{"id":16563,"date":"2017-02-16T14:22:41","date_gmt":"2017-02-16T19:22:41","guid":{"rendered":"http:\/\/www.newspapers-online.com\/auroran\/?p=16563"},"modified":"2017-02-16T14:22:41","modified_gmt":"2017-02-16T19:22:41","slug":"outdated-care-homes-leave-some-seniors-at-disadvantage-association","status":"publish","type":"post","link":"https:\/\/www.newspapers-online.com\/auroran\/outdated-care-homes-leave-some-seniors-at-disadvantage-association\/","title":{"rendered":"Outdated care homes leave some seniors at disadvantage: Association"},"content":{"rendered":"<p><strong>By Brock Weir<\/strong><\/p>\n<p>\u201cNight and day.\u201d That is how Candace Chartier of the Ontario Long Term Care Association characterized the two wings of Chartwell Aurora, built some three decades part.<br \/>\nBut the care residents receive in each wing could be described the same way, despite the best efforts of Chartwell, and both the local long-term care residence and the Association (OLTCA) are ramping up efforts for increased Provincial funding to close the care gaps in outdated homes.<br \/>\n\u201cWe see homes like Chartwell Aurora where there are stark differences between the old and the new,\u201d said Ms. Chartier while visiting Chartwell on Thursday, the latest stop in the OLTCA\u2019s tour touting their plan for action, \u201cBetter Seniors\u2019 Care.\u201d<br \/>\nBetter Seniors\u2019 Care calls for immediate action to improve seniors\u2019 care in Ontario through: the implementation of a plan to modernize every long-term care home in Ontario that has been classified as \u201coutdated\u201d by the Province, thus improving the quality of care to 35,000 seniors living in these residences; ensuring seniors outside of urban centres have sufficient access to care close to home; and providing a more predictable approach to funding and ensuring specialized resources are enhanced to support residents with increasing needs.<br \/>\nContrasting the two wings, Ms. Chartier said residents living in the new wing have semi-private and private accommodation, nursing stations away from rooms and high traffic areas, and more dining areas more practical to access. In the original wing, built in the 1970s, up to four people can share a room, making for a noisy environment that is less than ideal for sleep.<br \/>\n\u201cIt is really important for us to get the capital funding right so that more homes can renew and more residents can get the luxury of having that new environment,\u201d said Ms. Chartier. \u201cIn addition to capital funding, which is huge, we\u2019re also looking at more enhanced supports for dementia care. I am not talking about staffing ratios, but specialized staffing that has the experience supporting residents with cognitive impairment and aggressive behaviours and coming up with individualized approaches that enhance the quality of life for those residents and residents around them.<br \/>\n\u201cHomes with specialized dementia support show a significant lower rate of aggressive behaviours, lower rates of restrains and lower rates of psychotropic medications. The OLTCA has done some significant analysis and we found that homes that have in-home supports like Behaviour Supports Ontario (BSO) where you have your own staffs specially trained, you have two to four times more success in dealing with cognitive impairments and better outcomes.<br \/>\n\u201cThere are far too many homes across the Province that don\u2019t have this in-home support and this home is an example of that. They have a mobile team, which is okay. It is better than not having anything at all, but they didn\u2019t receive the dedicated in-home funding. There is actually only 109 homes in the Province that have the dedicated in-home funding. That means this approach is reactive rather than proactive and sometimes residents in this home have to wait days to weeks to get that specialized support that they need and that shouldn\u2019t happen.\u201d<br \/>\nSpeaking to The Auroran following the announcement, Greg Boudreau Administrator at Chartwell Aurora, stressed the importance of having in-house BSO teams.<br \/>\n\u201cWe have residents that, when they escalate, we have to call for the resources,\u201d said Mr. Boudreau. \u201cWhere we see triggers that are happening, we need to be able to help that resident which also helps our other residents who are around them. The redevelopment of the building is hugely important, just the physical space for people to be able to walk around and not be in tight confinement definitely lowers the behaviours as well as it is even better for infection control.<br \/>\n\u201cPeople aren\u2019t near each other, so when someone does get sick it doesn\u2019t spread throughout the building, and just the physical environment we have an environment where we don\u2019t have dining rooms on every floor, so the residents spend a good deal of time transporting for meals and dining rooms where, instead of that they can be quickly into a dining room which gives them more space, is less crowded, more quiet and just a more civilized environment.<br \/>\n\u201cWe are unique where we have both standards. We have the newer building and we can see the difference. As people come into the building, they often want to move to the newer building because there are more private rooms, there\u2019s not the four bedroom wards. The physical environment and the experience is better there. However, they still end up staying here because of the care.<br \/>\n\u201cStaff need the resources and help to be able to deal with the residents with the increase in dementia, but we can ensure with how we are able to provide great care by how much better it could be in the [older] side of the building.\u201d<\/p>\n<a class=\"synved-social-button synved-social-button-share synved-social-size-24 synved-social-resolution-single synved-social-provider-facebook nolightbox\" data-provider=\"facebook\" target=\"_blank\" rel=\"nofollow\" title=\"Share on Facebook\" 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the Ontario Long Term Care Association characterized the two wings of Chartwell Aurora, built some three decades part. 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