Advancing consumer care and compassionate service delivery

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Supportive Housing Program

Supportive Housing Program

Program Description

Nucleus Independent Living receives funds from the Mississauga Halton Local Health Integrated Network (MH LHIN) under the Home Care and Community Services Act (1994) to operate a Supportive Housing Program with the purpose of providing Attendant Services to Consumers with a physical disability in permanent community residential settings when their support service needs require the availability of 24-hour, on-site assistance.   The role of any Supportive Housing program is to provide an alternative to Long Term Care facilities while maintaining people’s independence and integration into their communities1.

Service Model:

Target Population: 

 Adults 16 years old and up who have a permanent physical disability who meet the eligibility requirements

Location(s):

In the homes of residents living in the apartment building at 30 Denarda Street, Toronto, ON, M6M 5C3

In the homes of residents living in the apartment building at 2100 Weston Road, Toronto, ON, M9N 3W6

Program Staffing:

Attendant services are provided by trained Personal Support Workers (unregulated healthcare providers)

  Trained Care Coordinators conduct standardized needs assessments and work with Consumers to develop individualized Service Plans.

Hours:

The program operates 24/7/365

  Services are available both on a pre-scheduled and on-call basis as required/available

Cost to client:

  Services are offered at no cost for eligible clients

Consumers contract independently with the respective landlords for tenancy in the buildings (some rent geared to income (RGI) units available)

Referrals/Waitlist:

  Applications for our Supportive Housing program should be made through the Attendant Service Application Centre (ASAC) which is a branch of the Centre for Independent Living in Toronto (CILT).   ASAC offers a centralized point of access for individuals with physical disabilities applying for Attendant Services in Toronto. The website address is http://www.cilt.ca/services.aspx.   As part of this service, they also manage the waitlist of applicants for services to Nucleus’ SH program.

Services Features: 

Following assessment, a customized Service Plan is developed, in partnership with the Consumer, which outlines service tasks and times based on identified needs.  Service Plans are adaptive and responsive to the changing needs of the Consumer.  Based on the individual's service requirements personal support services and homemaking services are provided to a person with physical disabilities, under the individual's direction, by an Attendant on a pre-scheduled and on-call visitation basis as required and available1.

Available service tasks include:

Attendant services (includes both non-medical personal support and essential homemaking tasks)

Personal Support (Activities of Daily Living or ADLs):

Personal hygiene (bathing and toileting)

Mouth and dental care

Hair care

Routine hand and foot care

Preventative skin care

Changing non sterile dressings

Dressing/undressing

Assistance with eating

Exercises/ passive range of motion

Transferring positioning/turning

 

Essential Homemaking (Personal Hygiene Activities or IADLs):

Meal preparation/cooking/clean up

Garbage disposal

Changing bedding

Light house cleaning including tidying of rooms, dishes, vacuuming,  sweeping, washing floors, cleaning sinks, tubs, toilets

Laundry

Pet care assistance

 

Safety checks (either separate or included as part of Attendant Service visit)

Caring for children (on behalf of and in the presence of Consumer)

Medication assistance (limited scope)

Escorts to medical appointments (only limited service available)

Escorts for shopping (only limited service available)

Note:  There are limitations to the types and amounts of assistance that can be provided for services as per Program eligibility criteria and service maximums. 

 

Service Philosophy:

Nucleus embraces and has adapted the fundamental concepts of the Independent Living Philosophy (originally developed for persons with physical disabilities) including the right of people to:

Live with dignity in their chosen community

Participate in all aspects of life

Maintain control and make decisions about their life through ‘Directing Services’ – this includes:

o   ‘Right to Risk’–  the individual has the right to make his/her own choices and decision, even if those choices involve risk and failure

Assume all responsibilities associated with these rights

 

Directing Care and ‘Right to Risk’

Nucleus’s role is to facilitate the Consumer’s wishes, with their inherent rights and associated risks, with living independently in the community.  As such, Nucleus will act in response to Consumer direction but may prompt or alert Consumer to potential risks or decision points (as necessary).

Nucleus is guided by the Health Care Consent Act in the event of any sudden change in cognitive status that affects a Consumer’s ability to make healthcare decisions.   In the event there is no SDM available and capacity is called into question, Nucleus will call in a regulated health professional to evaluate and make a recommendation on the need for a capacity assessment. 

 

External References:

1 Ministry of Health, Long Term Care Division, Long Term Care Supportive Housing policy, 1994

Ministry of Health, Long Term Care Division, Attendant Outreach Services - Policy Guidelines and Operational Standards, Fall 1996

Independent Living Canada (www.ilcanada.ca)