Erie St. Clair Community Care Access Centre (CCAC) Making the Move to a Retirement Home

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1 Erie St. Clair Community Care Access Centre (CCAC) Making the Move to a Retirement Home

2 The Erie St. Clair CCAC Table of Contents Introduction...2 Options for Care...2 Care in your Home...2 Care in your Community...2 Retirement Homes...3 Admission to a Retirement Home...4 Choosing a Retirement Home...4 Ontario Residential Care Association (ORCA)...4 The Residential Tenancies Act, The Retirement Homes Act, Residents Bill of Rights...6 Appendix...7 Choosing a Retirement Home...7 Comparing Residential Care Options...9 MAKING THE MOVE TO A RETIREMENT HOME 1

3 Introduction When a person s care needs can no longer be met at home, transitioning to a retirement home may be the best option. Retirement homes can provide residents with assistance to meet their varying needs. The Erie St. Clair Community Care Access Centre (CCAC) has developed this information booklet to assist individuals, their families and caregivers in making an informed decision. Options for Care Care in Your Home The Erie St. Clair CCAC offers a wide range of options covered by Ontario Health Insurance (OHIP) that may help you to stay at home for a longer period of time. Our Care Coordinators can conduct a personal health assessment with you and your family or caregiver(s) from which they develop a care plan that best suits your needs and wishes. Your Care Coordinator will also check in regularly with you and adjust your plan if your needs or wishes change. If eligible, your Care Coordinator will arrange CCAC services for you. These may include: Nursing; Social work; Personal support; Speech and language therapy; Occupational therapy; Nutritional counselling; and Physiotherapy; Specialty medical equipment and supplies. Care in Your Community Your Care Coordinator can also connect you to community based services that support you in remaining independent and at home. In some cases, the Ministry of Health and Long-Term Care will cover the cost of these services, while others may have a fee. These services include: Meals on Wheels; Friendly visits; Counselling; Private pay homemaking and nursing services; Support groups; Shopping; Reassurance calls; Supportive housing; and Adult day programs. You can explore the many community services in the Erie St. Clair region by visiting eriestclairhealthline.ca. MAKING THE MOVE TO A RETIREMENT HOME 2

4 Retirement Homes Retirement homes are privately owned and operated. They are suitable for seniors who are independent, but may require minimal assistance. A senior entering a retirement home should be independently mobile, either alone or with the use of a cane, a walker or a wheelchair. The senior may have a chronic or ongoing medical condition, but is stabilized either by medication or by other measures. Seniors requiring this type of care are commonly able to perform most daily grooming tasks, such as washing, dressing and shaving. However, due to physical or mental limitations, they may require someone to monitor, supervise or provide minimal assistance to ensure that these tasks are completed. The individual should be independent with their toileting needs, requiring only a gentle reminder or assistance locating washroom facilities when needed. Retirement homes are suitable for seniors who are independent, but may require minimal assistance. The care provided in a retirement home is primarily supervisory; treatments, if any, are standardized and include maintenance, medication and preventative care. The individual receiving residential care should expect: Supervision on a 24-hour basis by non-professional staff, such as nursing aides and access to professional nursing consultation, either by a staff member or a visiting nurse; Access to periodic professional health care, either by transport to a medical practitioner, or through regular visits by either the house physician or the individual s personal physician; Assistance as required with personal and non-personal care; Assistance with the administration of medication; And access to social and recreational activities. MAKING THE MOVE TO A RETIREMENT HOME 3

5 Admission to a Retirement Home Admission to a retirement home is a direct admission, which is a private arrangement between the resident, the family and the home. The Erie St. Clair CCAC does not process applications or coordinate admission to retirement homes. It is recommended that when looking to move to a retirement home, the resident and his or her family contact the manager of the home to arrange a tour and discuss available services and related costs. Under the Residential Tenancies Act, you are also entitled to receive a Care Home Information Package (CHIP) from the manager, providing you with a variety of information about the home. The cost of accommodation varies by home. The resident or family is completely responsible for payment. There are select homes in Windsor and Essex County that accept subsidized residents. For more information on these subsidies, please contact the City of Windsor or the County of Essex. Choosing a Retirement Home There are numerous retirement homes located in Chatham-Kent, Sarnia-Lambton and Windsor-Essex. A list of retirement homes in your region can be accessed by visiting or by talking to your Care Coordinator. In addition, you can find local homes by visiting the eriestclairhealthline.ca. Residents are highly encouraged to tour several retirement homes in their area before making a decision. Homes vary in location, size, price, amenities, programs and services. You are searching for your potential new home and should consider carefully before choosing. Refer to the Retirement Home Tour Checklist on page 7 for help in comparing the retirement homes you visit. Ontario Residential Care Association (ORCA) The Ontario Residential Care Association (ORCA) has developed standards for safety and security, recreation, meals, quality of resident care, housekeeping, building maintenance and more. Retirement homes that are ORCA members are monitored regularly to ensure that they comply with these industry standards. ORCA offers a Complaints Response and Information Service (CRIS). CRIS provides individuals with information about retirement living and offers a forum to express concerns or complaints about retirement homes in Ontario. ORCA can be contacted by calling or online at MAKING THE MOVE TO A RETIREMENT HOME 4

6 The Residential Tenancies Act, 2006 The Residential Tenancies Act, 2006 applies to most residential rental units including retirement homes (referred to as care homes). The Residential Tenancies Act, 2006 includes the following for care homes: The home must give every new tenant a Care Home Information Package (CHIP), which includes: -A list of the different types of accommodation provided in the home; -Charges for the different types of accommodation and for any alternative packages of care services and meals; -Minimum staffing levels and qualifications of staff; -Details about the emergency response system; -A list and fee schedule for any additional services and meals available from the landlord on a user pay basis; and -A description of any internal procedures for dealing with complaints; The home must give the tenant at least 90 days notice in writing of any increase in rent and the rent can only be increased once every 12 months; The home must give the tenant at least 90 days notice in writing of any increase in fees for care services (no restrictions on these fee increases); and The tenant must give the home at least 30 days notice to end their tenancy. You can acess the full Residential Tenancies Act, 2006 at elaws_statutes_06r17_e.htm#bk193. The Retirement Homes Act, 2010 The Retirement Homes Act, 2010 protects the rights of those living in a retirement home. The act includes: The requirement of retirement homes to possess a licence to operate; Residents rights; Care standards and staff training requirements; Protections against abuse and neglect; Inspections and powers of inspectors; and Offences, penalties, appeals and enforcement. You can access the full Retirement Homes Act, 2010 at regs_110166_e.htm#bk14. MAKING THE MOVE TO A RETIREMENT HOME 5

7 Residents Bill of Rights (Retirement Homes Act, 2010) Every resident of a retirement home has the following rights which constitute the Residents Bill of Rights: 1. The right to: i. know what care services are provided in the home and how much they cost; ii. be informed in advance of any increases in charges for care services provided in the home; iii. receive advance notice of a decision of the licensee of the home to discontinue providing a particular care service; iv. have the licensee of the home take reasonable steps to facilitate the resident s access to any external care providers that the resident needs, if the resident receives the notice described in subparagraph iii and indicates that he or she is going to continue to reside in the home; and v. have the licensee of the home take reasonable steps to find appropriate alternate accommodation for the resident, if the resident receives the notice described in subparagraph iii and indicates that he or she is going to cease to reside in the home. 2. The right to apply for publicly funded care services and assessments. 3. The right to be informed about and to apply for care services and assessments from an external care provider. 4. The right to have his or her choice of care services provided by staff who are suitably qualified and trained to provide the services. 5. The right to: i. participate fully in making any decision concerning any aspect of his or her care; ii. participate fully in the development, implementation, review and revision of his or her plan of care; and iii. give or refuse consent to any treatment, care or service for which his or her consent is required by law and to be informed of the consequences of giving or refusing consent. 6. The right not to be restrained except in accordance with the common law. MAKING THE MOVE TO A RETIREMENT HOME 6

8 7. The right to be afforded privacy in treatment and in caring for his or her personal needs. 8. The right to live in a safe and clean environment where he or she is treated with courtesy and respect and in a way that fully recognizes the resident s individuality and respects the resident s dignity. 9. The right to have his or her lifestyle and choices respected and to freely pursue his or her social, cultural, religious, spiritual and other interests as long as the resident s lifestyle, choices and pursuits do not substantially interfere with the reasonable enjoyment of the home for all usual purposes by the licensee and other residents. 10. The right to raise concerns or recommend changes in policies and services on behalf of oneself or others to the Authority or any other person without interference and without fear of coercion, discrimination or reprisal, whether directed at the resident or anyone else. 2010, c. 11, s. 51 (1). Appendix Choosing a Retirement Home While touring the residence, consider the following checklist: SERVICES AVAILABLE: Meals Medication supervision/administration Personal laundry RN/RPN on staff Transportation Nursing care Tray service to suites Visiting physician Assistance with feeding Physician on call Assistance with bathing Visiting dental service Assistance with dressing Visiting lab services Assistance with ambulation Visiting podiatrist Daily housekeeping Visiting physiotherapist Weekly housekeeping Respite/convalescent care Recreational programs Dementia unit Pharmacy services Vitals monitoring BUILDING AMENITIES: Central dining room Library Lounges Private dining room/area Beauty salon Chapel Resident storage Parking Tuck shop Sprinkler system Fire and/or smoke alarms Horticulture area Wheelchair accessible Air-conditioned common areas MAKING THE MOVE TO A RETIREMENT HOME 7

9 SUITE AMENITIES: Private bath Kitchenette Fire and/or smoke alarms Sprinkler in each suite Heating: individually controlled Air-conditioning: individually controlled Call bell system COMMUNITY SERVICES: How close is the nearest hospital, medical clinic, dentist office? Are there churches, parks, shops and seniors centers nearby? How accessible is public transportation? Is there a transit service for the disabled? FINANCIAL MATTERS: What is the daily/monthly rate? Are there charges for additional services that you may want or need? Is phone or cable service part of your package? Is there a resident petty cash account with separate accounting? What type of notice period is required should you need or decide to move? How often are rates for accommodation and/or services increased? What is the average annual rate of increase over the last few years? ADMISSION POLICIES Are wheelchairs and walkers accepted? Are scooters permitted? Are any forms of oxygen therapy allowed? Is a health assessment required? OTHER CONSIDERATIONS: Is the home accredited by ORCA*? *ORCA is the Ontario Retirement Communities Association. For more information on ORCA-accredited retirement homes, go to MAKING THE MOVE TO A RETIREMENT HOME 8

10 Comparing Residential Care Options Retirement Homes Supportive Housing Long-Term Care Homes Also referred Retirement Residence, Care Non-profit housing, Social Homes, Nursing Homes, to as: Home, Assisted Living, Rest Housing, Seniors Housing Homes for the Aged Home Levels of Individuals or couples who Individuals or couples who Individuals who need higher Care need light housekeeping, need daily personal care, levels of daily personal care, meals, low levels of 24-hour availability of a availability of 24-hour nursing personal care and trained personal support care or supervision, and a availability of staff on worker, meal preparation secure environment. a 24-hour basis, to live and/or homemaking to live independently. independently. Accommoda- Ranges from shared living Ranges from shared living Ranges from rooms with 4 tion style to bachelor, one or two- to bachelor, one or two- people, to semi-private and bedroom apartments. bedroom apartments. private rooms. Owned and Private corporations and Building management Municipal governments, managed by: in a few cases, non-profit varies. Services managed Non-profit corporations or corporations. by non-profit corporations. Private corporations. Cost Ranges Costs for accommodation Rental costs vary but The co-payment rates (per person) and care can range from usually range from $600 change from time to time $1500 to $5000 per month to $1200 per month. Rent (at minimum, annually). For for a private room. subsidies are available the most up-to-date rates, in some locations. The contact your local Community support services costs are Care Access Centre. covered by MOHLTC. Government None Government can subsidize Government can subsidize Funding the rent to the level of 30% accommodation to the basic of gross household income or standard rate for those for those who qualify. The who qualify for this subsidy. MOHLTC funds support The MOHLTC funds the care services. provided in homes. Governing The Residential Tenancies Building Tenancy: The Long Term Care Homes Legislation Act, 2006 The Residential Tenancies Act, 2007 Some municipalities may Act, 2006 also have care home bylaws. Service Provision: The Long Term Care Homes Act, 2007 Accreditation Voluntary accreditation Voluntary accreditation Voluntary accreditation through the Ontario through the Council through the Canadian Residential Care Association on Health Services Council for Health Services (ORCA) Accreditation. Accreditation. How to You select and apply You select and apply direct- Apply via your local CCAC, Select and directly to the retirement ly to the supportive housing and if eligible, select your Apply home. unit. choices. MAKING THE MOVE TO A RETIREMENT HOME 9

11 The Erie St. Clair Healthline helps connect caregivers, patients and community members to health and social services in the communities of Chatham-Kent, Sarnia-Lambton and Windsor-Essex. A database of all health services in the community, the Erie St. Clair Healthline is a comprehensive source for all residents in the Erie St. Clair LHIN. Users can simply visit the site - eriestclairhealthline.ca - choose their region and search for health services in their community, from prenatal classes to walk-in clinics to retirement homes. Each service or organization has a profile that will provide users with a variety of information, including the organization s address, phone number and website. Erie St. Clair Community Care Access Centre Phone: Toll Free: TTY: Connect with us!

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