we provide
GreatCare
Quality Caregivers Care Solutions Active Involvement
Healthy • Happy • Home
Presented by
Caring Senior Service
®
GreatCare® means great outcomes
“Change happens at all stages of life, and
Our GreatCare® method addresses the three leading areas
when an elderly person gets to the point
of concern when considering homecare; quality caregivers,
where remaining at home safely is in question, the options can become complex and challenging. It’s important to see the early warning signs - medication mistakes,
care solutions and active involvement. Whatever the reason, families need solutions and recommendations they can trust. More and more they turn to professional healthcare providers
changes in nutritional intake, or lost interest
for suggestions because they have established relationships,
in housekeeping. Sometimes the triggering
or perceive these healthcare providers can offer a solution to
event can be a fall or a new diagnosis. The
meet their care needs.
good news is with a little information and assistance families can stay in control.” - Jeff Salter, CEO of Caring Senior Service
For more than two decades Caring Senior Service has set the standard for non-medical services such as personal care, nutrition services and environmental management. Our services help clients remain safely at home. By using quality caregivers, care solutions, and maintaining active involvement we give our clients and their families the control needed to live healthy, happy and at home. Don’t your clients deserve GreatCare®?
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93%
of our clients are SATISFIED with the service of their caregivers
92%
of our clients feel SAFER at home with our services
94%
of healthcare providers feel Caring IMPROVES the health of their patients
Source: 2013 Internal Survey of Caring Clients and Healthcare Providers 4 | CaringSeniorService.com
Trusted Care Solution
Quality Caregivers
Most states do not have any qualification requirements for caregivers. We only employ the best candidates to serve the seniors in our communities. Our experienced caregivers are able to handle varying care needs for clients, whether they need extensive hands-on care or companionship. From our ongoing caregiver training program to our bi-annual nationwide background checks, we ensure our caregivers have not only the right skills, but the personality and customer service to handle themselves in any situation.
Safe Homecare Option
Care Solutions
61% of individuals age 50+ need assistance with Activities of Daily Living. Seniors typically have more than one health condition and need proper integration of required treatments, or support for other homecare needs. We provide our professional recommendation to administer the right amount of care our clients need. We know each situation is unique and there is not one plan that works for everyone.
Health Improvement
Active Involvement
21% of Medicare beneficiaries are readmitted to hospitals within 30 days. Studies show that quality care and communication after discharge from skilled care can help reduce readmissions. Our Care Coordination process makes this possible and keeps everyone, from family members to other involved healthcare professionals, informed so that our clients receive the best available care. We believe that continued involvement with the healthcare professionals allows us to quickly identify and be informed of any special needs or required changes so nothing is overlooked. Source: Journal of the American Medical Association, Vol 303 No.17; 2009 Caregiving in the U.S. Study CaringSeniorService.com | 5
Quality Caregivers
Skilled and Experienced
We know that GreatCare速
Our caregivers must have a minimum of one year expe-
can only be delivered by
a nurse aide. This means all of our caregivers are expe-
rience or have passed the state certification to become
quality, experienced staff.
rienced and trained to provide services to our clients.
At Caring, we make sure our
Qualified and Verified References
Caregivers have the right
Our caregivers must provide references so we can ver-
skills, training and personality
This provides the assurance that our caregivers meet
to provide excellent customer service.
ify their experience and contact their former employers. our high standards of trustworthiness and work values.
Refined Interview Process Our caregivers go through a rigorous interview process and we select only the most professional, responsible, patient and compassionate individuals. This means we are able to match our caregivers and clients based on both skills and personalities.
6 | CaringSeniorService.com
Our caregiver skill levels are actively being improved through our Caregiver Training Program. On average 80% of our staff are at the top 2 skill levels. Our multi-tier testing process provides the training to meet the varying needs of our clients.
Regular Nationwide Background Check Our caregivers are carefully screened by identity verification and an exhaustive criminal background search in all 50 states. Furthermore, we conduct regular background checks on all caregivers. This ensures that our caregivers have not had a criminal past and that helps protect our clients.
Ongoing Training Our caregivers receive direct training on skills and conditions. We provide each caregiver with access to our internal library of over 63 continuing education courses and make sure they have thorough knowledge of any condition they will be working with. This means that our families can rest assured that their caregiver is knowledgeable about the care that is needed.
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Care Solutions Each situation is different and unique and there is no one solution that works for everyone. Our GreatCare® method combines services and safety care products to make sure our clients can remain at home safely.
ssment: G. Functional Asse N
g (ADLs)
Activities of Daily Livin
□
G-1 SOURCE INFORMATIO
□ Informant
□ Person
Medical Record
□ Observation
below: If Informant complete ____________________
____________________
__________ Date_____
s l capacity to do variou ons is to determine actua is telling purpose of these questi make sure the person look at questions. The enough questions to possible. Person may some questhe person’s ability. Ask Address to person if Now I want to ask you g. an item regardless of cuein with or help ision ivers careg to read help in the form of superv activities. Sometime, le answers. I would like ant is used, include ons, I have a set of possib cannot do. If inform r) each of these questi you what they can or below: taking answe , and get around. For all choices before If Informant complete N eat, dress, bathe how you best for you. (ReadObse rvation about MATIO one fitsrd E INFOR tions s which Reco G-1 SOURC them and discus ical over go Med can we _____ in- __________ _____ on, them all and thenInformant _____ g them
_______________ ____________________
Name _______________
Ls)
vities of Daily Living (AD
G. Functional Assessment: Acti
□ Person
□
□
□
_____ puttin _____ _____ es and cloth out the laying_____ _____ mean Date _____ we _____ _____ ing, city to do various _____ By dress _____ ing? G-2 DRESSING ge dress to determine actual capa all. mana _______________to_____ se of these questions is that you: it at person is telling Name __________ do the How well are you able say purpo youThe 03 -Can’t Wouldions. sure at quest your clothes on make clothes.
to put ing look n may r persongh fasten questions to Perso , and from.anothe shoesle. Ask enou n ifgpossib ability cludin n’s help 02 -Need persosome Address to perso you of the _ some quesion or remindi dless ng _____ to ask l supervis regar _____ I want an item get minima g. Now __________ cuein _____ 01 -Need help&with _____ ivers vision any help _____or super withoutcareg _____ time, dress _____ Some 00 -Can the form _____of in_____ activities. e help I would like to read _____ includ _____ is used, le answers. ant __________ of possib_____ inform _____ If set a do. _____ ot have I _____ cann _____________ or __________ ions, can _____ theyents: of these quest _______________ you what each For er) Comm _____ d. answ _____ aroun _____ taking get e , and choices befor _______________ eat, dress, bathe_____ ____________________ fits best for you. (Read all tions about how you _______________ and discuss which one _______________ hair, putting on we can go over them ities like combing your them all and then inge with grooming activ and putting them on, G-3 GROOMING about how you mana ions out the clothesactivitie quest laying n you: some that mea s you say ing, we g . Woul Byddress G-2 DRESSING Now I have teeth ing? your or reminding for groomin dress ion ing ge supervis l brush mana and to minima get ng, shaviable 01 -Need &you: up, you are make any help How well that teeth without by someone else d say at all. your it do brush groome you or d tely -Can’t shave 03 es. Wouls your face, 03 -Are comple washfaste ning cloth yours,hair, to put your clothes on ______ and -Can you 00 for grooming activitie shoe ngcomb help from another person cludi ____________________ help from another person 02 -Need some or reminding ____________________ 02 -Need and get daily minimal supervision _____ ___________ _____ ____________________ _____ help 01 -Need & get _____ _____ _____ ___ _____ _____ _____ _____ 00 -Can dress without any______________________________ _____ _____ __________ Comments: ____________________ ____________________ _______________ ____________________ _______________ _____________ __________ ____________________ _______________ Comments:_____ bath ____________________ _______________g_____ _____ the water, taking the _______________ _______________ by yourself means runnin _____ ering _____ show _____ or g G you say that you: _____ Bathin BATHIN G-4 __________ hair and face. Would or shower yourself? __________ g on your bathe puttin ing you hair, includ , can your well body bing How ion only parts of the like get supervis ities andcom -Need help, and washing all manage with groongming activ02 assistance G-3 GROOMING you or shower without any supervision or remindi how 05 -Cannot bathe without -Need & get minimal questions about 01 your body dryingthat you: and say without any help Now I have some help washing s_ you d & get _____ activitie ing Woul _____ . 04 -Need 00 -Can bathe or shower groom _____ teeth for ing _____ your _____ or remind the tubbrushing sion _____ out ofand l supervi _____ in &ng, _____ minima get help shavi & get _____ -Need & up, -Need 03 _____ 01_____ make any help _____ teeth without __________ your _____ ed by someone else or brush _____ _____________ shave _____ face, _____ your_____ wash 03 -Are completely groom _____ ____________________ your hair, _____ combents: 00 -Can you Comm for grooming activities ___________________________________ ___________ help from another person _____ _________________________ 02 -Need and get daily _____ ____________________ _____ _____ _____ _____ ody _____ _____ __________ _______________ without help from anyb _____ eating _____ and g _____ _____ drinkin s you: _____________ _____ say that s: _______________ you _____ Eating by yourself mean lf? _____ Would Comment G-5 EATING _____ own. yourse by your _____ on eating _____ ge foods _____ g most food _____ s cuttin mean_____ g bread or arranging How well can you mana It also_____ straws._____ _____ and _____ cutting food, butterin utensils al_____ _____ 02 -Need & get help _____ use speci _____ can ng but you else,_____ _______________ l supervision or remindi g the bath r, takin 01 -Need & get minima the wate_____ or IV feeding running _____ help _ tely or use tube feeding elf means_____ _____ -Can eat without any 00 NG ering by yours _____ 04 -Need to be fed comple show or that you: _____ ng say feeding _____ Bathi with G-4 BATHI you d help elf? _____ get yours _____ your hair and face. Woul 03 -Need & __________ bathe or shower_____ __________ ing _____ includ , _____ body How well can you ___ of the _____ __________ only _____sion get supervi _____ and_____ _____ ents: _______________ -Need help, and washing all parts Comm _______________02 _____ing _____ or remind t assistance sion or shower without any _____ _____ l supervi minima & get_____ 05 -Cannot bathe withou -Need_____ 01_____ help _______________ any_____ g and drying your body _____ without _____ shower or_____ _____ 00 -Can bathe 04 -Need & get help washin that you: _______________________________ say tub the you of d out & in Woul help _____ bed? get & BED MOBILITY d in ____________________ 03 -Need G-6 up or moving aroun ge sitting mana_____ _________________________ _____________ How well can you _____ being turned or change _____position
_____ get help __________ need & _____ -Always_____ up 03 _____ Comments: __________ help to sit & get_____ _____ need _____ 02 -Always _____ es to sit up _____ ______ sometim_____ get help_____ -Need &_____ ____________________ help 01_____ any_____ _____ bed without _____ move in ____________________ _____ 00 -Can __________ from anybody ____________________ _____ _____ g without help ___ _____ eatin _____ and ng s drinki ____________________ say that you: mean ____________________ elf _____ ents: yours _____ by G g Comm _____ EATIN Eatin G-5 elf? yours _______________ foods on your own. Would you g by_____ ge eatin_____ ____________________ most can you mana _____ How well _____ g bread or arranging food s. It also means cutting _______________ial butterin straw food, and ils cutting utens help __________ 02 -Need & get you: ing else, but you can use spec
say that l supervision or remind G ? Would you minima & get G-7 TRANSFERRIN 01 -Need of a bed ororchair or IV feeding out any help get in and tely use tube feeding 00 -Can eat withoutHow well can you 04 bed out of chair or_____ -Need to be fed comple ________________ _____ can move in and feeding or chair you but you to guide _____ __________04_____ be there _____ 03 -Need & get help with -Do not get out of bed _____ 01 -Need somebody to
_____ aid to help _____ any help_______________other without_____ people or a mechanical or chair out of bed ___ _____ into or_____ 03 -Need two ________________ _____ 00 -Can __________ _____ __________ s: get __________ _________________________ to help you _____ Comment _____ _____ _____ 02 -Need one other person __________ _____ __________ _____ _____ _____ _____ _____ _____ _____ __________________ _____ _____ _____ _____ _____ _____ _____ ____________________ ents: _______________ Comm _____ _____ ____________________ _____ _____ __________ _____ _____ that you: lchair? (Indepe____________________ Would you say _____ ITY __________ MOBIL around in bed? G-6 BED _____ walker, but not a whee up or moving ut help or with a cane or you say that you: change position NGcan you manage sitting WALKI well G-8 d, either witho any How climbing stairs) Would or you able to walk aroun house, not including & get help being turned d the How well are to sit up 03 -Always need short distances aroun s need & get help push wheelchair -Alway to the ability to walk es to sit up 02 cane, walker, crutch or 04 -Cannot walk at all dence in walking refers 01 -Walk with use of a ________________ 01 -Need & get help sometim you walk in bed without any help from two people to help ______________________________ ______ 00 -Can move 03 -Need and get help 00 -Walk without any help __________ walk _______________
you _____ _______________ from one person when _______________ 02 -Need and get help ____________________ ____________________ _____________ ____________________ ________ _____ __________ _____ _____ Comments: __________ _____ _____ _____ ____________________ _____ __________ _____ __________ __________ _____ Comments: __________ _____ _____ _____ _____ _____ _____ __________ _____ __________ _____ _____ _____ _____ _____ _____ _____ _____ _____ __________ _______________ _____ that you: chair? Would you say G-7 TRANSFERRING in and out of a bed or How well can you get out of chair or bed
help bed or chair without any 00 -Can get into or out of to help you 02 -Need one other person
Client Care Consultation
you can move in and be there to guide you but 01 -Need somebody to help or a mechanical aid to 03 -Need two other people
04 -Do not get out of bed
or chair
_____________________ _________________________ _________________________ __________________ _________________________ _____ _____ _____ _____ _____ s: _____ ment Com _________________________ _________________________ _____ _____ _____ _____ __________ a wheelchair? (Indepea cane or walker, but not without any help or with d you say that you: G-8 WALKING to walk around, either ing climbing stairs) Woul able includ not you , are house well the d How walk short distances aroun dence in walking refers
to the ability to
00 -Walk without any help you walk from one person when 02 -Need and get help
hair walker, crutch or push wheelc 01 -Walk with use of a cane, you walk from two people to help 03 -Need and get help
04 -Cannot walk at all
_
_________________________
_______________ _________________________ ___ We complete a full assessment with each clientCom using our formulated consultation tool. We look at ac_________________________ _________________________ ments: _______________ _________________________ __________
_________________________
_________________________
_____ tivities of daily living, social needs, as well as, emotional and financial needs. Our consultation process
provides the family with a complete assessment of the care required so they can make an informed decision.
Individualized Service Plan Each client receives an individualized service plan that is based on input from themself, other healthcare providers, their family and includes our professional recommendations. The plan includes services provided by our caregivers, home safety products and vendor services where appropriate. This provides families with a highly personalized service plan that is tailored to their specific needs.
8 | CaringSeniorService.com
Caregiver Personality and Skills Matching Our client’s personality is factored into the process. We want to make sure that not only does the caregiver possess the skills needed to properly assist, but the personality traits they enjoy are matched. This assures a good match to avoid disruption and build lasting relationships.
Personal Caregiver Introduction Our clients all receive a personal introduction to any new caregiver that will provide them with care. This introduction includes an overview of the caregiver’s skills and personality, and provides an opportunity for our supervisors to orient the caregiver to the client’s home. This provides the client with continuity of care and strengthens the relationship while easing the stress of changes that may occur.
Home Safety Survey We provide a 43-step home safety survey that includes review of each room of the home to make sure any issues are addressed. This provides the senior and their families with assurance that services can be delivered safely, and helps them make the necessary changes to keep the home environment safe. You can access this checklist for your own use on our website at caringseniorservice.com under Education in Assessments and Tools.
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Active Involvement Availability Our staff is available 24 hours a day and we always have the phones answered by Caring personnel. This means that when you need to reach someone to address any issue, we are there.
Supervisory Visits Our staff makes visits to the client’s home as often as necessary to provide the excellent care for which we are known. We conduct both scheduled and unscheduled visits. This allows us to make necessary adjustments and maintain a high level of quality for our clients.
Attend Physician Visits Our staff can attend physician visits with clients and family to make sure that we inform the physician of any observations and to gather information directly about any changes that need to occur. Attending physician visits allows us to keep all professional care providers aware of changes and potentially set up additional care services.
10 | CaringSeniorService.com
At Caring we believe that to provide GreatCareÂŽ we must stay involved with the client, family and other professional care providers. This keeps everyone informed of any special needs or required changes to the service plan so that nothing is overlooked.
Client Name _________________________ Company/Physician ___________________
Date ____________________________________ ¨ Home Health ¨ Hospice Physician ¨ ¨ Rehab
Coordinating Agencies and Physicians
Upcoming Medical Appointme
Agency Name ________________________________
Type of Appointment
Regular Care Coordination Contact Name________________________________
D
Phone ______________________________________
Our staff makes sure that all other professional healthcare providers are informed of the status of the E-mail Address _______________________________ client as necessary. Since we are more frequently in the home or with the client, our services are the Physician Name eyes and ears for other healthcare providers. Our ______________________________ approach to care coordination allows us to be more Name _______________________________ proactive in their care and be alerted Contact to early warning signs. Phone ______________________________________
Products
E-mail Address _______________________________ Care Coordination/Physician Form
Quiet Care SafetyCare
Client Name _________________________ Company/Physician ___________________ Individualized Service Plan
Date ____________________________________ ¨ Home Health ¨ Hospice ¨ Physician ¨ Rehab
Diagnosis ___________________________________ Coordinating Agencies and Physicians
Upcoming Medical Appointments
Name ________________________________ Service HoursAgency ________________________________ Assessment Sug Type of Appointment Home Date Safety Time Contact Name ________________________________
Outlines the services our Caregivers provide Phone ______________________________________ Service Days _________________________________ Weekly based on the clients’ Individualized Service ¨
Plan.
E-mail Address _______________________________
2X Month ¨
____________________________
¨ 1X month
Physician Name ______________________________ Contact Name _______________________________
Phone ______________________________________ Personal Assistance Services Provided E-mail Address _______________________________
____________________________
Products
____________________________ ¨ Yes ¨ No
Quiet Care SafetyCare
____________________________ ¨ Yes ¨ No Ambulation Assistance ¨ ¨ ¨ Yes ¨ No Individualized Service Plan ____________________________ Diagnosis ___________________________________ Assist with DME use Yes ¨ No ¨ Service Hours ________________________________ Home Safety Assessment Suggestions ____________________________ ________________________ ____________________________________________ Service Days _________________________________ ____________________________________________ Weekly 2X Month 1X month ¨ ¨ ¨ Medication Reminders No ¨ Yes ¨ ____________________________________________ Personal Assistance Services Provided Meal Preparation Yes ¨ No ____________________________________________ ¨ Ambulation Assistance ¨ Yes ¨ No ____________________________________________ Assist with DME use Yes No ¨ ¨ Feeding No ¨ Yes ¨ Vendor Recommendations ____________________________________________ ________________________ Medication Reminders No ¨ Yes¨¨Yes Light Housekeeping No ¨ Home Health Meal Preparation ¨ Yes ¨ No Feeding No ¨ Yes¨¨Yes Vendor Bathing No Recommendations ¨ Hospice Light Housekeeping ¨ Yes ¨ No Home Health ¨ Yes Bathing No ¨ Yes¨¨Yes Dressing No ¨ Hospice ¨ Yes DME Dressing ¨ Yes ¨ No DME ¨ Yes and Errands No ¨ Yes¨¨Yes TransportationTransportation and Errands No ¨ RX Delivery RX Delivery ¨ Yes Exercise Program ¨ Yes ¨ No _______________________ Yes ¨ Delegated Nursing Directives No Exercise Program No ¨ Yes¨¨Yes ¨ _______________________ ¨ Yes _______________________ Dietary Needs: ¨ Yes ¨ No Delegated Nursing Directives ¨ Yes ¨ No _______________________ Client Care Discussions ‘Agency Recommendation’ provides the opDietary Needs: No ¨ Yes¨Yes ¨ Is there a change in diagnosis? ¨No Change ______________________________ Current Weight
Is there a change in prognosis? ____________ portunity for other care providers to recomIs there a change in medication? Client Care Discussions mend service plan adjustments or changes. Goals / Recommendations / Notes:
¨ Yes ¨No ¨ Yes ¨No
Change ______________________________ Change ______________________________
_____________________________________________________________________________________________ Is there a change in diagnosis? ¨ Yes ¨No Change _______________ Current Weight _____________________________________________________________________________________________ _____________________________________________________________________________________________ Is there a change in prognosis? ¨ Yes ¨No Change _______________ ____________
Is there a change in medication?
Vendor Recommendations
¨ Yes ¨No
05/11
Change _______________
Goals / Recommendations / Notes:
_______________________________________________________________________________
Our staff assists clients with every aspect of maintaining their independence. This often includes _______________________________________________________________________________ assisting with arrangement of other non-care related services such as plumbing or home repair. We _______________________________________________________________________________ maintain a highly qualified and screened list of vendors to provide a plethora of services. This means that our clients don’t have to worry and have an additional level of protection when receiving any services in their home.
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Ask the right questions when calling a Personal Assistance Service!
Agency Name 1
Licensed By The State?
Yes
Bonded and Insured?
Yes
National On-going Background Checks? Yes Personal Caregiver Introductions?
Yes
On-going Caregiver Training?
Yes
Are Caregivers Screened?
Yes
Additional Fees?
No
(Wknds/Nights/Holidays/Hands-On Care)
Up Front Deposits?
No
Hourly Rate Transportation? 1
Where required.
Yes Additional Notes: How do they monitor their caregivers? How do they create a care plan? What experience must their caregivers have?
Are their caregivers, employees or independent contractors?