Code of Massachusetts Regulations › 115 CMR - DEPARTMENT OF DEVELOPMENTAL SERVICES › Title 115 CMR 7.00 - Standards For All Services And Supports › Section 7.04 - Standards for Services and Supports

Current through Register 1525, July 5, 2024
(1) All providers shall provide supports and
			 services in ways that promote the following outcomes within the context and
			 location of those supports and services and in accordance with the individual's
			 ISP, the provider's mission statement, the Department's mission statement, and
			 115 CMR:
(a)
Protection and
			 Affirmation of Rights and Dignity
. Protection and affirmation of
			 the rights and dignity of individuals, including, but not limited to, respect
			 of the individual, support of an individual's culture and religion, freedom of
			 movement at home and in the workplace or day program, privacy, appropriate and
			 timely assistance to the individual with decision-making, support of the
			 individual in exercising his or her rights, and provision of safeguards
			 whenever limitations are imposed.
(b)
Individual Choice and
			 Control
. Opportunities for exercising choice and control in all
			 aspects of an individual's life by providing the education and supports to
			 enable the individual to make informed decisions, and by promoting an
			 environment and culture where the individual's opinions are listened to and
			 treated seriously.
(c)
Community Membership
. Opportunities to participate in,
			 be integrated into, and contribute to the life of their community through:
1. education and supports to assist
			 individuals to participate in recreational, social, and leisure activities
			 outside of the home in integrated settings with neighbors, other people in the
			 community, and consistent with the needs, desires, and choices of each
			 individual;
2. access to the same
			 services and resources used by neighbors and other people in the
			 community;
3. a home offered by a
			 residential supports provider that is part of a neighborhood, village, or
			 community and with general design features, layout, and style of decor that
			 would not stigmatize or devalue the individual. The home should offer the
			 individual safety, refuge, rest, satisfaction, and enable the individual to
			 exercise control and be at ease in the home; and
4. work in settings arranged by the provider
			 of employment supports that maximize integration with other people in the
			 community and with general design features that do not emphasize the supports'
			 separateness or difference.
(d)
Relationships
.
			 Supports that help individuals to develop and sustain varied and meaningful
			 relationships with family, friends, neighbors and co-workers. The supports
			 shall include education and assistance to help the individuals form
			 friendships, express intimacy and sexuality in an appropriate, healthy and safe
			 manner, and prepare individuals to receive visitors.
(e)
Skill Acquisition and
			 Accomplishments
. Assessment, training, education, supports and
			 services necessary for the individual to meet the goals in the individual's
			 ISP, to acquire skills that increase self-reliance and that are necessary to
			 achieve desired and valued outcomes
1. For
			 providers of residential supports and individualized home supports, the
			 supports and services include skills training and supports to maximize an
			 individual's independence and performance of household activities and routines,
			 participation in community recreational, cultural and leisure activities, and
			 opportunities to maintain or expand their relationships with family and
			 friends.
2. For providers of
			 employment supports, the supports and services include supports to explore and
			 develop work skills, to obtain and maintain paid work in integrated work
			 settings, and the supports to help individuals on a pathway to employment by
			 developing the skills to secure work.
3. For providers of day supports, the
			 services and supports include help that will enable the individual to explore
			 their work, leisure, and community interests, and to participate in their
			 preferred activities.
(f)
Health, Safety, and Economic
			 Security
. That the sites where supports and services are provided
			 are safe; individuals are protected from abuse, neglect and mistreatment;
			 health care services meet the needs of the individual; personal funds of
			 individuals are safeguarded; and the individual is assisted in maximizing
			 economic resources to meet his or her needs. Included are the requirements that
			 the provider:
1. promote optimal health of the
			 individual by arranging for coordinated routine, preventive, specialty, and
			 emergency health care, professional clinical services; make first-aid supplies
			 available; and assure prompt and appropriate response by staff to emerging
			 health care issues;
2. comply with
			 the Department's requirements governing the storage and use of prescription and
			 over the counter medication as specified in
			 115
			 CMR 5.00:
Standards to Promote Dignity
and the Department's guidelines;
3. store, prepare and serve food in a clean,
			 safe, nutritious, tasteful, and appetizing manner and for each individual to
			 have regularly nourishing and well-balanced meals. The meals must be provided
			 at least three times a day including one in the morning, one in the afternoon
			 and one in the evening and be chosen by the individual unless there is
			 documentation from a physician that the frequency, amount, texture or type of
			 meal is medically contraindicated for the individual;
4. provide for the safety and well-being of
			 individuals in both home, day and work environments, including implementation
			 of the safety plan in accordance with
			 115 CMR
			 7.06;
5. provide site based supports and services
			 in a physical setting that meets all applicable local, state, and federal
			 requirements pertaining to building construction, sanitation, health, safety,
			 occupational health, and zoning;
6.
			 comply with the applicable environmental requirements of
			 115 CMR
			 7.07;
7. prevent abuse and neglect, and comply with
			 all applicable local, state, and federal reporting requirements;
8. comply with state and federal wage-hour
			 requirements when individuals engage in any work which must be compensated;
			 and
9. support each individual to
			 obtain personal possessions, including an adequate supply of fashionable,
			 seasonal clothing as necessary for the individual's health and comfort and
			 consistent with the individual's choice and preferences, and assist each
			 individual to maintain his or her clothing in a clean and well-kept
			 manner.