Category: Hogeway

Daring steps forward are making their mark as Providence Living, a new non-profit health care organization established by Providence Health Care is set to redefine seniors’ care in British Columbia.

Construction of Providence Living Place, Together by the Sea, a 156-bed dementia village in Comox, B.C. will take place on the site of the existing The Views long-term care home and the former St. Joseph’s General Hospital. Construction will begin in 2022.

Candace Chartier, President and CEO of Providence Living, recently said “We are so very close to showing BC and the rest of Canada how publicly funded seniors’ care must be provided to create whole communities where people want to live.” Providence Living Place, Together by the Sea will change long-term care from an institutionalized medical model to one that fosters a home-like environment where staff and residents become friends in a culture where families, children, pets and visitors become interwoven into the fabric of life throughout the facility.  Click here

Other provinces ‘are doing it’.   We need a drastic transformative change to emotion-based care in Ontario too.  Please make this a ballot box issue in Ontario.

For more information on existing emotion-based models of care in long-term care homes go to www.changeltcnow.ca

Instead of building homes in which people feel homeless, let’s build communities where people belong”. Sonya Barsness.

In June, 2019, Canada’s first Dementia Village opened. The Village’s design was inspired by Hogewey, the world’s first dementia village, in The Netherlands. Langley will become home to 78 people with dementia housed in six cottages. Care will be provided by 72 specially trained staff.

After 4 months, Langley has admitted 38 residents, one couple, and more residents are being added from its wait list every week.

• Two cottages are full and two more are at 50% capacity.
• The General Store is stocked and open for shoppers (pet food is popular).
• Elroy’s Cafe & Bistro is open for baking, lunch, coffee or a cold beer.
• The kitchen is the centre of activity and the smells permeate the house and stimulate the senses and appetite of the residents. Residents are involved in the daily food prep, plating and cleanup to the best of their abilities.
• Residents have created their own Newspaper complete with real and imagined stories and clippings contributed by each household member.
• Music is also important to the residents playing instruments when able to express their own particular interests.

The Village is about doing things differently. It is about putting the interests and needs of the residents first and making each house a home.

Although the Village Langley in British Columbia is privately owned and will not be affordable to all, we hope that this kind of innovation will influence others to bring culture change to their own long-term care homes.

Please forward this link to your friends, colleagues and your local city councillors, MPs or MPPs.

The Hogewey Village concept, developed in the Netherlands in the 1990’s, was featured in this blog’s first post (September 22, 2017) describing its implementation at Georgian Bay Retirement Home in Ontario; it has also been implemented in Alberta, and is soon to become a reality as a long-term care home in Langley, B.C.

As reported in The Northern View article on June 20, 2019,  the Langley  complex includes squares, gardens and a park where the residents can safely roam, along with a grocery store, restaurant, bar and theatre streets.

“What we want is to create a space where people can live life to the best of their ability in their own way, ”  For the full article, click here.

Even though the Langley project is private and costly,  it is a model from which both public and private sectors can build on to improve long-term care homes in Canada.  For instance Providence Health Care, a non-profit organization, is now in the process of creating similar purpose-built facilities in Vancouver and Comox.

While change is happening, it is very sporadic in a  system devoid of a strategic plan to overhaul the long-term care home system.

We need a strong advocacy voice to pressure governments at all levels to ‘step up to the plate’ and begin a health revolution in bringing about total culture change in the long-term care home system in Canada.  Please reach out to friends, families, organizations, politicians, and the list goes on to lobby and advocate to make this long overdue change a reality.

Canada’s first community designed, specifically for people with dementia opens in June 2019 Langley B.C.

It’s called The Village. Comprised of six, single-story cottage-style homes and a community centre, The Village will be home to 78 people with dementia, an umbrella term that includes people suffering from Alzheimer’s and other degenerative brain diseases associated with aging. Care will be provided by 72 specially trained staff.

At The Village, residents are not seen as dementia patients; they see the person and their story first. They believe that every person’s fundamental desire to achieve well-being, purpose and fulfillment does not diminish with age or dementia.

The Village’s design was inspired by Hogewey, the world’s first dementia village, in The Netherlands. What makes The Village different from traditional nursing homes is that residents will be able to shop, have a coffee, walk their dog, get their hair cut and take part in activities such as gardening by themselves. Continue reading “Canada’s first Dementia Village!”

“You never change things by fighting the existing reality. To change something, build a new model that makes the existing model obsolete” R. Buckminster Fuller  

Our long-term care system is broken and it needs to change! Recent news reports from long term care homes in Ottawa and elsewhere highlight the urgent need for transformation. It is time to stop trying to repair a system that is broken and think about what quality care should look like for those living in long term care.

Many strategies have been tried to repair the system such as changes in policies, more education for staff, increased oversight by owners and government departments, and stronger evaluation practises. While these are worthy measures, they have not changed or prevented terrible incidences to occur. This is not to say that there are not compassionate, competent staff who work in long term care homes.

In fact if you ask staff how they feel after their shift, most will say that they did the best they could in a system which does not allow them to spend time with their residents in order to provide quality care. They go home tired, exhausted, and wishing that things could be different. Most will say, “If only there were more staff, more activity programs, and less regimentation, perhaps I could make a difference in the work I do.” Certainly more staff, and more funding would help, but would it really change what is currently happening? Is it time to look at a new way of organizing how long term care is delivered?

Hogeway Dementia Village, Holland

In March of this year, CBC news reported on an alternative model of elder care, Hogewey Dementia Village in Penetanguishene, Ontario. The concept originated in Holland in 2007 and caught the attention of health care professionals in Ontario and Alberta. Hogewey has a grocery store, a theatre, a barber shop, gardens and community gathering places. It looks less like a sterile hospital environment and more like a cozy little neighbourhood. The only twist is that many of their residents live unaware that their orderly community is actually a nursing home for people with severe dementia. The concept is all about “social inclusion,” something that’s often missing from existing long term care homes. Residents are encouraged in this environment to continue their lives and focus on what they can still do. By normalizing life, especially for persons with dementia, it will help reduce outbursts and promote positive feelings thus enhancing quality of life. For full news article go to: https://www.cbc.ca/news/canada/calgary/dementia-village-alzheimers-alberta-calgary-gerontology-1.4024693

The Hogewey Dementia Village is just one innovative model of elder care available that enhances quality of life. The Alzheimer Society of Canada has identified other models within Canada that are innovative and seem to be offering a “home” where the quality of life is being enhanced for the residents. More research needs to be done but our understanding is that these “homes” do not cost more than the traditional long term care home model. There is no need to re-invent the wheel. There are innovative models of care that already exist in Canada and elsewhere. What is needed is recognition of the need for significant change in our present long term heath care system and a willingness to act! According to the Ontario Long Term Care Association, currently 90% of residents living in Ontario long term care homes have some form of dementia.

Please note: The authors of this blog are not endorsing any particular model of care. We are offering this blog as information and to provide an impetus for change and action. If you agree with what is written and want to take action, then you are encouraged to write to your local newspapers, write letters to your politicians, and speak out at public forums which address long term care homes. You can make a difference! For easy reference, links to MPPs and MPs:

https://www.ontla.on.ca/web/members/member_addresses.do?locale=en https://lop.parl.ca/ParlInfo/Compilations/HouseOfCommons/MemberByPostalCode.aspx?Menu=HOC