community care services residential care facility care residential care facilities provide 24-hour...

Community Care ServicesResidential Care

Facility Care

Residential 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.


TYPICAL Menu Breakfast

Hot or Cold CerealsCompote of FruitFull English Breakfast with Toast and PreservesFruit YogurtChoice of Juices

LunchChef’s Best SoupPrime Rib with Au JusBaked PotatoesBroccoliDinner RollsAssorted Dessert TrayChoice of Beverage

DinnerChef’s Best SoupChef’s Salad Plate with Dinner RollHerb Roasted Chicken with O’Brien PotatoesMacaroni & CheeseAssorted Desert TrayChoice of Beverage

Community Care ServicesTypical Day Activities

10:00 am Morning Munchies 11:00 am Sit and Fit Exercise1:00 pm Baking Memories2:00 pm Name that Tune3:00 pm Kitchen Kaboodle4:00 pm Game Room7:00 pm Fireside Chat

Community Care Services Residential Care

Moving to a Care Facility

British 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.


What Clients Should Know Before They Move

Moving 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?

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.

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.

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.

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

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.

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.”


Case Management “Case Managers act as coordinators of care

and advocates to help ensure that the care plan proceeds smoothly and the elderly person’s care needs are properly met in a timely way.”


Three Phases in the Development of Long Term Care Services

First Phase Social Disinterest Family and Charitable Assistance From Colonialism to 1960s


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


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.

History of Evolution of Long Term Care


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


Saskatchewan Premier Tommy Douglas implemented North America’s first universal hospital insurance plan in 1947.


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.



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


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


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.


Regionalization (1980s – 1990s) Cost Containment Improved health outcomes Increased flexibility and responsiveness of

care Better integration and coordination of

services


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.

community care services residential care facility care residential care facilities provide 24-hour...

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