Advancing consumer care and compassionate service delivery

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Supports for Daily Living Program

Supports for Daily Living Program

Nucleus Independent Living receives funds from the Mississauga Halton Local Health Integrated Network (MH LHIN) under the Home and Community Services Act (1994) to operate a Supports for Daily Living (SDL) Program aimed at providing the support for seniors who want and are able to continue living in their own homes.  Supports for Daily Living provides high needs seniors residing in the community with the availability of 24-hour practical assistance with the essential activities of daily living that one cannot perform due to age related  physical limitations or impairments.   The Supports for Daily Living program is aimed at reducing unnecessary stays in hospital for seniors once their acute care phase is concluded and provides an alternative to Long Term Care facilities while enabling a senior to maintain their independence and integration in their communities.

 

Service Model:

Target Population: 

  • Seniors 65 and older who require the availability of services throughout a 24-hour period

Location(s):

  • In a variety of settings within the Mississauga Halton Local Health Integration Network (MH LHIN) boundaries (cities include Mississauga, Oakville and South West Etobicoke) including:

o   individual single family homes, townhouses, condominiums, housing co-operatives or traditional affordable housing apartment buildings etc.

  • SDL services are not available to seniors residing in Retirement homes, Group Homes or Long Term Care facilities (includes all environments where services are attached to residency)

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

 

Referrals/Waitlist:

  • Applications for our Supports for Daily Living program should be made through the SDL Central Registry (905-281-4443 or www.centralregistry.ca).  The SDL Central Registry offers a coordinated point of access for all referrals to the 8 different Supports for Daily Living providers in the MH LHIN.  The Central Registry and the waitlist for services are managed by Nucleus Independent Living on behalf of the community.

 

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 senior 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)
  • Medication assistance (limited scope)
  • Escorts to medical appointments (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 (or POA) 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:

Ministry of Health, Long Term Care Division, Assisted Living Services for High Risk Seniors policy, 2011

Mississauga Halton Local Health Integration NetworkA New Vision of Assisted Living for Seniors - A Resource Manual for Developing an Effective Assisted Living for High Risk Seniors Program in Your Community, 2012

Mississauga Halton Local Health Integration Network, Supports for Daily Living Standards Manual, 2013

Shercon Associates Inc/Missisauga Halton Local Health Integration Network (MHLHIN) Evaluation of the “RESTORE” and “Supports for Daily Living” Programs Final Report, 2010