He is happiest, be he king or peasant, that finds his peace in his home.
Johann Wolfgang van Goethe
Over the last year of my practice, I have supported many seniors and their families in preparing for and finding a residential facility that was “just right” for them.
This is usually after much discussion on when is the right time, and hopefully before a crisis eventuates, so that the move is planned well and with ease rather than hastily and without much choice of where to go – hence only moving once to get to the place you would like to be to live out the rest of your life if and when you can no longer live on your own.
This takes time; and as well as looking at the costs associated with living well in a facility (such as medications, extra services, what is included, etc), really knowing what the preferences of the person are prior to moving into a facility are so important, especially when weighing up which facility is going to be the best fit.
Here’s an example:-
My client Margy (not her real name) was moving into residential care. This was after a long and trusting relationship with a home care provider had given her a safe environment to live in, but had come to the end of it’s time due to Margy’s need for 24 hour care due to her increasing needs and for her safety relating to falls and nutrition.
Margy had always been very independent and lived a life where household duties were a large part of her daily activities, so when we started looking for a facility for her, her main concerns were around being able to continue to do what she had always done – cooking, washing, cleaning, gardening.
After a reply from one admissions team stating “we do not think she would be suitable for permanent residential care where these type of tasks are carried out by staff members” was crossed off our list (- so much for consumer directed care in residential facilities!), we then went ahead with narrowing down our list of facilities that were willing to enable Margy in still doing what she loved, even if in small ways and with support.
Many facilities were deemed “suitable” for Margy in this regard from the admissions point of view, but until we viewed the residences with Margy in attendance, we could not commit to “signing the dotted line” with peace in our hearts. This is because although the facilities were saying that this is what they were happy to do, were they doing it in a way that was enabling (or disabling) Margy? Did the place make her heart sing?
One of Margy’s very astute observations of the right place for her was that “everyone was smiling – even the ones in the bedchairs” (in her own words).
Eventually we found a beautiful facility, one where the staff understood the importance of Margy’s needs, enabling her to be independent with support, to have her own space when needed, allowing her to have the privacy and security of her own keys for her room, but not be locked in and being part of a bigger community.
Wait-listing prior to needing immediate fulltime care, avoiding crisis and having the discussion of what is REALLY important to the person moving into residential care is so important.
Then you have time to view facilities, work out what is going to suit and narrow down your list. For best results, my aim is for this to be organised in advance as when beds become available, they are very quickly taken up, often with not much time to consider all of the things that are important – often resulting in a poor fit for the client
To discuss more in depth ways of how to go about this, or to get your free Residential Aged Care Check list, please contact me.
With much love and Warmest Regards, Bianca