I am pleased to share the first edition of our revamped newsletter! I hope you like the new design, new format and new ways of sharing information with you. Please send us your feedback as well as ideas, stories and information we can share.

Each month we will share news and information about home care, long term care, community supports and services and shed light on the wonderful people and services that contribute to continuing care in our province.

Susan Stevens
Senior Director, Continuing Care, NSHA
Continuing Care Spring Forums
Please join us for discussions, networking, and information sharing.
Continuing Care Forums provide an opportunity to share information, network, and to discuss ways to improve care, experience and access for the individuals and families we serve.

For information about the Forums or to make suggestions on future topics, please contact:

Client and Caregiver Satisfaction Surveys
Providing quality care and services is a priority. Of equal importance is the quality of experience individuals and their families have.

To this end we hired Dr. Marilyn MacDonald and Dr. Lori Weeks, School of Nursing, Dalhousie University to develop new client and caregiver survey instruments along with recommendations regarding the administration of the instruments for intake, care coordination, home support and nursing in NSHA and home care agencies. We are close to finalizing these tools. Throughout the development process we have utilized best practice, academic research, client and family perspectives, and NSHA, DHW and home care agency perspectives to assure the validity and reliability of the instruments.

We are also ensuring these instruments meet Accreditation Canada standards. We are really excited to have this work underway with a planned completion date of May 31, 2019. We will then work with DHW and providers to implement the tools and conduct the first surveys in 2019-20. The data we gather will enable us for the first time to compare results across NSHA and providers. 

We believe this information will give us new insights into where we need to improve and where we are doing well. We will provide a further update this fall.
Dr. Marilyn MacDonald
Dr. Lori Weeks
New Access and Flow Bulletin

Volume 1 of the new Continuing Care Access and Flow quarterly bulletin coming soon.
In the first bulletin we look at Quarter 4 (Q4) data from January 1–March 31, 2019 and full fiscal year (FY) data for 2018-19. We hope you will find this information helpful. In the sneak peak above, you can see the number of clients on the long term care wait list throughout FY 2018-19 and also a look at the current number of clients on the home support wait list (as of March 31).
Morning House Fire in Windsor
At 2:00 a.m. on March 28, Charleen Ward, Residential Care Assistant working the night shift at Victoria Park Guest House heard a strange popping sound. “I thought it was coming from a resident’s room. But when I went to investigate, I realized it was coming from outside. I looked outside and it was an ‘oh my gosh’ moment” said Ward.

“I saw the neighbours car on fire. In the short time it took me to grab the phone to call 911 the flames spread from the car up the steps of the house,” she said. Ward acted quickly, pulling the fire alarm, running up to the top floor and evacuating the residents.

“I evacuated the third floor first, thankfully all residents woke up by the time I got down to the first floor. I did a head count, gathered blankets and quickly led them out to my car,” said Ward. It took Ward only five minutes to wake all eight residents and safely evacuate them to her vehicle.

Ward called Corrine Garrison, Residential Care Assistant and Teena McCulloch, Team Leader. Less than ten minutes after receiving the call Garrison arrived on scene. “I missed her call, but when I saw it was from Charleen, I went straight to the house. Coming towards here it looked like it was our home on fire and my heart just sank,” said Garrison. “When I arrived we asked the crew on site if we could retrieve medications from inside the house. The police came in with us, we grabbed a laundry basket and threw everything we could in it. As we left the house sparks were flying from the neighbours house. It was a quick exit,” said Garrison.

Ward then made a call to her daughter—who happens to work at Dykeland Lodge—who informed the Charge RN, Krista Barker who notified Krista Beeler, Dykeland Lodge Administrator. Arrangements were implemented and coordinated for the evacuated residents of the Victoria Guest House to be received by Dykeland Lodge. By now Ward’s vehicle was blocked in by emergency vehicles and fire hoses. Fortunately, McCulloch arrived in time to help drive the vehicle out—running over a few curbs in the process. Ward, Garrison and McCulloch transported the residents to safety at Dykeland Lodge.

“We practice our emergency evacuation plan hoping that we never have to use it. Charleen handled it with calmness, professionalism and precision and did exactly what she was supposed to. She’s our hero!” said Sue Sheehy, Manager, Victoria Park Guest House.

Meanwhile, Beeler called Ed Sher, Director of Environmental Services, Carlene Cole-Beaver, Director of Food Services and Gabrielle Tullis, Director of Nursing. Sher and Cole-Beaver rushed to Dykeland Lodge, arrived within minutes of the call and started setting up beds for the residents. Dawn Power, Support Service Supervisor prepared her team to include food sensitivities and special instructions for the Victoria Guest House residents.

When the residents arrived in the middle of the night in their pajamas, no hearing aids and with limited mobility aids they were welcomed with open arms, to a warm bed to sleep on and a hot breakfast.

“Dykeland staff were right on the ball. They were amazing. Our staff felt they couldn’t be any more complimentary. They didn’t panic. We were all calm. Remaining calm helped the residents stay calm. The transition for the residents was simply amazing,” said Sheehy.

“Even though their staff were employed by Victoria Guest House we told them to consider us a part of their team and we would do whatever they needed to help” said Beeler. “It showed that our emergency plan did work. I think we barely spoke until we sat down and had a piece of toast together. Everyone was moving straight ahead with a smile on their face, happy to be here. It was a flawless execution”.

The following morning the evacuated residents attended church services at Dykeland Lodge. “Reverend Debbie Mosher and Garnett Parker did a special blessing on the residents and the fact that they were held safe. They both visit them quite regularly. Their familiar faces were an added comforting touch,” said Beeler. “The social piece was really big for us. When you watch the home next door to you burn it’s unsettling and upsetting. We wanted to remove that anxiety and restore normalcy to their day. Even their families came to visit too. They loved to see the residents integrated into the lodge”.

Within 36 hours from the time of the evacuation, Sheehy and McCulloch contacted all family members of the residents and made all the necessary arrangements to inspect and approve all Fire and Life Safety Systems in the house.

“The cooperation we received from all these folks to ensure all safety measures were in place to allow our residents to return to Victoria Park Guest House was heartwarming. Typically you wouldn’t have electricians and inspectors available on such short notice but they all did their part to ensure our residents could return home. They turned the power back on and all inspections and approvals were complete within 36 hours. It was a proud moment watching our residents return home” said Sheehy.

“We don’t want to forget about the role everyone played. It wasn’t just that everyone in the community did their professional jobs. We all went above and beyond as a community to make sure that everyone who was touched by this event felt supported” says Beeler. “It brings home the fact that life is precious and life is short but as a community, as humans, we can always take the time to outstretch a hand and help and recognize those who really do a great job”.
Care Where You Live
Dr. Lois Bowden during the video shoot for the latest Home First video .
In November, we started work with Quantum, a communications company to develop and implement a home first communications strategy . We identified physicians, nurses and allied health professionals as well as the public as our priority audiences. We invited staff, clients and families to contribute to this work. After many focus groups, phone calls and workshops work is well underway to produce promotional materials such as brochures, posters, social media strategy and two videos.

Stay tuned for the re-launch of Home First !
During our workshops, focus groups and interviews, we asked physicians, care coordinators, clients and families:
"Allowing people to make decisions at home, big decisions made from the comfort of their home. Although they may end up in the hospital, it allowed them to make the decision at home and we told ourselves we tried everything.”

"Home First is a wonderful initiative. It tries to keep people in their homes for as long as possible. For years we steered in the direction of moving people who are frail out their homes and into nursing homes earlier than we should. They lose the sense of their normal self and their environment."

"Home first is an idea. Home first is a thought process of encouraging people to change the way they think about where you have to go when you’re sick and where you have to go when you age."

“Home First helped to maintain my mother’s health and mobility and has allowed us to honour her wishes.”
What does Home First mean to you?