Trillium Lodge
The Office of the Seniors Advocate’s Residential Care Survey asked residents in all of B.C.’s publicly-funded residential care homes questions on a variety of functions and experiences that happen on a day-to-day basis in care homes, from questions about food quality and staff responsiveness to observations of physician care and social connectedness. The survey was conducted between June 2016 and May 2017. Residents’ most frequent visitors (MFVs), usually a family member, were also mailed surveys. More information about the survey may be found in the Office of the Seniors Advocate’s September 2017 provincial results report.
The facility-level results below are presented alongside B.C.’s provincial-level results for each question. Most questions were asked of both the resident and their MFV; for these questions, the residents’ responses are presented first, and the MFVs’ responses are given in brackets. Some questions were asked only of the residents; in these cases, no MFV responses will be displayed. Some questions, in turn, were asked only of MFVs; these questions are identified as such under the banner of “Most Frequent Visitor-only questions” and do not have resident responses displayed.
The first set of questions asked residents and their MFVs to rate overall aspects of their care experience, including quality of care, willingness to recommend the care home to others, and the cleanliness of the care home.
1. Overall quality of care and services rating in this care home
| |
Excellent
Very Good
Good
Fair
Poor
|
| Facility |
22% (MFV: 8%)
44% (MFV: 60%)
26% (MFV: 24%)
7% (MFV: 5%)
0% (MFV: 3%)
|
| BC |
15% (MFV: 28%) 35% (MFV: 39%) 35% (MFV: 22%) 12% (MFV: 9%) 3% (MFV: 2%)
|
2. Would recommend this care home to others
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
47% (MFV: 42%)
40% (MFV: 42%)
10% (MFV: 14%)
0% (MFV: 0%)
3% (MFV: 3%)
|
| BC |
43% (MFV: 57%) 34% (MFV: 27%) 13% (MFV: 10%) 4% (MFV: 3%) 6% (MFV: 3%)
|
3. Want to live in this care home
| |
Yes
No
|
| Facility |
63%
38%
|
| BC |
61% 39%
|
4. Happier than most other people
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
19%
52%
19%
11%
0%
|
| BC |
20% 47% 22% 7% 4%
|
Most Frequent Visitor-only Questions
5. Want resident to live in this care home
| |
Yes
No
|
| Facility |
81%
19%
|
| BC |
91% 9%
|
6. Think resident wants to live in this care home
| |
Yes
No
|
| Facility |
59%
41%
|
| BC |
68% 32%
|
7. Care home is clean
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
58%
39%
3%
0%
0%
|
| BC |
54% 39% 6% 1% 0%
|
8. Care home smells good
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
38%
51%
11%
0%
0%
|
| BC |
35% 47% 12% 5% 1%
|
9. Overall rating of this care home
| |
10
8–9
5–7
2–4
0–1
|
| Facility |
14%
47%
33%
6%
0%
|
| BC |
22% 44% 29% 5% 1%
|
Personal Control
This group of questions is designed to gauge the sense of personal control or autonomy residents feel they have over their day-to-day life in the care home. Being able to do what we want, when we want, is important to everyone regardless of age or where we live. However, we may take for granted the many individual day-to-day decisions we make for ourselves that, in a care home, are dictated by policy, regulation and resource allocation decisions made by other people.
10. Bathe or shower as often as they want
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
15% (MFV: 12%)
27% (MFV: 3%)
23% (MFV: 24%)
4% (MFV: 15%)
31% (MFV: 46%)
|
| BC |
15% (MFV: 6%) 22% (MFV: 12%) 12% (MFV: 13%) 13% (MFV: 21%) 37% (MFV: 48%)
|
11. Bothered by noise
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
0% (MFV: 0%)
20% (MFV: 6%)
17% (MFV: 54%)
33% (MFV: 31%)
30% (MFV: 9%)
|
| BC |
4% (MFV: 2%) 8% (MFV: 4%) 25% (MFV: 36%) 24% (MFV: 37%) 38% (MFV: 20%)
|
12. Can be alone when they wish
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
6% (MFV: 23%)
41% (MFV: 54%)
41% (MFV: 11%)
9% (MFV: 9%)
3% (MFV: 3%)
|
| BC |
28% (MFV: 36%) 39% (MFV: 42%) 24% (MFV: 13%) 5% (MFV: 5%) 3% (MFV: 5%)
|
13. Can easily go outdoors
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
52% (MFV: 29%)
41% (MFV: 43%)
0% (MFV: 11%)
7% (MFV: 11%)
0% (MFV: 6%)
|
| BC |
34% (MFV: 25%) 29% (MFV: 23%) 16% (MFV: 18%) 9% (MFV: 13%) 13% (MFV: 21%)
|
14. Can go out on spur of the moment
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
32% (MFV: 6%)
36% (MFV: 34%)
14% (MFV: 38%)
14% (MFV: 9%)
4% (MFV: 13%)
|
| BC |
23% (MFV: 15%) 29% (MFV: 28%) 17% (MFV: 16%) 14% (MFV: 15%) 18% (MFV: 25%)
|
15. Control who comes into own room
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
21% (MFV: 11%)
62% (MFV: 46%)
10% (MFV: 14%)
0% (MFV: 11%)
7% (MFV: 17%)
|
| BC |
30% (MFV: 13%) 35% (MFV: 28%) 15% (MFV: 14%) 9% (MFV: 16%) 12% (MFV: 29%)
|
16. Decide how to spend time
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
36% (MFV: 26%)
65% (MFV: 57%)
0% (MFV: 9%)
0% (MFV: 6%)
0% (MFV: 3%)
|
| BC |
34% (MFV: 26%) 46% (MFV: 47%) 14% (MFV: 13%) 4% (MFV: 7%) 2% (MFV: 7%)
|
17. Decide when to get up
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
37% (MFV: 15%)
37% (MFV: 46%)
10% (MFV: 24%)
7% (MFV: 12%)
10% (MFV: 3%)
|
| BC |
31% (MFV: 15%) 33% (MFV: 40%) 13% (MFV: 19%) 10% (MFV: 12%) 14% (MFV: 13%)
|
18. Decide when to go to bed
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
60% (MFV: 24%)
30% (MFV: 49%)
7% (MFV: 18%)
0% (MFV: 9%)
3% (MFV: 0%)
|
| BC |
42% (MFV: 20%) 35% (MFV: 41%) 11% (MFV: 17%) 5% (MFV: 11%) 7% (MFV: 11%)
|
19. Decide which clothes to wear
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
61% (MFV: 37%)
26% (MFV: 34%)
13% (MFV: 17%)
0% (MFV: 6%)
0% (MFV: 6%)
|
| BC |
52% (MFV: 20%) 28% (MFV: 28%) 11% (MFV: 21%) 5% (MFV: 14%) 4% (MFV: 18%)
|
20. Feel possessions are safe
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
25% (MFV: 17%)
46% (MFV: 57%)
7% (MFV: 14%)
14% (MFV: 9%)
7% (MFV: 3%)
|
| BC |
38% (MFV: 30%) 39% (MFV: 47%) 12% (MFV: 13%) 6% (MFV: 6%) 5% (MFV: 4%)
|
21. Feel safe alone
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
55% (MFV: 40%)
31% (MFV: 51%)
10% (MFV: 9%)
3% (MFV: 0%)
0% (MFV: 0%)
|
| BC |
52% (MFV: 42%) 36% (MFV: 47%) 8% (MFV: 9%) 2% (MFV: 1%) 2% (MFV: 1%)
|
22. Privacy is respected during care
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
37% (MFV: 47%)
50% (MFV: 50%)
7% (MFV: 3%)
3% (MFV: 0%)
3% (MFV: 0%)
|
| BC |
36% (MFV: 54%) 42% (MFV: 40%) 16% (MFV: 5%) 4% (MFV: 1%) 2% (MFV: 0%)
|
Most Frequent Visitor-only Questions
23. Can find place to visit with my family member
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
43%
29%
20%
6%
3%
|
| BC |
59% 27% 8% 4% 2%
|
Social Life
Social engagement is increasingly being recognized as a significant predictor of health status in later years. Being connected to other people and feeling valued is a goal everyone hopes to achieve, regardless of their age. In the survey, we asked 14 questions designed to give an overall sense of the social connectedness of residents and insight to better understand how well this connection has been achieved in a care home setting.
24. Another resident is close friend
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
11% (MFV: 3%)
30% (MFV: 14%)
15% (MFV: 20%)
22% (MFV: 26%)
22% (MFV: 37%)
|
| BC |
15% (MFV: 6%) 18% (MFV: 12%) 21% (MFV: 21%) 16% (MFV: 24%) 30% (MFV: 37%)
|
25. Can explore new skills/interests
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
4% (MFV: 12%)
40% (MFV: 27%)
12% (MFV: 35%)
24% (MFV: 12%)
20% (MFV: 15%)
|
| BC |
13% (MFV: 14%) 20% (MFV: 22%) 27% (MFV: 29%) 19% (MFV: 21%) 21% (MFV: 14%)
|
26. Can participate in religious activities
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
20% (MFV: 47%)
36% (MFV: 30%)
28% (MFV: 13%)
12% (MFV: 0%)
4% (MFV: 10%)
|
| BC |
32% (MFV: 40%) 25% (MFV: 26%) 20% (MFV: 16%) 8% (MFV: 7%) 15% (MFV: 11%)
|
27. Can spend time with like-minded residents
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
19% (MFV: 29%)
35% (MFV: 47%)
19% (MFV: 12%)
19% (MFV: 9%)
8% (MFV: 3%)
|
| BC |
18% (MFV: 24%) 27% (MFV: 32%) 28% (MFV: 24%) 15% (MFV: 13%) 12% (MFV: 7%)
|
28. Care home feels like home
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
21% (MFV: 14%)
39% (MFV: 46%)
14% (MFV: 26%)
14% (MFV: 11%)
11% (MFV: 3%)
|
| BC |
24% (MFV: 30%) 33% (MFV: 38%) 18% (MFV: 17%) 8% (MFV: 8%) 16% (MFV: 7%)
|
29. Easy to make friends in care home
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
14% (MFV: 14%)
45% (MFV: 17%)
17% (MFV: 31%)
14% (MFV: 23%)
10% (MFV: 14%)
|
| BC |
18% (MFV: 8%) 32% (MFV: 22%) 25% (MFV: 29%) 15% (MFV: 24%) 11% (MFV: 16%)
|
30. Enjoyable things to do in the evening in this care home
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
18% (MFV: 6%)
27% (MFV: 9%)
18% (MFV: 27%)
23% (MFV: 41%)
14% (MFV: 18%)
|
| BC |
11% (MFV: 7%) 23% (MFV: 20%) 28% (MFV: 31%) 20% (MFV: 28%) 18% (MFV: 14%)
|
31. Enjoyable things to do on weekends in this care home
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
25% (MFV: 6%)
29% (MFV: 24%)
17% (MFV: 50%)
25% (MFV: 18%)
4% (MFV: 3%)
|
| BC |
11% (MFV: 10%) 25% (MFV: 29%) 28% (MFV: 31%) 18% (MFV: 20%) 18% (MFV: 10%)
|
32. Family/friends can visit when they choose
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
67%
26%
0%
4%
4%
|
| BC |
66% 24% 6% 2% 2%
|
33. Have opportunities for affection/romance
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
0% (MFV: 3%)
4% (MFV: 9%)
17% (MFV: 11%)
17% (MFV: 23%)
63% (MFV: 54%)
|
| BC |
7% (MFV: 3%) 8% (MFV: 7%) 14% (MFV: 15%) 15% (MFV: 21%) 57% (MFV: 54%)
|
34. Participated in meaningful activities in past week
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
4% (MFV: 3%)
22% (MFV: 44%)
37% (MFV: 18%)
11% (MFV: 21%)
26% (MFV: 15%)
|
| BC |
12% (MFV: 12%) 24% (MFV: 25%) 28% (MFV: 31%) 16% (MFV: 19%) 20% (MFV: 13%)
|
35. People ask resident for help/advice
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
7% (MFV: 0%)
15% (MFV: 3%)
33% (MFV: 32%)
22% (MFV: 32%)
22% (MFV: 32%)
|
| BC |
6% (MFV: 2%) 11% (MFV: 3%) 33% (MFV: 21%) 21% (MFV: 28%) 30% (MFV: 46%)
|
36. People to do things with
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
12% (MFV: 0%)
20% (MFV: 9%)
28% (MFV: 43%)
20% (MFV: 23%)
20% (MFV: 26%)
|
| BC |
10% (MFV: 5%) 17% (MFV: 12%) 28% (MFV: 30%) 19% (MFV: 28%) 26% (MFV: 25%)
|
37. Treated with respect by other residents in care home
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
41%
41%
11%
0%
7%
|
| BC |
34% 43% 16% 4% 3%
|
Staff Responsiveness
There is a diversity of physical needs in care homes. Some residents require little or no physical assistance to undertake any activity, while others require total care and need staff to assist them with all activities of daily living, including intimate personal care. The availability of staff to respond when needed, as well as the technical and emotional skill of staff, plays a large part in how residents experience day-to-day life. This set of questions explores residents and MFV perceptions on the responsiveness and ability of staff in meeting residents’ needs.
38. Can express opinions
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
45% (MFV: 50%)
45% (MFV: 38%)
10% (MFV: 12%)
0% (MFV: 0%)
0% (MFV: 0%)
|
| BC |
39% (MFV: 53%) 35% (MFV: 30%) 15% (MFV: 9%) 6% (MFV: 4%) 5% (MFV: 4%)
|
39. Can get health services needed
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
50% (MFV: 42%)
42% (MFV: 39%)
8% (MFV: 14%)
0% (MFV: 6%)
0% (MFV: 0%)
|
| BC |
37% (MFV: 49%) 42% (MFV: 39%) 14% (MFV: 10%) 5% (MFV: 2%) 2% (MFV: 0%)
|
40. Get help to toilet when needed
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
54%
31%
15%
0%
0%
|
| BC |
42% 33% 14% 5% 6%
|
41. Get services needed
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
41% (MFV: 31%)
48% (MFV: 58%)
11% (MFV: 11%)
0% (MFV: 0%)
0% (MFV: 0%)
|
| BC |
32% (MFV: 36%) 48% (MFV: 51%) 15% (MFV: 11%) 4% (MFV: 2%) 2% (MFV: 0%)
|
42. If needed can get help right away
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
46% (MFV: 11%)
32% (MFV: 57%)
14% (MFV: 23%)
4% (MFV: 9%)
4% (MFV: 0%)
|
| BC |
31% (MFV: 28%) 42% (MFV: 46%) 18% (MFV: 19%) 6% (MFV: 6%) 2% (MFV: 1%)
|
43. Staff act on resident suggestions
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
20% (MFV: 18%)
50% (MFV: 47%)
25% (MFV: 32%)
5% (MFV: 3%)
0% (MFV: 0%)
|
| BC |
17% (MFV: 21%) 36% (MFV: 45%) 32% (MFV: 25%) 9% (MFV: 6%) 6% (MFV: 3%)
|
44. Staff know what they are doing
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
— (MFV: 46%)
— (MFV: 46%)
— (MFV: 9%)
— (MFV: 0%)
— (MFV: 0%)
|
| BC |
37% (MFV: 43%) 46% (MFV: 45%) 13% (MFV: 10%) 3% (MFV: 1%) 1% (MFV: 0%)
|
45. Staff pay attention to residents
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
41% (MFV: 28%)
45% (MFV: 58%)
14% (MFV: 14%)
0% (MFV: 0%)
0% (MFV: 0%)
|
| BC |
30% (MFV: 39%) 47% (MFV: 48%) 18% (MFV: 12%) 4% (MFV: 1%) 2% (MFV: 0%)
|
46. Staff respect likes/dislikes of residents
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
40% (MFV: 31%)
47% (MFV: 60%)
13% (MFV: 9%)
0% (MFV: 0%)
0% (MFV: 0%)
|
| BC |
32% (MFV: 43%) 46% (MFV: 46%) 17% (MFV: 10%) 4% (MFV: 1%) 2% (MFV: 0%)
|
47. Staff respond quickly
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
41% (MFV: 26%)
37% (MFV: 51%)
19% (MFV: 17%)
4% (MFV: 6%)
0% (MFV: 0%)
|
| BC |
28% (MFV: 29%) 44% (MFV: 51%) 21% (MFV: 16%) 5% (MFV: 4%) 2% (MFV: 1%)
|
48. Treated with respect by staff
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
43% (MFV: 50%)
57% (MFV: 47%)
0% (MFV: 3%)
0% (MFV: 0%)
0% (MFV: 0%)
|
| BC |
48% (MFV: 61%) 38% (MFV: 33%) 10% (MFV: 5%) 2% (MFV: 1%) 1% (MFV: 0%)
|
Most Frequent Visitor-only Questions
49. Family member/MFV can express opinions without fear
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
68%
29%
0%
3%
0%
|
| BC |
70% 21% 6% 2% 1%
|
50. Have seen residents behave aggressively in the home
| |
No
Yes
|
| Facility |
65%
35%
|
| BC |
54% 46%
|
51. Staff handle aggressive behaviour appropriately
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
58%
42%
0%
0%
0%
|
| BC |
52% 36% 10% 1% 0%
|
Caring Staff
In addition to feeling confidence in the skills and responsiveness of staff, it is important for residents to believe staff care about their health, well-being and happiness. Developing relationships with staff builds the foundation upon which residents and staff can engage and connect with each other, beyond the level of “caregiver” and “client.” Residents and MFVs were asked a series of questions designed to help give an overall picture of the level of engagement between residents and staff, as well as the involvement of MFVs in care decisions.
52. Care helps residents live life as wanted
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
25% (MFV: 27%)
57% (MFV: 47%)
14% (MFV: 18%)
0% (MFV: 6%)
4% (MFV: 3%)
|
| BC |
29% (MFV: 31%) 45% (MFV: 46%) 15% (MFV: 15%) 6% (MFV: 5%) 5% (MFV: 3%)
|
53. Have same care aide most weekdays
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
— (MFV: 6%)
— (MFV: 24%)
— (MFV: 44%)
— (MFV: 21%)
— (MFV: 6%)
|
| BC |
13% (MFV: 9%) 38% (MFV: 44%) 24% (MFV: 31%) 16% (MFV: 12%) 9% (MFV: 4%)
|
54. Have special relationship with staff
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
12% (MFV: 19%)
52% (MFV: 34%)
12% (MFV: 19%)
12% (MFV: 22%)
12% (MFV: 6%)
|
| BC |
15% (MFV: 18%) 22% (MFV: 29%) 20% (MFV: 30%) 15% (MFV: 14%) 28% (MFV: 8%)
|
55. Residents have a staff member they consider a friend
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
33% (MFV: 27%)
33% (MFV: 49%)
23% (MFV: 6%)
7% (MFV: 15%)
3% (MFV: 3%)
|
| BC |
26% (MFV: 25%) 32% (MFV: 37%) 22% (MFV: 25%) 9% (MFV: 9%) 11% (MFV: 5%)
|
56. Staff ask how they can meet resident needs
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
15% (MFV: 16%)
39% (MFV: 50%)
27% (MFV: 22%)
12% (MFV: 13%)
8% (MFV: 0%)
|
| BC |
17% (MFV: 20%) 31% (MFV: 41%) 27% (MFV: 26%) 13% (MFV: 10%) 13% (MFV: 3%)
|
57. Staff have enough time for residents
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
— (MFV: 6%)
— (MFV: 57%)
— (MFV: 23%)
— (MFV: 11%)
— (MFV: 3%)
|
| BC |
23% (MFV: 15%) 43% (MFV: 46%) 21% (MFV: 25%) 9% (MFV: 11%) 4% (MFV: 3%)
|
58. Staff know life story of resident
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
8% (MFV: 9%)
24% (MFV: 36%)
24% (MFV: 39%)
20% (MFV: 12%)
24% (MFV: 3%)
|
| BC |
10% (MFV: 11%) 23% (MFV: 38%) 27% (MFV: 34%) 18% (MFV: 13%) 22% (MFV: 4%)
|
59. Staff make time for friendly conversation with resident
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
19% (MFV: 11%)
42% (MFV: 57%)
27% (MFV: 26%)
12% (MFV: 6%)
0% (MFV: 0%)
|
| BC |
17% (MFV: 25%) 29% (MFV: 41%) 32% (MFV: 26%) 14% (MFV: 7%) 9% (MFV: 1%)
|
60. Problem gets solved when tell staff not happy
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
17%
50%
17%
17%
0%
|
| BC |
21% 39% 27% 9% 4%
|
61. Staff explains what they are doing when giving care
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
48%
30%
19%
0%
4%
|
| BC |
34% 37% 18% 6% 5%
|
62. Staff tries to relieve physical discomfort
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
48%
44%
7%
0%
0%
|
| BC |
35% 40% 16% 5% 4%
|
63. Staff tries to understand feelings
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
27%
46%
15%
12%
0%
|
| BC |
18% 38% 26% 10% 8%
|
64. Tell staff when not happy about something
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
36%
40%
12%
4%
8%
|
| BC |
26% 28% 22% 11% 13%
|
Most Frequent Visitor-only Questions
65. Consulted when care plan changes
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
41%
24%
9%
15%
12%
|
| BC |
49% 27% 12% 7% 5%
|
66. Family/MFVs involved in care plan development
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
41%
21%
15%
12%
12%
|
| BC |
43% 31% 15% 7% 4%
|
67. Family/MFVs Involved in decisions about care
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
49%
26%
9%
9%
9%
|
| BC |
58% 30% 8% 3% 1%
|
68. Family/MFVs kept up to date by staff
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
28%
31%
22%
17%
3%
|
| BC |
44% 35% 13% 6% 2%
|
69. Family/MFVs know who to talk to for information
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
43%
22%
27%
5%
3%
|
| BC |
57% 32% 9% 3% 1%
|
70. Staff address concerns of family/MFVs
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
44%
47%
6%
3%
0%
|
| BC |
54% 34% 10% 2% 0%
|
Food
Food is a very important part of daily life in a care home. One of the biggest adjustments some people make when they come to live in a care home is that choices around food are much more limited compared to when one lives in their own home, and that dining with a group of people for all meals creates a social environment that some will embrace more than others. It is within this complicated context that the following questions were asked to determine how well care homes have coped with meeting a diverse array of wants and needs.
71. Can eat when they want
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
21% (MFV: 13%)
52% (MFV: 36%)
14% (MFV: 13%)
7% (MFV: 29%)
7% (MFV: 10%)
|
| BC |
16% (MFV: 14%) 32% (MFV: 33%) 21% (MFV: 24%) 14% (MFV: 16%) 17% (MFV: 13%)
|
72. Enjoy mealtimes
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
19% (MFV: 14%)
48% (MFV: 50%)
23% (MFV: 33%)
10% (MFV: 3%)
0% (MFV: 0%)
|
| BC |
25% (MFV: 18%) 42% (MFV: 48%) 22% (MFV: 24%) 8% (MFV: 9%) 4% (MFV: 2%)
|
73. Enough variety in meals
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
16% (MFV: 24%)
52% (MFV: 47%)
13% (MFV: 24%)
16% (MFV: 6%)
3% (MFV: 0%)
|
| BC |
18% (MFV: 22%) 41% (MFV: 45%) 23% (MFV: 20%) 11% (MFV: 10%) 6% (MFV: 3%)
|
74. Food is the right temperature
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
31% (MFV: 18%)
41% (MFV: 58%)
21% (MFV: 15%)
7% (MFV: 9%)
0% (MFV: 0%)
|
| BC |
23% (MFV: 24%) 45% (MFV: 51%) 21% (MFV: 17%) 8% (MFV: 6%) 4% (MFV: 2%)
|
75. Get favorite foods
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
7% (MFV: 6%)
38% (MFV: 25%)
35% (MFV: 41%)
17% (MFV: 25%)
3% (MFV: 3%)
|
| BC |
11% (MFV: 7%) 29% (MFV: 29%) 33% (MFV: 37%) 16% (MFV: 20%) 11% (MFV: 8%)
|
76. Get help to eat when needed
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
30% (MFV: 50%)
50% (MFV: 13%)
20% (MFV: 25%)
0% (MFV: 13%)
0% (MFV: 0%)
|
| BC |
30% (MFV: 48%) 32% (MFV: 26%) 20% (MFV: 19%) 7% (MFV: 4%) 11% (MFV: 3%)
|
Most Frequent Visitor-only Questions
77. Staff take the time needed to feed my family member
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
67%
17%
0%
17%
0%
|
| BC |
36% 27% 21% 8% 8%
|
Physician Care
The role that physicians play in determining medication regimes, hospital transfers and diagnostics means their actions link not just to the quality of life and care for residents, but also to resource utilization in the system. It is the physician who is responsible for decisions to transfer a resident to hospital and for communicating with the resident and family about medical care decisions and medications. The survey asked questions intended to gauge how satisfied residents and their MFVs are with the role the physician plays in their care.
78. Doctor visits when NOT sick
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
15% (MFV: 7%)
15% (MFV: 3%)
0% (MFV: 32%)
20% (MFV: 32%)
50% (MFV: 26%)
|
| BC |
8% (MFV: 8%) 9% (MFV: 15%) 21% (MFV: 32%) 16% (MFV: 25%) 46% (MFV: 20%)
|
79. Doctor visits when sick
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
20% (MFV: 12%)
20% (MFV: 29%)
5% (MFV: 32%)
40% (MFV: 18%)
15% (MFV: 9%)
|
| BC |
22% (MFV: 34%) 21% (MFV: 32%) 19% (MFV: 20%) 16% (MFV: 9%) 22% (MFV: 5%)
|
80. Overall quality of care and services from doctor
| |
Excellent
Very Good
Good
Fair
Poor
|
| Facility |
25% (MFV: 6%)
38% (MFV: 15%)
17% (MFV: 32%)
17% (MFV: 27%)
4% (MFV: 21%)
|
| BC |
15% (MFV: 21%) 29% (MFV: 28%) 35% (MFV: 27%) 15% (MFV: 18%) 8% (MFV: 7%)
|
Most Frequent Visitor-only Questions
81. Doctor provides individualized care
| |
Excellent
Very Good
Good
Fair
Poor
|
| Facility |
3%
21%
24%
24%
27%
|
| BC |
21% 27% 26% 18% 8%
|
82. Doctor washes/cleans hands
| |
Always
Usually
Sometimes
Never
|
| Facility |
50%
0%
13%
38%
|
| BC |
55% 23% 8% 14%
|
83. Family/MFVs given information from doctor
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
11%
11%
6%
20%
51%
|
| BC |
25% 23% 17% 18% 17%
|
Medications
The use, and potential misuse, of medications in residential care homes has been an ongoing area of focus for the Office of the Seniors Advocate. In its annual British Columbia Residential Care Facilities: Quick Facts Directory publication, the Office reports, for each care home in the province, the proportion of residents prescribed antidepressant medications, as well as the proportion taking antipsychotic medication without an accompanying diagnosis of psychosis. Empowering residents and their MFVs to ask about medications, along with the requirement of physicians to seek consent from either the resident or their designated decision maker, is acknowledged as the first line of defence in reducing both medication errors and over-medication.
84. Consulted about taking medications
| |
No
Yes
|
| Facility |
32%
68%
|
| BC |
38% 62%
|
85. Know what medications taking
| |
No
Yes
|
| Facility |
14% (MFV: 25%)
86% (MFV: 75%)
|
| BC |
42% (MFV: 15%) 58% (MFV: 85%)
|
86. If yes to above, know what taking medications for
| |
No
Yes
|
| Facility |
13% (MFV: 7%)
88% (MFV: 93%)
|
| BC |
14% (MFV: 2%) 86% (MFV: 98%)
|
Most Frequent Visitor-only Questions
87. Family/MFVs consulted about medications changes
| |
No, and don't wish to be
No, but wish to be
Yes
|
| Facility |
11%
49%
41%
|
| BC |
7% 28% 65%
|
Hand Washing
Residents in care homes are very susceptible to infections due to the communal living environment. The risk of complications from infections is also increased in the senior population, as immune system function declines with age. Hand hygiene is one of the most effective and easiest actions that can be taken to reduce infections. Visitors to care homes need to be educated and supported in the importance of hand washing, and directed on how and where to wash their hands when visiting the care home. These survey questions on hand washing were asked only to the most frequent visitors (MFVs).
Most Frequent Visitor-only Questions
88. Care staff instruct where to get handwashing products
| |
Always
Usually
Sometimes
Never
|
| Facility |
18%
6%
6%
71%
|
| BC |
17% 8% 8% 67%
|
89. Care staff showed MFV proper handwashing
| |
Always
Usually
Sometimes
Never
|
| Facility |
9%
0%
14%
77%
|
| BC |
10% 6% 5% 80%
|
90. Care staff told MFV about importance of handwashing
| |
Always
Usually
Sometimes
Never
|
| Facility |
24%
12%
12%
53%
|
| BC |
28% 14% 12% 47%
|
91. Comfortable asking if staff wash/clean their hands
| |
Always
Usually
Sometimes
Never
|
| Facility |
39%
11%
7%
43%
|
| BC |
30% 16% 10% 44%
|
92. Other staff wash/clean hands
| |
Always
Usually
Sometimes
Never
|
| Facility |
36%
48%
4%
12%
|
| BC |
48% 31% 13% 8%
|
Family Council
Family councils at care homes are composed of residents’ relatives or representatives. One of the key roles that a family council can play is to promote improved communication and collaboration between family members and a care home’s staff and management. This may involve working collaboratively on projects that enrich the lives of residents, making recommendations to decision makers, and communicating common concerns and ideas for improvements. Most frequent visitors (MFVs) were asked in the survey whether they attended family council meetings and whether they were informed about family councils.
Most Frequent Visitor-only Questions
93. MFV informed about the family council (multiple answers allowed)
| |
No, not aware of
Yes, saw on
poster/brochure
Yes, by family of
another resident
Yes, by staff
|
| Facility |
9%
33%
9%
64%
|
| BC |
26% 20% 5% 56%
|
94. if aware, MFV attends Family Council
| |
Always
Most of the time
Sometimes
Rarely
Never
|
| Facility |
19%
13%
7%
19%
42%
|
| BC |
21% 11% 15% 15% 38%
|
How Residents View Their Health and Well-Being
The survey asked a number of questions to both residents and their most frequent visitors (MFVs) about the general physical and emotional health of the resident. These questions provide an important picture of overall perceptions of well-being.
95. General health is
| |
Poor
Fair
Good
Very good
Excellent
|
| Facility |
0% (MFV: 3%)
17% (MFV: 11%)
31% (MFV: 36%)
35% (MFV: 36%)
17% (MFV: 14%)
|
| BC |
6% (MFV: 16%) 20% (MFV: 37%) 39% (MFV: 34%) 27% (MFV: 12%) 9% (MFV: 2%)
|
96. Health limits moderate activities, e.g. walking a block
| |
No, not limited at all
Yes, limited a little
Yes, limited a lot
|
| Facility |
43% (MFV: 8%)
14% (MFV: 17%)
43% (MFV: 75%)
|
| BC |
29% (MFV: 9%) 29% (MFV: 19%) 42% (MFV: 72%)
|
97. Health now limits ability to bathe/dress self
| |
No, not limited at all
Yes, limited a little
Yes, limited a lot
|
| Facility |
39% (MFV: 6%)
32% (MFV: 29%)
29% (MFV: 66%)
|
| BC |
41% (MFV: 7%) 28% (MFV: 20%) 31% (MFV: 73%)
|
98. Accomplished less due to physical health
| |
Yes, all of the time
Yes, most of the time
Yes, some of the time
Yes, a little of the time
No, none of the time
|
| Facility |
15% (MFV: 13%)
23% (MFV: 31%)
19% (MFV: 22%)
8% (MFV: 19%)
35% (MFV: 16%)
|
| BC |
9% (MFV: 27%) 18% (MFV: 21%) 20% (MFV: 20%) 16% (MFV: 13%) 35% (MFV: 18%)
|
99. Physical health in past week limited daily activities
| |
Yes, all of the time
Yes, most of the time
Yes, some of the time
Yes, a little of the time
No, none of the time
|
| Facility |
23% (MFV: 18%)
23% (MFV: 30%)
15% (MFV: 18%)
8% (MFV: 24%)
31% (MFV: 9%)
|
| BC |
11% (MFV: 30%) 18% (MFV: 23%) 18% (MFV: 19%) 15% (MFV: 13%) 38% (MFV: 15%)
|
100. Accomplished less in past week due to emotional problems
| |
Yes, all of the time
Yes, most of the time
Yes, some of the time
Yes, a little of the time
No, none of the time
|
| Facility |
4% (MFV: 9%)
7% (MFV: 16%)
14% (MFV: 22%)
14% (MFV: 25%)
61% (MFV: 28%)
|
| BC |
3% (MFV: 10%) 8% (MFV: 12%) 15% (MFV: 22%) 14% (MFV: 19%) 60% (MFV: 37%)
|
101. Emotional problems in past week impacted activities
| |
Yes, all of the time
Yes, most of the time
Yes, some of the time
Yes, a little of the time
No, none of the time
|
| Facility |
8% (MFV: 13%)
0% (MFV: 13%)
24% (MFV: 17%)
4% (MFV: 33%)
64% (MFV: 23%)
|
| BC |
3% (MFV: 12%) 6% (MFV: 12%) 12% (MFV: 20%) 12% (MFV: 17%) 67% (MFV: 40%)
|
102. Pain interfered with normal activities in past week
| |
Extremely
Quite a bit
Moderately
A little bit
Not at all
|
| Facility |
4% (MFV: 6%)
15% (MFV: 21%)
19% (MFV: 21%)
19% (MFV: 33%)
44% (MFV: 18%)
|
| BC |
4% (MFV: 5%) 12% (MFV: 14%) 15% (MFV: 19%) 21% (MFV: 28%) 48% (MFV: 34%)
|
103. Amount of time feeling calm/peaceful in past week
| |
No, none of the time
Yes, a little of the time
Yes, some of the time
Yes, most of the time
Yes, all of the time
|
| Facility |
11% (MFV: 3%)
4% (MFV: 9%)
11% (MFV: 27%)
64% (MFV: 55%)
11% (MFV: 6%)
|
| BC |
4% (MFV: 2%) 8% (MFV: 8%) 16% (MFV: 22%) 52% (MFV: 60%) 19% (MFV: 8%)
|
104. Amount of time having a lot of energy in past week
| |
No, none of the time
Yes, a little of the time
Yes, some of the time
Yes, most of the time
Yes, all of the time
|
| Facility |
7% (MFV: 29%)
18% (MFV: 35%)
29% (MFV: 21%)
43% (MFV: 12%)
4% (MFV: 3%)
|
| BC |
14% (MFV: 27%) 19% (MFV: 31%) 23% (MFV: 22%) 35% (MFV: 18%) 9% (MFV: 2%)
|
105. Amount of time feeling downhearted in past week
| |
No, none of the time
Yes, a little of the time
Yes, some of the time
Yes, most of the time
Yes, all of the time
|
| Facility |
33% (MFV: 13%)
33% (MFV: 22%)
19% (MFV: 19%)
7% (MFV: 38%)
7% (MFV: 9%)
|
| BC |
37% (MFV: 16%) 26% (MFV: 29%) 20% (MFV: 31%) 14% (MFV: 21%) 3% (MFV: 3%)
|
106. Physical/emotional problems impacted social activities
| |
No, none of the time
Yes, a little of the time
Yes, some of the time
Yes, most of the time
Yes, all of the time
|
| Facility |
56% (MFV: 24%)
16% (MFV: 18%)
8% (MFV: 36%)
16% (MFV: 12%)
4% (MFV: 9%)
|
| BC |
51% (MFV: 29%) 18% (MFV: 21%) 18% (MFV: 22%) 8% (MFV: 15%) 5% (MFV: 14%)
|
107. Rating of physical health compared to one year ago
| |
Much worse
Slightly worse
About the same
Slightly better
Much better
|
| Facility |
4% (MFV: 13%)
25% (MFV: 50%)
46% (MFV: 28%)
11% (MFV: 0%)
14% (MFV: 9%)
|
| BC |
8% (MFV: 25%) 15% (MFV: 38%) 54% (MFV: 26%) 13% (MFV: 6%) 10% (MFV: 5%)
|
108. Rating of emotional problems compared to one year ago
| |
Much worse
Slightly worse
About the same
Slightly better
Much better
|
| Facility |
4% (MFV: 9%)
13% (MFV: 36%)
67% (MFV: 39%)
4% (MFV: 6%)
13% (MFV: 9%)
|
| BC |
5% (MFV: 11%) 12% (MFV: 24%) 61% (MFV: 47%) 12% (MFV: 11%) 10% (MFV: 7%)
|
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