Lakeland Resident and Family

Lakeland Resident and Family

Handbook

Table of Contents

Subject Index Page 2

Overview Page 3

Welcome From the Chair of the BoardPage 3

Welcome From the AdministratorPage 3

Mission, Vision, ValuesPage 4

Lakeland SpiritPage 4

Our BeliefPage 4

Contacting the Lakeland TeamPage 5

About the HandbookPage 6

Subject Index
A
About Bed Availability 6
Admission 6
Admission Day 6
Admission – Moving In 7
Admission – Unpacking 7
Appointments 7
B
Bathing 7
C
Care Conferences 8
Care Plan 8
Confidence to Report 8
Community Resources 30
D
Dental 8
E
Email & Computer Access 9
F
Flu Outbreak 9
Family Admission Assessment 26
Family Council/Aux. 9
Family Gatherings 10
Family Newsletter 10
Fire Safety 10
Fundamental Principles 11
H
Hair Salon 11
Hand Washing 11
Health Cards 12
Helping Those Who Cannot Read 12
I
Income Tax 13
Items Not to Bring 13
Items that Must be Reported 14
Items, Electrical 14
Items, LakeRosseau 14 / L
LakelandSpiritArtGallery 15
Laundry – Keeping an Inventory 15
Laundry 15
Least Restraint Policy 16
Leave of Absence 16
M
Map: First Floor 27
Map: Second Floor 28
Meal Preparation 17
Medication 17
Ministry Toll Free Number 17
P
Pets 17
Physician 17
Private Caregivers 18
Q
Questions/Concerns 18
R
Recreation 18
Resident Bill of Rights 19
Resident Council 21
Resident Safety 21
Room Layouts 29
S
Seasonal Decorations 22
Security 22
Scent Free 22
Smoking 23
Spiritual Needs 23
T
Telephones 23
Trust Accounts 23
TV Listings 31
V
Visit, What to Do 24
Visitor Meals 24
Veterans 24
Visiting Hours 24
Volunteering 25
Z
Zero Tolerance of Abuse 25
Overview

Lakeland is a 110 bed public, not-for-profit long-term care home, owned by the West Parry Sound Health Centre (WPSHC). Lakeland is accountable to a six (6) member Board consisting of three (3) community representatives and three (3) members from the WPSHC Board. All issues involving Lakeland’s operations are reported to Lakeland’s Board. Lakeland is also accountable to the Ministry of Health and Long-Term Care (MOHLTC). A MOHLTC Compliance Officer conducts regular reviews of Lakeland’s operations, as well as on site inspections. Lakeland does not receive prior warning of these inspections, and any aspect of Lakeland’s operations may be reviewed. Copies of previous inspection reports are available in front of the administration offices.

Welcome from the Chair of the Board

I would like to welcome you on behalf of Lakeland’s Board, staff, and managers. Lakeland opened in June 2005 and has experienced a success that is attributed to the dedication of its staff, managers, and volunteers. The role of the board is to assist in any way possible to ensure that quality of care and performance are achieved. Although Lakeland is attached to the West Parry Sound Hospital, it is a separate corporation and operates independently from the Health Centre. The most impressive aspect of Lakeland is its atmosphere. Lakeland strives to be as home-like as possible. You will experience a welcome-ness within these walls and a passion by those who work here. The Board is proud of Lakeland’s achievements and is excited about its future. We know you will experience all the special qualities of the home.

Welcome from the Administrator

Long-term care is different from other health care organizations and services. Our goal is to create a home-like environment, while at the same time addressing medical, mental, spiritual, physical and emotional needs based on recognized best practices. We cannot do our job in isolation. Involvement by resident and/or family is critical to assist us to be effective in enhancing quality for those who live at Lakeland. Our staff and managers are highly dedicated to this home and make a personal commitment to our residents. As Administrator, I also make a personal commitment that all issues, questions or concerns from residents and/or family members are addressed to the best of our ability. Visit Lakeland’s website at for details on our operations, our creative programs, supports for families, educational sessions and many other resources.

1

Mission, Vision, Values

Mission:To exceed expectations.

Vision:To be a centre of excellence.

Values:Lakeland will celebrate LIFE through:

Living – where we weave the elements of care, living, sensory experience, and community

Individuality – of each resident

Family – participation as members of our team

Empowerment – of residents, their family, staff, and volunteers

Lakeland Spirit

The Lakeland Spirit represents the culture we want to create within the home.

The Lakeland Spirit consists of the following qualities:

Professionalism – high standards for how we act, what we do and how we present ourselves.

Creativity – encouragement to generate ideas, to contribute to the growth of co-workers and the home in general.

Open-mindedness – willingness to learn and share.

Respect – seeing each person as a valuable member of our team and a contributor to our success.

Excitement – enjoying what we do and showing our enthusiasm.

Our Belief

Lakeland Long-Term Care is not only a community of residents, family, friends, staff, volunteers, and visitors, but it is also a home for those who live here. We interact in our community and home in a way that is respectful, kind, and considerate of all.

Contacting the Lakeland Team

Residents and family members are encouraged to contact the Registered Practical Nurse (RPN) or Nurse Manager (Registered Nurse – RN) with questions concerning care needs or specific questions regarding treatment or medications. (see numbers below)

***MAIN Family and Resident Number: 705-773-4041***

Please use this number if you know the extension of the person you are trying to reach.

1

General Phone Number:

705-746-9667 (Reception and/or Switch Board)

Address: 6 Albert Street, Parry Sound, Ontario, P2A 3A4

Fax Numbers:

Nursing (705) 773-4042

Administration (705) 773-4637

1

Nursing & Care

$RPNLake Rosseau (Room 101-121)Ext. 1462

Magnetawan (Room 122-147)Ext. 1463

Georgian Bay (Room 201-225)Ext. 1464

Sung Harbour (Room 226-251)Ext. 1466

$Nurse Manager (24/7),Ext. 1468

$AssistantDirector of Nursing, Ext. 1026

$Director of Nursing and Personal Care, Ext. 1016

Administration

$Business Manager (Parking Passes, Resident Trust Accounts, Resident Billing),

Ext. 1021

$ Administrator, Ext. 1018

Other Services

$Recreation Coordinators (Volunteers, Pet Temperament Tests), Ext.1044

$Support Services Manager (Housekeeping, Dietary, Link to Dietician), Ext. 2220

$Social Services Manager (Tours, Admissions, Social Work), Ext 1446

$Chaplain, Ext. 3438,

$

About the Handbook

There are often many questions about long-term care, its practices, and its procedures. We hope that the following list of frequently asked questions will provide you with the information you need. Please feel free to speak with any manager if you require clarification or further information. We are pleased to help you in any way we can.

ABOUT BED AVAILABLITY

What can we do while we wait for a bed to become available?

Unfortunately, there is a wait list for admission to long-term care. We cannot predict when a bed will become available or when an admission will occur. Be prepared. The reality of the situation is that when a bed is available, you will have only a few days warning before date of admission. While you wait, complete the “Family Admission Assessment” and make a list of the items that you will be bringing to Lakeland. In the meantime, ensure that you speak with CCAC (Community Care Access Centre) for supports in personal care to assist you or your relative.

ADMISSION

What could be the response to admission?

It is important to note that no one plans to be admitted to a long-term care facility. It is circumstance that dictates the need for this level of care and support. As a result, it is not easy to predict how a person will respond to admission. Some individuals embrace the experience; relieved of the pressures to maintain their own needs during trying times or thankful that the demands are removed from their primary caregiver. Others experience a transition period. It can take a few months to adjust to the routine, to get to know the staff and to develop relationships; however, there are others who do not adjust well to living in a long-term care facility despite all of the measures taken to assist them. Remember, you are not dealing with this alone. Our staff and managers are experienced in helping both the resident and their family adjust to admission. Keep communication open. Talk to us when your family or the resident encounters anything that requires more information, clarification, or direction. We will work through this together!

ADMISSION DAY

What can we expect on the day of admission?

The day of admissioncan be stressful. Not only is the new resident dealing with the move, there are also a number of documents that will need to be completed that day, a number of new people to meet, and new routines to learn. We try to make the process as easy on the new resident as possible. On the day of admission, we will go through the Accommodation Agreement and Purchases of Services Agreement with the resident and/or family. The ideal time to bring your relative to the home is mid-morning. Family often ask if they should stay on admission day or leave as soon as the documents are completed -The answer is: stay! Your presence is valuable in assisting with the transition, in reinforcing some of the information, and with advocating on behalf of your relative. We also encourage you to join yourrelative for lunch and dinner.

ADMISSION - MOVING IN

What concerns are there in terms of moving in furniture and other personal items?

• There is no special time for moving; however, we do ask for discretion if you should choose to move after 8 p.m. In some circumstances, furniture and other items can be moved in on the day before admission. Please contact our Social Services Manager at Ext. 1446 to see if this is possible.
• A flatbed Rubbermaid cart (located in the Celebration Room – the large meeting room to the right of the Cafe) is available to transport furniture and personal items. If the cart is not in the celebration room, it is likely in use. Please ask a staff member when it will be free.
• Remember: the laneway by the front door is a fire route and must remain clear. When transporting items from your vehicle, please park at the front door, unload
• your items in the front foyer, and then move your vehicle to the meter parking or the Lakeland parking lot. Please do not leave your vehicle in the laneway.

ADMISSION - UNPACKING

Should I unpack right away?

• No, you should leave things in the bags so that an inventory sheet can be completed.
• All medications, including vitamins and over-the-counter drugs, must be given to the Nurse Manager.
• An easy to open plastic container is recommended for toiletries.
• Remember: Proper footwear helps to prevent falls!

APPOINTMENTS

Who accompanies residents to appointments?

It may be necessary for a resident to attend an appointment at the hospital or a location outside of the home. Unfortunately,Lakeland is not able to provide an escort to these destinations but does strongly recommend that every resident be accompanied to these appointments. Volunteers may be available to assist, but are not considered escorts since they will not remain with the resident and cannot help with transfers, toileting, disrobing, etc…If you need assistance with arranging an escort, please call the Social Services Manager at extension 1446.

Let us know if the resident sees a specialist from out of the area. Lakeland has specialized video teleconferencing equipment available to connect the resident with most specialists without the need to leave Lakeland.

BATHING

What is the bathing routine?

Each resident will receive two (2) baths and/or showers per week. The resident may choose whether to have a bath or shower, and may alternate from one to another as desired. Talk to us if there is a desire to schedule a bath or shower more frequently.

CARE CONFERENCES

How do we know the plan of care?

Lakeland strongly encourages family members to be part of our team. We can more effectively care for your loved one with your valuable input. Care conferences are one of the waysfamily members can contribute. Care Conferences are scheduled to occur six (6) weeks after admission and annually from then on. The purpose of the Care Conference is for the resident and family to meet with our care team, which includes: the physician, nursing, social work, recreation, and support services members. Care conferences usually last approximately 30 minutes and are based on the physician’s scheduled visits to the home. You will be contacted to ensure that the date your relative is scheduled for a Care Conference is also convenient for you. We invite family members living out of town to join Care Conferences by telephone if they are unable to attend in person. In addition to the scheduled Care Conferences, you are welcomed to request a Care Conference with our team at any time if you have concerns that you would like to discuss. To do so, contact our Social Services Manager at ext. 1446.

CARE PLAN

How is the plan of care determined?

A Care Plan is a formal outline of care required for each resident. Care plans are developed and revised by the care team on a regular basis with resident and/or family input. What is important to know, is that the plan of care is always evolving. On admission, it takes time for the care team to learn the needs and approach for a new resident. This is where the family’s input is most valuable. Your knowledge will assist in directing us on the best approach for your relative and which supports we can provide. Likewise, the care plan will change as the resident’s condition changes and again your input is valuable. We will

review the Care Plan with you during the Care Conference, which will take place six (6) weeks after admission and annually thereafter.

Confidence to Report Policy

(Whistle Blowing Protection Policy)

There is often worry about retaliation when it comes to reporting abuse and/or misconduct. Lakeland’s leadership team will do all in its power to protect any person who reports abuse. In fact, the new Nursing Home Act requires every nursing home to implement measures to protect those who report abuse or misconduct. If you have any concerns or believe you are being subjected to any retaliation as a result of your reporting abuse or misconduct, please contact: Len Fabiano, Administrator at Ext. 1018 or Deborah Randall-Wood, Director of Nursing and Personal Care at Ext. 1016.

DENTAL

We encourage preventative dental care!

Dental Services can be arranged to take place in the home.

Please contact Riverview Dental for their next planned visit and appointment time:

(705) 746-4290

EMAIL & COMPUTER ACCESS

Can I send an email to a resident?

Email is a quick and simple way to keep in touch. If you would like to send an email to a resident, please send your email to with the resident’s name in the subject line. Our Recreation staff will print the email and deliver it to the indicated resident. Additionally, residents can dictate emails to our Recreation staff to be sent to family/friends. Residents that have web-based email accounts (i.e. Gmail or Hotmail) can access their personal email through any of the 3 resident computers which can be found in the Den of our home areas (excluding LakeRosseau).

The resident computers are equipped with webcam technology and SKYPE for video chat if desired. Our Recreation staff can provide assistance with utilizing the computers if required.

FLU OUTBREAK

What are the precautions to be taken during an outbreak (i.e. flu)?

Every precaution is taken to prevent the flu from spreading to residents within the home. Hand washing is a simple and effective way to prevent the spread of the flu. You will find hand sanitization containers placed in obvious areas throughout the home. Please use them when you enter and leave the building.

We are required by the Ministry to declare when the home or a home area is in outbreak (when a number of residents demonstrate flu-like symptoms). There may be times when a specific resident may be restricted to his/her room to prevent the spread of the flu to the other residents. Likewise, there are times when a home area is considered in outbreak. When this occurs, all of the residents on that home area are restricted from the rest of the home. We strongly encourage our residents not to leave the building during an outbreak to prevent spread to family and/or the community. It is possible that we may need to restrict visitors during an outbreak. We will notify you when an outbreak is declared. Please let us know if you or your family develop flu-like symptoms. It is important to the health and safety of our residents & staff, that you not visit the home until you are symptom free for at least 72 hours.

Family Council & Auxiliary

Lakeland’s Family Council and Auxiliary consist offriends and family members of Lakeland residents. The Auxiliary meets on a monthly basis (with exception to summer). Family Auxiliary meetings provide family members with an opportunity to:

1. Link with families who have been associated with Lakeland for some time.
2. Discuss issues relevant to long term care.
3. Participate in educational sessions.
4. Assist with numerous fund raising activities and resident events.

Our Social Services Manager (ext. 1446) organizes the Family Auxiliary meetings and prepares the agenda.