Aven Manor and Aven Cottages Resident and Family Handbook · 2014. 3. 28. · March 2013 Operated by the ... Aven Manor and Aven Cottages Resident Handbook Page 8 of 28 may also be

Aven Manor and Aven Cottages

Resident and Family Handbook

March 2013

Operated by the AVENS – A Community for Seniors

[Formerly Yellowknife Association of Concerned Citizens for Seniors (YACCS)]

Table of Contents A NOTE TO RESIDENTS AND FAMILY .................................................................................. 5 CONTACTING US .................................................................................................................... 6 NEXT OF KIN/CONTACT PERSON ........................................................................................ 6 RESPONSIBILITIES OF THE NEXT OF KIN/CONTACT PERSON........................................ 6 LEGAL DOCUMENTS AND IMPORTANT PAPERS ............................................................... 6 RESUSCITATION ORDERS .................................................................................................... 6 VISITING HOURS ..................................................................................................................... 7 ADMISSION PREPARATION ................................................................................................... 7 MEDICATIONS ......................................................................................................................... 8 PERSONAL BELONGINGS ..................................................................................................... 8 CONFIDENTIALITY ................................................................................................................ 10 RESPECTFUL ENVIRONMENT ............................................................................................ 10 SMOKING ............................................................................................................................... 10 BEVERAGES .......................................................................................................................... 10 PETS ....................................................................................................................................... 11 TELEPHONES ........................................................................................................................ 11 MAIL DELIVERY ..................................................................................................................... 11 INFECTION PREVENTION .................................................................................................... 11 SECURE ENVIRONMENTS ................................................................................................... 12 FALLS ..................................................................................................................................... 12 LEAST RESTRAINT POLICY ................................................................................................. 12 COPING WITH DEMENTIA .................................................................................................... 12 INTIMACY ............................................................................................................................... 13 VISITS AWAY FROM THE AVEN MANOR OR COTTAGES ................................................ 13 FINANCIAL ARRANGEMENTS ............................................................................................. 13 TRUST ACCOUNTS ............................................................................................................... 14 CONCERNS, COMPLIMENTS AND SUGGESTIONS FOR IMPROVEMENT ..................... 14 QUALITY IMPROVEMENT ..................................................................................................... 14 PROFESSIONAL SERVICES ................................................................................................. 14 1. Physician ......................................................................................................................... 14 2. Dental Service ................................................................................................................. 15 3. Optometry Service ........................................................................................................... 15 4. Foot Care Service ........................................................................................................... 15 5. Ophthalmology Service ................................................................................................... 15 6. Hair Care Services .......................................................................................................... 15 7. Occupational Therapy and Physiotherapy ...................................................................... 16 HOUSEKEEPING ................................................................................................................... 16 LAUNDRY ............................................................................................................................... 16 FOOD AND NUTRITION SERVICES ..................................................................................... 16 MEAL TIMES: ......................................................................................................................... 16 FOOD/TREATS ...................................................................................................................... 17 RECREATION THERAPY PROGRAM .................................................................................. 17 RECREATION THERAPY CALENDER ................................................................................. 18 RECREATION THERAPY ACTIVITIES ................................................................................. 18 VOLUNTEER PROGRAM ...................................................................................................... 18 RESIDENT AND FAMILY ADVISORY COUNCIL .................................................................. 19 RESIDENT RIGHTS AT AVEN MANOR AND AVEN COTTAGES ....................................... 19 RESIDENT RESPONSIBILITIES AT AVEN MANOR AND AVEN COTTAGES ................... 20 STUDENT PLACEMENTS ..................................................................................................... 21

Aven Manor and Aven Cottages Resident Handbook Page 3 of 28

AVENS’ MISSION, VISION AND VALUES

AVENS’ Mission is “Building a supportive community for the health of seniors.”

AVENS’ Vision is that “AVENS will be the recognized leader in Yellowknife and the Northwest Territories for:

Working with seniors to provide quality community living choices,

Working with seniors to advocate for their needs,

Working with seniors to develop services that allow them to remain in their community,

Working with seniors to create supportive networks of seniors and community organizations committed to the health of seniors, and

Working with seniors to deliver services in a safe and respectful manner.”

AVENS’ Values are expressed in the following statements which describe the most strongly held beliefs within the organizational culture of AVENS and its operations:

“Safety is paramount in everything we do.”

“Seniors are important contributors to society, to the community, and to family.”

“The expertise and contributions of our staff are highly valued.”

“A strong community is a place where seniors can stay when they need support.”

“By working with groups and individuals, AVENS can build capacity in our community and address anticipated needs for the health of seniors.”

“Opportunities for personal choice and individuality are essential for promoting self-esteem and independence for seniors.”

“By liaising with other agencies, AVENS can coordinate its services with other community resources to meet the total needs of seniors.”

“A positive image is earned and sustained by the consistent efforts of capable and caring people associated with AVENS over time.”

“Good stewardship of the public purse must be met.”

“Facilities should be built and maintained to high standards with specific attention paid to creating safe, comfortable, and aesthetically pleasing space to live and work.”

“Operations and governance shall be continuously improved.”


Aven Manor Entrance

Cedar Cottage Entrance

Redwood Cottage Entrance


WELCOME TO

AVEN MANOR and AVEN COTTAGES

A NOTE TO RESIDENTS AND FAMILY It is important that residents and family members become familiar with the services offered here, the daily routines of the staff and residents, and the staff to approach to receive or give information. We encourage you to read this handbook and to ask us if you have any further questions. We believe it is important that the family continues to be the mainstay support of the resident. We hope that the family members will, whenever possible, join the resident in social events, both inside and outside the facility, if applicable, and to meet the resident’s personal and financial needs.

Family members are invited to participate in the care of their loved one. We encourage you to assist in the feeding, or their personal grooming, i.e. washing of their face and hands, nail care, hair care, shaving, and dressing or undressing as required. We ask that you talk to the staff prior to helping residents get out of their chairs, etc., in case they require two (2) people or a mechanical lift to accomplish a safe transfer. Our staff is specially trained to evaluate each resident’s ability to consistently carry out safe transfer techniques. We are concerned for the safety of each resident and we do not want anyone to be injured.

Sunroom between Redwood and Cedar Cottage

We will do our utmost to ensure that residents receive the best physical, emotional, and spiritual care that we can offer. It is not, however, possible for us to take the place of family members. A partnership with the family helps us plan the care and to identify what is of value and importance to the individual resident. This input helps us to plan the individualized care that we provide each resident. Family members are more than welcome to attend any activity. We encourage family members to continue to be “involved” in the lives of their loved one(s).


GENERAL INFORMATION

CONTACTING US

The main phone number for the Aven Manor and Aven Cottages is 920-2443. To reach:

Aven Manor Nurses Office dial extension 112

Redwood Cottage dial extension 114

Cedar Cottage dial extension 113

Care Supervisor dial extension 111

Director of Care dial extension 110

Director of Finance dial extension 102

NEXT OF KIN/CONTACT PERSON

Upon admission to our facility, the next of kin or contact person MUST be indicated to the Care Supervisor or the Resident Care Team Leader (RN). It is most helpful if this primary next of kin/contact person relays information pertaining to the resident to other family members. An alternate family member/contact person should be made known as well in the event that we are unable to contact the primary next of kin/contact person. Please notify the

Care Supervisor if there is any change in the next of kin/contact persons, their ADDRESS,

PHONE NUMBER, or the phone number where they can be reached in case of an

EMERGENCY.

RESPONSIBILITIES OF THE NEXT OF KIN/CONTACT PERSON

If the resident is unable to make decisions regarding their own care, it may be necessary for the person designated as the next of kin/contact person, to make decisions for the resident in the event of a health crisis. These decisions would be made in consultation with the doctor and other family members as appropriate.

It is therefore VERY IMPORTANT that the person designated as next of kin/contact person be the person the resident wishes to speak on their behalf.

LEGAL DOCUMENTS AND IMPORTANT PAPERS

All legal documents and important papers are to be retained by the next of kin/contact person. A copy of any legal Power of Attorney/Guardianship Documents should be given to the Care Supervisor or RN at the time of admission or when they come into effect.

RESUSCITATION ORDERS

Just after admission, resuscitation orders will be discussed with the resident and family to express resident/family wishes related to situations where there is a health crisis. If you have completed this process with your family doctor or lawyer, please provide a copy of the Resuscitation Orders or a copy of any legal document that includes the resident’s directives to the Care Supervisor or the RN.


VISITING HOURS

Visitors are welcome and encouraged to visit residents often. Visiting hours of 9:00 a.m. to 8:30 p.m. are in place to meet security and care requirements. Exceptions may be made in special situations at the discretion of the Care Supervisor or RN with prior notice. If care is being given, visitors are requested to wait in the rest area in the Manor and the dining room in the Cottages until care is completed before visiting the resident.

Sitting area in the Manor Dining room in Redwood Cottage

All visitors are asked to sign our log when they are in the building. Whenever a resident goes out with friends, family or on their own (as appropriate), they are asked to let a staff member know and to sign out on the Resident Sign Out Log.

Please be aware that we encourage you to interact with all the residents when you visit. When visiting, consideration is requested for other residents as this is their home. After hour access is available to Aven Cottages through the after-hours door located by the courtyard outside of the Cottages area. When you are facing the main front door to the facility, the after-hours door is to your left. There are directions posted on the main front door of the facility. You must use the intercom to contact the Cottage staff who will let you into the building. After hour access to Aven Manor is achieved by ringing the buzzer at the front door to the Manor, a staff member will let you in.

Parking is available in designated areas.

ADMISSION PREPARATION Upon admission, the Registered Nurse will meet with the resident and/or family and show them to their room. An orientation to the facility will also take place. Over the next few days, the members of the health care team will meet with the resident to do an assessment of their needs. Members of the onsite team include nurses, resident care aides, dietary supervisor/dietitian and aides, housekeeping and laundry staff, maintenance personnel, recreation therapy team, and, business office staff.

Within the first two months of admission, whenever possible, a Resident Case Conference will be held. The resident and family will be contacted and notified of the time and date of the conference. These conferences are then held annually or more often if the need should arise. The resident’s personal physician and the various members of the health care team


may also be in attendance. The purpose of the conference is to set and evaluate reasonable goals for the resident’s care during their stay in the facility. Your input is greatly appreciated. Residents can find moving into a new residence to be a very stressful time for them as well as the family. This transition takes time, often up to three months, but our goal is to help the resident and family feel at home as soon as possible. Please share your concerns with the staff so they can help you and or your loved one settle in.

MEDICATIONS All medications administered to residents must be ordered by a physician. Should your family member be taking any over the counter drug medications or herbal remedy, this information should be given to the Care Supervisor who will inform the physician. All medications are supplied by the facility pharmacy, Sutherland’s. The nursing staff will work with the pharmacist to ensure the resident’s medications are appropriate for their

diagnoses and are available for the staff to administer to the resident. No medications, prescription, over the counter drugs or supplements are allowed to be kept in the resident’s room. The nursing staff will keep them in the secure medication room and administer them as needed.

PERSONAL BELONGINGS The importance of bringing specific items to help make you or your loved ones room more attractive cannot be over emphasized. Family photos and pictures are encouraged. This will help to make the room seem more like home. In Aven Manor, a bulletin board is provided in each room. In Aven Cottages, there are memory boxes outside of each room that can filled with special mementos and pictures. These boxes are locked so that the items inside are kept safe. If you wish to have pictures hung on the walls, please use a method that creates the least amount of damage to the wall such as Mac Tac removable hangers. Bedroom in Redwood Cottage Televisions may be brought in for use at the bedside. Cable is available in all of the resident’s rooms through Northwestel Cablevision. It is the responsibility of the resident and/or next of kin to set this up. If residents are hard of hearing, ear phones will be required so that the loud volume is not disturbing to the other residents and visitors. Televisions are provided in the common areas throughout the facility. The televisions will be turned off during meal times and anytime there is an activity underway in the area. Rules for the use of the televisions in the common areas are posted by each television. Some programs are not appropriate for people with dementia as they can have trouble knowing or understanding that scenes seen on the television are not real. All the movement, colour and


images are difficult for many of the residents to cope with. Please discuss any questions you have related to bringing in TVs for someone who has dementia with the Care Supervisor.

In Aven Cottages our goal is to keep the environment calm and quiet so that the residents can cope with their surroundings. We ask that you respect this need when you or other family members are visiting. All electrical items that are brought in must be CSA approved and must be inspected by our maintenance department before they can be used. We do not allow electric blankets or space heaters as these both pose significant burn and fire risk.

Living Room in Redwood Cottage Please consult the Care Supervisor before bringing in large pieces of furniture such as a chair. In the interest of safety, larger pieces of furniture may need to be modified for use in the facility, i.e., have casters, brakes on wheels, etc. Please avoid bringing in any chairs that move or swivel. This is to reduce the risk of falls. In the event the staff or residents need more room to safely move about and provide care, the Care Supervisor may contact you to remove any broken, inappropriate or extra furniture. Bedroom in Aven Manor

Aven Manor and Aven Cottages are not responsible for the loss or damage to clothing, eye glasses, dentures, hearing aids, jewelry, etc. However, we will do everything we can to try keep personal items safe. It is important that all articles be labeled with the resident’s name.

Items of major value, including major sentimental value, SHOULD NOT be brought into the facility. The facility is not responsible or liable for loss or damage of any of the resident’s personal belongings. Mini fridges are not permitted in the resident’s rooms. There are some residents who currently have a mini fridge and have not been asked to have it removed but new admissions will no longer be permitted to have these appliances. These decisions was made based on observation that many residents have difficulty maintaining the fridge and the contents and were consuming out of date and spoiled food items. If you have a family member in the Aven Cottages, please do not be alarmed if at times the residents who have dementia are wearing someone else’s clothing or have entered the wrong room. The staff will always try to assist residents to wear their own clothing and direct them to their room but it will occur at times because the residents do not recognize that it is not theirs. This is related to their dementia. It will be important that you let staff know and we will attempt to right the situation as soon as it can be done in a gentle non-upsetting manner for all involved.

Bedroom in Manor


Unfortunately, storage space is not available in the facility; therefore, it is recommended that residents and/or families make alternate arrangements to store off site any out-of season clothing, extra luggage, and other personal effects that may not be needed.

CONFIDENTIALITY All staff and volunteers take an oath of confidentiality. It is very important that we respect the resident’s rights to privacy. We ask that all visitors and family assist us with this goal.

Cottages Front Court Yard

RESPECTFUL ENVIRONMENT AVENS is committed to creating an atmosphere of trust, respect and dignity and expect that all staff, volunteers, residents, family members and visitors treat each other with courtesy. Abuse of any nature is not tolerated and will be investigated fully with appropriate actions taken.

SAFETY

Safety of residents and staff is of utmost importance. Care must be provided in a safe manner. If you notice unsafe equipment or an unsafe practice, please speak to the staff member in charge. The emergency procedures including the fire response plan are practiced routinely. During a fire drill residents and family are asked to follow the instructions of the staff.

SMOKING Smoking in Aven Manor or Aven Cottages is prohibited. Family and friends may smoke in designated outside smoking areas as per WSCC regulations (10 meters from the building). Residents who live in Aven Cottages must be non-smokers and will be assisted to quit smoking upon admission. Residents of Aven Manor who smoke must be able to do so safely and independently in the outside smoking area. If they are unable to manage or they do not follow our smoking rules, they will not be permitted to smoke.

BEVERAGES Alcoholic beverages are permitted. The nursing staff will check with the physician to ensure that a conflict with prescribed medications does not exist. Alcohol is stored in the medication room and given to the resident on request. No alcohol is to be stored in a resident’s room. As part of the Recreation Program, pub night is held on Thursday evenings. Regular 5% Beer, Non Alcoholic or 0.5% beer, and soft drinks are served and residents may purchase drinks. If residents would like to buy a drink, staff can give them the exact funds from their trust fund if their legal representative has approved it.


Family and friends may purchase soft drinks through our Tuk Cart or charge soft drinks to a Resident’s Trust Account with the resident’s permission. Staff cannot sell alcohol to family or friends. Staff does not have access to cash in the evening, so we recommend exact change. There is a limit of 2 alcoholic drinks per resident on Pub Night.

PETS Family pets are welcome to visit if they are healthy, vaccinated, not disruptive and are under control and on a leash during the visit. Pets are not allowed in any food service areas. Animals are scheduled to come to the care center as part of the recreation program. Please make staff aware of any specific resident concerns related to pets.

TELEPHONES Telephones may be installed in the rooms. This is a service that has to be purchased through a telephone service provider. Installation and monthly telephone charges are the responsibility of the resident and/or next of kin. It is not recommended that telephones be placed in the rooms in Aven Cottages as the residents find these confusing and disruptive. Facility phones are available for use by residents for local calls. The staff will assist the residents to come to the telephone when they receive a call. Please try to avoid calling during meal times. Residents who wish to make long distance calls from an Aven Manor or Aven Cottages telephone will require a calling card to do so.

MAIL DELIVERY Mail to residents should be addressed as follows:

Name of Resident Aven Manor or Aven Cottages

Suite #1, Rm # ___, 5710-50th Ave YELLOWKNIFE NT X1A 1G1

Outgoing mail may be taken to the business office. The purchase of stamps is the responsibility of the family or resident.

INFECTION PREVENTION Our goal is to prevent and control infections among our residents and staff. Education is provided and safe practices are followed. To help us reduce the spread of germs and protect yourself and the health of our residents, staff and volunteers we ask that you: 1. Wash your hands or use the sanitizers located throughout the building

when you enter the building,

after you use the washroom

before and after you are assisting a resident with food or with personal care and

when you are leaving the building. 2. Only visit when you are feeling well.


Included with this package is our brochure on Hand Washing.

SECURE ENVIRONMENTS

The Aven Cottages is a secure environment designed for the safety of the residents who have dementia. The Aven Manor main doors are locked 24 hours per day for the safety and security of the residents and staff. Doors require access cards.

If you are visiting the Cottages please ensure that you are not letting residents leave when it is unsafe for them to be unaccompanied. If you unfamiliar with the resident, please check with the staff before letting them leave the Cottage area.

After hour entry to Aven Manor and Aven Cottages is by using the door bell or by special arrangement with administration to get a swipe card. Please ask the Care Supervisor if you would like to be assigned a swipe card.

FALLS

Residents are at a higher risk for falls especially if they have dementia. In order to reduce the risk of injury related to falls, interventions are in place. This includes good lighting, reduced glare on the floors, handrails, wiping up spills, monitoring safety when the floors are mopped, removing tripping hazards, hip protectors, low beds, fall mats, bed sensors, encouraging the residents to wear good footwear and to use their mobility aides safely. Motion detectors to turn the bathroom light on at night when a resident gets up are located in the Cottages. Should a resident fall and injure themselves, the family will be contacted. Your assistance in maintaining a safe environment is very much appreciated. Please note we do not allow scatter rugs on the floors of the resident’s rooms as they are a significant tripping hazard.

Included with this package are brochures that we developed on Falls Prevention and family/visitors roles in promoting safety in the facility.

LEAST RESTRAINT POLICY

AVENS has a least restraint policy which means that restraints will only be used for the required duration should a resident ever become an extreme danger to themselves or others. In the past restraints and full side rails were thought to keep residents safe from harm but research has now proven that restraints of this nature actually increase risk.

COPING WITH DEMENTIA

Moving into a new environment is difficult for everyone but it is especially difficult for those who have dementia. The staff has special training so that they have a better understanding of the challenges a resident may face as they cope with their cognitive changes. It is our goal to help in whatever way we can. The Cottages have been specially designed to offer a calm, quiet homelike environment with cues to help residents find their room and their way. Examples of this are the memory boxes, pictures on room doors, a bird display in front of the Cedar Cottage and the music display in front of the Redwood Cottage. Residents will always be encouraged to take part in the exercise and recreation activities to help maintain their desired level of independence and well being.


Staff will join the residents’ reality and enjoy all the special times they can together. The routine and what happens each day will be based upon direction, (verbal and non-verbal) received from the resident. Residents will not be forced to do anything they do not wish to do. If families or residents would like any information relating to dementia they are encouraged to ask staff or to visit the Resource Library located in the Day Program Area where the NWT and Alberta Alzheimer’s Society will offer support and reference material. Our staff all receive training in managing dementia care called Supportive Pathways. We have adopted the philosophy from this training that encourages the staff to respect the wishes of the resident and to avoid whenever possible forcing the resident to do things they are not comfortable with. When safety is a concern, we do occasionally have to impose some restrictions to this practice.

INTIMACY Residents will at times choose to establish intimate relationships with other residents in the care center. We will respect their right of choice should this occur between two consenting adults. However if a resident has dementia the staff will discuss the situation with the family to ensure we are respecting the resident’s wishes.

VISITS AWAY FROM THE AVEN MANOR OR COTTAGES Many residents enjoy time away from the care center to visit with family and friends. We ask that the next of kin/contact person advise us of their plans as soon as possible in order that we may prepare prescribed medications in advance of the resident leaving. A Release of Responsibility Form must be signed whenever a resident leaves the care home. This form is available at the front desk at Aven Manor in the sign out book and in the kitchen in both of the Cottages.

FINANCIAL ARRANGEMENTS All residents of Aven Manor and Aven Cottages must pay a room and board fee of $746.00 per month to offset the cost of accommodation and meals. Payments must be received by the first of each month. For the first month, the co-payment charge will be prorated for the number of days the resident is in occupancy. To assist you in and make the monthly rent payment easier, automatic payments can be set up. Arrangements for payments can be made at the Business Office located in the Barbara Bromley Administration Wing which is open Monday to Friday from 8:30 a.m. to 4:30 p.m., except weekends and holidays. Administration Area for Business Office


TRUST ACCOUNTS

Residents can keep a limited amount of money secure on the premises by contacting the Business Manager. Residents who live in the Aven Manor are asked to avoid keeping large amounts of money in their rooms as we cannot be responsible for residents’ loss of cash. We ask that residents who live in Aven Cottages not keep any money in their room or on their person. AVENS is not responsible for loss of money.

For residents that have no family or are unable to do their own banking, they can set up a trust account and have their Old Age Pension cheques deposited to pay their rent and for miscellaneous purchases. All purchases are accounted for and residents or legal designate will have access to this information at anytime.

AVENS Trust Account does not provide for money loans.

CONCERNS, COMPLIMENTS AND SUGGESTIONS FOR IMPROVEMENT Should your next of kin/contact person have any concerns, compliments or suggestions regarding care, please contact the Care Supervisor who will give you a form to fill in. If the concern is more immediate and the Care Supervisor is not on duty, please see the Resident Care Team Leader (RN) in charge at the time. Your concerns will be shared with the Care Supervisor. It is our policy to address all concerns. If you feel your concerns have not been adequately addressed by the Care Supervisor, the Director of Care would be happy to discuss and assist you to bring the issue to resolution. Compliments will be shared with the appropriate staff and are much appreciated. There is also a suggestion box located in the Sunroom of Aven Cottages and one by the entrance in Aven Manor that can also be used. Staff cannot accept personal gifts or money from the residents or their families. AVENS has a Complaint Form which is part of our Quality Control policy on Commendations and Concerns. This form has a feedback section to ensure people who put in a complaint know what events and actions actually transpired and that their concerns were heard and acted upon. See the Administration or Care staff to access the form.

QUALITY IMPROVEMENT The Board of Directors and Employees of AVENS are committed to provide optimal care within the available resources and according to legislation, Accreditation and Quality Care Practice Standards. Feedback from residents, families, volunteers and the visiting public assists the team as it pursues their goals related to continuous quality improvement. We have suggestion boxes located in Aven Manor by the front door and in the Sunroom of Aven Cottages for Residents, Families, Visitors, Volunteers and Staff to bring their ideas or concerns forward.

PROFESSIONAL SERVICES

1. Physician

Each resident admitted to the facility must have a family physician at all times. Prior to admission, if you and or your loved one have a family physician, please confirm


with him/her that they are willing to follow-up on your and or your loved ones medical needs while living at Aven Manor or Aven Cottages. The Care Supervisor coordinates these appointments and appreciates family involvement with transportation to appointments. At times, the physicians do visit the Manor and the Cottages. Transportation cost to the appointment is the responsibility of the resident. If you do not have a Physician, the Care Supervisor will talk to you about obtaining one.

2. Dental Service

Dental service is available to residents. A denturist offers services at the facility for dentures and small examinations. Outside appointments are also necessary for good oral hygiene. Either the family or the Care Supervisor can coordinate this. Family must coordinate all transportation to appointments. Transportation cost to all appointments is the responsibility of the resident.

3. Optometry Service

A staff member from one of the local optometry businesses visits as requested and does minor adjustments to eye glasses as needed, free of charge.

4. Foot Care Service

Foot care is provided by a Resident Care staff member who has been trained to provide this type of care.

5. Ophthalmology Service A technician from the Eye Clinic visits the facility every 4 months. If a resident would like to be seen by the technician, please let the Care Supervisor know. The Technician may ask a resident to visit the Eye Clinic to see the Ophthalmologist. The Care Supervisor will coordinate the appointment but recommends family involvement with transportation to appointments. Transportation cost to the appointment is the responsibility of the resident.

6. Hair Care Services Golden Guys and Gals Salon There is a full service Salon located in the main lobby of the building, half way between Aven Manor and Aven Cottages. The salon operator will provide services as requested by the resident and/or family. If you have your own hairdresser and wish to continue to see them, you are welcome to do so as long as you can arrange transportation to you own appointments. Entrance to Hair Salon off of the main lobby

The Resident or family must either pay the hairdresser or arrange through the Administration Office to have the charge posted to his/her Trust Account.


7. Occupational Therapy and Physiotherapy AVENS has a contract with YHSSA to provide Therapy services to the residents. Referrals to the Occupational Therapist (OT) and the Physiotherapist are made through the Care Supervisor or Registered Nurse. The purchase of specialized equipment for each resident like wheelchairs, walkers and other aides is the responsibility of the individual resident. If you have an extended health plan the OT will assist you in getting prior authorization for the purchase of your equipment. If your plan is not the NWT extended health plan and you are required you to put through a claim, this is something you will need to get your family to assist you with.

HOUSEKEEPING Staff is responsible for maintaining a clean, safe and attractive environment within the facility. This includes the cleaning of resident rooms, washrooms, hallways, dining areas and all public areas, offices, etc. Families are asked to assist the residents with keeping their belongings organized. If you have any questions or concerns regarding housekeeping, please direct them to the Maintenance/Housekeeping Supervisor.

LAUNDRY In-house laundry is provided for all residents’ personal clothing. In advance of admission all residents clothing must be clearly labeled by the family in order to prevent lost or missing articles. Heat strip labels are recommended. If clothing is missing, please let staff know so we can try and help you locate it. All clothing should be machine washable. Please arrange to store off season clothing off site. In Aven Cottages, residents will have access to a washer and dryer so you and or your loved one can wash your own personal clothing. If they are unable to do this, staff will wash their clothing for them.

FOOD AND NUTRITION SERVICES There is a rotating menu that is posted in the dining rooms. Daily menu items are written on the board in the dining room in Aven Manor. Menu items are altered according to portion size and texture. Therapeutic diets (e.g. diabetics, low salt), food allergies, religious food preferences, vegetarian, and most food dislikes are respected. The menus are produced by our Food Services Manager/Dietitian. Opportunities to discuss nutritional care, concerns and to give suggestions regarding food service are welcome.

MEAL TIMES:

Breakfast: In the Manor 7:30 am - 10:00 am In the Cottages, the resident has breakfast when they get up.


Lunch: In the Manor 12:00 noon In Cedar Cottage 11:45 a.m., Redwood Cottage 12:00 noon

Dinner: In the Manor 5:00 pm In Cedar Cottage 4:45 pm, Redwood Cottage 5:00 pm.

Tea, coffee and juice are always available for residents in the dining room at the Manor and in the kitchen areas of the Cottages. Residents will be offered snacks in the afternoon and evening.

Residents are encouraged to eat in the dining room. Trays are only sent to residents’ rooms if residents are ill. Families and friends are welcome to have meals with their loved one. We ask for advance notice of the number that will be coming. The charge is $5.00 a person per meal. Please pay the cook in the Manor and the staff serving the meal in the Cottages. A container is located in the dining areas to assist with coffee and tea expenses. The charge for coffee, tea or juice is $1.00 per cup.

FOOD/TREATS Everyone enjoys a treat or special food from time to time. If you would like to bring in special treats for your loved one, please give it to a staff member who will store it in the kitchen’s fridge for you. A microwave oven is available in the dining room in the Manor and in the kitchen of the Cottages for your use. The resident fridge located in the dining room of Aven Manor is for resident use. Some residents are on special diets. Please speak with staff to determine if the items brought from home may result in an adverse reaction to the resident. We thank you for your generosity we are able to take donations of any wild meat or fish but are limited in space to store and prepare these items. In addition there are regulations we must follow when accepting wild meat and fish so we ask that you contact the Food Services Manager/Dietitian to make arrangements to make a donation.

PERSONAL HYGEINE ITEMS It is the responsibility of each resident to ensure they have the appropriate items for personal hygiene including toothpaste, toothbrushes, denture tablets, deodorant, face cream, body lotion, shaving supplies, nail clippers and file, etc. As we are in a group setting and many people have sensitivities to scents, we ask that you purchase unscented products whenever possible. Also, we request that perfume and aftershave not be used when you are in the facility. We recommend an electric shaver be used and each resident is responsible for ensuring they have their own and it is in good repair.

RECREATION THERAPY PROGRAM

The Recreation Therapy Department provides leisure programs that enable older individuals with cognitive or physical impairment to maintain their independence.


Goals of the recreation program: 1. Provide a safe and secure environment that allows for social interaction. 2. Provide innovative programs that reflect the changing recreational needs of each

resident. 3. Encourage independence, allow for autonomy and promote self-worth. 4. Maintain and respect the cultural and spiritual values of each resident. 5. Allow the residents to maintain a connection with the community.

RECREATION THERAPY CALENDER

The monthly recreation calendar is used to communicate all of the current recreation programs at Aven Manor and Aven Cottages. Daily recreation programs are posted in the residents’ dining room as a reminder to the residents about the day’s activities. A monthly calendar is also provided to residents, their families and volunteers.

RECREATION THERAPY ACTIVITIES

The facility provides a variety of diversion programs designed to meet the recreational needs and interests of each resident. These programs provide for social interaction, cognitive stimulation and physical activity. The programs also provide a spiritual and cultural component that is sensitive to the needs and values of each resident. In addition, programs offered provide each resident with the opportunity to maintain a community connection through community outings, intergenerational programs, volunteer services and interdenominational church services.

VOLUNTEER PROGRAM

Volunteers play an important role in providing a variety of programming for the residents at the facility. Many community groups and individual volunteers help residents maintain a community connection by delivering special activities that would otherwise not be available to the residents. All volunteer applicants must be over 14 years of age, provide a clear criminal record check and sign an Oath of Confidentiality. Once individuals satisfy the requirements and are accepted as volunteers, they are provided with appropriate training and orientation.

ALZHEIMER’S SOCIETY RESOURCE LIBRARY The Alzheimer’s Society of Alberta and NWT library and resource center is located in the Adult Day Program area. Information and educational materials about Alzheimer's and related diseases is available through the resource center. For questions or requests for additional materials, please contact 1-866-950-5465 or [email protected]. Caring for a person living with Alzheimer’s or a related disease is a commendable and busy undertaking. Support groups provide an informal setting where you can rejuvenate, learn new information, and share with others experiencing similar situations. Join in at anytime, or drop by to see how a support group can benefit you throughout the Alzheimer journey. For more information contact (867)669-9390.

mailto:[email protected]


RESIDENT AND FAMILY ADVISORY COUNCIL

AVENS encourages the residents to participate in the Resident and Family Advisory Council. This helps to facilitate communication among residents, their families and staff. The Joint Resident’s Council meets on the third Tuesday of each month. Residents, family members or family representatives from Aven Manor and Aven Cottages are eligible for council membership and are encouraged to attend council meetings.

RESIDENT RIGHTS AT AVEN MANOR AND AVEN COTTAGES 1. Every Resident has the right to be treated with courtesy, respect, in a way that

fully recognizes their dignity and individuality free from mental and physical abuse.

2. Every Resident has the right to a safe and clean environment, proper shelter, food, clothing, grooming, and care consistent with their needs.

3. Every Resident has the right to be told who is responsible for and who is providing their direct care.

4. Every Resident has the right to be afforded privacy of their treatment and care for their personal needs.

5. Every Resident has the right to keep and display in their room personal possessions, pictures and furnishings in keeping with safety requirements and other Resident rights.

6. Every Resident has the right to:

a. Be informed of their medical condition and proposed course of treatment.

b. Give or refuse consent to treatment, including medication, in accordance to the law and be informed of the consequences of giving or refusing consent.

c. Participate fully in making any decision and/or obtain an independent medical opinion concerning any aspect of their care.

d. Have their medical records kept confidential in accordance with the law.

7. Every Resident has the right to receive assistance towards their independence that is consistent with their care requirements and also to choose the following:

a. Functional intervention to maintain or improve functional abilities and facilitate independence.

b. Leisure education to enhance recreation skills and attitudes.

c. Recreation promoting health through leisure and recreation experiences.

8. After being fully informed, every Resident (or a designate) considered for restraints has the right to fully consent to the procedure and the consequences of receiving or refusing such a restraint.

9. Every Resident (or a designate) must consent to receiving a restraint before doing so.

10. Every Resident has the right to have visitors and communicate with them in private.

11. Every Resident whose death is imminent has the right to have members of their family or others of their choice present at all times.

12. Every Resident has the right to designate someone to receive information concerning their transfer or emergency hospitalization. The Resident’s designate will receive notification of such transfer or hospitalization as quickly as possible.

13. Every Resident has the right to exercise the rights of a citizen.


14. Every Resident or their designate has the right to raise concerns or recommend Manor or Cottage policy and service changes on behalf of themselves or others through the Residents’ Council, Manor or Cottage employees, government officials or any other person inside or outside the facility, without fear of restraint, interference, coercion, discrimination or reprisal.

15. Every Resident has the right to participate in the Residents' Council, form friendships, and enjoy relationships including participating in consensual adult sexual experiences.

16. When partners both reside in the Manor, they have a right to share a room according to their wishes, if an appropriate room is available.

17. Every Resident has a right to pursue social, cultural, religious and other interests and be given reasonable provisions by the Manor and Cottage to accommodate these pursuits.

18. Every Resident or designate has the right to be informed in writing of any law, rule or policy affecting the operation of the Manor and Cottages and the procedures for initiating complaints thereof or any other aspect of residence at the Manor or Cottages.

19. Every Resident has the right to manage their financial affairs when able to do so.

20. Where Resident financial affairs are to be managed by AVENS, the Resident or their legal designate must sign the Agreement of Expenditure of Trust Funds allowing AVENS staff to do so.

21. When Resident financial affairs are managed by AVENS, the Resident shall receive an annual accounting (more frequently on request) of all transactions undertaken on their behalf to ensure their financial affairs are managed right.

22. Every Resident has the right to access protected and safe areas outside the Manor and Cottage facility to enjoy outdoor activity, within their ability to do so.

RESIDENT RESPONSIBILITIES AT AVEN MANOR AND AVEN COTTAGES 1. Every Resident has the responsibility to observe the rules and regulations of the

Manor and Cottages. Should a resident not have the mental capacity to understand these responsibilities, their legal designates and staff will need to offer support and direction so that safety is maintained.

2. Every Resident has the responsibility to treat fellow Residents and Employees with courtesy and consideration, while bearing in mind the rights of others.

3. Every Resident has the responsibility to observe the no smoking regulations.

4. Every Resident has the responsibility to promptly participate in fire and disaster drills.

5. Every Resident has the responsibility to use Manor and Cottage supplies, linens and furnishings with care.

6. Every Resident has the responsibility to provide truthful information to the appropriate Manor and Cottage employees concerning all aspects of their mental, physical, and financial status, including keeping them informed of any relevant changes in all of the above.

7. Every Resident has the responsibility to be considerate of the needs of the other residents and understand that staff respond to those with the most urgent needs first.

8. Every Resident has the responsibility to promptly report anything they feel needs


attention (i.e. safety hazards, security breaches, other residents in need of attention, etc.).

9. Every Resident has the responsibility to give the Department Head or any of the administrative staff an opportunity to correct a complaint or grievance by speaking to them directly.

10. Every Manor and Cottage Resident has the responsibility to inform staff in accordance with Manor and Cottage policy, before leaving the premises.

STUDENT PLACEMENTS

AVENS is pleased to have times when we have students come to work with our qualified staff so that they can learn and gain experience in their chosen profession. The students are fully supervised and will be introduced to family members if they play any part in the care of your loved one.






