A Village Philosophy: Creating a Continuum for Seniors in a Community Setting. By: Amy Porteous April 3, 2014

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1 A Village Philosophy: Creating a Continuum for Seniors in a Community Setting By: Amy Porteous April 3, 2014

2 Overview 1. Purpose 2. Who are we??? 3. Background to Developing Seniors Villages Assisted Living Services; Seniors Housing; Healthy Aging 4. Assisted Living Services to homes in community (2011) 5. Seniors Housing Construction and Move-In (2011 to 2014) a) Development c) Operation/Implementation b) Design d) Movement Across the Continuum

3 Purpose To share broadening of care to the Community; the Village model, and its essential components To share the innovative Co-Housing cluster model To highlight the resources required to make a Not For Profit Village work, highlighting financing and partnerships

4 Bruyère Continuing Care 269 long term care residents 2 sites (EBR and RSL) 90 rehabilitation beds Up to 25 clients at a time in a Day Program 331 Complex Continuing Care (SVH) 36 Palliative Care (EBR) 2 Family Medicine Clinics Community Programs 90 Assisted Living Clients in the Community (ALS) Adding 4 buildings, 227 units (70 of 90 ALS onsite)

5 Why?? Ottawa Affordable Supportive Housing for Seniors Framework United Way, City of Ottawa, 2007 Provincial Aging at Home Strategy $702 M, Champlain LHIN Directional Plan, October 2007 Champlain Balance of Care, Summer 2009 Caring for our Aging Population The Walker Report, 2011

6 Why Now? Waiting list for LTC up to 2 years at present. Provincial strategy has been to promote Aging at Home versus adding more LTC beds Dire shortfall of affordable housing for older adults and assisted living in Ottawa 1,000 + units required as per Affordable Supportive Housing for Seniors Framework (2007) developed by the United Way and City of Ottawa

7 Why Now? Second fastest growing senior population in Canada. By 2031, 22% of residents in Ottawa will be over 65 years of age Ottawa East is significantly under serviced, particularly for seniors One in four seniors require support for activities of daily living (bathing, cooking, etc.); yet there exists a shortage of services that support nutrition, safety, companionship and learning for the seniors population in Ottawa

8 Increased Cost to the Taxpayer (2010) St-Vincent Hospital (SVH) RSL LTC EBR LTC Assisted Living Cluster Assisted Living Other # of Beds Prov. Cost - Per diem $497 $175 $170 $70 $47 ALC Moves LTC to Assisted Living Moves SVH to RSL Savings = $11.2M $12.7M ($920K) ($583K)

9 Why Us? Supportive housing and healthy aging programming are part of the solution to address ALC: 10 to 17% of LTC residents could be in supportive housing or at home e.g. between residents in Ottawa 1 out of 5 people in Ontario are in wrong place and would be better served in a different level of care/setting Decreased quality of life Increased cost to the taxpayer Champions of aging Canadians Large provider of care services in Champlain. Over 75% of our patients / residents are seniors This is our niche

10 How did this get started? Architect Gerontologist consultant Planning consultant Key members of Bruyère Continuing Care and PRVHC Senior Management Teams Literature review of international reports on Village projects Site visits to village projects in Ontario Functional planning document produced summarizing evidence and outlining plan for Project

11 What is our vision? To provide a continuum of care for seniors allowing them to: remain in their homes as long as possible (e.g. community outreach) provide for different levels of accommodation (e.g. independent living, assisted living, LTC) offer affordable housing maintain healthy lifestyles (e.g. healthy aging programming) To develop a model to promote the greatest possible independence and the highest quality of life for older adults through an economically sustainable model within a neighbourhood type design

12 What is the Bruyère Village? The Bruyère Village offers: A range of housing options (independent living, assisted living, cluster living and long term care) Services depending on the need Healthy aging programs to keep people healthy and well for as long as possible, based on interests

13 Village Components

14 Bruyère Village Unique Features Waterfront location, 27 acres Resident driven activities Bilingual 60 + environment Unique design concept Continuum: From independent living to long term care on one site Variety of communal spaces Community feeling and sense Easy access to services Walking paths

15 Accommodation Types Phase One (open since November 2012): Independent Living Independent apartments (33) Options: One-bedroom, one-bedroom plus den, two-bedroom and two-bedroom plus den Independent city apartments (45) 39 Below Market and Average Market Rents (BMR and AMR) and 6 Rent Geared to Income (RGI) Options: One-bedroom, one-bedroom plus den

16 Accommodation Types Phase 2; opened January 2014 Assisted living suites (113) One-bedroom, two-bedroom, two-bedroom plus den and twobedroom plus corner comes with stove, refrigerator, dishwasher and washer/dryer Cluster living suites (36) Fully furnished bachelor apartment with mini kitchen plus communal spaces, central kitchen and laundry

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21 Assisted Living Services The Assisted Living Services for High Risk Seniors Policy, 2010 of the Ministry of Health and Long-Term Care (MOHLTC) involves the LHIN, CCAC and Agencies Providing services to high risk seniors whose needs cannot be solely met on a scheduled basis to enable them to stay in their own homes to live as independently as possible; and, supports our hospitals and LTC homes to function properly Bruyère has been funded by the LHIN for 110 clients

22 Onsite Services / Amenities Pharmacy Physio / OT/ SW / Dietician Parking Hair Studio/Barber Cafeteria Chapel Healthy Aging Centre City Bus at entrance Courtyard / Greenspace 24 hour emergency service Accessibility Elevator Laundry facilities Gift Shop / Boutique Hobby Room, Multipurpose Room & Theatre, Lounge Ensuite Storage/Lockers Balcony Assisted Living Services

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24 Building A Floor PlanPlan

25 What is so innovative about it?

26 Partnerships

27 Financing Bruyère TOTAL CAPITAL COST (all amounts 62.0 in $ Millions) Submission to the City under the 5.4 Canada-Ontario Aging at Home Program Operating Subsidy for ALS-HRS 1.7 (AHP with Champlain LHIN) annualized funding Foundation / Fundraising Energy Grant (Geothermal) Infrastructure Ontario 55.0 Family Health Clinic *Discussions Underway Univ of Ottawa and MOHLTC

28 How will success be measured? Long Term System Indicators Shorter waiting lists for long term care and more appropriate placement Fewer alternate level of care beds utilized Fewer inappropriate hospital emergency visits by seniors Long Term Indicators for Seniors Increased awareness of and access to community and support services Increased access to affordable housing Engagement and participation in the community Maintenance or improved functional ability for activities of daily living

29 Comments / Questions?

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