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					Dear Community Member,

We are beginning a project to rate long term care homes on a scaling system (much like what you see in
hotels). However, in order to do this correctly, we need to find out what seniors and caregivers think is
important. We need you to help us create the standards by which these homes are rated.

Long term care homes are regulated by the Ministry of Health and Long Term Care, and currently
undergo annual inspections which are meant to ensure that homes are following the prescribed
standards set out by the Ministry in order for the homes to continue receiving funding. However, these
reports do not currently make public the results of these inspections with enough detail for families and
seniors to make informed decisions about whether or not the home is adequate.

We need a rating system which holds the homes accountable to public standards, not to just the
Ministry for the purposes of funding. Please take the time to complete this survey, the answers from
which we will compile into a list of standards upon which we will be able to rate a long term care home
based on what YOU find important.

This survey and the final auditing tool created from your answers will be available online at
www.seniorsaccess.com

Thank you for your assistance with helping to hold long term care homes accountable to the people who
would be using their services and helping to give a better guide for seniors and caregivers looking for the
best homes.
Survey

Consider that you are looking into long term care for yourself or a loved one:

1. Please describe your top five “must haves” that you would look for when considering what is
important in a long term care home. (please list below)

         1.

         2.

         3.

         4.

         5.




2. What would make a long term care facility “home-like” for you?




For the questions following, under each heading / category, please circle based on a scale of 1
to five for level of importance to you. 1 being not important and 5 being very important. There
are five questions for each heading / category. There is space for you to give any additional
information you think relevant per each category.
Recreation / social programs

1. There is a variety of several daily activities and programs available to residents

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



2. The home involves residents in the planning of programs and activities

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



3. The home provides transportation to events and programs outside of the home

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



4. Programs are individualized to make sure each residents ‘own personal likes / interests/hobbies are
met and respected

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



5. The home strives to create new and innovative programming (i.e. is involved in research, has
connections to community partners)

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



Please add any further information you would feel is important to you when looking at recreation /
social programs within a long term care home.

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Health and fitness programs (restorative, physio, complex needs, )

1. The home has full physiotherapy services available on site (i.e. assessment, treatment, staffing)

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



2. The home is equipped with state of the art, modern fitness equipment and has certified staff to train
residents on the equipment

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



3. The home has connections to additional alternative health practitioners (i.e. Massage Therapists,
Chiropractic, personal therapists, natural health practitioners, etc.)

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



4. The home has laboratory and x ray services available on site

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



5. The home has dental and foot care services available on site

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



Please add any further information you would feel is important to you when looking at health and
fitness programs within a long term care home.

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Food program

1. Food is served in an attractive presentation

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



2. The home is able to adequately provide for special dietary needs (i.e. celiac disease, food allergies,
diabetic)

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



3. Food is available at any time throughout the day to residents

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



4. The home involves residents and family members in menu planning

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



5. The home is able to provide for cultural and spiritual food preferences (i.e. vegetarian, vegan options,
kosher foods, etc)

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



Please add any further information you would feel is important to you when looking at the food /
dietary components within a long term care home.

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Safety

1. Residents and families are involved and aware of the safety programs and equipment within the
home

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



2. Residents are involved in fire drills

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



3. The home is fully equipped with safety monitoring systems and equipment (i.e. call bells, grab bars,
assistive devices, door alarms, smoke detectors, carbon monoxide detectors, etc.)

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



4. The home is safe and secure and monitored for unwelcome guests

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



5. The homes Fire inspection and public health inspection reports are made easily available to family
members and residents

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



Please add any further information you would feel is important to you when considering safety within a
long term care home.

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Medical Care

1. How important to you is access to physician care on site?

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



2. How important to you is treatment being made available to the resident in a timely fashion?

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



3. How important to you is having access to Registered nursing staff who can medicate and assess
medical situations at any time throughout the day and night?

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



4. How important to you is it that physicians not only communicate with facility staff but also with
families directly about the care needs of the resident? (i.e. are available for family questions, attend care
meetings)

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



5. How important is it that families and residents are involved actively in decisions about care?

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



Please add any further information you would feel is important to you when looking at medical care
within a long term care home.

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Resident and Family Engagement

1. How important is resident engagement? (they are asked for input into how the home operates)

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



2. How important is family engagement? (there are programs which involve and inform families of a
residents’ care and the operations of the home)

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



Please add any further information you would feel is important to you when looking at resident and
family engagement within a long term care home.

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Staff

1. Staff are courteous and friendly, and residents are treated with respect and dignity

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



2. You are acknowledged and greeted with friendliness as soon as you enter the building

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



3. Staff know the names of residents and their family members

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



4. Staff respond to resident needs in a timely manner

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



5. Staff are quick to update caregivers on the condition of a resident

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



Please add any further information you would feel is important to you when looking at staff within a
long term care home.

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Operations and Management

1. Issues are addressed by management in a timely manner

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



2. There are policies and procedures evident in the home guiding staff and management in the health
and safety of residents and these are communicated to residents and family members

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



3. Management is accessible and keeps an open-door policy

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



4. There is a policy and procedure communicated to residents and family members for reporting a
complaint

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



5. Management knows residents names

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



Please add any further information you would feel is important to you when looking at the operations
and management within a long term care home.

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Neighbourhood and Community Involvement

1. The home is situated in a safe and attractive neighbourhood or country setting

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



2. The home is close to nearby amenities (i.e. grocery store, bank, drug store, restaurants, etc.)

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



3. The home encourages and facilitates residents to maintain their community connections outside of
the home

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



4. The home works with the community to involve itself in innovative partnerships and collaborations

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



5. The home has a well rounded volunteer program

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



Please add any further information you would feel is important to you when looking at neighbourhood
and community involvement of a long term care home.

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Building appearance and maintenance

1. The building is modern and newly built

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



2. The building is clean and well maintained, and free of offensive odours

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



3. The outside areas are well kept and safe (i.e. parking lots are well lit, snow is kept clear and
landscaping is well kept)

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



4. Common areas and rooms are spacious and comfortable (i.e. dining rooms, bedrooms, lounges,
activity areas)

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



5. Residents are encouraged to decorate their own personal space

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



Please add any further information you would feel is important to you when looking at the building
appearance and maintenance of a long term care home.

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Amenities

1. The home has a spa and/or hair studio on site

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



2. The home has a gift shop

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



3. The home has outdoor areas for resident enjoyment

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



4. The home has many areas for different activity (i.e. theatre room, resident kitchen, gym, games
rooms, bar, lounges, library)

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5



5. The home has a therapy pool / hot tub

Not important at all.   Nice to have but not a   I would want this in a   I would want this   This is a must have for
                        need                     home, but could live                         me and is non-
                                                 without it                                   negotiable
           1                      2                         3                       4                     5
And finally, last question:

What amenities would you want in a home that you would consider moving into?

This is your chance to think big! Create a list here of amenities that you would consider your dream
home. (i.e. theatre room, resident kitchen, gym, games rooms, bar, lounges, library, indoor walking
track, etc. )




Thank you for taking the time to complete this survey.

The assessment tool created from the results of these surveys will be available by the end of June, 2012
at our website www.seniorsaccess.com We hope to begin auditing homes utilizing this tool beginning
September of 2012.

				
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