let's talk about housing for seniors what is service added housing for the elderly? october 24,...
TRANSCRIPT
Let's talk about housing for Seniors
What is service added housing for the elderly?
October 24, 2015 (Saturday) Sapporo International Plaza : 10 :00 ~ 12 : 30
Anshin Sumai Sapporo Senior Advisor: Keiko Nishihara
Situation in Japan• Medical and care services are relatively
well provided, while their life span is the longest.
• Senior demography has been increasing.
• Life during the senior period.
Kaigo Hoken (long-term nursing care insurance) covers up to 90% of the cost of long-term care services required. (One must submit an application in order to use it!)
Medical Care to Home CareWorld Trend for Seniors
• District Inclusive Care→Housing Care service for seniors (not relying on hospitals or other facilities)
• Deathbed→natural/calm death outside of hospital →no prolongation of life treatment = system in common with Western countries →change from treatment to care trend
・ Dementia care→continue daily life as usual →maintain lifestyle as much as possible →guardianship system for elders
District Inclusive Care System
- To make our living possible in familiar surroundings even though we require constant care until the end.
- Inclusive Care System offers housing, medical services, prevention, and living care support.
- Target Year 2025
Objectives of Inclusive Care System
Decreasing birthrate and aging population
Total control over Social Security expenses
Reform in medical services
Reduction of hospital
beds
Care at housing w/services or at home
Apply only to severe/dement
ia cases
Insufficient number of care giversPayment
reduction of Kaigo Hoken
Mutual support for low degree
care
Types of Housing
• Fee-based homes for the elderly With Care 67 Residential 72 • Group Home (dementia only) 240• Senior Housing with care service
165• Other than above (for seniors)
200+
Data for Sapporo, September 2015
Housing with Care Services
• Confirmation of safety• Adviser for living condition• Emergency handling• Meal service• Bathing• Care covered by Kaigo
Hoken
Enforced October 2011
Living quarters for housing with care service
Essentials ( standard )
• toilet• closet• washbowl• room space
Exterior views
Small scaleLarge scale
Dining Room
All dine together as a general rule.Food Menu is posted.
After meals, may proceed to the parlor (large TV screen provided)
Individual rooms
Toilet
closet
Bath
Public
Individual
Washstand
Other facilities
Haircut Laundry
Other entertainment
Chatting corner
Mahjong room
Understand important differences
• Costs (¥ 120,000 ~ 230,000 )
• Facilities ( differ greatly )
• Meals ( 2 ~ 3 times/day, menu, fee )
• Caregiving ( Yes/No )
• Services not covered by long-term insurance ( Yes/No )
Selection Criteria 1
• Terms: self-reliance, requiring assistance, requiring nursing care, dementia, disabled
• Cost: (moving in) deposit, fire insurance, additional heating charge for winter (monthly) rent, communal charge, your share of the care service expense・ Location /Environment: Access to medical care/hospitals, banks, shopping, walking places. Noise considerations.
Selection Criteria 2
Room facilities: size, sun light (window direction), toilet, washbowl, alarm(where to) closetShared facilities: dining, bathroom, chatting, entertainment, laundry (washing and drying) common kitchenMeals: Diet for the sick, 2 or 3 meals per day, skipping meals
Selection Criteria 3
・ Medical and Care services: staff for day/night, relation with care service station, hospital, deathbed ・ Conditions of leaving: need more care service, deposit return・ Communication: getting together or seasonal seasonal events・ Operating firm: building owner and administrator, business of body organization
Summary• Collect detailed information• Visit more than 3 places• Grasping the content of the
contract is vital, and do it carefully.
• Disposal of ones possessions.