Let's talk about housing for Seniors

What is service added housing for the elderly?

October 24, 2015 (Saturday) Sapporo International Plaza ： 10 ：00 ～ 12 ： 30

Anshin Sumai Sapporo　 Senior Advisor: Keiko Nishihara

Situation in Japan• Medical and care services are relatively

well provided, while their life span is the longest.

• Senior demography has been increasing.

• Life during the senior period.

Kaigo Hoken (long-term nursing care insurance) covers up to 90% of the cost of long-term care services required. (One must submit an application in order to use it!)

Medical Care to Home CareWorld Trend for Seniors

• District Inclusive Care→Housing Care service for seniors (not relying on hospitals or other facilities)

• Deathbed→natural/calm death outside of hospital →no prolongation of life treatment = system in common with Western countries →change from treatment to care trend

・ Dementia care→continue daily life as usual →maintain lifestyle as much as possible →guardianship system for elders

District Inclusive Care System

- To make our living possible in familiar surroundings even though we require constant care until the end.

- Inclusive Care System offers housing, medical services, prevention, and living care support.

- Target Year 2025

Objectives of Inclusive Care System

Decreasing birthrate and aging population

Total control over Social Security expenses

Reform in medical services

Reduction of hospital

beds

Care at housing w/services or at home

Apply only to severe/dement

ia cases

Insufficient number of care giversPayment

reduction of Kaigo Hoken

Mutual support for low degree

care

Types of Housing

• Fee-based homes for the elderly　　　 With Care 　 67　　　 Residential 72 　• Group Home (dementia only) 240• Senior Housing with care service 　

165• Other than above (for seniors)

200+

Data for Sapporo, September 2015

Housing with Care Services

• Confirmation of safety• Adviser for living condition• Emergency handling• Meal service• Bathing• Care covered by Kaigo

Hoken

Enforced October 2011

Living quarters for housing with care service

Essentials （ standard ）

• toilet• closet• washbowl• room space

Exterior views

Small scaleLarge scale

Dining Room 　

All dine together as a general rule.Food Menu is posted.

After meals, may proceed to the parlor (large TV screen provided)

Individual rooms

Toilet

closet

Bath

Public

Individual

Washstand

Other facilities

Haircut Laundry

Other entertainment

Chatting corner

Mahjong room

Understand important differences

• Costs （￥ 120,000 ～ 230,000 ）

• Facilities （ differ greatly ）

• Meals （ 2 ～ 3 times/day, menu, fee ）

• Caregiving （ Yes/No ）

• Services not covered by long-term insurance （ Yes/No ）

Selection Criteria 1

• Terms: self-reliance, requiring assistance, requiring nursing care, dementia, disabled

• Cost: (moving in) deposit, fire insurance, additional heating charge for winter (monthly) rent, communal charge, your share of the care service expense・ Location /Environment: Access to medical care/hospitals, banks, shopping, walking places. Noise considerations.

Selection Criteria 2

Room facilities: size, sun light (window direction), toilet, washbowl, alarm(where to) closetShared facilities: dining, bathroom, chatting, entertainment, laundry (washing and drying) common kitchenMeals: Diet for the sick, 2 or 3 meals per day, skipping meals

Selection Criteria 3

・ Medical and Care services: staff for day/night, relation with care service station, hospital, deathbed ・ Conditions of leaving: need more care service, deposit return・ Communication: getting together or seasonal seasonal events・ Operating firm: building owner and administrator, business of body organization

Summary• Collect detailed information• Visit more than 3 places• Grasping the content of the

contract is vital, and do it carefully.

• Disposal of ones possessions.