Welcome to Sheridan Villa On behalf of Sheridan Villa, it is my pleasure to extend a warm welcome to you and your family. While I recognize that your move into the Villa might be somewhat stressful and overwhelming, I am confident that, given the time and the opportunity to get to know residents, volunteers and staff, you will find your stay both pleasant and enjoyable. Sheridan Villa is recognized as a vital part of the Clarkson community. I hope you and your family will feel free to make use of all the services and programs which are part of life at the Villa. This handbook has been developed by the families, volunteers and staff to help you and your family get to know Sheridan Villa better. I hope you will find it helpful. Once again, welcome to Sheridan Villa and I look forward to meeting with you in the near future. Sincerely, Inga Mazuryk Administrator Sheridan Villa Long Term Care Centre i
Welcome to Sheridan Villa...i Welcome...4 Vision and Mission Statements...4 Our Regional Values...4 Our Mandate...4 Our Commitment to Excellence...4 Our Model of Care...5 Management Team...5 Residents, Family Members and Friends Responsibilities:...5 Privacy Health Information...6 Prevention, Reporting and Elimination of Abuse Policy...6 Process for Raising a Concern...7 Activation and Community Services...8 Activation Therapy...8 Music and Horticultural Therapy...8 Rehabilitation/Physiotherapy Services...8 Spiritual and Religious Services...8 Administration/Business Office...9 Leave of Absence...9 Vacation/Casual Leave/Medical Leave/Psychiatric Leave...9 Mail Service/Newspapers...9 Monthly Accommodation Charges...9 Personal Trust Accounts...10 Power of Attorney...10 Telephones/Cable Television...10 Facility Services...10 Housekeeping...10 Maintenance...10 Laundry...10 Food and Nutrition...11 Nursing Department...12 Care Planning...12 Consents...12 Incontinence Products...12 Infection Control...12 Informed Consent...12 Medical Appointments...12 Medications/Treatments...13 Medications/Treatments and Pharmacy Services...13 Health and Herbal Remedies...13 Alternative Treatment...13 Palliative Care...13 Social Work Services...14 Advocacy...14 Family Council...14 Resident Council...14 Uninsured Services...15 Chiropody Services...15 Dental Services...15 Hairdressing Services...15 Optometrist Services...15 Volunteers...15 Safety and Security...16 ii
Call Bells...16 Fire Alarms...16 Instructions to Residents in Case of Fire...16 Disaster Planning...16 No Smoking Policy...16 Signing In and Out...17 Wanderers System...17 Other Important Information...17 Gift Giving...17 Personal Belongings...17 Public Transportation...17 Sheridan Villa Parent Child Centre...17 Sunshine Patio and Therapeutic Garden...18 Visiting...18 Tips for Visiting For Family and Friends...18 Sheridan Villa Map...19 Main Lobby Area...19 One Resident Home Area...20 iii
Welcome Vision and Mission Statements Our Vision of Peel s Future The Region of Peel will be a healthy, vibrant and safe community that values its diversity and quality of life. Corporate Mission Statement The Region of Peel will serve its growing community through commitment, partnership, innovation and excellence. Our Regional Values Supportive and Respectful Environment We work in an environment that is positive, healthy, caring and free from discrimination. We respect diversity and treat one another in ways that are fair, courteous and compassionate, recognizing everyone s contributions. Teamwork We practice teamwork, cooperation and collaboration, and reinforce these with a strong vision and positive leadership. Effective Communication We practice open, two-way communication in a clear and honest manner. Integrity We are ethical, professional and trustworthy in our work. Quality Service We provide services that are accountable, accessible, responsive, efficient and effective. We seek new and innovative ideas for improvement in policies, practices and services. Our Mandate Peel Long Term Care will continue its tradition of caring for our clients to ensure their dignity, independence, quality of life and ongoing community connections. Our Commitment to Excellence Sheridan Villa is an accredited Long Term Care Centre that is owned and operated by the Region of Peel. Sheridan Villa with pride, asks the Canadian Council on Health Services Accreditation to conduct an indepth evaluation of our care, programs and services to determine that Sheridan Villa is meeting or exceeding the standards set out by this national independent body of professionals. We have successfully received the highest award from this organization. 4
Our Model of Care Sheridan Villa offers a model of care that supports the residents level of cognitive, physical ability, social, emotional and spiritual needs, strengths, values and desires. The care team utilises principles of continuous quality improvement to promote efficient and effective service delivery by way of ongoing monitoring and outcome analysis. Residents reside within the home based on their level of care needs and cognitive function. Transfer may occur from unit to unit, based on assessment of care needs, cognitive function and safety requirements. We have adopted the Edenization principle which places emphasis on the residents quality of life. The physical environment of the home is made more home-like with the addition of plants, greenery and animals. Families are welcome to bring their pets into the home for visits. Management Team Our management team is made up of experienced professionals who are available Monday to Friday to answer your questions: Administrator Director of Care Supervisor of Activation & Volunteer Services Supervisor of Business Services Supervisor, Adult Day & Community Services Social Worker Dietary Services Supervisor Facility Services Supervisor A current telephone contact list is inserted for your convenience and also posted on the Family News Board located in the front hallway. Residents, Family Members and Friends Responsibilities: To ensure that our Centre is an enjoyable and safe place, it is important that Each resident, family member and visitor observe the rules and policies of the Centre. Each resident, family member and visitor shall respect the rights and privacy of others. Each resident, family member and visitor shall treat others, including staff and volunteers, with dignity, courtesy and respect. 5
Privacy Health Information Sheridan Villa Long Term Care Centre provides you with a variety of health care services. To meet your needs and provide you with quality service, Sheridan Villa Long Term Care Centre needs to know personal health information about you. We take steps to protect your personal health information from theft, loss and unauthorized access, copying, modification, use, disclosure and disposal. We conduct audits and complete investigations to monitor and manage our privacy compliance. We take steps to ensure that everyone who performs services for us protect your privacy and only use your personal health information for the purposes for which you have consented. This personal health information about you is collected from you or from the person legally acting on your behalf to help provide health care or receive payments for health care. We use this information and share it only with those who need to know the information. If you would like to know more about how your personal health information is collected, used, stored, disclosed, or about our privacy protection practices, or to raise a concern you have with our practices, please speak with your Director of Care or the Centre s Administrator. You may also speak with our privacy contact person, the Director of Long Term Care at 905-791-7800. Prevention, Reporting and Elimination of Abuse Policy The Region of Peel Long Term Care has a zero tolerance abuse policy. It is consistent with the standards of the Ministry of Health and Long-Term Care. Abuse means any physical, sexual, emotional, verbal or financial abuse as well as any form of exploitation or neglect of residents and clients. At our Centre, we do not tolerate any form of abuse. Our residents and clients must be treated with respect and dignity at all times by staff, service providers, visitors and volunteers. We handle all allegations of abuse in a confidential manner, investigate them carefully, and take appropriate actions. Our Centre will ensure that people who report incidents of abuse will not be penalized. All of us are legally, morally and ethically obligated to report any incidents of abuse we witness. At our Centre, we will accept and act upon anonymous reports; however, our ability to take meaningful and effective follow-up action may be compromised. 6
Process for Raising a Concern Most of the time, relations between residents and staff at Sheridan Villa go pretty smoothly, but once in a while something goes wrong. It is our hope that should a circumstance arrive where you are disappointed, you will communicate this to us. The following are some ways in which to register your concern: Talk to the charge nurse or Director of Care on the floor Attend Resident or Family Council meetings Talk to the Administrator by coming to the front office or by telephone (905) 791-8668 ext. 2906 Write a letter to the Administrator Contact the Ministry of Health if you believe we have not resolved the problem Call the ministry INFOline at 1-866-532-3161 Or the Hamilton Service Area Office at 1-800-461-7137 7
Activation and Community Services Activation Therapy Activation therapy services are offered to residents in large or small groups, both inside the home and outside in the community. Activation staff can often be found in residents rooms conducting one-to-one programs. The Activation Therapists play an integral role in planning and providing appropriate activities to promote the physical, intellectual, emotional, social and spiritual needs of each resident. Together with residents, families and other members of the care team, the Activation Therapists develop suitable programs. Some of our popular programs include: bingo, monthly birthday parties and outings such as shopping and dining out. A list of regular and special events is posted throughout the building and will be provided to you each month. Music and Horticultural Therapy In addition to the Activation Therapists, Sheridan Villa has a Music Therapist and a Horticultural Therapist. Individual and group sessions are held. Rehabilitation/Physiotherapy Services Rehabilitation services are provided by our Physiotherapist and Occupational Therapist when required. Residents are assessed by the therapists and an individualised treatment plan is developed. Through individual treatment and/or group therapy, this team works with residents to promote health, develop skills, restore function and maintain overall physical abilities. A fun aspect is incorporated into all rehabilitation groups. Re-assessment of goals and intervention is ongoing to maximise benefits of therapy. Spiritual and Religious Services Regardless of faith or creed, spiritual care provides opportunities for religious devotion. A number of programs are identified below. 10:30am Sundays Nondenominational Service Worship Centre 10:30am Sundays St. Christophers Visiting All Floors 2:15pm Sundays Nondenominational Service 4th Floor 3:30pm 3rd Sunday Salvation Army 3rd Floor 1:30pm Wednesdays Rosary and Eucharist Celebration Worship Centre 8
Memorial Services - As announced Sheridan Villa Chaplain Deacon Steve Barringer 2460 Truscott Drive 905-791-8668 ext. 5606 St. Christophers Roman Catholic Church 1171 Clarkson Rd. N. 905-822-1171 St. Brides Anglican Church 1516 Clarkson Rd. N 905-822-0422 Salvation Army Church 2460 Collegeway 905-820-6868 Sheridan United Church 2501 Truscott Drive Administration/Business Office Admission Financial Process On the day of admission residents/authorized representative are required to sign an admission agreement, approve any optional services and bring in the following items to set up the file and automated payments, if this was not previously completed during the preadmission meeting: Financial Documentation required for Admission 3 cheques copy of power of attorney (for property and personal care) health card notice of assessment for previous tax year to determine eligibility for basic room rate reduction Leave of Absence Vacation/Casual Leave/Medical Leave/Psychiatric Leave A resident is entitled to 21 days of vacation per year. When casual leave is combined with the vacation at the rate of 48 hours per week, it is possible to have up to 31 days of combined leave once a year. Residents need to advise nursing staff, in advance, when they plan to take vacation or casual leave days. The approved leave periods for residents admitted to hospital are 30 days for medical care and 60 days for psychiatric care. Please enquire at the Business Office if you require further information. Mail Service/Newspapers Mail is delivered to your room daily. Newspapers can be delivered by notifying the newspaper directly. The paper will be delivered to your room. Monthly Accommodation Charges The rate schedule issued by the Ministry of Health on a yearly basis is given to residents/authorized representative upon admission. The updated rate schedule is sent to all residents on a yearly basis notifying them of rate increases. Residents of basic rooms may be eligible for a rate reduction based on their income. Please contact the office for further details. Please note you may be charged interest for missed, incomplete or late payments. 9
Personal Trust Accounts A trust account is available for the convenience of residents who need to have funds maintained in a safe place and readily available for their personal use. Funds in the trust account may be used to pay for centre-related services approved by a resident/authorized representative, such as hairdressing or other optional services. Please contact the business office for further details. Power of Attorney It is highly recommended that residents grant power of attorney (for property and personal care) to a responsible person(s) of their choice. Please note that Sheridan Villa (Region of Peel) staff cannot be granted power of attorney for residents nor can they witness the signing of these documents. Further information and power of attorney booklets are available in the business office. Telephones/Cable Television If you wish to install an individual telephone line, Bell telephone can be contacted at (905) 310-2355. Each residents room is wired for cable television. If you wish to bring a television, Rogers Cable can be contacted at 1-888-ROGERS1 or 1-888-764-377. Facility Services Housekeeping The Housekeeping department provides daily services to ensure the building is clean and attractive. This is a big task considering the number of residents, families, friends, volunteers and staff who come to Sheridan Villa every day. Maintenance The Maintenance department has a comprehensive maintenance program that is aimed at providing a comfortable, secure and safe environment. Another responsibility of maintenance staff is to inspect all personal electrical appliances, such as televisions, radios and lamps to ensure they are CSA approved and safe to use. Maintenance should be notified when any electrical appliances are brought into the Home. Laundry We have our own laundry service on-site. General laundry service is provided free of charge. On admission, a record is made of all belongings and all clothing is labelled. Any new clothing brought in at a later date should be taken to the laundry department in the basement for labelling. Items such as bedding, linen, pillows, wash cloths and towels are provided. All of the linen and personal clothing is sent to the laundry. The nursing staff is responsible for sorting the soiled linens and residents personal clothing by using a colour coded bag system. The laundry staff is responsible for sorting the linen and for delivering clean linen to the floors. We are not able to provide dry cleaning service. 10
Family members may wish to wash the residents personal clothing at home. In this case, we ask that you advise the Registered Nurse or Director of Care on the floor so that staff can be informed not to remove the soiled clothing. Food and Nutrition The Dietary department is responsible for planning and preparing meals and nourishments. Regular diets, therapeutic diets and dietary supplements are available to meet the special dietary requirements of many of the residents. In addition to breakfast, lunch and dinner, snacks between meals and at bedtime are provided. We also provide meals to our Adult Day Service. The dining experience is recognised as a pleasurable and social time for all individuals. At Sheridan Villa we have a Dietary Supervisor, a Dietitian, Cooks and Dietary Aides. We attempt to accommodate choices in meal selection by offering variety within the menu. We also prepare foods that are traditional to special events. All food is prepared on-site and served in the dining rooms on each floor. Dietary staff are assigned to each of the units. Family members and friends wishing to eat at Sheridan Villa may purchase a meal ticket from the main office. 11
Nursing Department The Director of Care, assisted by the Registered Nurses, Registered Practical Nurses and Personal Care Attendants, is responsible for co-ordinating, implementing and evaluating the nursing care. Nursing care is provided twenty-four hours a day, seven days a week. There are registered staff on duty in the building on all three shifts for any concerns or questions. The Director of Care is available from 8:30am to 4:30pm Monday to Friday to address concerns and questions. Open communication is essential to ensure that your quality of life is maximised. Attending Physician The Medical Director oversees the home s medical services and requirements. The residents medical services are provided by the medical director and/or attending physician. Community family physicians may continue providing care to newly admitted residents provided they meet specific requirements. Should the need for transfer to hospital arise, ambulance and hospital services can be accessed. Care Conference Interdisciplinary conferences are held six weeks after you move in and annually thereafter. In addition a conference may be held whenever warranted by circumstances. These conferences may be initiated by the Centre, you or your family/representative. Care Planning You will have an interdisciplinary plan of care which specifies your individualised care requirements and is reflective of your current status. This planning process includes you and/or your family/representative. The plan of care is individualised, multidisciplinary in nature and goal-driven. Consents There are several consents that are required to be signed on admission and reviewed annually thereafter. These include health care directives and influenza consents. Incontinence Products Disposable incontinence products are provided for residents who require them. Infection Control There is an organised program of infection control co-ordinated by our full time Program Support Nurse. Informed Consent In accordance with Provincial Legislation, families and /or substitute decision makers will be contacted to discuss and receive consent prior to all new medical treatments and life care directives. Medical Appointments Booking of medical appointments and transportation is the responsibility of the family/substitute decision maker. 12
Medications/Treatments Medications/Treatments and Pharmacy Services Medications and/or treatments are prescribed by a physician and are administrated by a Registered Nurse or Registered Practical Nurse. Any medication not covered by the Ontario Drug Benefit Plan will be invoiced directly to you and payment can be made directly to the pharmacy by mail. No medication of any kind may be brought to you and left in your room. Health and Herbal Remedies Medications are prescribed by the doctor and are administered by the registered staff. If you are on any health or herbal remedies or are using any over-the-counter medications, please inform your attending physician and the registered staff. All new medications including vitamins and over-the-counter medications must be approved by the attending physician and be provided from the Centre's pharmacy. This also provides us the opportunity to advise you of any potential adverse drug interaction. Alternative Treatment The physicians and the staff of the Centre are supportive of the residents choices with respect to the care of the residents as expressed by the resident or when appropriate their substitute decision maker. If you are using treatment other than traditional please inform your physician and our staff so we can assist you to co-ordinate the care plan. Palliative Care Palliative care services are provided at the Home. An individualised palliative plan of care is developed to meet all assessed needs. This plan is developed from an interdisciplinary palliative care conference. 13
Social Work Services The Social Worker is responsible for managing all aspects of the Social Work program at Sheridan Villa. Recognising that changes created by long-term care placement or illness can be difficult, our skilled Social Worker is available to provide assistance in helping you adapt to these changes and to discuss any concerns you may have. The Social Worker is an active member of the care team. Advocacy Sheridan Villa s Resident Council, Family Council and the Volunteer Executive Committees are empowered to participate in enhancing the quality of life for the entire Sheridan Villa community. The Advocacy Centre for the Elderly is a community-based legal clinic for low income seniors. It is managed by a volunteer board of directors, at least half of whom are seniors. It is the first legal clinic in Canada to specialise in legal issues for seniors. They can be reached at (416) 598-2656. Family Council Sheridan Villa has an active family council that meets regularly. The Council is comprised of family and friends of Sheridan Villa residents who wish to become involved and advocate on behalf of their loved ones. Resident Council As residents of Sheridan Villa and on behalf of our Resident Council, we would like to welcome you to our home and extend an invitation for you to join us at our regular Council meetings. Sheridan Villa Resident Council is comprised of an active group of residents who meet monthly to discuss areas of concern and to contribute to the operation of our home. We play a role in the general management of the home by influencing decisions on subjects such as food, activities, outings and furniture to name a few. The Council Members are appreciated and respected for the way we help residents and staff reinforce communication by working together to improve the quality of life. Once settled into life at Sheridan Villa, we hope you will join us and become an active part of our group. We look forward to seeing you! 14
Uninsured Services Chiropody Services Sheridan Villa has a chiropodist who visits residents who wish and require foot care. Families sign a consent form for this service. The chiropodist will bill families directly. Dental Services Dental Services are provided within Sheridan Villa. A consent form is signed and families are billed directly for this service. Hairdressing Services Our beauty salon on the main floor is available if you wish to have your hair cut, coloured or permed. In addition to this, we have a hairdresser who works on the fourth floor. You may sign to have money from your trust account used for this service. Optometrist Services An eye clinic is held within Sheridan Villa. Written consent is required for this service. Volunteers The tradition of volunteering was established at Sheridan Villa prior to the Villas opening in 1974. Volunteers contribute positively to the lives of the residents through very specific acts of generosity. Our volunteers work with the team and provide programs such as Fun and Fitness, outings, concerts, entertainment and many more events. They welcome residents into the Home and provide one-to-one visiting. In addition, our volunteers contribute financially to improve the appearance of the Villa and take on special projects to enhance the quality of life for our residents. Many family members enjoy volunteering at Sheridan Villa. If you know someone is interested in volunteering, please contact our volunteer co-ordinator, Christiane Maris at 905-791-8668 extension 2912. 15
Safety and Security Call Bells Call bells are located by your bed and in the washroom. When pressed, staff are notified by pager and are able to respond. Fire Alarms While we do not wish to disrupt our residents or their visitors, staff are legislated to practice fire safety procedures. It is important to conduct these drills, so that in the event of a real fire, staff are confident and prepared to handle the situation. Instructions to Residents in Case of Fire If fire or smoke is in your room: leave the room immediately close the door behind you if possible call for help by: o pulling the fire alarm o shouting for help o using the call bell If fire or smoke is not in your room: call for help by: o pulling the fire alarm o using the call bell o telephone 905-791-8668 or 911 o shouting for help Shut the door to your room Wait for help to arrive If the alarm sounds remain calm remain in your room with the door closed turn off all electrical equipment in your room keep telephone lines open follow instructions given by staff or the Fire Department if away from your room, go with staff to a room or other safe location Disaster Planning Working together with the Region of Peel and the City of Mississauga, a mock disaster exercise tests some aspects of the disaster plan (eg. Bomb threat, fire, missing resident). This is planned once a year. No Smoking Policy Sheridan Villa is a smoke-free environment. Residents, family members and visitors are prohibited from smoking within our Centre. Please note that our smoking policy is strictly enforced. 16
Signing In and Out For safety reasons, we must be able to account for all residents at all times. Located on each unit is a sign-out book. Please make sure that when you leave Sheridan Villa, you sign yourself out or have a family member sign you out. Please remember to sign in when you return. Wanderers System Sheridan Villa utilises a wander guard system to allow freedom of movement within the Centre while also maximising safety and security. Other Important Information Gift Giving Staff at Sheridan Villa are not permitted to accept any personal gifts from the residents and their families. If you wish to acknowledge the people who are involved with your care, a note of thanks is always welcomed. Shared gifts such as potted plants, which can be displayed throughout the Centre, are a lovely way of sharing your good wishes. Personal Belongings Each room is equipped with an adjustable bed with rails, a nightstand, a dresser and a chair. You may also bring in other furnishings, such as a comfy chair or small table or bureau, as space permits. Residents are encouraged to bring in other familiar items such as pictures or a calendar. Personal refrigerators are only permitted in resident rooms with the administrator s approval. Treatment items such as heat packs must be approved before being brought in. All items such as eye glasses, hearing aids, dentures and watches should be labelled for easy identification. We do not accept responsibility for lost items. Any jewellery or money should be kept on your person and kept to a minimum. Public Transportation The Mississauga Transit service provides convenient transportation to and from Sheridan Villa. The bus stops in front of Sheridan Villa on Truscott Drive and goes directly to the Go Train. Sheridan Villa Parent Child Centre The Mississauga Parent Child Resource Centre operates an Ontario Early Years Centre in Sheridan Villa. A resource teacher is available at various times throughout the week. There is an intergenerational playgroup when pre-schoolers and seniors engage in activities, songs and stories. The Resource Centre offers drop-in times when you are invited to come and participate. Seniors are always encouraged to come down and sit and visit with pre-schoolers and their caregivers. 17
Sunshine Patio and Therapeutic Garden The patio and garden are available to all residents and their families to enjoy the outdoors during the summer months. Visiting Our visiting hours are from 8:00 a.m. to 8:00 p.m. There are a number of areas within the home for visiting and relaxing. Residents and family members are welcome to visit the garden and admire the many plants and flowers. Each floor has a number of lounges and the family dining room on the first floor is available and can be booked for gatherings or parties. Tips for Visiting For Family and Friends It is often a difficult time when individuals and families realize that their loved one requires more care than they can receive while living at home. The decision to have your loved one move into a long-term care centre is not an easy decision to make and it is important to understand the change that will transpire. At our Centre, we recognize these challenges and are here to assist you in making this transition as smooth as possible. There are some ways that your participation can assist your loved one in their transition of their new home: It is important that you maintain some normalcy for your loved one such as: Communicating to them through frequent visits, phone calls, notes, cards or any other means that you have customarily used. Remembering significant events such birthdays, anniversaries, holidays. Encourage visits from your extended family such as grandchildren, nieces, nephews and friends. Help your loved one personalize their new room by bringing their favourite chair or dresser and pictures and paintings for the walls and perhaps their favourite comforter or blanket. Personalize the Memory Box which is located outside their bedroom with their favourite items. Participate with your loved one in recreational programs. Plan visits before meal times. 18
Sheridan Villa Map Main Lobby Area 19
One Resident Home Area 20