Cathy Ficker Terrill is a true bellwether in the field of intellectual and developmental disabilities. Described as compassionate and caring, she has experience serving in positions that improve the qualify of life for those with disabilities. She's a former CEO of the National Council on Quality and Leadership, which trains and accredits service providers to individuals with intellectual and developmental disabilities. Cathy is an international advocate, an university educator, and mentor. This description barely scratches the surface of her vast experience. New Jersey couldn't have chosen a better monitor.
May 22, 2019. It was a bellwether moment. Cathy Ficker Terrill released the Independent Monitor Report. She had travelled statewide, sometimes visiting sites multiple times. She structured her report around her findings in 10 randomly selected homes and five day programs, although ultimately, she visited all seven day programs. Her travels took her to Burlington, Gloucester, Pasaaic, Salem, and Somerset Counties.
And these were the trends that Cathy Ficker Terrill found (this excerpt is directly, word-for-word from IMR):
As part of this review, a simple trend analysis of DHS’ licensure reports for Bellwether from 2016, 2017 and 2018 was conducted. The following trends were identified. Although some work has been completed to improve conditions in homes (basic cleaning services, food labeling and completing maintenance orders) the analysis identified the following areas still need continued improvement:
- Lack of cleanliness of the homes;
- Numerous medication errors of documentation and administration;
- Food not labeled, dated or identifiable in the freezer;
- Outdated food with freezer burns;
- Maintenance orders not completed in a timely fashion;
- Knives not being locked in a house where it is a safety hazard;
- Cleaning products not stored in a safe manner;
- Staff schedules that are not current or accurate;
- Lack of maintaining and updating critical log for daily events in each home;
- Lack of training or retraining for staff on diabetes monitoring and care;
- Lack of data on special diets;
- Laundry products not stored in a safe manner;
- Inadequate data reporting on behavior plans;
- All staff did not have documented criminal background checks;
- All staff were not documented through the central registry back ground checks;
- Gaps in follow up from medical appointments;
- Missing documentation on staff training specific to behavior support plans;
- Physician orders not regularly individualized;
- No system to delineate critical and non-critical information in electronic health records software;
- Failure to document critical information;
- Job descriptions were not current for staff;
- Lack of documentation of training for staff;
- There is not a consistent policy implemented for smoking in the home for individuals or staff;
- Lack of implementation of a policy on maintenance and storage of individual records on the homes;
- Several homes not in compliance with the local fire inspection requirements; and Inconsistent human rights committee reviews.
And this was only Page 4 of 15.
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