|Service Provider||Level 2 Certificate Expires|
|Accredited Supports to the Community (ASC)||January 2019|
|Arch Enterprises||February 2018|
|Association for the Rehabilitation of the Brain Injured (ARBI)||May 2018|
|Blue Heron Support Services Association||October 2018|
|Chrysalis Society||September 2018|
|Clients Ongoing Rehabilitation & Equality (CORE) Association||August 2018|
|Cosmos Community Support Services Ltd.||April 2018|
|Developmental Disabilities Resource Centre of Calgary (DDRC)||March 2020|
|Dove Centre||November 2018|
|Empowering Citizens for Health and Opportunity Society (ECHO)||November 2018|
|Entrust Adult Inc.||January 2018|
|Independent Counselling Enterprise Inc. (I.C.E.) Edmonton Region||June 2020|
|Independent Counselling Enterprise Inc. (I.C.E.) Calgary Region||June 2020|
|Independent Counselling Enterprise Inc. (I.C.E.) North Central Region||June 2020|
|Independent Counselling Enterprise Inc. (I.C.E.) Northwest Region||June 2020|
|Independent Counselling Enterprise Inc. (I.C.E.) South Region||June 2020|
|Lacombe Action Group for the Handicapped||June 2018|
|MirkaCare Services Inc.||May 2020|
|Newell Community Action Group||June 2019|
|Peak Vocational and Support Services||October 2019|
|Rehabilitation and Employment for Developing Independence (REDI) Society||March 2018|
|Rehabilitation Society of Southwestern Alberta||November 2018|
|Robin Hood Association for the Handicapped||April 2020|
|St. Paul Abilities Network (SPAN)||May 2019|
|Supported Lifestyles Ltd.||May 2019|
|Universal Rehabilitation Service Agency (URSA)||October 2019|
|Vecova Centre||June 2018|
Why Buy a Manual?
A CET Standards Manual contains more than just the standards. When you order the manual, you receive other resources that will support you as you prepare for your next site survey
- Areas to Explore
- Survey Process
Each of these sections contains important information that will help you make sense of the standards and their accompanying Indicators.
CET Manuals and Tools
Accreditation Level 1
Service providers must achieve Accreditation Level 1 to qualify for funding from Persons with Developmental Disabilities (PDD).
Accreditation Levels 2
Accreditation Level 2 are for service providers that wish to hold themselves accountable to a more stringent set of standards.
Additional Indicators for Services for Children with Disabilities
CET Accreditation can include a children's component for service providers that serve both adults and children with developmental disabilities.
Additional Indicators for Respite for Children and Adults with Disabilities
CET Accreditation can include a component for service providers that provide respite services to adults and/or children with developmental disabilities.
Additional Indicators for Complex Support Needs (CSN)
CET Accreditation can include a CSN component for service providers that wish to be acknowledged for their supports to individuals with complex medical or behavioural needs.
Guidelines for the Use of Medications that Influence Behaviour
Service providers can use this booklet as a reference for using medication to influence behaviour. It explores reasons to use medication to influence behaviour, the types of medication to consider, and how medication can impact individuals.
Note: This booklet should not replace consultation with a qualified professional.
The Creating Excellence Together (CET) Standards were developed to measure expectations for Alberta service providers that support individuals within the field of community disability services.
The three components of the CET Standards are:
- Quality of Life
- Quality of Service
- Organizational Framework
Service providers are encouraged to use the CET Standards to evaluate themselves both for their own information and to prepare for an external peer survey.
Quality of Life
The different areas of quality of life are like the fruit on a tree.
To have a good quality life is the ultimate goal of us all. The Quality of Life Standards are directly based on what Albertans with disabilities said was important to them in their lives. Individuals receiving service and the people who support them may use the Quality of Life standards as part of their individual planning process.
Quality of Service
Staff can be seen as the branches of a tree, bringing nourishment and support.
The Quality of Service Standards measure how staff support individuals to achieve the quality of life they desire. When developing this section of the standards, the message individuals receiving service continually conveyed was, "It is quality if I believe it is respectful of me and if it gets me to where I want to go."
All services are rooted in a framework that serves as the foundation from which quality of service and quality of life grow.
The Organizational Framework Standards acknowledge the responsibility to assess the processes that each service provider uses to support and improve an individual's quality of life. The ultimate test of any organizational process is how well it supports outcomes for the individuals it serves.
Measuring the Standards
The CET Standards are measured through an on-site visit with the service provider in a process called a survey. The survey is conducted by paid team leaders as well as volunteers, all of whom have work experience in the field of community disability services and are referred to as surveyors.
To measure the Quality of Life Standards, surveyors conduct in-depth conversations with a representative sample of individuals receiving service, some of whom may have varying limitations in their ability to verbally communicate. Information concerning the individuals' quality of life may also be gathered from family members, guardians, and/or friends who are able to advocate for the individuals and/or speak on their behalf. As much as possible, the conversations will take place in a relaxed environment that is most comfortable for each of the survey participants.
For the Quality of Service Standards, information is gathered through conversations with staff members who directly support the individuals who participate in the Quality of Life conversations. The focus of these conversations is on the direct supports that staff provide to the individuals.
The Organizational Framework Standards are measured by reviewing the information and evidence the service provider submitted that indicates how its organizational processes align with these standards. In addition, a meeting will be held with the key management group or leadership staff to clarify and confirm the frame-work and process that supports the organization's operations.
The Survey Report
Following the completion of a survey, the results are documented in a report along with any commendations or recommendations. Stakeholders who are interested in viewing the results of a specific survey are asked to directly contact the service provider or its funder.
"Behaviours that occur with such intensity, frequency or duration that the physical safety of the person or others is likely to be placed at risk, or the person's quality of life is negatively affected."
Persons with Developmental Disabilities Edmonton Community Board
Individuals who have a developmental disability, as defined in the PDD eligibility criteria stated above, receive supports from a number of stakeholders including:
- Unpaid family, friends, and acquaintances
- Paid agency staff, home care, public guardian
The type of services available to most individuals with developmental disabilities is adequate to meet their specific needs. However, some individuals also have complex behavioural needs for which typical services are not adequate.
For most individuals with developmental disabilities
- A combination of natural and formal supports are adequate
- The normal planning process is adequate
- Support needs may change gradually over time.
However, for individuals with complex support needs (CSN)
- Normal delivery systems (in the individuals' area) may not provide the supports needed
- Normal planning may have been done but is insufficient
- Support needs may change over time, sometimes quickly
Often, former attempts to meet their medical needs or modify their behaviours have also been unsuccessful
- Specialized treatment or supports may have been unavailable
- The individual may not have responded to normal treatment or correction
- Traditional medical or behavioural management procedures may not have produced sustained medical or behavioural change
Because individuals with complex support needs require a high degree of flexibility and coordination to meet their needs, organizations have worked to develop better ways of supporting these individuals by promoting and implementing diverse support networks, such as natural supports, formal caregivers, CSN services, and effective service delivery systems. These service providers ensure every member of the support network and service delivery system communicate effectively with one another. They have skilled and experienced case managers to coordinate services, supports, and activities. And they plan ahead and prepare for extraordinary demands and security issues.
Caregivers are also looking for a higher degree of training and emotional support and individuals are looking for therapeutic approaches that are different than what is typically provided in the disability services system. In addition, individuals may need environments that can be modified quickly and efficiently because their support needs may change suddenly.
- Changes need to be quick, efficient, and effective
- Changes may involve quantity of support
- Changes may involve type of support
- Changes may involve persons or professionals involved in providing support
- Changes may involve added support from the legal system or Office of the Public Guardian
To help service providers implement and be recognized for their work in providing supports to individuals with complex support needs, ACDS has included CSN as a component of the CET Standards.
Benefits of Pursuing CSN
By adapting services and providing staff training to offer CSN, organizations will be able to serve individuals who have both a development disability and complex medical and/or behavioural needs, and they will advance toward having highly trained and skilled staff.
Individuals will be given a chance to overcome personal or social disadvantages (e.g., injuries to themselves or others, risk of hospitalization/institutionalization, loss of or threat of loss of home, loss of or threat of loss of livelihood, involvement in the justice system, rejection by others in the community, alienation of family and friends).
Service providers can be confident that their services are adequate, staff will be safe from personal injuries, they can offer solutions to individuals and/or guardians who disagree with traditional service or treatment options, they can manage increases in the use and/or intensity of restrictive procedures, and they can avoid liability issues.
The CSN Review Process
A CSN Review can be done in conjunction with either a CET Level 1 or a Level 2 site survey and will include additional indicators specific to supporting individuals with complex support needs. The review follows the same process as a CET survey.
To meet this additional level of service achievement, service providers will go through a CSN Review as part of their CET site survey. Successful achievement will be acknowledged on a CET certificate.
Accreditation Levels I & II
Accreditation Promotes Quality
Accreditation Level I is a ruler against which service providers can measure the quality of their services because it defines quality in relation to services. For example, it describes concrete components of quality that are specific to individuals accessing service and not just generic services for groups of individuals with developmental disabilities.
Accreditation Level II represents a higher level of quality than the province's regulations for service provision, which address minimal health and safety standards. As a result, accredited providers can be proud to offer Accreditation Level II as the benchmark that individuals accessing service and their natural supports deserve.
Accreditation Promotes Risk Management
The CET Accreditation Standards were created with a focus on quality of life for individuals accessing service, which is not quality unless it also has a process for evaluating and managing risk. Accreditation helps providers review the processes they have in place to manage risk and learn how to ensure their processes meet best practice in the field.
Accreditation Helps Providers Increase Knowledge
Accreditation Level I gives providers - whether they are new in the field or have years of experience - opportunities to help staff learn more about the field and how the services they provide are both meaningful and measure up to provincial standards.
Accreditation Level II helps providers increase their knowledge of the field as they develop a higher level of goals to improve and enhance their services to individuals with developmental disabilities.
Accreditation Enhances Professionalism within the Field
Professionals in the field of Community Disability Services require special skills both to work in the field and to relate to accredited professionals in other fields. Accreditation, especially at Level II, helps providers strive to achieve the highest level of professionalism possible.
Accreditation Boosts Morale and Self-Esteem
Accreditation tells providers and their workers that they are doing things well and that they are "on the right track," which helps them to feel good about their work and their organization. This boost in morale and self-esteem is ultimately felt by the individuals accessing service, support networks, and other stakeholders. Improved morale can also help providers retain staff longer.
Accreditation Generates Enthusiasm and Excitement
Accreditation is a good tool to prevent apathy and to spark enthusiasm. Because accreditation presents providers with a challenge, and a greater challenge at Level II, it can get them excited about what they are doing and accomplishing. For instance, re-reading the accreditation study guide can renew staff's zeal for giving individuals accessing service their best. In addition, enthusiasm and excitement are transferable qualities that can "rub off" on the individuals and other stakeholders.
Accreditation Encourages Ongoing Training
Because accreditation's self-study process adds to the provider's knowledge, it can also peak its interest in obtaining further training in all aspects of its service. For example, when a provider addresses how it supports individuals accessing service with training and counselling, it may also identify areas where its staff could take training to provide better support in these areas.
Accreditation Level II
Helps Providers Become Leaders in the Field
Accreditation Level II can inspire providers to increase their involvement in Community Disability issues by getting them to think about joining or starting up support networks and about meeting and networking with other accredited providers (locally, provincially, nationally). Acting on these thoughts will, in turn, foster confidence and increase their visibility as leaders in the field and as mentors for providers going through the accreditation process.
Can be Used as a Marketing Tool
Persons with disabilities and their families and guardians want quality services and they've learned how to clue into marketing strategies that don't deliver. Accredited providers can use Accreditation Level II as a marketing tool to prove to prospective clients and their parents and/or guardians that its services and supports can deliver what is promised.