Inglewood Care Centre - Resident and Family Handbook pg. 3

Inglewood Care Centre is part of the Provincial Long Term Care Program that authorizes all admissions, transfers, and discharges, except for the private pay resident.

ADMISSION POLICY

All applications for admission are made to the Continuing Care Consultant at the Vancouver Coastal Health Authority (Telephone #: 604-986-7111).

Inglewood Care Centre does not have the authority to admit on its own initiative, except for private pay residents. Applicants will be determined if they qualify for subsidized care by the Vancouver Coastal Health Authority, and then placed in the next available bed. Once a person is in another facility, they do have a choice to be transferred to their preferred facility. Applicants will be given 24 hours notice of admission to the facility. Every effort is made to admit to Inglewood at a time that is convenient to both the family and resident.

PREPARING FOR ADMISSION

Long Term Care Assessment: The potential resident’s care level is assessed by a Long Term Care case worker, either in the community or in an acute care facility, to determine their eligibility for admission.

Facility Tours: Tours are arranged (prior to admission) by our Social Services Coordinator, Karen Rumak (604-913-4707), at the request of the family or potential resident. Tours usually take from 1/2 - 1 hour.

FAMILY INVOLVEMENT / RESPONSIBILITY:

When a potential resident is initially placed on the admission list:, a family member usually:

			contacts the Social Services Coordinator for more information
			maintains contact with the resident’s care coordinator and the facility
			begins preparation for the move
			ensures that potential resident has had a recent medical history and chest x-ray and ensures that the resident has a family doctor on the North Shore
			becomes familiar with admission documents received at that time (resident agreement, trust account, degree of intervention & resident handbook)
			continues preparation of potential resident for the move
			labels all mobility aids, dentures, hearing aids, glasses and small appliances
			ensures clothing is appropriate (washable if being done at facility, proper shoes etc.)

"HOW DO I GET READY?" - POTENTIAL RESIDENT’S POINT OF VIEW:

Begins to prepare personal items and belongings, such as the following:

			toiletries
			clothes (recommend the resident have at least 7 changes of underwear and 5-7 changes of outerwear available at all times)
			agreed-upon room furnishings and decorations
			aids for mobility (should be labeled)
			any prostheses, hearing aids, dentures or eye glasses should be labelled.
			notify family doctor and other professional services of "change of address
			notify friends and associates of change of address
			decide what to do with household items that won’t be moving
			be aware that the living and eating environment will be communal and thus quite different from what they are used to

FACILITY RESPONSIBILITIES:

			Alerts potential resident and family when name nearing top of the list
			Arranges pertinent documents to be distributed and signed
			Prepares room
			Informs resident and family that Inglewood is not responsible for personal belongings

ADMISSION PROCESS

Social Service Coordinator:

		notifies family that room is ready (potential resident should be sleeping in the room within 48 hours)
		determines actual move date with family
		calls physician requesting medical history, chest x-ray. and degree of intervention if not already obtained
		conducts an orientation to the physical surroundings
		introduces Inglewood personnel
		arranges for photographs to be taken and clothing and personal equipment labeled
		reviews Resident Agreement, Trust Account and Degree of Intervention forms with resident and family and obtains signatures

Primary Nurse:

		completes a nursing assessment which includes such things as blood pressure, weight, history, allergies, likes and dislikes
		checks in all medications being used at home
		orders medications from our contracted pharmacy as prescribed by the resident’s physician
		ensures that resident and family are familiar with the resident room, dining room, personnel, etc.
		arranges seating in dining room

Family:

		assists with room arrangement
		attends nursing assessment meeting and orientation with resident
		stays with resident during moving day (lunch or dinner is complimentary for 1 - 2 family member on this day)
		provides emotional support
		arranges for newspaper delivery, if desired
		advises social worker if cable or telephone is desired

Laundry Label/Photo ID Charges:

		labelling of personal clothing (that will be laundered at Inglewood)
		photograph
		ID bracelet
		Room Name Plate

TRANSFER:

Transfers Room to Room:

Residents or their family members may request, at time of admission or any time thereafter, placement of the resident’s name on the internal wait list for transfer to another room. (i.e. from semi-private to private, different room location, etc.)

From Lodge/Manor to the Terrace (ECU/SCU):

This type of transfer usually results from a change in the resident’s care level.
The resident’s name goes on a waitlist for the next available Extended/Dementia Care
bed in the community. The fact that an individual is in our Lodge/Manor does not guarantee the resident’s placement at Inglewood Care Centre when his/her care level changes. Please contact the Director of Care, Assistant Director of Care, or the Social Services Coordinator for more information.

Transfers to Other Facilities:
To an Acute Facility:

This type of transfer usually results from an acute change in the resident’s health status.
The resident’s bed will be held for 30 days although this time period may be negotiable.

To another Intermediate/Extended Care Facility:

This type of transfer results from a change in care level or a family/resident request and is usually permanent.
The transfer constitutes a discharge from Inglewood.

DISCHARGE:

Discharge to Other Facilities or Home:

For permanent, voluntary planned discharges, 72 hours notice in writing should be given to Inglewood.
The discharge/transfer will be arranged by the Inglewood staff in conjunction with the
family. Because of the long waiting list for beds, the family is requested to clear the
resident’s room within 24 hours.
As payment is due on the first of each month, a refund check for the room and board
balance and the trust account will be issued by the accounting office within 6 weeks of
departure.

PASSING AWAY:

It is requested that pre-planning (funeral arrangements) which has been made by the family and resident in regard to end-of-life issues be communicated to the Inglewood staff as soon after admission as possible. This is to ensure that if death occurs, family members do not have to make critical decisions at the time of most distress.
Impending death can be a very stressful time for the resident, family, and staff involved. The staff will at all times endeavor to be supportive of the resident and the family’s needs.
On the day of death, the deceased is discharged to the pre-selected funeral home. Government regulations require that the room by cleared and prepared for a new admission within 24 hours.

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Revised: December 30, 2007 .

Admission, Transfer and Discharge
	Admission Policy	Section III
	Preparing for Admission
	Admission Process
	Transfer
	Discharge