2.E.14.e. Sink-toilet-shower

Rule

Verification that there is a minimum of one sink, toilet and shower per six residents.

Levels

I	II	III	IV
✔	✔	✔	✔

This applies to all recovery residences.

Guidance

This rule is very objective, and it is one of the most debated standard rules in NARR. Everyone agrees that there should be a rule, but it was difficult to gain consensus on what the appropriate ratio should be. Some think a 1:6 ratio seems like overcrowding. Others argue that low cost recovery housing needs at least 1:6 ratio to keep prices affordable. There are no international health and safety guidelines for residential properties regarding toilets, showers and sinks. As with any standard, providers can submit a variance or seek an accommodation, if this raises a barrier to low cost recovery housing.

Evaluation

Does each dwelling have a minimum of one sink, toilet and shower per six residents?

Evidence

Policy and procedure
Staff / Peer leadership role description: one or more roles responsible for conducting property self assessment to ensure standards are met.
Onsite confirmation that each dwelling has a minimum of one sink, toilet and shower per six residents. Reviewers are expected to count each sink, toilet and shower and divide by the number of total beds. This includes staff that sleep on property.

References

Course Syllabus

Not Enrolled

Measure Up: A Guide to the NARR Standard and Code of Ethics

	1. 1. ADMINISTRATIVE AND OPERATIONAL
	2. 1.A. Operate with Integrity
	2.1. 1.A.1. Use mission and vision as guides for decision making
	2.1.1. 1.A.1.a. Mission
	2.1.2. 1.A.1.b. Vision
	2.2. 1.A.2. Adhere to legal and ethical codes and use best business practices
	2.2.1. 1.A.2.a. Business entity
	2.2.2. 1.A.2.b. Insurance
	2.2.3. 1.A.2.c. Property permission
	2.2.4. 1.A.2.d. Legal compliance
	2.2.5. 1.A.2.e. Ethical marketing
	2.2.6. 1.A.2.f. Background checks
	2.2.7. 1.A.2.g. Paying residents
	2.2.8. 1.A.2.h. Financial boundaries
	2.2.9. 1.A.2.i. Code of Ethics
	2.3. 1.A.3. Financial accounting
	2.3.1. 1.A.3.a. Fee transparency
	2.3.2. 1.A.3.b. Accounting system
	2.3.3. 1.A.3.c. Refund policies
	2.3.4. 1.A.3.d. 3rd party payments
	2.4. 1.A.4. Data collection
	2.4.1. 1.A.4.a. Resident information
	3. 1.B. Uphold Residents’ Rights
	3.1. 1.B.5. Rights and Requirements
	3.1.1. 1.B.5.a. Applicant orientation
	3.2. 1.B.6. Resident information
	3.2.1. 1.B.6.a. Secured records
	3.2.2. 1.B.6.b. Confidentiality
	3.2.3. 1.B.6.c. Social media policy
	4. 1.C. Culture of Empowerment
	4.1. 1.C.7. Peer governance
	4.1.1. 1.C.7.a. Resident driven
	4.1.2. 1.C.7.b. Grievance policy
	4.1.3. 1.C.7.c. Community posts
	4.1.4. 1.C.7.d. Length of stay
	4.1.5. 1.C.7.e. Resident voice
	4.2. 1.C.8. Resident involvement
	4.2.1. 1.C.8.a. Reciprocal responsibility
	4.2.2. 1.C.8.b. Leadership roles
	4.2.3. 1.C.8.c. Recovery process
	5. 1.D. Develop Staff Abilities
	5.1. 1.D.9. Role modeling
	5.1.1. 1.D.9.a. Self-care
	5.1.2. 1.D.9.b. Boundaries
	5.1.3. 1.D.9.c. Staff support
	5.1.4. 1.D.9.d. Positive regard
	5.2. 1.D.10. Staff qualifications
	5.2.1. 1.D.10.a. Social model skills
	5.2.2. 1.D.10.b. Credentials
	5.2.3. 1.D.10.c. Staff development
	5.3. 1.D.11. Culturally responsive
	5.3.1. 1.D.11.a. Priority population
	5.3.2. 1.D.11.b. Cultural training
	5.4. 1.D.12. Job descriptions
	5.4.1. 1.D.12.a. Roles and qualifications
	5.4.2. 1.D.12.b. Resource linkage
	5.4.3. 1.D.12.c. KSA
	5.5. 1.D.13. Staff supervision
	5.5.1. 1.D.13.a. Performance development
	5.5.2. 1.D.13.b. Acknowledgements
	5.5.3. 1.D.13.c. Work environment
	6. 2. PHYSICAL ENVIRONMENT
	7. 2.E. Home-like Environment
	7.1. 2.E.14. Individual needs
	7.1.1. 2.E.14.a. Clean and maintained
	7.1.2. 2.E.14.b. Home-like furnishings
	7.1.3. 2.E.14.c. Entrances and exits
	7.1.4. 2.E.14.d. 50+ sq. ft. per bed
	7.1.5. 2.E.14.e. Sink-toilet-shower
	7.1.6. 2.E.14.f. Personal storage
	7.1.7. 2.E.14.g. Food Storage
	7.1.8. 2.E.14.h. Laundry
	7.1.9. 2.E.14.i. Appliances
	7.2. 2.E.15. Community building
	7.2.1. 2.E.15.a. Meeting space
	7.2.2. 2.E.15.b. Group space
	7.2.3. 2.E.15.c. Dining area
	7.2.4. 2.E.15.d. Recreational area
	8. 2.F. Safe Healthy Environment
	8.1. 2.F.16. Sober living
	8.1.1. 2.F.16.a. Prohibited substances
	8.1.2. 2.F.16.b. Prohibited items
	8.1.3. 2.F.16.c. Drug screening
	8.1.4. 2.F.16.d. Medication storage
	8.1.5. 2.F.16.e. Peer accountability
	8.2. 2.F.17. Home safety
	8.2.1. 2.F.17.a. Functional and hazard free
	8.2.2. 2.F.17.b. Health & safety codes
	8.2.3. 2.F.17.c. Inspections & drills
	8.3. 2.F.18. Promote health
	8.3.1. 2.F.18.a. Smoking
	8.3.2. 2.F.18.b. Universal precautions
	8.4. 2.F.19. Emergency plan
	8.4.1. 2.F.19.a. Procedures & postings
	8.4.2. 2.F.19.b. Emergency contacts
	8.4.3. 2.F.19.c. Emergency orientation
	8.4.4. 2.F.19.d. Overdose readiness
	9. 3. RECOVERY SUPPORT
	10. 3.G. Facilitate Recovery
	10.1. 3.G.20. Promote purpose
	10.1.1. 3.G.20.a. Meaningful activities
	10.2. 3.G.21. Recovery planning
	10.2.1. 3.G.21.a. Person-centered plan
	10.2.2. 3.G.21.b. Recovery capital
	10.2.3. 3.G.21.c. Peer roles
	10.3. 3.G.22. Community supports
	10.3.1. 3.G.22.a. Resource directory
	10.3.2. 3.G.22.b. Resource linkage
	10.4. 3.G.23. Mutual support
	10.4.1. 3.G.23.a. Weekly schedule
	10.4.2. 3.G.23.b. Mutual aid
	10.5. 3.G.24. Recovery support services
	10.5.1. 3.G.24.a. RSS
	10.5.2. 3.G.24.b. RSS Staff
	10.6. 3.G.25. Clinical services
	10.6.1. 3.G.25.a. Clinical services
	11. 3.H. Model Prosocial Behaviors
	11.1. 3.H.26. Respectful environment
	11.1.1. 3.H.26.a. Model recovery
	11.1.2. 3.H.26.b. Trauma informed
	11.1.3. 3.H.26.c. Resident input
	12. 3.I. Sense of Community
	12.1. 3.I.27. Family-like
	12.1.1. 3.I.27.a. Food preparation
	12.1.2. 3.I.27.b. Housing choice
	12.1.3. 3.I.27.c. Chores
	12.1.4. 3.I.27.d. Household expenses
	12.1.5. 3.I.27.e. Household meetings
	12.1.6. 3.I.27.f. Common areas
	12.2. 3.I.28. Internal community
	12.2.1. 3.I.28.a. Informal activities
	12.2.2. 3.I.28.b. Formal activities
	12.2.3. 3.I.28.c. Social activities
	12.2.4. 3.I.28.d. Milestone rituals
	12.3. 3.I.29. External community
	12.3.1. 3.I.29.a. Recovery linkage
	12.3.2. 3.I.29.b. Recovery mentor
	12.3.3. 3.I.29.c. Mutual aid meetings
	12.3.4. 3.I.29.d. Resource linkage
	12.3.5. 3.I.29.e. Multi-membership
	12.3.6. 3.I.29.f. Social bonds
	13. 4. GOOD NEIGHBOR
	14. 4.J. Be a Good Neighbor
	14.1. 4.J.30. Responsive neighbor
	14.1.1. 4.J.30.a. Contact information
	14.1.2. 4.J.30.b. Complaint response
	14.1.3. 4.J.30.c. Neighbor interaction
	14.2. 4.J.31. Courtesy rules
	14.2.1. 4.J.31.a. Preemptive policies
	14.2.2. 4.J.31.b. Parking