Planning for Long-Term Care Where do I start?

The Halton Local Health Integration Network (LHIN) is your single point of access to information about, and to apply for admission to, long-term care homes. You cannot apply directly to the long-term care home.

Each Mississauga Halton LHIN patient is assigned a care coordinator who collaborates with patients, families, caregivers and/or substitute decision makers to assist patients in making health care choices and achieving their short and long-term health care goals.

Your Mississauga Halton LHIN care coordinator will: • Provide you with information about long-term care homes • Provide information about financial options, if required • Complete an assessment at your home or in hospital and determine Tip your eligibility • Help you with the application forms and coordinate the application It’s a good idea to process to facilitate access to long-term care talk to someone • Provide information on alternatives to long-term care homes, such as supportive/assistive housing, retirement homes and you trust and let seniors apartments them know what • Empower you or your decision-makers with the information you need you want your to make an informed decision on a long-term care home that suits your needs and interests life to look like in • Place you, if necessary, on the waiting lists of the long-term care the future should homes you select you not be able to • Offer you a bed in a chosen long-term care home when one make decisions becomes available for yourself. If you need more information or would like to discuss the long-term care process in the Mississauga Halton LHIN region, please call (toll free) 1-877-336-9090.

2 | Planning for Long-Term Care What are my options?

Care in your home Before you think of leaving your home for a long-term care destination, the Mississauga Halton LHIN will help you to explore all your options to be supported at home. If you need help with day-to-day tasks, such as bathing and cooking, you may be able to stay in your home with the support of home care services and/or care in the community. Care in your community The Mississauga Halton LHIN will connect you to community services that are right for you. You can take advantage of a variety of support services available in your community, whether you’re receiving care in your home, or managing on your own.

Our knowledgeable staff provide the key link between you and all the available community-based services to help you achieve your best possible health care and wellbeing.

Community-based services such as meal services, friendly visiting, adult day programs and many more, may enable you to stay in your home longer than you thought possible. But if you do determine that you need more comprehensive support, here are some options to consider:

• Retirement homes are a good fit if your care needs don’t require 24-hour nursing availability, specialized services and government subsidized care.

• Convalescent care may be the right level of care if your medical condition requires nursing care and other resources on a 24-hour basis. Typically, complex continuing care is necessary when care needs cannot be met in long-term care.

• Short-stay is ideal if all you need is a brief stay in a long-term care Home while your caregiver or loved one is on vacation or taking a rest, or while you are recovering from an illness or surgery (this is also referred to as respite care).

• Long-term care homes may be what you need if you have exhausted all the services in the community and it has become too much of a challenge for you or your caregiver for you to stay in your own home. If you are a veteran you may be eligible for Veterans Affairs “Priority Access” long-term care beds.

Planning for Long-Term Care | 3 How do I know when it’s time to apply to long-term care?

There is no simple rule to tell when it’s time to apply for long-term care. Each person has a unique blend of care needs and available resources. Making a decision about when to seek long-term care Common signs that it is time to requires time and planning because there are a number of factors consider long-term care: to be considered. • Struggles with patient’s resistance to care and Here are some factors to consider while determining if you/ medications your loved one needs more help: • Limited appropriate respite • What level of care do I need? options (i.e. overnight, in-home) • Has there been a change in care requirements? • Interrupted sleep for the • What are my personal preferences/values? caregiver • What help can family and friends provide? • Patient/family verbal • What services am I eligible for? expressions of coping concerns • What services are available in the community? • Change in medical stability • What can I afford? • Change in family support • What to do and who to turn to in a crisis situation? • Caregiver illness

What does long-term care provide?

Long-term care homes provide a wide range of services for people who can no longer live independently, including: Long-term care home • Nursing and personal care eligibility criteria: • Regular and emergency medical care by the on-call • Patient is 18 years or older physician • Valid Health Card • Treatment and medication administration (OHIP) • Assistance with activities of daily living • Exhausted publicly funded community-based service • 24-hour supervision options • Room and board, including laundry services • Risk to self or others • Pastoral services • Frequent monitoring and • Social and recreational programs assistance needed All long-term care homes are funded by the Ministry of Health • Can have his/her care needs and Long-Term Care and governed by legislated standards. met in a long-term care home

4 | Planning for Long-Term Care Tips for Touring Homes

Touring long-term care homes can help you/your loved ones make decisions about which home is right for you. Review the list of tips below to help you make the most of your long-term care home tours.

1. Bring patient whenever possible. 2. Visit the long-term care home a couple of times, if possible. 3. Speak with the residents while on tour and chat with the resident families to see how they feel about the home. 4. If the patient needs a secure unit (locked unit), ask to tour this unit. 5. Make a note of general impression of the home, the room, caregiver training and support, prevention and response to abuse, volunteers, care plan is tailored to the resident preferences and lifestyle. 6. Review the activity calendar.

There are several resources available to patients and families to help them make an informed decision when applying to long-term care.

Please refer to www.healthcareathome.ca/mh for more information. Select “Getting Care” from the top menu bar, and scroll down to “Long- Term Care.” Resources include: • Video explaining the application process • Video tours of the Mississauga Halton LHIN region’s 27 long-term care homes to help the selection process if you cannot visit the homes in-person • Published wait times and costs

Planning for Long-Term Care | 5 How do I apply?

1. Request for a placement assessment can be made by: • Family Physician, Service Provider, Adult Day Program Coordinator, Family/Patient, Neighbour (Note: physician referral is NOT required)

2. Once a long-term care placement request has been made, the patient is assigned to a Mississauga Halton LHIN care coordinator who will visit the patient’s home to complete a placement application, and determine eligibility for long-term care. • If the patient is in hospital, a hospital Social Worker or Discharge Planner will start the application process; however, a Mississauga Halton LHIN hospital care coordinator completes the placement application and determines long-term care eligibility.

3. The patient (or his/her Power of Attorney-POA or Substitute- Decision-Maker-SDM) must cooperate with the care coordinator to provide the most accurate information in the assessments of his/ her health needs.

Important notes:

• Eligibility for long-term care is based on provincial regulations, set out by the Ministry of Health and Long-Term Care.

• Each long-term care applicant can select up to five homes.

• Applications are sent by the Mississauga Halton LHIN to chosen long-term care homes.

• Long-term care homes respond to each application, deciding whether to accept or reject applicant.

6 | Planning for Long-Term Care Accepting or Rejecting Bed Offers

Bed Offer Process Expectation: Patients inform the Mississauga Halton LHIN of their decision to accept or reject a bed offer within 24 hours of receiving the offer.

If bed offer is accepted: • Patients are expected to move in the next day. • Patients may hold bed for up to five days, but must occupy the bed by the fifth day or he/she loses the placement – accommodation fees may be applied. • Patients can remain on the waitlist for his/her preferred choices while residing in a long-term care home. • The Mississauga Halton LHIN will follow-up with the patient and/or family/caregiver to confirm patient’s interest in preferred choices – usually at eight weeks to allow for the six-week care conference with the long-term care home.

If accepted by the home, the patient is placed on a waitlist. Please note that long-term care homes generally do not notify families of acceptance to the waitlist. It is best to follow up with your Mississauga Halton LHIN care coordinator to find out whether you/your loved one has been accepted and placed on a waitlist.

If one of the five choices of a bed offer is refused: • The application is cancelled and patients are removed from all waitlists. • If the patient is on the My Way Home program, service levels may be affected. • Patients may re-apply after three months. • If a patient’s situation or health condition changes significantly, patients may reassessed within the three months.

If rejected by the home, the long-term care home will inform you/ the applicant. Long-term care homes send out rejection letters to patients/ POAs/SDMs with the reason for the rejection. The Mississauga Halton LHIN provides a copy of the rejection letter to the Ministry of Health and Long-Term Care.

There are only two reasons for rejections: 1. Long-term care home cannot provide the care (nursing). 2. Physical set-up of the long-term care home cannot accommodate the applicant.

Planning for Long-Term Care | 7 How do I prepare to move to long-term care?

1. Contact friends/family after receiving the call for support and input.

2. Talk to your family doctor on how to prepare for the move.

3. Start to think about what personal belongings to bring that may provide comfort to you/your loved one, and decorate room prior to the admission.

4. Transportation plan to be arranged.

5. Complete a journal, photo album and/or memory box to bring to the home and advise the long-term care home of your/your loved one’s preferences to help the home get to know you/the patient better.

6. If you think there will be resistance to the admission, communicate this to your Mississauga Halton LHIN care coordinator at the first home visit.

7. Arrange to have support for yourself (the caregiver), as it is a very emotional time for everyone.

8. Get financial and legal paperwork in order early on and work with the home to see what can be done beforehand once offer has been extended. Have your most recent Income Tax Notice of Assessment available if you require an accommodate rate subsidy (basic rate only). Accommodation rates for all long-term care homes are determined by the Ministry of Health and Long-Term Care.

9. Start to think about advanced care directives and this will be discussed at the admission meeting.

8 | Planning for Long-Term Care Who can I talk to about questions and concerns after my move?

Mississauga Halton LHIN staff will stay in touch with you.

You or your family caregiver can expect a call from Mississauga Halton LHIN staff after you move into long-term care to ask if you are satisfied Definitions of Terms Used with your new location and if you would like to remain on the list for Throughout the Guide: your other choices. LHIN: • Questions or concerns related to the long-term care home should go to Local Health Integration the Director of Care of that home. Network

• All homes have a Residents’ Council where you can raise any issues or LTC: discuss ideas with other families and residents. Long-term care

• Questions or concerns related to the placement process may be LTCH: directed to home and community care services at the Mississauga Long-term care home Halton LHIN by calling 1-877-336-9090. OHIP: • The Ontario Government offers the public the option to report any Ontario Health Insurance Plan concerns to the Long-Term Care Action Line by calling 1-866-876-7658. Patient: The person applying to go to Additional resources and information long term care (LTC)

For information about accommodation and costs: POA: www.healthcareathome.ca/mh Power of Attorney www.youtube.com/user/themhccac www.health.gov.on.ca/english/public/program/ltc/15_facilities.html Placement: Term used to explain the For a Power of Attorney Kit: process and/or act of www.attorneygeneral.jus.gov.on.ca/english/family/pgt/poakit.asp applying for long-term care

For a Residential Care Checklist and Tips: SDM: www.health.gov.on.ca/english/public/program/ltc/29_pr_checklist.html Substitute Decision Maker - The person identified to apply For Profiles of Long-Term Care Homes in the Greater Area: on behalf of the patient www.gtalongtermcarehomes.ca/

For the Long-Term Care Homes Act, 2007: www.e-laws.gov.on.ca

Advocacy Centre for the Elderly: www.advocacycentreelderly.org/ Tel: (416) 598-2656

Planning for Long-Term Care | 9 Listing of long-term care homes in Mississauga Halton LHIN region

Etobicoke Bennett Health Care Centre () 1 Princess Anne Drive Dom Lipa Georgetown, Ontario L7G 2B8 52 Neilson Drive Telephone: 905-873-0115 Etobicoke, Ontario M9C 1V7 Website: www.bennetthealthcarecentre.ca Telephone: 416-621-3820 • 66 residents in Ward, Semi-Private and Website: www.domlipa.ca Private accommodation available • 66 residents in Private, Semi-Private, Two-person • Pets onsite Basic accommodation • Tours can be booked by calling the home • Ethno-specific Slovenian Home but is open to residents of all ethnic backgrounds Extendicare Halton Hills (Halton Hills) • Tours can be booked by calling the home 9 Lindsay Court Georgetown, Ontario L7G 6G9 Eatonville Care Centre Telephone: 905-702-8760 420 The East Mall Website: www.extendicare.com Etobicoke, Ontario M9B 3Z9 • 130 residents in Ward and Private accommodation Telephone: 416-621-8000 • Tours can be booked by calling the home Website: www.ourhomeyourhomecanada.ca • 247 residents in Two- and Four-person Northridge Long Term Care Centre (Oakville) Basic accommodation 496 Postridge Drive • Tours can be booked by calling the home Oakville, Ontario L6H 7A2 Telephone: 905-257-9882 Labdara Lithuanian Website: www.reveraliving.com 5 Resurrection Road • 133 residents in Ward and Private accommodation Toronto, Ontario M9A 5G1 • Pets onsite Telephone: 416-232-2112 • Tours can be booked by calling the home Website: www.labdara.ca • 90 residents in Private, Semi-Private accommodation Post Inn Village (Oakville) • Ethno-specific Lithuanian Home but is open to residents 203 Georgian Drive of all ethnic backgrounds Oakville, Ontario L6H 7H9 • Tours can be booked by calling the home Telephone: 905-825-6000 ext: 4046 Website: www.halton.ca/scs/seniors/ltc/post.htm The Westbury • 228 residents in Ward, Semi-Private and 495 The West Mall Private accommodation Etobicoke, Ontario M9C 5S3 • Convalescent Care Unit available to people who need Telephone: 416-622-7094 time to recover strength and functioning Website: www.chartwell.com • Tours can be booked by calling the home • 187 residents in Private, Two-person Basic accommodation The Waterford (Oakville) • Tours can be booked by calling the home 2140 Baronwood Drive Oakville, Ontario L7M 4V6 Wesburn Manor Telephone: 905-827-2405 400 The West Mall Website: www.chartwell.com Toronto, Ontario M9C 1V2 • 168 residents in Ward and Private accommodation Telephone: 416-394-3600 • Pets onsite Website: www.toronto.ca • Tours can be booked by calling the home • 192 residents in Private, Semi-Private, Two-person Basic accommodation West Oak Village Long Term Care Centre (Oakville) • Tours can be booked by calling the home 2370 Third Line Oakville, Ontario L6M 4E2 Telephone: 905-469-3294 Halton Website: www.retirementresidencesreit.com/homes/94 Allendale (Milton) • 133 residents in Ward and Private accommodation 185 Ontario Street South • Tours can be booked by calling the home Milton, Ontario L9T 2M4 Telephone: 905-825-6000 ext: 8001 Wyndham Manor Long-Term Care Centre (Oakville) Website: www.halton.ca/SCS/Seniors/ltc/allendale.htm 291 Reynolds Street • 200 residents in Ward and Private accommodation Oakville, Ontario L6J 3L5 • Tours can be booked by calling the home Telephone: 905-849-7766 Website: www.extendicare.com • 128 residents in Ward and Private accommodation • Tours can be booked by calling the home

10 | Planning for Long-Term Care Mississauga Sheridan Villa 2460 Truscott Drive ­­­Cawthra Gardens Mississauga, Ontario L5J 3Z8 590 Lolita Gardens Phone: 905-791-8668 Mississauga, Ontario L5A 4N8 Website: www.region.peel.on.ca/ltc/index.htm Phone: 905-306-9984 • Tours can be booked by calling the home Website: www.delcare.com • 192 residents in Basic and Private accommodation Silverthorn Care Community • Tours can be booked by calling the home 4350 Mississauga Road Mississauga, Ontario L5M 7C8 Camilla Care Community Phone: 905-812-1175 2250 Hurontario Street Website: www.siennaliving.ca Mississauga, Ontario L5B 1M8 • 160 residents in Basic and Private accommodation Phone: 905-270-0411 • Tours can be booked by calling the home Website: www.siennaliving.ca • 237 residents in Basic, Semi-Private and Private The Wenleigh accommodation 2065 Leanne Blvd. • Tours can be booked by calling the home Mississauga, Ontario L5K 2L6 Phone: 905-822-4663 Streetsville Care Community Website: www.chartwell.com 1742 Bristol Road West • 161 residents in Basic, Private and Mississauga, Ontario L5M 1X9 Couples accommodation Phone: 905-826-3045 • Tours can be booked by calling the home Website: www.siennaliving.ca • 118 residents in Basic, Semi-Private and Private Tyndall Nursing Home accommodation 1060 Eglinton Ave. East • Tours can be booked by calling the home Mississauga, Ontario L4W 1K3 Phone: 905-624-1511 Erin Mills Nursing Home Website: www.tyndallestates.net 2132 Dundas Street West • 151 residents in Basic, Semi-Private and Mississauga, Ontario L5K 2K7 Private accommodation Phone: 905-823-6700 • Tours can be booked by calling the home Website: www.erinmills.sifton.com • 86 residents in Ward, Semi-Private and Villa Forum Private accommodation 175 Forum Drive • Tours can be booked by calling the home Mississauga, Ontario L4Z 4E5 Phone: 905-501-1443 Extendicare Mississauga Website: www.micbaforumitalia.com 855 John Watt Blvd. • 164 residents in Basic, Private and Couples Mississauga, Ontario L5W 1W4 accommodation Phone: 905-696-0719 • Ethno-specific Italian Home but is open to residents Website: www.extendicare.com of all ethnic backgrounds • 140 residents in Ward and Private • Tours can be booked by calling the home • Can accommodate residents with G-tubes • Tours can be booked by calling the home Village of Erin Meadows 2930 Erin Centre Blvd. Cooksville Care Centre Mississauga, Ontario L5M 7M4 55 The Queensway West Phone: 905-569-7155 Mississauga, Ontario L5B 1B5 Website: www.schlegelvillages.com Phone: 905-270-0170 • 180 residents in Basic and Private accommodation Website: www.cooksvillecarecentre.ca • Tours can be booked by calling the home • 166 residents in Basic and Semi-Private accommodation • 26 bed Restore unit Yee Hong Centre Mississauga • Tours can be booked by calling the home 5510 Mavis Road Mississauga, Ontario L5V 2X5 Mississauga Long-Term Care Facility Phone: 905-568-0333 26 Peter Street North Website: www.yeehong.ca Mississauga, Ontario L5H 2G7 • 200 residents in Basic and Private accommodation Phone: 905-278-2213 • Tours can be booked by calling the home Website: N/A • 55 residents in Basic, Semi-Private and Private accommodation • Tours can be booked by calling the home

Planning for Long-Term Care | 11 Oakville Office Our Access Care Team is available from 8:30 a.m. to 9:00 p.m. 700 Dorval Drive Unit 500 Oakville, ON L6K 3V3 We have offices and staff located in the following 8:30 a.m. to 4:30 p.m. hospitals. No referral is required to contact them. Etobicoke Office 401 The West Mall , Queensway Health Centre, Suite 1001 Etobicoke, Ontario M9C 5J5 Halton Healthcare 8:30 a.m. to 4:30 p.m. Oakville Trafalgar Memorial Hospital, Milton Office Georgetown Hospital, Milton Hospital 611 Holly Avenue Unit 203 310-2222 Milton, Ontario L9T OK4 no area code required 8:30 a.m. to 4:30 p.m. www.mississaugahaltonlhin.on.ca Mississauga Office 2655 North Sheridan Way www.healthcareathome.ca/mh Suite 140 www.mississaugahaltonhealthline.ca Mississauga, Ontario L5K 2P8 8:30 a.m. to 4:30 p.m.