Change Institutions to Homes


The implementation of changing institutions to homes is the revolutionary change needed in LTC.  Small home-like environments provide eight to sixteen residents with the ‘stuff of life’.  A life of meaningful activities surrounded by staff who interact with them and care for them with empathy and kindness.

Key aspects of change:

  • A Warm, Caring Environment: Creating an atmosphere that feels like home.
  • Personalized Care: Staff truly know residents, their families, and understand their lived experiences.
  • Tailored Schedules and Routines: Matching residents’ preferences and needs.
  • Engaging Activities: Providing meaningful activities that bring joy and engage residents.
  • Fostering Relationships: Thriving relationships among staff, volunteers, residents, and families.

Implications of Change:

  • Relationships: Where everyone feels part of a community and is treated with dignity and respect.
  • Small, Home-Like Environments: Setting up small units with shared living spaces for 8-16 residents.
  • Commitment to Leadership: Leadership committed to a relationship-based approach to care.
  • Qualified and Empathetic Staff: Employing full-time, well-paid staff trained in empathy and understanding the required culture change.
  • Emotional Intelligence in Hiring: Hiring staff based on emotional intelligence.
  • Recognition of Families and Caregivers: Recognizing families and caregivers as integral team members.
  • Engagement of Trained Volunteers: Engaging volunteers who are trained in empathy and culture change.


How to Make These Changes »