Community Living

Community Living-Group Homes 

Community Living Group Home services provide the individual with development and maintenance of skills related to activities of daily living, instrumental activities of daily living, and socialization, through application of formal teaching methods in a community residential setting. 

  1. Skills to be developed or maintained under this service will be determined based on the individual’s individualized goals and outcomes as documented in his or her person-centered plan;
  2. Formal teaching methods are used such as systematic instruction;
  3. This service will provide the individual with opportunities to develop skills related to activities of daily living, instrumental activities of daily living, and vocation and socialization including, but not limited to:
    1. Learning socially acceptable behavior;
    2. Learning effective communication;
    3. Learning self-direction and problem solving;
    4. Engaging in safety practices;
    5. Performing household chores in a safe and effective manner;
    6. Performing self-care; and 
    7. Learning skills for employment

Community Living Group Home services include coordination, training, supports, or supervision (as indicated in the Person-Centered Plan) related to development and maintenance of the individual’s skills.

Transportation to and from and within this service is included within the services.  Transportation will be provided or arranged by the licensed provider and funded through the rate system. The licensee shall use the mode of transportation which achieves the least costly, and most appropriate, means of transportation for the individual with priority given to the use of public transportation when appropriate.

Services are provided in a provider owned or operated group home setting.

The Community Living Program is designed to foster growth and independence in the individuals we support.  Each home, and the supports provided therein, is designed to meet individuals’ mental, physical, social, emotional, and communicative needs.  Credentialed Direct Support Professionals provide guidance and support to the individuals residing in each home in accordance with the Individual Plans and the agencies core values.  Within the Individual Plan, the following supports are addressed and tailored to meet the unique needs of each person:

Health/Medical Supports

Each individual has the right and opportunity to select physicians in their communities to address their medication and/or therapy needs.  Direct Support Professionals assist the individuals with scheduling needed appointments, attend the appointments and advocating for the best possible health care oversight and treatment by the doctor, and administer medications according to the Maryland BON regulations for Medication Technicians.  Nurse Case Managers/Delegating Nurses delegate the nursing function of medication administration and oversee this aspect of service delivery.  Residential Coordinators track appointments and follow ups to ensure timeliness and consistency so that individuals enjoy the best possible health.

Individualized Supports and the Individual Plan

Each individual’s specific needs are addressed in the individual plan, and the plan of support is tailored so that staff receive all applicable training to best support the individual.  This training may include information on seizure disorders, mental health conditions, diabetes, lifting and transferring, eating disorders, special food preparation/special diets, behavioral supports needed, and special/augmentative communication used, along with other individualized training.

Recreation/Social Life Support

Individuals are supported to be involved and valued members of their communities.  To this end, individuals are assisted with developing and maintaining relationships with their families and friends, participating in activities of their choosing, worshiping as they choose and in accordance with their faith, and living an active lifestyle.

Financial Services

Individuals have the right to reasonable and timely access to their personal needs funds.  Staff assist individuals with managing their funds, making purchases for items they need and desire, and with accounting of funds via documentation/receipts for purchases.  Individuals will be assisted to receive all benefits (SSDI, SSI, RR, Medical Assistance, Medicare) to which they are entitled.

Home Quality and Safety

Homes will be maintained so that they are comfortable and emulate a “middle-class” environment.  Homes will be personalized by the individuals residing therein and will be kept clean and safe, in accordance with OHCQ and Fire Safety Code Regulations.  Individuals will have their own, private rooms which they may decorate as they chose.  They shall enjoy participating in the care of their own belongings (doing their laundry, cleaning their room, folding their clothes, etc.) as well as taking care of their shared belongings (assisting with clearing the dishes from the table, loading the dishwasher, dusting the living room furniture, etc.) with staff support and help.

Within the services/supports provided through the residential program, Individuals will receive assistance with:

  1. Budgeting
  2. Medication administration;
  3. Counseling;
  4. Job coaching (for individuals with in-lieu of day funding);
  5. Help accessing and completing education; 
  6. Participating in recreational and social activities; 
  7. Accessing community services;
  8. Grocery shopping;
  9. Behavioral and other services and supports needed by the individual, and
  10. Developing relationships.

For more information on Residential Services/Community Living-Group Homes, please contact compassinfo@compassmaryland.org.

Supported Living

Supported Living provides an opportunity to empower individuals with I/DD to direct and personalized their services in a home of their choosing and live with who they choice.  This will also permit individuals to live with the choice regardless of their choice of service providers and if they choice to change service providers, they do not have to move from their home.  This will enable people with I/DD to truly become a part of their neighborhood and community.

Supported Living services provide individualized supports, delivered in a personalized manner, to individuals who live in homes of their choice, with whom and where they want to live, and the type of community activities in which they wish to be involved based on their personal resources.

This service assists individuals in living independently and provides opportunities to help the individual help shape the direction of their lives.  Individuals can choose to live on their own or with a roommate and learn how to make everyday decisions, such as what to cook for dinner, how to manage money, and engage and participate in their community.

Supported Living Services

  1. Supported Living services may be provided in the individual’s own house or apartment. Services may include coordination, training, supports, and/or supervision (as indicated in the person centered plan) related to:
    • self-advocacy;
    • adaptive skills; 
    • community engagement;
    • daily living;
    • health-related matters;
    • personal care;
    • protection and oversight;
    • social and leisure skills; and 9. transportation and travel training.
    • maintain or increase individual independence and reduce level of service need;
  2. Be integrated in and support full access to the greater community including but not limited to:
    • Provide coordination between life skills and employment services; 
    • Provide opportunities to control personal resources; 
    • Provide opportunities to develop relationships; and 
    • Provide opportunities to participate in communities of the individual’s choice; 
    • Ensure the individual’s right of privacy, dignity and respect, and freedom from coercion and restraint;
    • Optimize individual initiative, autonomy, and independence in making life choices, including but not limited to, daily activities, choice of roommate, decorating bedroom, and with whom to interact;
    • Facilitate individual choice regarding services and supports and who provides them; 
    • Support the health and safety of the individual; and 9. Support individual’s rights as tenants. 

For more information on Supported Living, please contact compassinfo@compassmaryland.org.

Shared Living

Shared Living emphasizes the long-term sharing of lives, forming of caring households, and close personal relationships between an individual and the Host Home.  It is an arrangement in which a couple or a family in the community share their home and life’s experiences with a person with a disability. The approach is based on a mutual relationship where both parties agree to share their lives.  Shared Living service provides the coordination, oversight and monitoring of Home Homes including:

  1. Recruiting for Host Homes providers (Matching); 
  2. Facilitating recruitment and matching services of individuals and Host Homes based on the individual’s preferences and choice, 
  3. Overseeing quality management and monitoring compliance with program requirements once the arrangement is established; and
  4. Compensation to Host Home for additional household cost. 

Host Home supports assure that the individual is safe and free from harm and has the support that he or she needs to take risks and to work and participate in community activities.  The primary responsibility of a Host Home is to make a real home where the family or couple providing the home and the individual has a mutually satisfying and meaningful relationship.   The Host Home arrangement may be either with: 

  1. A couple sharing their home/apartment; or 
  2. A family sharing their home/apartment.

For more information on Shared Living, please contact compassinfo@compassmaryland.org.

Personal Supports

Compass personal support are individualized supports, delivered in a personalized manner, to support independence in an individual’s own home and community in which the individual wishes to be involved, based on their personal resources. 

Personal Supports services assist individuals who live in their own or family homes with acquiring and building the skills necessary to maximize their personal independence.  These services include:

In home skills development including budgeting and money management; completing homework; maintaining a bedroom for a child or home for an adult; being a good tenant; cooking; personal care; house cleaning/chores; and laundry;

Community integration and engagement skills development needed to be part of a family event or community at large. Community integration services facilitate the process by which individuals integrate, engage and navigate their lives at home and in the community.  They may include the development of skills or providing supports that make it possible for individuals and families to lead full integrated lives (e.g. grocery shopping; getting a haircut; using public transportation; attending school or social events; joining community organizations or clubs; any form of recreation or leisure activity; volunteering; and participating in organized worship or spiritual activities); and

Personal care assistance services during in-home skills development and community activities. Personal care assistance services include assistance with activities of daily living and instrumental activities of daily living, which may include meal preparation and cleaning when the person is unable to do for themselves only when in combination of other allowable Personal Supports activities occurring.  Personal Supports can be provided in all three waivers, Community Pathways, Community and Family Supports Waiver.

For more information on Personal Supports, please contact compassinfo@compassmaryland.org.

Community Living-Enhanced Supports

The Community Living-Enhanced Supports is an extension of the Community Living Program within Compass.  It is designed to foster growth and independence in the individuals we support who exhibits challenging behaviors or have court ordered restrictions, with development and maintenance of skills related to activities of daily living, instrumental activities of daily living, socialization, and safety of self and others, 

Very similar to what we provide in our Community Living program, we believe by providing additional observation and direction in each home we are able to meet the individuals’ mental, physical, social, emotional, and communicative needs.  Within the Individual Plan, the following supports are addressed and tailored to meet the unique needs of each person:

  1. Skills to be developed or maintained under this service will be determined based on the individual’s individualized goals and outcomes as documented in his or her Person-Centered Plan.
  2. Formal teaching methods are used such as systematic instruction.
  3. This service provides additional observation and direction to address the individual’s documented challenging behaviors or court order.
  4. This service will provide the individual with opportunities to develop skills related to activities of daily living, instrumental activities of daily living, socialization, and safety of self and others, including, but not limited to:
    • Learning socially acceptable behavior;
    • Learning effective communication;
    • Learning self-direction and problem solving;
    • Engaging in safety practices;
    • Performing household chores in a safe and effective manner;
    • Performing self-care; and(g) Learning skills for employment;
    • Coordination, training, mentoring, supports, or supervision (as indicated in the Person Centered Plan) related to development or maintenance of the individual’s skills, particularly pertaining to remediating the individual’s challenging behaviors; 
    • Transportation to and from and within this service is included within the services.  Transportation will be provided or arranged by the licensed provider and funded through the rate system. The licensee shall use the mode of transportation which achieves the least costly, and most appropriate, means of transportation for the individual with priority given to the use of public transportation when appropriate. 

For more information on Community Living-Group Homes-Enhanced Services, please contact compassinfo@compassmaryland.org.

Nursing

Compass’ distinguished team of nursing professionals believes in recognizing the individual’s needs from a holistic approach. Rather than focusing solely on physical needs, our treatment philosophy emphasizes the whole person and how he/ she interact with their environment.  Our nurses work with the individual and their team to assess and provide care in the following areas: mental, physical, environmental -while tailoring services for each person.

Compass nurses must adhere to the following criteria: possess valid Maryland and/or Compact

Registered Nurse license, complete the DDA RN Case Manager/Delegating Nurse (CM/DN) Orientation, serve on the DDA registry of DD RN CM/DNs and complete the online HRST Rater and Reviewer training. Additionally, all Compass nurses are expected to attend a minimum of two (2) DDA provided nurse quarterly meetings per fiscal year per COMAR.

Nursing Consultation Services

A registered nurse will review information about the individual’s overall health needs and provide recommendation, training, information and protocols for future self-directed and Supported Living individuals.

Nurse Consultation services provides individuals, who are able to perform and train on self-medication and treatment administration, a licensed Registered Nurse who: (1) reviews information about the individual’s health; (2) based on this review, provides recommendations to the individual on how to have these needs met in the community; and (3) in collaboration with the individual, develops care protocols for the individual to use when the individual trains staff.

In the event the person is not able to perform and train on self-medication and treatment administration but all health needs, including medication and treatment administration, are performed gratuitously by unpaid caregivers, the Nurse Consultant: (1) reviews information about the individual’s health needs; (2) based on this review, provides recommendations to the individual and his or her gratuitous caregivers on how to have these needs met in the community; and (3) in collaboration with the individual and gratuitous caregivers, develops care protocols for the individual and gratuitous care givers that describes the health services to be delivered gratuitously.

Nursing Health Case Management Services

Compass Nurse Health Case Management services in which our Registered Nurses oversee and manage health issues and interactions with staff and health service providers on behalf of the individual receiving services and collaboration with Compass agency in the development of policies and procedures required for delegation.   

Nurse Case Management and Delegation Services

Compass Nurse Case Management and Delegation Services provides individuals a licensed Registered Nurse (the “RN Case Manager & Delegating Nurse” or “RN CM/DN”) who: (1) provides health case management services (as defined below); and (2) delegates nursing tasks for an unlicensed individual to perform acts that may otherwise be performed only by a RN or Licensed Practical Nurse (LPN), as appropriate and in accordance with applicable regulations.

For more information about our Nursing Services, please contact compassinfo@compassmaryland.org.

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