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When Is It Time to Consider a Long Term Care Home

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When Is It Time to Consider a Long Term Care Home Home and Community Care Support Services NORTH WEST When is it time to consider a Long-Term Care Home? Notes: N O Term Meaning Patient The person applying to go to long-term care (LTC) SDM Substitute Decision Maker — the person applying on behalf of the patient LTC Long-Term Care OHIP Ontario Health Insurance Plan Placement Term used to explain the process and/or act of applying for long-term care you and your loved ones as you adjust to your new surroundings. Long-term care homes are What is a long-term care home? licensed by the Government of Ontario and must A long-term care home is a place for you to live meet the requirements under the Long-Term Care comfortably and with dignity when it becomes Homes Act, 2007. too difficult to live at home independently. Long- term care homes are sometimes referred to as How do I know when it’s time to nursing homes. apply for long-term care? A long-term care home provides: Changes and transitions are part of every stage and age of life. There may come a time when you → On-site nursing care 24 hours a day wish to consider a long-term care home for the → All meals next phase in your life. You may begin to explore → Daily assistance with personal care – for long-term care as an option when you: example bathing, dressing and eating → Accommodation with basic furnishings → Feel your care needs exceed what other including a bed, chair and bed linens services in the community can provide → Laundry and housekeeping services → Need help with day-to-day tasks, such as → Religious and spiritual services eating, bathing and dressing → Personal hygiene supplies → Need on-site monitoring for your safety and → Someone to help you with your medication well-being and medical and/or clinical supplies → Are unable to return home after a stay in the → Social and recreational programs hospital → A safe and secure environment → Need nursing care available on-site 24 hours → Some long-term care homes also provide a day short stay bed options such as respite and convalescent care Home and Community Care Support Services are the placement coordinators for admissions to long-term care homes. All long-term care homes have Residents’ Councils and many also have Family Councils. Both play a role in services provided in homes and improving quality of life for residents, such as answering your questions and helping Where do I start? Whether you are interested in long-term care for yourself, a family member or friend, the caring and knowledgeable professionals at Home and Community Care Support Services North West will support you throughout your decision- making process. A Care Coordinator will work with you to: → Explore other housing options such as: • supportive housing and assisted living to help you remain supported at home as long as possible How much does it cost? • retirement homes, which are privately- Once you are admitted to a long-term care home, owned and operated facilities you are required to contribute to the cost of your suitable for seniors who require stay. The Ministry of Health and Long-Term Care minimal health care assistance publishes accommodation costs for all long- → Assess your needs whether you are at term care homes at Ontario.ca/LongTermCare home, elsewhere in the community, or in the and you may qualify for financial assistance. You hospital, and determine your eligibility for can speak with your care coordinator for more admission into a long-term care home information on costs. → Help you make an informed decision and work with you and your family to complete your application to long-term care homes → Assess if you are eligible for home care services and, if you are eligible, develop a How do I apply to a long-term care customized care plan that meets your needs home? until a long-term care bed becomes available Referral The decision to apply for long-term care is You can work with a Home and Community Care yours. You may have many questions and Support Services care coordinator to determine mixed emotions. It may be helpful to share whether you are eligible for admission to a long- your feelings with people you trust, including term care home and to identify homes your friends, family, doctor or religious/spiritual appropriate for you. You can refer yourself or leader. be referred to a care coordinator by a family member, physician, nurse, or community worker. If a person is not capable of making a decision → Location: Is the home close enough for about long–term care, the substitute decision- family and friends to visit? maker (for example, the person who holds a → Cultural/Language/Religious Preferences: Power of Attorney for Personal Care or certain Do these factors need to be considered? family members) may do so on their behalf. It → Types of Programs/Activities Offered: What is a good idea to discuss the decision to apply types of programs/activities (for example, openly and respectfully with the person for social events or outings) does the home offer whom long-term care is being considered. its residents? → Past Affiliation: Do you have a preference Visit Homes You Would Like to Consider for a specific long-term care home due to current or past involvement (for example, as Visiting homes or viewing virtual tours (if a volunteer, board member or friend/family of available) on your Home and Community Care a resident)? Support Services or long-term care home → Type of Accommodation: What type of room website will help answer some of your questions. is best suited for your needs? Options include By taking a tour, you can get a better feel for the a private room, semi-private room or basic surroundings and the people who work and live room. Please ask your tour guide about room in the home. set-ups (for example, sharing bathrooms, sharing rooms, personalizing your room with When you visit a long-term care home, you may artwork) and costs want to ask: → Additional Needs: Throughout Ontario there are some beds available for veterans, for → for an information package on the home reuniting spouses who both require long-term → for copies of recent inspection reports –the care, and for those with religious, cultural province conducts regular inspections, as or language preferences. Your care required under the Long-Term Care Homes coordinator will help you identify whether Act. You can also find the reports online at there are homes in your area that address publicreporting.ltchomes.net your specific needs and whether you meet → to speak to a member of the Home’s the requirements for admission Residents’ Council → to speak to a member of the home’s Family Assessments and Forms Council, if available → When you decide that long-term care is right Before touring the long-term care homes you are for you, you can work with your care considering, list the features that are important coordinator to begin the application process to you and pre-book the visit so that you will be → You will be asked to complete several forms able to get an informative tour. Some things to as part of the application process. You or consider for your list: your substitute decision-maker must give consent to apply for and be admitted to a long-term care home → As part of the application process, your care coordinator completes assessments to determine whether you are eligible for admission, including whether your care needs can be met in a long-term care home → If you are found to be eligible, you may select homes anywhere in Ontario. Home and Community Care Support Services can place you on a maximum of five waiting lists. (This maximum does not apply to people who are assessed as needing an immediate long- stay admission because of a crisis in their condition or circumstances.) What if I am not eligible for long- term care? If you are not eligible for admission to a long- Health Services Appeal and Review Board term care home, your care coordinator will 9th Floor-151 Bloor Street West explain why and will help you find alternatives Toronto ON M5S 1S4 to meet your needs. They will connect you with Telephone: (416) 327-8512, or community services that are right for you, such 1-866-282-2179 (toll-free) as meal services, friendly visiting and adult day programs, to help you to stay home longer than you thought possible. If you learn you are not eligible for long-term care and you disagree with the determination, we encourage you to discuss the matter with your care coordinator. If you are still not satisfied with the decision, you have the right to appeal to the provincial Health Services Appeal and Review Board: We know that waiting can be stressful for you and your caregivers. During this time, your care What if I am eligible for long-term coordinator will continue to work with you to care? ensure your needs are being met until a long- term care bed becomes available. Your care coordinator will notify you that you are eligible for long-term care and will send If you have been on the waiting list for a while, your application to the home(s) you selected. Home and Community Care Support Services Each long-term care home will review your may need to reassess you to see if there have application to determine if the home can meet been any changes in your condition or your needs. circumstances.
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