Making the Move

How do I know when the time has come?

As noted earlier, programs and services are available to help individuals continue to live in their own communities. This usually promotes better quality of life and uses far fewer health dollars than institutional care. Community-based services may enable you to stay in your home longer than you thought possible. However, there are limits. When community-based services can no longer meet your needs, there are other options available: supportive housing, retirement homes (see Community Services), and long-term care facilities. Making a decision about when to seek long-term care in a facility is usually complicated because it concerns both your needs and abilities, along with the desires and resources of the caregiver(s). There is no simple rule to tell when the time has come. Each situation presents a unique mix of care needs and resources. What seems advisable in one case may not in the next. That is why it is essential that you explore your situation on its own merits.

What to look for when choosing a Long-Term Care Facility

Consider the following:

• Visit the home's website and make an appointment for a tour of the home.
• Then go back without an appointment and simply observe the interaction between the residents and staff.
• Is the staff friendly? Do you sense an atmosphere of warmth and concern?
• Do residents look content and well cared for?
• Is there a tone of dignity and respect for the residents?
• Is the home convenient for family and friends to visit?
• Are there areas in the home where you can visit privately?
• Is public or volunteer transportation available?
• Is there flexibility around visiting hours?
• What are the rules regarding vacation and leaves?
• Do the activities at the home sound interesting and appealing to the prospective resident?
• Are family members involved in planning for the resident's care?
• Does the home support a Family Council?
• Is the home able/willing to meet your religious, cultural, language, and dietary needs?
• Are there choices at mealtimes (e.g. menu, location, times)?
• Can you arrange to sample a meal or participate in an activity at the home?
• What are the policies around smoking, non-smoking, and alcoholic beverages?
• Is your family doctor able to continue providing care?
• What special needs can the home accommodate (e.g. oxygen, scooters, electric wheelchairs)?
• Can you bring your own furnishings?
• Is there an option to keep your personal belongings secure (e.g. lockable drawers)?
• Does the home require that clothing be labeled prior to moving in?
• Can family members or visitors bring food for the resident?
• Does the home provide palliative care services?
• How is billing arranged?
• What are the extra charges, if any, for personal needs and services?
• Is the home accredited?
• Have you read the Annual Long Term Home Review Report posted at the prospective home?

A further resource, Concerned Friends of Ontario Citizens in Care Facilities is a volunteer organization that will provide a more extensive checklist for selecting a long-term care facility. They can be reached at 416-489-0146.