Did you know? Some Brightside Facts: We have served Rockford & surrounding area since 1973. We maintain a client/staff ratio of 6 to 1. We focus on the Person-Centered Care approach. We have a nurse on duty! We serve breakfast, hot lunch & snack each day, meeting nutritional requirements for seniors. We have a daily exercise program. We have a Respite Program for people who only need our service occasionally. We are a part of Lifescape Community Services, Inc., which includes Meals on Wheels, Information and Assistance, Transportation, Caregiver Assistance, Grandparents Raising Grandchildren and Senior Dining Sites in Winnebago, Boone, Ogle and Lee counties. 815 964 2433 Our Brightside Mission: To provide activities, programs & services which assist older adults & their caregivers in maintaining independent, meaningful & purposeful lives. Welcome To Brightside Adult Day Service This booklet contains important information for you & your family concerning the Brightside program. Please hang on to this info for your reference! BRIGHTSIDE (LONGWOOD) 1055 E. State Street, Rockford IL 61104 (815)-964-2433 Hours of Operation: 7:30AM 5:30PM, M-F LongwoodADS@lifescapeservices.org (815)-964-2433 Lifescape-Brightside Adult Day Services does not discriminate on the basis of age, race, color, sex, national origin, handicap or disability, religion, ancestry, marital status and status upon discharge of the military service. It is also in compliance with the Illinois Human Rights Act; The U.S. Civil Rights Act; Section 504 of the Rehabilitation Act; The Age Discrimination Act; The U.S. and Illinois Constitutions; American with Disabilities Act and all other applicable laws. Rev 8/2013
Frequently Called Numbers Brightside... 815.964.2433 (General info, report absence, intake & referral information, transportation questions, Longwood site questions, etc.) Lifescape Community Services..815.963.1609 (General information on services for seniors, including Meals on Wheels, Information and Assistant, Caregiver Assistance, Transportation, Grandparents Raising Grandchildren, Senior Dining Sites, Senior Expo, Senior Follies, referral sources, etc.) Free Visit Day Want to learn more about Brightside Adult Day Service? Schedule a free visit day! We invite you to spend a day with us enjoy the activities, meet clients and staff, eat lunch, learn more about what Adult Day Service can do for you! Call 815.964.2433 to schedule your free visit. Para-transit....815.961.2255 Visiting Nurses Association 815.971.3550 As always, you are invited to stop in and take a look at our site. Give us a call! Thanks. Alzheimer s Association (Rockford)... 815.484.1300 2 19
18 Exceeding CCP Contract Hours of Service To our clients who receive Community Care Program Assistance: Those utilizing the Community Care Program (CCP) are required by CCP to sign a Client Agreement. This agreement indicates the daily maximum amount of adult day service hours CCP will provide. Clients who exceed CCP contract hours may be charged for the costs of service. If this situation applies to you or if you would like to request an increase in hours, you should contact your case manager through the Visiting Nurses Association (815-971-3502). Requesting re-determination may result in an increase in daily maximum hours allowed. We do everything possible to ensure you do not exceed the approved CCP hours. If CCP hours are exceeded, it will be necessary for Brightside to pass this cost on to the client. The amount of hours exceeding the daily maximum will be totaled and billed at the current rate for private pay clients. Please understand that only when the daily maximum of hours is exceeded will this charge be applied. To Report a Change in Attendance Brightside does not bill clients for days they are absent; however, we ask that you notify our office of an absence in advance whenever possible. Please report a change in scheduled days by calling 815-964-2433. If you cannot alert us of an absence in advance (for instance, due to illness), please call as soon as you are aware of the change. We really appreciate it if you call before 7:30 A.M. Please leave a message on our answering machine. Respite Services If you need an additional day or request respite care, please alert us as we certainly can provide this service. Brightside Holidays In observance of holidays, Brightside is closed on the following days : New Years Day Memorial Day 4 th of July Labor Day Thanksgiving Day Thanksgiving Friday Christmas Eve (observed date changes yearly) Christmas Day (observed date changes yearly) 3
What is Adult Day Service? Adult day services are community based group programs designed to meet the needs of functionally and/or cognitively impaired adults through an individual plan of care. These structured, comprehensive programs provide a variety of health, social and other related support services in a protective setting during any part of a day, but less than 24 hour care. How do people pay for Adult Day Services? Various reimbursement sources are available to clients and their families. For those participants under the age of 60 years of age, the Department of Rehabilitation is an option. The Community Care Program is often an excellent resource for those over age 60. Veterans are able to receive financial assistance through the local or regional VA office. Should one not qualify for the above-mentioned assistance, a reasonably priced private pay fee schedule has been developed. The average cost of a day at ADS is a bargain by far in comparison to the cost of services from a home health nurse and/or the cost of a skilled nursing facility. Mandated Reporters Please note that all staff at Brightside are Mandated Reporters in the State of Illinois. If you have questions about Elder Abuse, please contact the Illinois Department on Aging at 1.800.252.8966. 4 Advanced Directives Brightside staff have been taught to provide First Aid and CPR when needed; they are trained to call the paramedics when it medical crises occur on site. Some people do not want medical treatment in emergencies. Advanced directives are legal documents that alert us to your wishes you put in writing the kind of healthcare you want to receive should you become unable to make treatment decisions. In Illinois, Living Wills & Power of Attorney for Healthcare are two kinds of advanced directives. Do-Not-Resuscitate (DNR) Some people do not want to receive CPR. A DNR order means that you request cardiopulmonary resuscitation (CPR) not be started if your heart stops beating. To ensure your wishes are met, an original, written, signed and dated Do-not-resuscitate order (DNR) must be in your chart, on our site. Please note: if we don t have a written, complete DNR order on site, we follow our policy (do emergency first aid/cpr & call paramedics). Federal law requires you be alerted of your right to make decisions about the health care you get now and in the future. Brightside has available, on request, information concerning the Illinois law on Advanced Directives, Powers of Attorney for Health Care, Living Wills, Do Not Resuscitate Orders and a Statement in the Absence of Advance Directives. For more info, talk to your medical professional. The State of Illinois, Department of Human Services & the Illinois Department of Public Aid have excellent information on their websites regarding advanced directives & Do Not Resuscitate orders. http://www.dhs.state.il.us/onenetlibrary/27897/documents/ Forms/IL462-0007.pdf http://www.idph.state.il.us/public/books/dnrform04b.pdf
Transportation (continued) Dogs: Dogs must be securely chained or fenced at pick-up/drop-off times. Drivers will not leave the bus if threatening dogs are loose at or near the participant s home. The driver will wait 5 minutes for the animal to leave the vicinity or be confined. If the situation has not changed in that time, the driver will leave. If a client is not going to be attending Brightside as scheduled, PLEASE call us and let us know! We don t want the bus waiting for someone or making an extra trip. The sooner you call the better. Please leave a message if no one answers. To report a change in schedule, call 815-964-2433. And finally, Safe Pick-up and return: If ADS is unable to pick up a client due to an unsafe situation at the home, Brightside staff will notify the responsible party; transport by ADS will not be provided that day. If ADS is unable to return a client to his/her home due to an unsafe situation (such as no one is home as scheduled, no key, etc.), the driver will return client to Longwood. The office will notify the responsible party to pick up the client before our 5:30 PM closing. 16 What s with all the paperwork? In the Beginning When a client starts attending Brightside, there are all sorts of forms that need to be completed! We realize there is a lot of paperwork to complete--please know that it really is required and is extremely important! The forms must be completed & returned to our office before the client s first day of attendance. If you need help completing the forms or have questions about the information requested, please do not hesitate to call us. All information is kept confidential. YEARLY PAPERWORK During the year, we may ask you to complete additional forms such as updating medical information, additional authorizations, etc. We promise not to ask for anything we don t need! If you have questions about anything we ask for you to fill out, please call! Paperwork we will require includes but is not limited to: Plan of Care (every six months) Medical Information & Physician info update Emergency Contact Information update; Consumer Satisfaction Survey HIPAA agreement Household Income Statement (if receiving subsidized care) 5
Brightside: Philosophy of Care It is our philosophy that in providing adult day service to our clients we approach each person as a unique individual, a person with strengths and weaknesses, a person with potential for growth and development and that each individual has much to offer to the program in terms of wisdom & experience. It is our philosophy that the holistic approach be applied in the provision of care to the clients. In applying the holistic approach, the interrelationship among the physical, social, emotional and environmental aspects of well-being is recognized and valued. It is our philosophy that we promote positive attitudes toward self-image, restoring, maintaining and stimulating capacities for independence while providing supports for functional limitations. It is our philosophy that the environment is that of a homelike setting, one that is pleasant, enjoyable and comfortable, one that is easily compared to a living room rather than an institution. It is our philosophy that the atmosphere is warm and caring; that respect, enthusiasm and enjoyment are evident to all who enter the site; that the understanding and stimulation of the mind and body encourages well-being and is demonstrated in the staffs every action. Brightside: Statement of Client Rights Brightside ADS respects the rights of the clients and caregivers involved in ADS programming. ADS Staff ensures client rights are maintained and respected as listed: The right to be treated as an adult, with consideration, respect, and dignity, including privacy in treatment and in care for personal needs; The right to participate in a program of services and activities designed to encourage independence, learning, growth, and awareness of constructive ways to develop one s interests and talents; The right to self-determination within the day service setting, 6 Transportation (continued) All Aboard! On arrival, driver sounds the horn briefly or calls from the bus using a cell phone, and waits no longer than 5 minutes for response. Drivers are unable to wait longer than this due to the scheduled route. If the participant has not exited the home in 5 minutes, the driver has been instructed to leave. Safety First. Caregivers are to keep the path to the bus clear of obstacles, ice and snow. A clear path to the bus is for everyone s safety. If an issue is reported to me and the situation/ issue is not adequately addressed by client/caregiver, transportation to/from Brightside may be suspended or terminated. Once the situation/issue is addressed, ADS will resume. For comfort, safety and cleanliness: eating, drinking, chewing tobacco and smoking are not allowed on the ADS bus. Prior to departure, the driver ensures the client is seated securely and wearing a seatbelt. If client is in a wheelchair, the driver secures the wheelchair using approved restraints. Three Wheeled Scooters: The use of three wheeled scooters is not allowed on site. We just don t have the room to have scooters at Brightside! We can provide a wheelchair for use during transportation and at the site. 15
Transportation Private Transportation: In the interests of safety, the family member/ caregiver transporting participants to Brightside ADS is required to accompany clients in to the activity room. We ask the same at the end of the day. Brightside Transportation: Our routes are expanding every day! We try to accommodate requests but there are areas we cannot yet provide service. Rockford Para transit provides transport for much of our area. If you have been approved for Brightside ADS Bus transportation, you must fill out & return the TRANSPORTATION REQUEST FORM before transport can begin. For those who ride the Brightside ADS Bus: ADS Transportation is Curb to Curb service. Drivers stay with the bus. Family members/caregivers are expected to walk participants to/from the bus. Drivers are not allowed to walk/escort clients until they are at the bus! We appreciate your understanding in regards to curb-to-curb service. 14 including the opportunity to: -participate in developing or changing one s plan for services; -decide whether or not to participate in any given activity; -be involved to the extent possible in program planning and operation; -refuse treatment and be informed of the consequences of such refusal; -end participation in the adult day center at any time; The right to a thorough initial assessment, development of an individualized plan of care, and a determination of the required level of care; The right to be cared for in an atmosphere of sincere interest and concern in which needed support and services are provided; The right to a safe, secure, and clean environment; The right to receive nourishment and assistance with meals as necessary to maximize functional abilities and quality of life; The right to confidentiality and the guarantee that no personal or medical information will be released to persons not authorized under law to receive it without the participants written consent; The right to voice grievances about care or treatment without discrimination or reprisal; The right to be fully informed as documented by the participant s written acknowledgement of all participant s rights and responsibilities and of all rules and regulations regarding participant conduct and responsibilities; The right to be free from harm, including unnecessary physical or chemical restraint, isolation, excessive medication, abuse, or neglect; The right to be full informed, at the time of acceptance into the program, of services and activities available and related charges; The right to communicate with others and be understood by them to the extent of the participant s capability. 7
Brightside: Statement of Client Responsibilities Brightside ADS clients have responsibilities as active members of the ADS program. To the extent possible, the responsibilities are to be carried out by the client or by the caregiver on behalf of the participant, if necessary. Brightside ADS staff ensures clients understand their responsibilities as participants of the ADS program. Client Responsibilities include: The responsibility to treat personnel with respect and courtesy. The responsibility to communicate with staff to develop a relationship of trust. The responsibility to make appropriate choices and seek appropriate care. The responsibility to ask questions and confirm understanding of instructions. Plan of Care An individualized Plan of Care is developed for each Brightside client, utilizing information from doctors, case managers, the participant and his/ her family, and from staff observation. We encourage family members and caregivers to take an active role in the care planning process. 8 Alzheimer Association s Safe Return Program Safe Return is a nationwide ID, support & registration program. It provides assistance if a person becomes lost locally or far from home. Assistance is available 24/7, whenever a person is lost or found. There is a registration fee. If you would like more information on this program, please contact us at 815.964.2433. If you are already participate in this program, let us know! Confidentiality We take confidentiality seriously! Visitors to the site must sign a Confidentiality Agreement when visiting. We require a signed, dated Authorization of Disclosure before talking with others. An Authorization is good for one year or until revoked. Please help us with confidentiality by completing Authorizations in a timely manner; keep the Emergency Contact list up to date; and, understand why we don t release information!! Brightside ADS staff maintains confidentiality of all participants as defined by Administrative Codes, including but not limited to Section 240.340; 240.1510 (a-1, 2; f- 4o;)240.1555 (d-1i and 2H); and, Health Insurance Portability and Accountability Act (HIPAA) of 1996. 45 CFR 164.508. Authority Sec 1171-1179 of SSA (42 USC 1320-d- 1329d-8), 262 of Pub. L. 104-191, 110 Stat 202`-2031 and sec 264 of Pub. L. 104-191 (42 USC 1320d-2 note). 13
What to bring to Brightside: A change of clothing, clearly labeled with client s name A sweater in case you get cold! Adult disposable underwear (if applicable) Medication as prescribed, in original bottles, along with doctor s orders Diabetes Supplies (for persons who are insulin dependent): test strips, glucometer, insulin, shakes, glucose tablets, syringes, sliding scale booklet, etc. Store-brought goodies (for special events like birthdays) Over-the-counter Medications Please note: The state of Illinois requires written authorization for the dispensing of non-aspirin pain relievers (such as Tylenol) by nursing staff to participants. If you need to take OTC meds during your time at Brightside, you must bring your own medication must be in a clearly labeled bottle AND, there must be an order from the doctor. What not to send to Brightside: Money! (Clients never need money at Brightside) Home-made goodies (we love them but can t eat them due to Health Dept. guidelines) Valuable items! Cell phones (may certainly bring them but there s really no time or need to use them we ask they be used in emergency only) Relatives! While it s fun to have family around, we do not allow family to stay on site. We encourage you to enjoy your respite! Three wheel scooters we just don t have room for them. We re Open! Please note that Brightside almost never closes due to weather! More often than not during bad weather such as a snow storm, we will cancel transportation but leave the center open. We will call you if we have to cancel transportation. When in doubt, please call us! A DAY AT LIFESCAPE BRIGHTSIDE: Arrival: a warm welcome and coffee 8:30 10:00 a.m. Breakfast is offered 7:30 11:00 a.m. Socialization, activities, games, cards, crafts 11 11:45 a.m. Exercise 11:45 12:30 p.m. Lunch 12:30 1:00 p.m. Discussion, conversation, current events, music 1:00 2:00 p.m. Something different every day, check our calendar! 2:00 2:30 p.m. Snack and socialization 2:30 5:30 p.m. Small group activities, table games, personal projects 9
Staying an Active Client: Requirements for Brightside Clients In order to make sure those who attend Brightside are appropriate, we follow guidelines. We do everything possible to ensure clients may remain in the program as long as possible, but there are times discharge or scheduled absence from the program is needed. Reasons someone might not be able to attend Brightside include but are not limited to: Client becomes bedfast Client does not have the strength or stamina to attend for six hours a day Client cannot sit up for at least 30 minutes at a time Client is in an infectious state of a communicable disease Client s behavior deteriorates to the point he/she is destructive to self or others or is severely disruptive in group setting or sexually inappropriate to staff or clients. Client improves to point they do not benefit from the activities. Client who becomes continuously bowel incontinent Client requires two person transfer Client is unable to assist staff when transferring (can t bear any weight) Client requires IV therapy while at center Client, caregivers and family agree that continued participation is no longer of benefit to the client Client is discharged to long term care or assisted living. 10 Reasons to stay home While we encourage all clients to attend Brightside as scheduled, there are times when it is important to stay home. GENERAL MEDICAL REASONS to stay home include: fever, diarrhea, flu and pneumonia. Please note: When a client develops symptoms such as fever or diarrhea while at Brightside, we have to send them home! SPECIAL MENTION SHINGLES: If you have shingles, please stay home until you are prescribed an antiviral medication and have a doctor s note to return. For everyone s safety, shingles must be covered and not weeping. MEDICAL CLEARANCE: We want you healthy! We request medical clearance from your doctor after medical episodes including but not limited to: heart attack; stroke (CVA); hospitalization; major surgery; visit to emergency room for symptoms displayed at Brightside; diagnosis of communicable diseases such as C- DIFF, TB or MRSA; extended absence related to medical issues. MAY WE SUGGEST: If laxatives are used, please do not return to Brightside until the laxative is done working! There s not much worse than the embarrassment of bowel incontinence at the center, especially on the bus. 11