Community Care Services Residential Care

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Community Care ServicesResidential Care

• Facility CareResidential care facilities
  provide 24-hour professional nursing care and
  supervision in a protective, supportive
  environment for people who have complex care
  needs and can no longer be cared for in their own
  homes. Residential care services include
• an assisted meal service
• medication supervision
• personal assistance with daily activities, such
  as bathing, dressing or grooming and
• a planned program of social and recreational
  activities.

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Community Care ServicesResidential Care

• TYPICAL Menu
• BreakfastHot or Cold CerealsCompote of
  FruitFull English Breakfast with Toast and
  PreservesFruit YogurtChoice of Juices
• LunchChefs Best SoupPrime Rib with Au
  JusBaked PotatoesBroccoliDinner RollsAssorted
  Dessert TrayChoice of Beverage
• DinnerChefs Best SoupChefs Salad Plate with
  Dinner RollHerb Roasted Chicken with OBrien
  PotatoesMacaroni CheeseAssorted Desert
  TrayChoice of Beverage

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Community Care ServicesTypical Day Activities

• 1000 am            Morning Munchies 1100 am
             Sit and Fit Exercise100
  pm              Baking Memories200 pm
               Name that Tune300 pm             
  Kitchen Kaboodle400 pm              Game
  Room700 pm              Fireside Chat

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Community Care Services Residential Care

• Moving to a Care FacilityBritish Columbia's
  residential access policy ensures seniors and
  people with disabilities with the highest need
  and urgency have priority for the first
  available, appropriate care facility
  bed.Clients who have been assessed as needing
  facility care are expected to take the first room
  that becomes available. Once in residential care,
  clients may request a transfer to a preferred
  care facility when there is an opening.It is
  wise to plan ahead for a move to residential
  care. Clients are encouraged to ask their family
  and friends to help them prepare for their move.
  When a room does become available, they will be
  asked to move in fairly quickly - usually within
  48 hours.

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Community Care ServicesResidential Care

• What Clients Should Know Before They MoveMoving
  to a residential care facility may not be easy,
  especially for seniors or people with
  disabilities who are moving from their own home.
  Taking the time to learn about the services that
  are offered in the facility, the costs and
  policies will ease the transition and make the
  move less stressful. Here are some questions
  clients may want to ask their case manager before
  they move
• Can they take their own furniture into the care
  facility?
• What are the visiting times?
• What are the facilities' practices regarding
  belongings, pets and mail?
• What kind of clothing should they bring?
• Can outings and overnight stays be arranged?

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Community Care ServicesGroup Homes

• Group homes are private residences that enable
  adults with disabilities to live as independently
  as possible in the community. They offer an
  important service to residents because they
  provide short- and long-term living arrangements,
  affordable and safe housing, skills training,
  peer support and counselling. Many British
  Columbia communities have group homes, which are
  generally operated by non-profit societies. Homes
  range from single family dwellings to apartment
  complexes and usually accommodate four to six
  residents.

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Community Care ServicesFamily Care Homes

• Family care homes are single family residences
  that provide supportive accommodation for up to
  two clients. Family care homes can be an
  alternative to a care facility for some
  individuals.What are They Like?Family care
  homes offer a home-like atmosphere, nutritious
  meals and housekeeping services, along with any
  required assistance with daily living activities,
  such as bathing, grooming and dressing.Although
  family care homes are available throughout the
  province, they are more numerous in rural areas
  where their availability allows clients to remain
  in their own communities.

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Community Care ServicesFamily Care Homes

• Who Uses Family Care Homes?Family care homes
  are for seniors and people with disabilities who
  
• require a more individualized approach to their
  care than is available in a residential care
  facility or
• have an immediate need for residential care and
  are unable to find other suitable alternatives
  or
• find the care environment at a residential care
  facility is not compatible with their religious,
  ethnic or cultural background or lifestyle or
• need short-term assistance upon leaving hospital
  but are not ready to return to living in their
  own home.

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Community Care ServicesFamily Group Homes

• FolkStone Family Care Home Locations
• At a FolkStone Home everyone knows your
  name...you become part of the family." FolkStone
  Homes provide a safe atmosphere where the quality
  of life and the desire for independence are
  balanced with the needed assistance.
• Burnaby Coquitlam Delta Ladner
  Langley Maple Ridge New Westminister
• North Vancouver Port Moody Richmond
  Surrey Vancouver White Rock

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Home and Community Care

• Case Management and Care Co-ordination
• Case managers act as co-ordinators to help
  clients obtain home and community care services.
  They determine the nature, intensity and duration
  of services that would best meet clients' needs
  and arrange their services.The case manager
  will stay in touch with the client to arrange
  care services and make any adjustments necessary
  in the event their care needs change.

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History and Evolution of Long Term Care

• Continuum of Care
• The coordination or management of care within
  the myriad components of the health care system
  to ensure the provision of the right services, in
  the right place, at the right time.

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History and Evolution of Long Term Care

• Case Management
• Case Managers act as coordinators of care and
  advocates to help ensure that the care plan
  proceeds smoothly and the elderly persons care
  needs are properly met in a timely way.

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History and Evolution of Long Term Care

• Three Phases in the Development of Long Term Care
  Services
• First Phase
• Social Disinterest
• Family and Charitable Assistance
• From Colonialism to 1960s

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History and Evolution of Long Term Care

• Elizabethan Poor Law of 1601
• Required local parishes in England to provide for
  persons who could not support themselves because
  of age, poverty and infirmity.
• Public taxes funded the Almshouses.
• Elderly, Sick or Disabled

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History and Evolution of Long Term Care

• 1866 Legislation passed in Ontario
• municipalities to set up houses of industry for
• Poor persons who could not support themselves.
• Persons who can look after themselves.
• Persons who did not make an honest living.
• Persons who spend time and money in public
  houses, to the neglect of any lawful cause.
• Persons of low IQ below 20.

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History of Evolution of Long Term Care

• Three Phases in the Development of Long Term Care
  Services
• Second Phase
• Benevolent Paternalism
• Institutional and Professional Focus/Control over
  decision making
• Protect life and improve quality of life by
  various means
• From the 1960s and tapering off into the current
  period

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History and Evolution of Long Term Care

• Saskatchewan Premier Tommy Douglas implemented
  North Americas first universal hospital
  insurance plan in 1947.

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History and Evolution of Long Term Care

• National Health Care Funding
• 1948 National Health Grants, construction of
  hospitals.
• 1957 Hospital Insurance and Diagnostic Services
  Act, 60 of hospital services funded by federal
  government.
• 1966 Medical Care Act, 50 medical care expenses
  funded by federal government.

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History and Evolution of Long Term Care

• Three Phases in the Development of Long Term Care
  Services
• Third Phase
• Dependent adult treated as an adult rather than a
  child
• Uncertainty over degree of implementation of this
  phase
• From recent to past to the current period

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History and Evolution of Long Term Care

• The Canada Health Act 1984 (Medicare)
• Public Administration
• Comprehensiveness
• Universality
• Portability
• Accessibility

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History and Evolution of Long Term Care

• Established Programs Financing (EPF) Act
• Injection of federal cash for long term care
  services in 1977.
• Residential care facilities public, proprietary
  and charitable, nursing homes, homes for the
  aged, personal care homes.
• Increase of long term care beds in hospitals.

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History and Evolution of Long Term Care

• Regionalization (1980s 1990s)
• Cost Containment
• Improved health outcomes
• Increased flexibility and responsiveness of care
• Better integration and coordination of services

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History and Evolution of Long Term Care

• Closer to Home Seaton Report, BC
• Royal Commission on Health Care and Costs
• Examine the structure, organization, management
  and mandate of the current health care system to
  ensure continued high quality, access and
  affordability.