Long Term Care Administration Long Term Care Facilities October 21, 2010.

Long Term Care Administration

Long Term Care Facilities

October 21, 2010


The Current EnvironmentHealth reform has focused on improving

access, quality and cost-effectiveness, and on moderating future growth curves.

Reforms have occurred in every sector of health care.


The Current EnvironmentCost pressures will continue at a rapid

rate.Every province and territory will need to

focus on the growing demand for health care services, fueled by demographics, new technologies and other growing costs of providing services.


Support Service Living UnitsProvide totally integrated units with

services provided on an as required basis.Availability of 24 hour service and a quick

response capability provided by on site staff.

Amenity spaces, dining room, communal laundry, 24 hr monitoring, two meals/day.


LifeCare CommunitiesContinuing Care Retirement Communities

(CCRC) allow seniors to "age in place," with flexible accommodations that are designed to meet their health and housing needs as these needs change over time.

Residents entering Continuing Care Retirement Communities sign a long-term contract that provides for housing, services and nursing care, usually all in one location, enabling seniors to remain in a familiar setting as they grow older.


LifeCare CommunitiesMany seniors enter into a CCRC contract while

they are healthy and active, knowing they will be able to stay in the same community and receive nursing care should this become necessary.

Seniors who invest in a Continuing Care Retirement Community have adequately planned for housing and care for the remainder of their life, and have the financial means to support it.


LifeCare CommunitiesContinuing Care Retirement Communities offer service

and housing packages that allow access to independent living, assisted living, and skilled nursing facilities.

Seniors who are independent may live in a single-family home, apartment or condominium within the Continuing Care retirement complex.

If they begin to need help with activities of daily living (e.g., bathing, dressing, eating, etc.), they may be transferred to an assisted living or skilled nursing facility on the same site.

Seniors who choose to live in a Continuing Care Retirement Community find it reassuring that their long-term care needs will be met without the need to relocate.

Grace Communities Corp.

Grace Communities Corporation (GCC) is committed to providing quality, affordable housing to adults 55+. Our customer service approach to housing management follows carefully crafted rules, regulations, policies and procedures we've established to make living here the best it can be. Gracious Living, Simply Amazing!

Local CCRC Life Lease in Abbotsford, B.C.


Abbeyfield Vancouver is a non-profit organization that offers 18 supportive housing units for elderly people in the Marpole area.


The Abbeyfield PatternTo involve local Abbeyfield volunteers in setting

up and managing each house, where the residents will pay their share of the running costs.

Every household will have its own housekeeper to look after the house, to provide meals and to care generally for the residents.

The residents will have their own rooms, furnished as they wish, where both their privacy and their right to invite visitors are assured.


Home SharingProvides additional income and

companionship.Option for seniors who experience

difficulty in maintaining their own homes due to accelerating costs, reduced income, declining physical health and loneliness.


Congregate Housing Elm Ridge is a congregate housing

project operated by the Baycrest Centre for Geriatric Care in Toronto, Ontario.

The home for fourteen senior adults provides a balance of companionship and privacy, of support and independence for those who would otherwise find themselves alone and at risk.


The customized project was built in 1985 by Cityhome, the former non-profit housing arm of the City of Toronto.

Elm Ridge was styled as a single family dwelling, to blend with the neighbourhood, while graciously distinguishing itself with a colourful landscaped garden.

Its central location offers easy access to synagogues, public transit and shopping.


Staff at Elm Ridge offer 24-hour supervision, weekly housekeeping, counselling services and bi-weekly bathing assistance, if needed.

These are complemented with an extensive program of activities, which include arts and crafts, music, discussion groups, exercise classes, outings, and observance of all religious occasions and the celebration of festivals.


Home Equity Conversion PlansAllow seniors to have supplemental

income.Equity from the ownership of a given

property is used, monies are obtained to complete any required home modifications or to accommodate a changed health status.


Garden Suites/Granny FlatsSmall portable dwellings, provide seniors

with the opportunity to stay on their own property, while freeing up the main house for the use of close relatives or friends.


Retirement Homes – Assisted Living24/7, on site staff, security in communal

livingRoom, board, recreation, social &

activitiesNursing and personal care not provided$800 - $7,000 per month


Access to Long Term Care FacilitiesSeverely compromised functional ability

and self-careSevere chronic illness/disabilityAbuse and/or neglectInsufficient community services to support

care at homeAbsence/unwillingness of informal

caregivers to continue care


Problems that result in admissionCognitive ImpairmentsMajor chronic and/or multihealth problemsMajor physical frailtyLoss of mobility and independent

ambulatory movement


Problems that Result in AdmissionSensory DisordersIncontinenceLoss of a spouse or significant other

Note: 85%+ have more than one health problem


Desires Prompting AdmissionProvision of extensive, regular 24 hr

nursing and personal careProvision of extensive, regular 24 hr

supervision, monitoring and assistance with ADLs

Assurance of safety and securityPreservation of self-respect, self-esteem,

dignity, companionship


The Eden AlternativeTool for improving quality of life in LTC facilities.Coalitions of people and organizations are

created committed to creating better social and physical environments for people.

Dedicated to helping others create enlivening environments and the elimination of the plagues of Loneliness, Helplessness, and Boredom.

Dedicated to helping people grow.


Eden AlternativeTeaches that the environments seniors

live in are habitats for human beings rather than facilities for the frail and elderly.

What Mother Nature has to teach is about the creation of vibrant, vigorous habitats.


Eden AlternativeCompanion animals gives the opportunity

for meaningful care to other living creatures, and the variety and spontaneity that mark an enlivened environment can succeed where pills and therapies fail.

The goal is to help people weave together the philosophy of The Eden Alternative™ with the real world of daily practice.


GentleCareThe system is prosthetic in nature.It seeks to arrange an environmental fit between

the person with dementing illness and the physical space, the programs, and the significant people with whom the person must interact.

The system accommodates and supports existing levels of function and development, rather than challenging the person with dementia to adapt and perform in ways no longer possible.


GentleCare IncludesA correlation between disease pathology

and client behaviour Environmental design concepts A system of programming that helps locate

the client's appropriate zone of activity Daily living care planning and

implementation Numerous innovative, creative strategies


GentleCareNutritional assessment and strategies that

create powerful treatment opportunities Stress identification, prevention and reduction

that eliminates catastrophic incidents Functional assessment that provides

individualized care plans Evaluation A unique system of therapeutic partnership with

families, communities and volunteers


Organizations that use the GENTLECARE system report:

Increased client function Reduced catastrophic incidents Decreased staff and family stress Reduced use of psychotropic medications Cost containment Increased community commitment and

involvement


Little Mountain Place This beautiful facility consists of 117 resident beds, including a

26 bed Special Care Unit called The Garden Terrace. Each of the resident rooms is furnished with a bed, night table,

dresser and wardrobe closet, has a memory display box and a washroom.

Memory boxes are located just outside a resident's private room and are a great way for residents to recognize their room easily.

All rooms are private, with an ensuite bathroom and nurse-call system.

One of the beds at Little Mountain Place is maintained solely for respite service, which is a valuable resource for individuals and family caregivers who require support on a short term basis.


Little Mountain PlaceProvision of 24 hour care and supervisionFull nutritional and food serviceLeisure and volunteer programMedical services supervised by a Medical

CoordinatorPodiatrist, psychiatrist and dentist


Little Mountain PlaceEach resident's care is individualized to meet

his/her needs. Primary Nurses, LPNs and Care Aides work with

residents and their family to develop, review and evaluate each resident's plan of care.

Through these care plans we acknowledge the rights and responsibilities of each resident, their family and the staff at Little Mountain Place.

The staff are committed to ensuring the best quality of life for all residents.


Services Environmental - residents' rooms are cleaned regularly, clean linens

and towels are provided as necessary Laundry - in house laundry service is limited to washable items only,

however a dry clean service can be arranged if required Hairdressing - an on-site hairdresser is available by appointment Mail - a volunteer will deliver mail directly to a resident's private

room. Chaplain - conveys the presence of God through compassionate

listening, recognizing God at work in residents' lives and helping to interpret the meaning of their life experiences in relation to God

"The Nook" - a shop operated by volunteers, where residents may purchase items such as toiletries, gifts, stamps, batteries, or candy


Little Mountain Place, Leisure Services Recognizing that medical and nursing care are only a part of

providing quality care for residents, we provide a wide variety of programs such as:

Tzu Chi Chinese Luncheons Newsweek discussions carpet bowling Bingo video nights bus trips/outings Pub nights Residents are encouraged to participate in "Music Therapy" which

encourages them to socialize and express themselves through music in group sessions. Programs and services are ongoing.

The staff encourages residents and families to make suggestions for any new programs.


Little Mountain PlaceThe Garden Terrace provides a home-like

environment which supports, nurtures and enhances the potential of residents who suffer from dementia.

Although dementias such as Alzheimer's Disease can be debilitating, we believe that we can offer residents an outstretched hand, a caring heart and programs that maintain and enhance their abilities.


Little Mountain PlaceSpecifically designed for individuals with

Alzheimer's Disease or other types of dementia, the Garden Terrace has a home-like common living area with limited access and a secured patio and garden area.

Families will feel comfortable visiting and participating in resident's lives.

Having a feeling of their own personal space and their belongings close by, we believe residents will ultimately have higher functioning, increased self-esteem, control and independence.


Little Mountain PlaceWithin the Garden Terrace there are three categories of

leisure programs which occur; Therapeutic, Home Life, and Activities.

These programs occur in a small group or individual settings and can be formal or spontaneous.

Therapeutic Recreation Programs are offered based upon residents' needs; they have a specific goal and purpose, they assist in bringing meaning and satisfaction to one's life and they help to maintain physical and emotional well being.

Examples of such programs include: baking, reminiscing groups, gardening, socials and "discovery boxes".


Little Mountain PlaceHome Life Programs give the residents the opportunity

to contribute to their new home by assisting with the various chores which need to be done to take care of the Garden Terrace.

Chores are assigned according to what is most familiar to each resident.

Through assisting with the various tasks, individuals maintain a sense of purpose to their life.

Examples of chores include: sweeping, meal preparation, washing dishes, preparing vegetables and folding towels.


Little Mountain PlaceActivities are offered to residents and their

friends and families.In the Garden Terrace there are supplies and a

reference book full of activity suggestions and we encourage everyone to participate.

This is a great way for everyone to socialize.Activities may include: polishing silver, watering

the garden, reading the newspaper or enjoying a cup of tea.


Little Mountain Place The Family Council is a independent, self-determining group of

family members and friends of residents living in a care facility. At Little Mountain Place, our group is called "Families of LMP" and

participants meet once a month. There are several benefits which stem directly from this council:

Orientation and information for families of new residents ongoing support volunteering and fundraising education and information forum to discuss concerns or problems Family and friends are welcome to attend as many or as few

meetings as they are comfortable with. We believe it is important to have a voice, especially if you can make a difference in residents' lives.


Food ServicesThree meals and three between meal nourishments are

provided daily, utilizing a multi-cultural six week menu planned by our full time Nutrition Manager and Dietitian/Nutritionist.

Due to a significant population of Asian residents, menus are written in Chinese as well as English.

A Food Service Committee is in place to provide residents and family input into the menu planning and meal service process.

A special alternate dining area meets the needs of residents who require assistance or supervision during meal times.


Food ServicesThe Garden Terrace has it's own small home-

like relaxed dining area. Residents are provided foods of appropriate texture and consistency with modified utensils to promote independent eating and ensure adequate nutritional intake.

A 24 hour feeding program is set up so that extra foods and drinks are provided to The Garden Terrace residents.

The purpose is to allow residents to have food at any time they desire and not be restricted to fixed meal hours.


Food ServicesFriends and family are welcome to bring gifts of

food to their loved ones.The Nutrition Manager and Dietitian/Nutritionist

would be pleased to help you select appropriate foods for the resident's diet as well as for storage.

Family and friends are encouraged to join residents for meals - both in the facility and off-site.


Little Mountain PlaceA social worker is available to meet with

you at your convenience. The social worker is available for

assessment, information and consultation with residents, families and other professionals and can assist with social, emotional or financial concerns.


Application for admission is made by contacting the local Health Unit in your community. A Long Term Care Manager will assess the eligibility of your application and determine the level of care you or your family member requires. The level of care is determined by an assessment of each applicant's physical and mental capabilities. When it is determined an applicant is eligible for Long Term Care, a Long Term Care number is assigned.


Referral/Placement, cont…Once accepted, the date of application becomes the

priority date on the Long Term Care waiting list.This list is sent to the Little Mountain Place Social

Worker. Priority Access for the facility is controlled by the

Vancouver Coastal Health Authority. If there are problems regarding this procedure, the

Social Worker or the Director of Resident Care Services at Little Mountain Place are available to both the applicant and the applicant's family for consultation and advice.


Little Mountain CourtA wonderful facility designed for independent

living.Tenants make themselves at home in no time.

There is a minimum age requirement of 55, except for handicapped residents and no more than 2 people may occupy a double suite.

Social work and nutritional services are available from Little Mountain Place for a nominal fee.


Little Mountain Court has 96 self-contained suites consisting of:

81 single suites1 single handicap suite10 double suites4 double handicap suites


Each suite includes: 1 bedroom1 bathroom1 kitchen1 living/dining roomstorage areasThe rent at Little Mountain Court is subsidized

by BC Housing. A wait-list system gives priority to those who are in greatest need.


Little Mountain Residential Care & Housing SocietyEstablished in 1983, Little Mountain Housing Society

(the "Society") is a not-for-profit care giving organization. The Society has adopted a philosophy of care called "Gentle Care" which means residents' needs and wants are our priority.

"Residents First" is a heart and soul attitude towards residents and their families.

Residents are the focal point of all our activities and everything we do recognizes the requirements to serve their needs and exceed their expectations.


The Society owns and operates three facilities through a board of directors.

Adanac Park LodgeLittle Mountain CourtLittle Mountain Place


Mission StatementWe are a non-profit care organization. We

provide accommodation and holistic care for those who are aged, infirm and/or disabled, in the spirit of compassion and with respect for diversity.

Vision StatementOur vision is a dignified and respectful

community where people feel at home.


Our ValuesCompassion for the needs of othersEffective management of our time, talents

and resourcesBuilding relationships of mutual care and

respect


Our CommitmentWe, at Little Mountain Housing Society, are committed to providing an

environment which upholds the rights of everyone living, working or volunteering within the Society. We are committed to an environment where:

everyone is treated courteously, respectfully and in a dignified manner

everyone is given personal privacy personal, financial and medical information is kept in strict

confidence information which affects a resident's quality of life will be obtained independence and making personal decisions is encouraged a choice of services is offered living and working is considered safe, secure and satisfying residents' interests, abilities and potential are fully developed

Long Term Care Administration Long Term Care Facilities October 21, 2010.

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Transcript of Long Term Care Administration Long Term Care Facilities October 21, 2010.