staffing plans in assisted living facilities knowing when “staff in sufficient numbers” is...
TRANSCRIPT
Staffing Plans in Assisted Living Facilities
Knowing When “Staff in Sufficient Numbers” is Really Sufficient
Provider Release 2010
Staffing Plans in Assisted Living Facilities
Deborah Lloyd, RN
Health Care Operations Consultant
Virginia Department of Social Services
Goals
For today basic thought processes manual tools
For the future the whole package automated processes regulation
Our History
the issues within theindustry
the issues for Virginia in the beginning (or somewhere near) “the back burner” effect
administrative changes restructuring responsibilities other people’s priorities
baby steps in a very grown-up world
Starting somewhere
The Universal Assessment Instrument (UAI) The Individualized Service Plan (ISP) And ???
a long and winding road!!!
or is it even
possible to get
there from here???
Determining a need…
Recognizing the warning signs Systemic non-compliance with
laws/regulations Numerous complaints from residents, families,
employees “Something just does not feel right!”
Assessing the situation Observations Record reviews Interviews
The tool…
Handout # 1
DIRECT CARE STAFFING ASSESSMENT
helps us to complete a basic review of the
facility operation including a number of
prescriptive situations that we may not require in
regulation.
Choices
STAFF by SHIFT COUNT (short form)
STAFF by SHIFT COUNT (long form)
PERSONAL CARE/DIRECT CARE SERVICES CHECKLIST
Computation of Direct Care/Need-Related Staffing Requirements
DIRECT CARE TIME/TASK ESTIMATES ***
Staff by Shift Count (short form or long)
Handout # 2 – one page short form
Handout # 3 – three page long form
Where do we go from here?
Training Licensing staff interested provider groups
Revising and refining high hopes & dreams reality check
Acknowledgements
Volunteer Facilities Westminster-Canterbury/Richmond, Virginia
Gloucester House/Gloucester, Virginia
Summit Square/Waynesboro, Virginia