The Care Programs

Dementia Care

Unfortunately we are unable to admit residents with certain dementia specific behaviours, eg wandering, intruding into other residents' rooms, incessant & loud verbalisations, disinhibition (disrobing in public) etc., due to the open plan lay-out of the building. As such behaviours may impact on the quality of life of other residents, we usually suggest families explore dementia specific accommodation.
 

However, we successfully care for, and manage residents diagnosed with low to moderate dementia/Alzheimer's. Our care team attend annual education/training sessions on dementia, behaviour management, angst & depression in older persons. Consequently, they are trained and very experienced in relating to and caring for those of our residents with dementia/Alzheimer's type impairments.

Our Executive Director of Nursing has had a life long professional focus on dementia care, and her expertise assists the care team and families to -

  • understand and accept the various stages of the decease process

  • use appropriate care & management strategies, and

  • relate to residents with empathy and respect.

Medication Review Service

  • We have participated in the Commonwealth funded 'Residential Medication Management Review Program' for several years

  • The Accredited Pharmacist attends our home to -

    • review residents' medication charts and other relevant care documentation

    • identify the properties of prescribed medications

    • identify potential counter-indications, and

    • provide a written report to us and the visiting Doctor

  • Based on the report the Doctor may vary the prescribed medications, eg the dosage, frequency, or cease / substitute a particular medication

  • Residents/family member are always asked to provide their consent for the Accredited Pharmacist to access confidential documentation.

Mobility & Rehabilitation

  • We are firmly committed to assisting our residents in maintaining their physical independence as long as practically possible.

  • Therefore, residents' mobility, including the need for equipment and staff assistance, is assessed prior to [pre-admission interviews, visits by the Executive Director of Nursing] and again, on admission by the Physiotherapist and the care team.

  • The resident's individual care plan will prescribe:

    • the correct lifting/standing equipment & shower chair

    • instructions to staff for safe transfers

    • the correct aids for walking, eg 4Wheel or 2Wheel frame, walking stick, two or one staff to assist, staff to follow the walking resident with a wheelchair etc

    • the correct chair

    • walking program, eg frequency during the day, distance, staff assistance required

    • exercise program, eg group exercises to gentle music

    • use of special cutlery and/or mugs to allow residents to be independent at meals

    • pain management strategies [medication/massage] which can assist with mobility

  • Care staff are alert to any changes in residents' capabilities, which usually 'trigger' new assessments and, after consultations, corresponding changes to care plan strategies to ensure the resident remains mobile, but most importantly, safe.

  • We are very proud to have assisted residents to maintain their mobility, or regain it after, for example, return from hospital, through the strategies described above.

Palliative Care

As many older persons now prefer to use community based care in their own homes as long as possible, the decision to move into a residential aged care home is usually deferred until full-time nursing care is required due to increasing frailty or deteriorating health.
 

Our active and culturally sensitive palliative care service has provided many families with the support needed at such a time, and allowed residents a dignified death. Our palliative care program involves:

  • consultation on 'End of Life Pathways' with families, and if appropriate, residents, covering -

    • instructions regarding resuscitation

    • admission to hospital

    • medication, including pain, management

  • sensitivity to, and respect for religious, spiritual, cultural traditions associated with death & dying

  • working closely with and involving families directly with City Mission or Banksia Palliative Care Services

  • consultation with the treating Doctor and families regarding palliation, ie appropriate end of life & pain management medication

  • aroma & music therapy

  • families are encouraged, if culturally appropriate, to remain in the home during the palliative phase with meals, accommodation [if required/requested] and other amenities being provided.

Post-Acute Care

Residential aged care homes are not usually equipped to provide post-acute care. However, due to the increasingly poor health status of residents causing often multiple admissions to hospitals, we have implemented a 'limited' post-acute care capability, in conjunction with the outreach services of the major hospitals in our area [Austin, St Vincent's].

This involves primarily administration of intravenous antibiotics, or fluids and post-operative [very rarely] or chronic wound management.

Respite Care

We are licensed for one respite care 'bed' by the Commonwealth Department of Health.

  • we accept a minimum booking of two weeks for respite care

  • respite residents receive the same level of care as permanent residents, eg:

    • mobility, continence, pain, dietary, medication assessments on admission

    • access to the services of our Contract Health Care Professionals, eg physiotherapy, dietetics, podiatry etc

    • wound & pain management if required.

  • We will arrange for a Doctor to visit the respite resident, if their own Doctor is unable to attend our home.

  • We will consult with families prior to, and during the respite period, on all matters relating to the care needs of the resident.

Wound Care

  • We consult a specialist aged care Wound Consultant to assess and advise on treatments/products for residents with chronic wounds at no cost to the resident.

  • However, if products are recommended/required which are outside the scope of 'basic wound care' prescribed under the 'Specified Care & Services' [Quality of Care Principles], we would consult with the family regarding associated cost.