organization Development,

Marketing & Communication

613-962-2541 ex 225

[email protected]

Pathways to Independence

289 Pinnacle Street

Belleville ON

K8N 3B3

Pathways to Independence

356D Woodroffe Avenue, Unit

202

Ottawa, On

4E2 3V6

www.pathwaysind.com