The method employed in residential service, where all supports are concentrated on a single location may not be appropriate to day service which should, under New Directions, be firmly based in the community. Sub355 Standard 4.3 The service provider has effective leadership, governance and management arrangements in place and clear lines of accountability Feature 4.3.4 refers to the roles of ‘registered provider’ and ‘person in charge’. This is terminology that has been used in the registration of residential services but is new to day services and rehabilitative training programmes. Is it envisaged that day services will need to register in the same way as residential services? The methods employed in residential services, where all supports are concentrated on a single location may not be appropriate to a day service which should, under New Directions, be firmly based in the community. Sub370 Feature 4.3.5 4.3.5 provide ratios for management structure size to be efficient. Sub263 Feature 4.3.6 No Data Feature 4.3.7 (4.3.7) will service providers be able to “cherry pick” the type of services they provide by putting “profit ahead of people”. Sub232 Standard 4.3.7. may benefit from a focus on service providers to undertake and implement an ongoing assessment of resource needs within their service. Service provider’s needs to prioritise training needs and this standard clearly allows for adequate responsibility on providers. Sub291 Feature 4.3.7 states that leaders direct sufficient resources to provide high quality, person-centred services; however, control over the resources available to a day service manager lies in the power of the HSE rather than the day service. This is important to reflect in the Standards because when these Standards begin to be inspected, all elements included within them should be within the power of the service provider to resolve. Current funding levels do not always allow for the provision of high quality person centred services. Additional funding will be required to support this Standard. Sub355 Feature 4.3.7 states that leaders direct sufficient resources to provide high quality, person-centred services; however, control over the resources available to a training centre manager lies with the HSE rather than the service. This is important to reflect in the Standards because when these Standards begin to be inspected, all elements included within them should be within the power of the service provider to resolve. Sub370 Feature 4.3.8 No Data
and supports need to be flexible, where natural supports will be a key component and where the personal plan is the primary driver of the service to the individual. ‘Sub352 Standard 4.4 in the statement of purpose the location of services is required – this does not reflect the community based approach and increased individualisation of programmes. A location in relation to a central supervision point for staff may be more appropriate than an identified service location as this could limit where supports are provided. Sub359 Standard 4.4 The service provider has a publicly available statement of purpose that accurately and clearly describes the services and supports provided . Feature 4.4.4 states that the statement of purpose is publicly available and communicated to all stakeholders, including people who use the service in a format that is accessible and can be easily understood by them. It may also be appropriate to require service providers to reflect the wishes and requirements of the people using services in the statement of purpose. Sub370 Standard 4.4 In the statement of purpose the location of services is required – this does not reflect the community based approach and increased individualisation of programmes. A location in relation to a central supervision point for staff may be more appropriate than an identified service location as this could limit where supports are provided. Sub380 Feature 4.4.1 No data Feature 4.4.2 No data Feature 4.4.3 No data Feature 4.4.4 Feature 4.4.4 states that the statement of purpose is publicly available and communicated to all stakeholders, including people who use the service in a format that is accessible and can be easily understood by them. It may also be appropriate to require service providers to reflect the wishes and requirements of the people using services in the statement of purpose through consultation with in relation to its content. Sub355 Feature 4.4.5 No data Standard 4.5 There is a lack of detail in: Standard 4.5 The service provider has appropriate service level agreements, contracts and/or other similar arrangements in place with the funding body or bodies. For example, (Service Provider Name) have upwards of 22