(1) Each facility shall establish an
environment to enhance a positive self-image of residents and preserve
individual dignity.
(a) Programs which assume
responsibility for security and yet maintain an open-door policy are
encouraged.
(b) Treatment programs
shall be conducted without disruption of, or disturbance to, other facility
programs.
(2) The
facility shall be designed, constructed, equipped, and operated to promote
efficient and effective conduct of treatment programs and to protect health and
safety both for the residents served and for the staff.
(3) The facility shall meet environmental
needs of the residents.
(4) The
facility shall provide adequate space for the program to carry out its goals.
(a) When resident needs or program goals
include outdoor activity, areas and facilities shall be provided.
(i) Natural terrain and community resources
may provide options for outdoor activities.
(ii) Other areas appropriate to resident
activities may include an auditorium, stage, swimming pool, canteen, etc. (iii)
Activities may take place within the community setting in affiliation with
churches, schools, organizations, etc.
(b) Content of program plans shall describe
circumstances for use of available resources, and when necessary, have written
affiliation agreements.
(c)
Recreational equipment must be maintained in working order.
(5) Design, location, and
furnishings of program areas shall accommodate residents and visitors. The need
for privacy or support from staff as well as goals of the facility programs
shall be taken into consideration.
(6) Clocks and calendars shall be provided to
promote awareness of time and season.
(7) Books, current magazines, and daily
newspapers shall be available to the residents.
(8) Areas shall be available for a range of
social activities from two-person conversations to group activities. Areas
shall also be available where a resident can be alone when this is not in
conflict with the individual's treatment program.
(9) Noise-producing equipment and appliances
shall not interfere with other activities or the therapeutic program. Written
policies and procedures shall address the use and location of this equipment
such as radios, televisions, record players, musical instruments, tape players,
etc.
(10) Space and general
equipment shall be provided for table games and pursuit of individual hobbies.
(a) Equipment and games shall be accessible
to residents.
(b) Hobby supplies,
as well as arts and crafts materials used in therapeutic activity, shall be
available according to residents' cultural or educational backgrounds and needs
under the management of Activity Services.
(11) Dining areas shall be pleasant and
promote a congenial, relaxed atmosphere.
(a)
Dining rooms shall be supervised during meals by staff personnel to provide
assistance and to ensure that each resident receives adequate amounts and
varieties of foods.
(b) Food shall
be served in an attractive and appetizing manner, as planned in menus, and at
realistic mealtimes.
(c) Menus
shall provide color and variety in meeting nutritional needs.
(d) Provisions shall be made in the menus and
dining areas to cover special occasions, holidays, and weekends.
(e) The facility shall make available an area
which allows resident access for preparation and serving of food, beverages, or
snacks. Facility policy shall establish guidelines for resident use, such as
leisure time activity, or, to offer rehabilitation or habilitation in a
therapeutic environment.
(f)
Bedrooms shall be assigned on the basis of the resident's need for group
support, privacy, or independence.
(i) Rooms
shall have doors for privacy, and an appropriate bed with mattress, pillow,
fresh linens, and blankets furnished by the facility.
(ii) There shall be closet or storage space
for personal items and clothing which the resident has and shall be allowed to
use or wear.
(iii) The selection of
residents assigned to a room shall be appropriate to the ages, development, and
needs of the resident and to the goals of the program.
(iv) When rooms are shared, individual
privacy must be provided by curtains, by partitions or by furniture
arrangement.
(v) Provision shall be
made for residents who need extra sleep, who have sleep disturbances, or who
need greater privacy.
(g) Residents shall be encouraged to maintain
their sleeping and living areas and perform other day- to-day housekeeping
activities to support non-impaired functioning, or to learn rehabilitation or
habilitation responsibilities. Staff assistance and equipment shall be provided
as needed.
(h) Residents shall be
allowed to keep and display personal belongings and to add personal decorations
to their rooms. The facility shall have written policies to govern use of
decorative displays.
(i) Grooming
and personal hygiene articles shall be readily accessible and shall be
appropriate to the age, behavior, and clinical status of the resident.
(i) If access to potentially dangerous
grooming aids or other personal items is contraindicated, a resident's personal
articles may be kept under lock and key by the staff.
(ii) The professional staff must explain to
the resident the conditions under which the articles may be used.
(iii) The treatment plan must also
incorporate such restrictions and use.
(j) Good standards for grooming and personal
hygiene including bathing, oral hygiene, care of hair and nails, and toilet
habits shall be taught or maintained. Individual resident goals shall be
written in the plans of treatment.
(k) Clothing shall be appropriate.
(i) Clothing shall be in good repair, of
proper size, suited to the climate, and similar to clothing worn in the
community.
(ii) Training and
assistance in the selection and proper care of clothing shall be available as
needed.
(iii) Training goals must
be incorporated into the resident care plan.
(iv) An adequate amount of clothing shall be
available to permit laundering, cleaning, and repair.
(l) Toilet and bathing facilities shall
afford privacy with doors, toilet seats, partitions, and shower
curtains.
(m) There shall be
opportunity to participate in social events with persons of the opposite sex
under adequate supervision.
(n) The
resident shall retain possession of personal items such as tobacco products,
cosmetics, watches, appliances, and money, except where possession may be
restricted in the resident care plan.
(o) The resident shall have access to a
personal funds account maintained by the business office or as specified by
facility policy. Personal resource funds which a resident may have should be
kept in this account.