Your Care – Palliative Care Approach – Long Term Care

Some residents are transferred to Emergency Rooms in acute care hospitals during an unanticipated crisis in their final stages of life. This can cause unnecessary suffering and distress and the care that a resident receives may not reflect their needs, values and preferences for care and treatment in their last phase of life. An example of suffering our residents may experience in the Emergency Room, is Delirium, a sudden onset of confusion due to the change in environment and staff, bright lights, excessive noise, unfamiliar medication administration, etc.

A ‘Palliative Approach’ is described as a person-centered approach to care guided by the understanding that the person is on a progressive life-limiting illness trajectory. Communication related to the resident and their family’s evolving understanding, personal preferences, and goals of care is understood as essential. Therefore, a palliative approach acknowledges the likelihood of gradual transition, emphasizing quality of life considerations during the active treatment phase. It recognizes that treatment goals will evolve from seeking a cure, to control of disease and complications, maintaining physical comfort and quality of life, and ultimately to symptom control.

Evidence shows that persons who receive a palliative approach suffer less, are physically capable for longer; are better able to interact with others for longer, may survive 25% longer, and family members are less likely to experience depression after their loved one has died.

How does Menno Place incorporate the Palliative Approach in Providing Care?

Conversations begin during move-in, as to what the understanding of the current condition/disease process and how it might change over time. At care conferences, discussion occurs with families/residents to determine what the goals of care are, based on the “frailty scale” and what the resident would/could have preferred as treatment while their condition declines. Ongoing conversations occur between families and/or residents and the entire team (Chaplains, Nursing, Recreation, Social Workers, etc.) as their condition declines, regarding goals of care. Ultimately, the goal is to provide quality comfort and palliative care at Menno Place.

Palliative Care at Menno Place is excellent, supported by the entire team. Chaplains and their volunteers visit and remain vigil if this is what the families/resident prefer. The nursing team provides excellent care to ensure comfort remains the priority for you at this time.

Guest Suites – Apartments and Long Term Care

There are four (4) Guest Suites available for the visiting guests of Menno Place residents. To book a Guest Suite, please contact the Reception Office.               

The cost of a guest suite in the Pavilion or Terrace buildings is $60.00 per night.
The guest suite at Primrose Gardens is $90.00 per night.

Check-in time is 3:00 PM and check-out time is 11:00 AM.

We accept cash or cheques only for payment.

If you require coffee, tea or other sundries, please notify the office.

Please note, the suites are not cleaned during a guests stay.

To rent a guest suite, call 604.851.4000

Explaining the Levels Of Support

Independent Living

Where are you living? In your own home OR in an Independent Living apartment building (such as Pavilion, Terrace West or Primrose Gardens).

What is life like for you?

· Live on your own without risk to self and others

· You can express yourself, take care of your own home / apartment

· Arrange shopping and banking for yourself

· Walk with relative ease (may be using a walker or cane)

· Manage your own hygiene and medications and finances

You may be moving into an Independent Living apartment building at Menno Place.

Your rent includes lunch, bistro, and recreation activities.

Independent Living with Fraser Health Home Support Services

Where are you living? In your own home OR in an Independent Living apartment building at Menno Place.

What is life like for you?

You need help with:

· Personal hygiene

· Shower assistance

· Taking medications

· Compression stockings

How do you get this type of care?

You must qualify for subsidized home health support services from Fraser Health. Contact Fraser Health to set up an assessment of your needs – 1 855-412-2121.

An assessment usually takes 90 days to observe and complete.

Fraser Health oversees the standard of all subsidized care.

Private Pay Assisted Living

Where are you living?

In Private Pay Assisted Living at Menno Place Terrace East building

What is life like for you?

You need help with:

· Personal Care services

· Meals, Housekeeping & Recreational Activities

· Requires 24 hours response system

How do you get this type of care?

You must qualify for Private Pay Assisted Living from Menno Place

Contact Menno Apartments at 604 851-4000 to book an Assessment.

Fraser Health Subsidized Assisted Living

Where are you living?
In a Fraser Health Subsidized Assisted Living apartment at Menno Place Terrace East building.

What is life like for you?

You need help with:

· Personal Care services

· Meals Housekeeping & Recreational Activities

· Requires 24 hours response system

How do I get this type of care?

You must qualify for these services from Fraser Health.

Contact Fraser Health to set up an assessment for your needs – 1 855-412-2121.

Fraser Health Cost: 70% of after tax income.

Residential Care

Where are you living?
In a Residential Complex Care building such as Menno Home or Menno Hospital

What is life like for you?

You need: 24/7 care for dementia or physical assistance such as lifting, getting into bed, bathing, meals, housekeeping & recreational activities.

How do I get this type of care?

You must qualify for these services from Fraser Health.
Contact Fraser Health to set up an assessment for your needs – 1 855-412-2121.
Fraser Health Cost: 70% of after tax income.

Ideas, Compliments, Concerns Process – Long Term Care

If there are concerns or questions about the care you or your family members are receiving, please speak directly with a member of the Care Team.

At Menno Place, we have an open door policy and encourage communication of concerns or compliments as they arise.

It may not always be easy to bring forth concerns. However, in doing so, you will be supported and heard without retaliation.

We value your input on things we can improve.


We also appreciate hearing about what we are doing well, and this can be reflected in the compliment/complaint brochure.

Compliment/complaint brochures are available at the reception areas.

The formal complaint process is posted on the bulletin board at the main entrance of Menno Home/Hospital. The communication structure for families and residents follows.

Learning how to effectively voice a request or a need can be challenging in a large care home because there are many different leaders and staff members. The Communication Structure guides families in expressing issues or questions effectively and efficiently at Menno Home/Hospital.

Here is an overview of that structure:

Step 1: Speak to those directly involved, LPN (Licensed Practical Nurse) / Health Care Aid (HCA)

Step 2: If issue persists, bring issue to Registered Nurse (RN) Lead / LPN Lead / Residential Care Coordinator (RCC) or Life Enrichment Coordinator.

Step 3: If issue continues, discuss with Manager of Care.

Step 4: If issue remains unresolved, address with Director of Care (DOC) / Executive Director of Care Services (EDCS) / Chief Executive Officer (CEO). Simple arrange your appointment through Reception.

Step 5:  If you or your family members are dissatisfied with the resolution of your concern, you may contact the Patient Care Quality Office (PCQO) of Fraser Health to register your complaint at:
Mail:    11762 Laity, 4th Floor Maple Ridge, BC V2X 5A3
Phone: 1-800-880-8823 or Fax: 604-463-1888
Email:  pcqoffice@fraserhealth.ca

Fire Safety – Long Term care

Fire safety regulations are closely adhered to in the annual inspection and testing of fire alarms, sprinklers, and other life safety systems.

All our buildings are equipped with sprinklers and electronically-monitored heat and smoke detectors, fire extinguishers are also strategically positioned throughout the building.

Open flames such as candles are not permitted in the building

We schedule regular fire drills and staff training sessions to ensure the staff members know what to do.

In the event of a fire drill or a fire, move away from any doorway and await instructions from staff.  

If you discover a fire, please activate the nearest fire alarm pull station (there is an alarm at every exit) and report the location of the fire to a staff member.

Visitors are asked to remain at the resident’s side in the event of a fire alarm or drill.

You will be advised of any other action including an orderly evacuation if needed.

Infection Control – Long Term Care

You are encouraged to have yearly flu shots. We also believe that “clean hands are caring hands” and ask that you and your family use the hand hygiene products (gels/foam) installed throughout the building.

We ask your family members and visitors to remain at home until symptom free for 48 hours if they have a cold or other acute respiratory illness, or are experiencing symptoms of diarrhea or vomiting related to a viral infection.

As in most care homes, you are more susceptible to illnesses due to compromised immune systems.

At Menno Place, we strive to prevent outbreaks in the community from spreading throughout our care home. As visitors, we ask that you take the following precautions to help prevent the spread of illness:

  • Wash hands diligently using soap and water for at least 15-20 seconds, immediately before and after resident contact.
  • Use the hand sanitizer found on units upon entering the Home and upon leaving.
  • Cough/sneeze into your sleeve, not into the air or hand.
  • Do not visit if you or your family members are ill.
  • Do not visit if you have a cold or flu.
  • In the event of an influenza/gastroenteritis outbreak, please contact the nurse for visiting guidelines.
  • If outbreak is in progress, adhere to signage/posters (visit only one resident).
  • COVID Restrictions are adhered to as per current Ministry of Health orders.
  • Get an annual flu shot. Get Vaccinated.
  • If you are unable to have a flu shot, a face mask must be worn and will be provided to you, at the entrance.
  • This is only for flu season – Dec 1st – April 1st typically.
  • Have a shot for pneumonia prevention and a booster once in 5 years.

Safety – Family Safety at Menno Place – Long Term Care

  • Be an active member of the health care team by participating in Care Conference
  • Inform the nurse of the resident’s medication history
  • Wash your hands
  • Observe safety standards and policies
  • Report hazards to management
  • Some residents are at risk to exit the building on their own.  Be vigilant when leaving the building, ensuring no one accompanies you

Safety – Resident Safety at Menno Place – Long Term Care

At Menno Place, Resident safety is number one and depends on everyone’s participation and communication.

Our Goals: Safe use of equipment. Safe transfers. Improved reporting systems. Prevention of injuries due to falls. Prevention of medication errors. Management of elopement risks. Prevent/reduce the risk of spread of infections.

Resident safety includes:

  • Report of anything unsafe (i.e. liquids on the floor, broken equipment)
  • Ensure that you wash your hands regularly
  • Avoid group activities if you have a cold or flu
  • Wear hip protectors if you are at risk for falling
  • Wear proper footwear, clothing, eyeglasses and hearing aids and use your walker
  • Ensure your wheelchair or walker is operating correctly; have annual maintenance done
  • If you require any assistance, please inform staff
  • Keep learning about what helps you live safely

Family and Friends Safety included:

  • Be an active member of the health care team by participating in the Care Conference.
  • Inform the nurse of the resident’s medical history.
  • wash your hands, use hand sanitizer
  • observe the safety standard and policies (Flue season or COVID restrictions)
  • Report noted hazards to managment
  • Some residents are elopement risks. Be vigilant when exiting the building
  • Do not visit if you have a cold, flu or COVID.
  • In the event of an Outbreak on the Unit please contact the nurse for visiting guidelines.

Volunteers:

  • Wash your hands, use hand sanitizer
  • Do not visit if you are sick with a cold or flu
  • Report any safety concerns to staff
  • Observe the safety guidelines

Staff

  • Keep the residents preferences in mind
  • know and follow health and safety requirements affecting the job
  • If you are unsure of what to do safely, ask for further training before you begin
  • Ensure safe transfer s of residents
  • Work safely, and encourage your co-workers to do the same
  • Report incidents of near misses in a timely manner
  • Observe infection control protocols
  • Wash your hands, use hand sanitizer
  • Do not come to work if you have an infectious illness
  • Keep yourself informed and updated.

Management

  • Instruct and train workers in safe procedure for all the tasks assigned and check that the work is being done safely
  • Ensure equipment and materials are properly handled, stored and maintained
  • Investigate reported incidents in a timely manner, follow up with improvement plans
  • Correct unsafe acts and conditions. Research best practices and adopt them
  • Enforce health and safety requirements
  • Provide continued education to residents, families, staff and volunteers

Safety – Falls – Long Term Care

Supporting freedom of movement and independence presents a risk for falls.

A member of the care team will assess your risk of falls and the potential for injury.

The care team will discuss the assessment with you and may recommend a hip protector.

Hip protectors may prevent a devastating hip fracture as a result of a fall.

You are responsible for the purchase of hip protectors if you choose to wear one.

For more information, speak to a member of the rehabilitation team. 

Safety – Least Restraint Policy Long Term Care

A restraint is anything that restricts a person’s movement or access to his or her own body. (e.g., bed rails, seatbelts, tilted recliner chair).

We have a practice of least restraint to promote autonomy and your rights for freedom of choice and movement while balancing the need for safety. An example of this could be a seat-belt used while in a wheelchair, or side-rails up while in bed.

Family & Staff Working Together.

You and/or your family members will be invited to discuss safety issues with your health care provider.

Information about past lifestyles and routines will help the care team understand and plan your care.

Providing a safe environment with the greatest amount of freedom is an important goal.

By working together we can minimize the risk of injuries and maximize dignity and independence.

How Does the Care Team Practice Least Restraint?

The care team will help you promote dignity and independence and reduce the chance of injuries by:

  • Assessing the risk of falling
  • Providing a care plan to promote a safe environment to reduce the chance of injuries
  • Discussing the best care to provide safety & comfort


What will be used to reduce injuries?

  • Assistance in toileting
  • Proper positioning for comfort
  • Hip protectors/Lap belts/Table tops
  • Bed in lowest position
  • Hi-Low beds/Fall out mats
  • Nonskid/slip socks