November/December 2021 Vol. 3 I No. 06
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EDITOR’SNOTE
Once again, we are heading into a holiday season during the worst pandemic of our lives. Cancelled gatherings of family and friends over lockdown will hopefully take place over the Summer.
owever, we still have to stay safe, so how can we creatively and safely connect residents with those they love? The Christmas holidays are stressful, even before adding COVID-19 to the mix, and family gatherings are complicated. By making sure that systems are in place so that residents can connect with family and friends no matter what alert level. We tend to come into our holidays with a kind of blinkered attitude, even pre-coronavirus, that the holidays are a happy, wonderful time. However, that comes with a big question mark for many. The holidays can be a wonderful, joyous time. Still, unfortunately, it can also be complicated for many dealing with loneliness or depression. Taking the opportunity to pause and to ask:
TANIA WALTERS Publisher
"What is it that this group, these residents, need this year at Christmas?" Is it to feel safe, to feel connected, to celebrate with family and friends? Given the challenges and disruption of the year, time with family and friends is long overdue. As these gatherings are an essential part of the social glue of all communities, they should go ahead, albeit in a covid-safe way. So I think the most powerful question at the centre of every village is "would you like to join us"? For dinner, for a movie, for a singalong, being together is the best reward for everyone at the end of another very challenging year.
Tania Walters, tania@reviewmags.com
CHAIRMAN: Peter Mitchell PUBLISHER: Tania Walters GENERAL MANAGER: Kieran Mitchell EDITORIAL DIRECTOR: Sarah Mitchell MANAGING EDITOR: Caitlan Mitchell ADVERTISING SALES: Caroline Boe SENIOR EDITORIAL ASSOCIATE: Sophie Procter EDITORIAL ASSOCIATE: Shania Taylor SENIOR DESIGNER: Raymund Sarmiento GRAPHIC DESIGNER: Debby Wei
THE BUSINESS OF RETIREMENT VILLAGES & AGED CARE
Aged Plus Village Business is published under license to Review Publishing Co Ltd. Please direct all enquiries and correspondence to Review Publishing Co Ltd. The opinions and material published in this edition of Aged Plus Village Business are not necessarily those of the publishers unless specifically stated. All material in this publication is copyright and may only be reproduced with the consent of the publisher. Copyright 2021
ISSN 2624-4624 / ISSN 2624-4632
Retail 6, Heards Bldg, 2 Ruskin St, Parnell, Auckland New Zealand P: +64 3040142 Email: edit@reviewmags.com
November/December 2021
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contents 6
Putting The Edge in Edgewater
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Rawhiti Estate
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Metlifecare’s Pakuranga village Edgewater is set on four flat acres of idyllic botanic gardens, creating a peaceful and relaxed retirement haven.
Rawhiti Estate is a boutique retirement village in the heart of Remuera. Surrounded by quality residential homes and designed to complement the suburb, it is in keeping with Remuera’s ambience and architecture.
Ages and Stages
Retirement village design has changed over the years to reflect each generation’s needs and desires, and Uniting’s new developments have also changed to reflect the shifting needs in the independent living market.
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A very merry Ryman Christmas 24 When delightful Christmas fare is served up to
Ryman Healthcare residents, the food will not only fill a gap but also help bring those wonderful festive emotions to the fore.
Residents Love The Variety 26 Tomas Rodriguez, the head chef at Metlifecare’s
Greenwood Park in Tauranga, is originally from Chile but has been in New Zealand for nearly six years.
28 Deck the Streets with Summerset’s
Christmas Party
For Gina Collins-Smith, the regional food lead for Summerset Lower North Island, food is about bringing people together and creating life-long memories.
Living For Tomorrow 20 Australia’s property market is booming despite the
pandemic, with new highs expected when borders open. Property developers are building for the future by designing properties to feel like home, meeting the needs of all prospective homeowners and renters.
22 The Great Resignation –
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Pandemic or your leadership? So why has the pandemic caused so many people to quit their jobs and move on? Surely during a pandemic and times of change you hang on to security?
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Innovative High Protein Menu 30 Owned by the Archer Memorial Baptist Home
Trust, Archer Group has three lifestyle boutique retirement villages and two care homes in Christchurch.
32 Stocking Fillers 34 Life with COVID: Is it time for a
health Warrant of Fitness?
What are your odds against COVID? Is there more you can do than vaccinate, mask up and social distance?
38 Mobility products hire and cleaning
services for an Easy Summer
The summer holidays bring added complexity to Villages and residents. Staff levels are lower as the team take a well-earned break. Residents leave the village to stay with family or friends. Infectious outbreak risks are heightened.
Innovation in the familiar 40 When an aged care provider decided to develop
a village inspired by the pioneering Hogeweyk model of care for older people with dementia, they approached the AUT Centre for Active Ageing to partner with researchers and document the journey.
42 More Dairy A Day Helps Keep
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Breaks At Bay
A study published in the British Medical Journal has shown an increased intake ofcalcium and protein-rich dairy foods, including milk, yoghurt and cheese, can reduce the risk of falls and fractures in aged care residents.
November/December 2021
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DESIGN
6
Putting the
edge
in Edgewater Metlifecare’s Pakuranga village Edgewater is set on four flat acres of idyllic botanic gardens, creating a peaceful and relaxed retirement haven.
Continued on page 8.
November/December 2021
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DESIGN Continued from page 7.
DYLAN PELL Senior Development Manager
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he original structure was built in the 80s, and after 40 years, it needed a refresh, both structurally and design-wise. “The aged care industry has moved on a lot since the original building was built. The former care home which dominated most of the site was no longer fit for purpose,” said senior development manager Dylan Pell. It was full of old rooms, some with shared bathrooms, which was the old style of care home design, but it’s less suitable for modern aged care. “The building was really tired and in need of major capital work and refurbishment to bring it up to a modern standard. “So, we decided to demolish the care home, and build a new, modern, beautifully designed one for the village.” Care homes are partially subsidised by the government and many are built to the minimum government standard because that’s all the subsidy covers, said Pell, but Metlifecare builds higherquality facilities. “We design and build aged care suites - that is a room with a private ensuite and in some cases a separate lounge and kitchenette. “This allows residents to have people over, eat in their room, put up their own art - they make it their own space. It’s important it feels like their own home. We focus on creating modern care home spaces that are a great experience for people to visit,” Pell explained.
The redevelopment of Edgewater began in November 2019 and was due to take just under two years, but the lockdown caused delays by shutting down sites and disrupting the supply chain and labour. “We’ve been hit by two separate level four lockdowns and the last few months of the project have been affected by supply chain delays, forcing us to rethink our material sourcing.” While the exterior is getting more than a fresh coat of paint, the internal network is also getting a serious upgrade. “The biggest change in this facility is the technology. “In addition to the traditional phone and internet connectivity provided, Metlifecare has its own future-proofed fibreoptic network throughout the building, providing residents additional services and features like wearable devices and access control. “For example, we can provide technology to sense movement in the care home. So, if someone is home but hasn’t moved for a long time or is getting out of bed at night - which has an increased fall risk - we get a notification and can assist them if needed.” Metlifecare has emergency call systems in all its apartments, but they are manually operated. So if someone falls in the lounge, they might not be able to push the emergency call button on the wall. Wearable devices such as the emergency call button on a pendant exist, but with Metlifecare’s network, they are able to install voice-activated or
motion-sensing emergency call systems. “Residents might not like wearing the emergency call button on a pendant. Now, we can provide smartwatches that can interface with our emergency call system.” The network extends to staff as well. “The staff all work on wireless devices instead of paper now. It’s about future-proofing for IoT devices that don’t even exist yet.” The redevelopment is adding new amenities to the village as well, including a community centre, new library and games room, gymnasium, swimming and spa pool, hairdressing salon and doctor’s rooms. “The original village didn’t have many of those spaces available and we found they’re very popular.” The residents of Edgewater village asked for these amenities and Pell said their views were “integral” to the design and development. “They’re a pretty sociable bunch and made use of the bar they had, so we gave that a really good refresh and added a cafe/dining service. “This was an existing village. When you build a new village from scratch, you can work out what your customers want, but when you’re redeveloping you are redeveloping someone’s home. That’s why our residents had so much involvement in what they wanted.” Edgewater’s new development is due to open in February 2022.
November/December 2021
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DESIGN
Rawhiti Estate is a boutique retirement village in the heart of Remuera. Surrounded by quality residential homes and designed to complement the suburb, it is in keeping with Remuera’s ambience and architecture. Continued on page 14.
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November/December 2021
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DESIGN
Continued from page 13.
uilding began in late 2015, and the doors opened in November 2018. Everything you now see and experience at “Rawhiti” has been carefully thought through. “As a management team, we pooled our years of experience and knowledge to create something unique,” explained Brett Meyer, Director and Chief Property Officer. “We had an open canvas to ensure all design solutions focused on our collective vision to create a special place that we could see ourselves living in. “At the early design phase, we focused on several criteria. “First, it needed to have a homely hotel feel. With no narrow corridors, no beeping nurse call lights, no typical cookie-cutter rest home design that feels too commercial. Rather, you walk in and
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immediately feel like you’re in a resort. “Second, we wanted visitors to walk through the door and go ‘wow!’ On arrival, the central atrium area welcomes you. It is a vibrant place for residents and their families and friends to meet. “The area is buzzing with activity and creates a stimulating environment for residents, families and staff to interact. “There is an external garden that has been brought indoors under beautiful branch-like timber frames that provide both aesthetic and structural solutions. “The atrium lights up at night, and it’s soothing. It represents a place for people to mingle, interact, and stimulate activity. There is no better feeling than seeing residents with memory loss interact with independent living residents by choice. “The Atrium has been used for exhibitions, dancing, cooking lessons, shows, art classes, table tennis and a host of other activities. It is a place of joyousness and laughter,” said Meyer. The design philosophy at Rawhiti is a design based on what you would expect to see at home. “We have embraced technology, ensuring that the needs of our residents are the top priority in an environment that feels like being at home yet delivers clinical efficiency,” explained Meyer. “The building was designed to be modern yet efficient and includes sustainability practices.” Lighting is a mix of LED lights and natural lighting, maximised with large windows and skylights. The automatic sprinkler system has rain
sensors, double glazing is standard, and a paperless philosophy is encouraged. Recycling is encouraged, and the team have held several educational sessions with residents and recycling waste suppliers on how to recycle correctly. The kitchen has a zero-food waste policy, and all cleaning supplies are non-toxic and environmentally friendly. Finally, the residents’ accommodation itself offers memory loss, care suites and independent living options. “A typical room with hospital-level care looks and feels like your bedroom at home. We think this is pretty innovative,” explained Meyer. “From the luxurious cocoon recliners, homely fabrics and materials to the concealed ceiling hoist tracks and kitchenettes in each room, a resident feels like they are at home,” said Meyer. Little wonder then that Rawhiti Estate is so highly sought after and typically fully occupied. Also, no surprise that Rawhiti is beginning to collect some design awards and industry recognition.
For 2020, Rawhiti Estate was named the overall international winner across all categories in the Senior Housing News Architecture and Design Awards. These awards are held annually for the aged care industry and globally across ten categories, including senior living, retirement living, affordable housing and care housing. Ninety entries were vying for a category win and, of course, the coveted first prize across all categories. The judges evaluated architectural excellence, design innovation, technology, and the ability to create beautiful spaces. The win was a fantastic achievement that is a testament to the original vision of the Directors and to Rawhiti Estate itself. BeGroup, the developer behind Rawhiti, is growing through acquisition and is immensely proud of its village. “Our brand stems from the passion and drive of our management team and Directors. We have a hands-on approach to developing and creating villages that our residents are proud to call home,” summed up Meyer. November/December 2021
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DESIGN
Ages
&Stages Retirement village design has changed over the years to reflect each generation’s needs and desires, and Uniting’s new developments have also changed to reflect the shifting needs in the independent living market.
e are constantly reviewing changing trends in the space and making sure our villages reflect this,” said Simon Furness, director of property and housing. With the baby boomer generation reaching retirement age, they are starting to think about the next chapter of their lives, and this means Uniting has to think about how their needs differ from the previous generation. “To avoid the many hassles of homeownership, many are realising that downsizing is the right option for them. “The incoming generation is increasingly interested in having extra space for hobbies and grandchildren to stay over. “With the increased demand for retirement living, Uniting will continue to innovate to ensure that people continue living life to the fullest.” These innovations are integrated into all
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elements of Uniting’s villages, including the design, technology and sustainability. Natural lighting is an important design element of all Uniting’s developments and considers this feature for not only the dwellings but also the landscape and community spaces. “Our dwellings are thoughtfully designed to include spacious layouts that allow people to move around easily, as well as plenty of natural light and ventilation. “Solar access and natural light are also considered in every project from the first principles of site layout and orientation. Where possible, we consider including skylights to encourage night light into our homes.” Uniting believes a campus model is the future of service provision. The recent development at Westmead and upcoming development in Normanhurst, Bowden Brae, have been designed using this model. Using a campus model, the buildings are all in
a localised area, arranged so common areas are within, and everything is easily accessible. “One of the beautiful things about these design principles is the sense of flow when one traverses the campus. “At Westmead, one can easily go from one end of the other, bottom to top, without having to use any stairs.” The campus model also creates a continuum of care that creates ease of access between all services, including retirement living, home and community care and residential care. Uniting believes this model is especially important for couples whose care needs change over time, as both will be able to receive the support they need without having to move too far from partners and friends. “We want people to look forward to going into a retirement village. To achieve this, our residents come into our villages while still active and call upon services as their needs change over time. “For those in our aged care homes, we use a person-centred care model, which shifts the decision-making closer to the residents and those who support them, enabling greater freedom, choice and control to develop a routine that fits a household instead of an organisations schedule.” This person-centred approach has been facilitated by the installation of technology, such as the Moove & Groove platform, and Swift Plus, which connects residents and care patients with
activities and loved ones. “Moove and Groove is a sensory programme accessed through headphones that allows residents to immerse themselves in personally curated music, podcasts, videos and courses such as yoga or meditation. “During the height of the pandemic, the platform was also used as a user-friendly virtual visitor programme to make it easy for staff to schedule online video calls so families could stay connected.” Individual memory boxes are also a feature at homes with residents living with dementia. “These memory boxes contain important tokens from their lives such as photos which helps them with their symptoms.” Technology has also helped staff to provide better care. In late 2020, Uniting partnered with Swift Media to install Swift Plus, a new communications and entertainment technology system in nearly two thousand rooms across 25 of Uniting’s residential aged care homes. “The Swift Plus allows staff to easily communicate with residents about important notices, social activities and meal menus direct to the TV’s in their rooms. Swift Media’s My Family, My Commuity app also allows aged care staff to keep families up to date with important messages, photographs and videos of their loved ones. Continued on page 18. November/December 2021
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DESIGN
Continued from page 17.
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“A dedicated My Community channel enables photographs and messages from the wider community to be shared directly onto TV screens, as well as live streaming of events around the home, ensuring elderly residents whose movements are restricted can stay connected and feel less socially isolated.” For seven years, Uniting has been involved in the department of planning industry and environment’s sustainability advantage programme and, as a Silver partner, is acknowledged as a sustainability leader in the aged care sector. Uniting is currently under review to become a Gold partner. Uniting’s recent development in Gerringong has been designed to be as environmentally friendly as possible. This includes rainwater collected from roofs, thermal insulation, energy-efficient appliances and water fixtures. Rainwater is also reused in the
irrigation system to further minimise the use of the public water supply. Uniting has also embedded energy networks into its projects. This includes solar panels and allowing residents to combine their energy requirements to attract bulk discounts, which can also make green energy more affordable. Sustainability considerations are also extended into landscaping, preserving natural environment’s and elements where possible. “Uniting always looks at retaining the leafy, green look and feel of developments. “We maximise the opportunity to retain and protect existing healthy trees where possible, replace old or damaged trees and improve the ecological features on the site. “Our landscaping design always aims to nurture connection and community while creating a special place that feels like home for all our residents.” One way Uniting nurtures connection and community is through their communal gardens and veggie patches. “These are hot-beds for incidental interactions and help create a thriving and supportive community. “In one of our villages, the residents prefer to gather at the veggie patch instead of the clubroom!” Independent living residents have garden beds in which they can grow their own vegetables. The harvested produce then goes to the kitchen and is used to prepare the residents’ meals. Recycled food scraps are deposited in compost bins which are then used to nourish the soil of the garden beds. “The garden beds are a way for residents to stay active and produce fresh, organic vegetables while minimising waste within the village.
“This experience has made us excited to create more spaces like this. In our recent development in Nowra, we have placed a community garden in the village to foster a natural connection between residents.” Good food is not the only way Uniting facilitates healthy residents. Increased research is seeing the benefits of senior exercise parks and outdoor exercise equipment. “It is our belief that society benefits both socially and economically when our older people are empowered with greater choice and control as a result of their physical capacity.
“Where possible, we try to co-locate senior gyms at our village and residential aged care sites. “At our Nareen Terrace village, we have a walking track that encompasses the whole village. Along this track is outdoor exercise equipment that residents can use at their leisure.” Uniting is a mission-led, not-for-profit organisation that provides a variety of community services for people of all ages and stages of life. By continually assessing the sector, Uniting is able to design and develop villages and aged care facilities that accurately reflect the needs and desires of the next generation.
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November/December 2021
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DESIGN
Living for
Tomorrow
Australia’s property market is booming despite the pandemic, with new highs expected when borders open. Property developers are building for the future by designing properties to feel like home, meeting the needs of all prospective homeowners and renters.
JULIANNE PARKINSON CEO, Global Centre for Modern Ageing (GCMA)
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uilding homes of the future requires clear consideration, as developers look to provide houses that suit their occupants for years to come. While livability has always been a factor when building homes, advancements in technology and innovative design ensure that homes are “designed for all of life.” Commercial and General (C&G) consulted the Global Centre for Modern Ageing (GCMA) for their landmark apartment and retail project in North Adelaide.
The project recently secured planning consent from the State Commission Assessment Panel. Construction of the main development will commence in Q2 2022, with completion currently scheduled for Q4 2024. The GCMA’s consultation centred around C&G’s expectations that many purchasers for these state-of-the-art apartments will be for people of all ages. They wanted to ensure the apartments would be suited to these occupants and their families for years to come. Julianne Parkinson, the CEO of GCMA, noted that homes of the future need to consider the
reality of our ageing population. “The opportunities inherent in this are enormous: from structural and material considerations to energy and smart technologies.” There is a growing market for innovation in future housing and ageing in the ‘right’ place is an important aspect of this approach. “As our needs change, so should our housing. Therefore, designing flexibility and permeability into future homes is critical.” For instance, the granny flat has disappeared in recent years, taken over by onsite, independent short-term rental accommodation development. “Strategically building homes of the future is one of the most exciting opportunities in the marketplace. “We all need to live somewhere, so we are all invested in the well-considered design of future homes.” In endeavours to understand how to enhance livability, GCMA has been exploring technology. “For example, could security be a mix of a technical and community solution? “Technological enhancement within public spaces could ensure that residents felt safe as they made their way through the building.” As innovative progression is showing, safety does not need to compromise on looks. “Safety and aesthetics are critical in homes for older residents.
“Materials need to be chosen for their durability and safety. Glossy flooring that becomes slippery when wet can become a hazard, so can uneven or unexpected level changes.” Parkinson also described lighting as critical. “High-quality lighting that encourages residents away from public spaces that could be hazardous offers both an aesthetic and safe outcome “Ideally, one is not compromised for the other.” Parkinson believes brand recognition is going to become more prevalent for the upcoming generations. “Baby boomers and generations after them are very brand conscious - particularly of their brand. “This increases the opportunities for well-designed housing that incorporates technological, material and structural components that encourage connections between the lives we live today and the lives we live tomorrow.”
November/December 2021
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BUSINESS
The Great Resignation
– Pandemic or your leadership? So why has the pandemic caused so many people to quit their jobs and move on? Surely during a pandemic and times of change you hang on to security?
ell studies have shown that the pandemic has caused most of us to reassess what is important to us and whether we are
GERRY LYNCH The Real Leadership Company
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valued where we are. One study showed 41% of people were considering quitting their jobs this year alone!! Imagine nearly half your workforce quitting in a year. A recent Stanford survey evidenced that many of the companies with poor cultures double-down on decisions that didn’t support their employees. Data has always shown that the thing people care about most is how companies treat their employees. That’s measured by multiple metrics including salary, benefits and security, opportunities for promotion, safety and commitment to equity. Workers expected their employers to make moves to help alleviate, or at least acknowledge, those concerns – and companies that failed to do so have suffered. The study also showed that more than half of the respondents who were planning to quit wanted to do so because of a reduction in benefits, a worsening work-life balance or a toxic workplace culture. Remote work has changed how people think about work, previously one day a week at home was possible now 5 days a week at home is possible with no sitting in traffic, more time in the morning or evening with the family or to do things they value.
What can you do? If you are a leader where you are having a lot of people resign, then you need to ask yourself how your leadership and culture is contributing to that: • Are we paying fairly and equitably? • Do I understand what my team value? • Have I done exit interviews to understand why people are leaving? • Do I check in with my team regularly about how they are feeling? • Do I understand when workload is becoming an issue? • Do my team feel comfortable speaking out when they are struggling? The good news is that if you are a great leader and have a great culture you are more likely to attract more of the talent to you and most people still leave due to their line manager, a poor culture or they don’t feel valued. You may still get people leaving to start their own businesses or because you have developed them and there is no role right now for them to move into – celebrate these people and be grateful for their contribution – Who knows they may be back in the future as boomerang employees. I am passionate about building great leaders and high-performance teams and cultures so if you need some help and want to be challenged to be your best drop me a line – Gerry@ realleadershipNZ.co.nz
How can help your business? Flexi-wage is one of the ways Work and Income is supporting employers to get more people into work. Whether you’re recruiting now or starting to make recruitment decisions to meet the longer-term needs of your business, we may be able to help. A wage contribution, support and training
Flexi-wage can also include ongoing advice and support to help new team members settle into your workplace and help with the cost of pre-employment, in-work or shortterm training and NZQA training up to level three (in addition to the wage contribution).
Flexi-wage is a wage contribution and can also include training and ongoing in-work support. We can talk to you about what we can offer and how it’s paid, based on the individual circumstances of the employee.
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To find out more visit: www.workandincome.govt.nz/flexiwage
CHRISTMAS
A very merry Ryman Christmas
When delightful Christmas fare is served up to Ryman Healthcare residents, the food will not only fill a gap but also help bring those wonderful festive emotions to the fore.
variety of delicious dishes and offerings are planned by the Ryman food team this year. Ryman chefs and their kitchen teams will serve up three-course Christmas meals, platters and hampers, in the lead up to and on the big day. Chefs and the kitchen crew are always trying to provide that extra zing to the tastebuds, particularly in the wonderful summer months when fresh ingredients are plentiful. Food Services Training & Development Chef Matt Orr said the Christmas meals fall within the seasonal menus, that help guide the chefs in all the Ryman villages. There are winter, spring and summer menus, but there is also a ‘harvest’ menu for the autumn period. Traditional roasts are always a favourite amongst Ryman residents. So, the kitchen teams will make sure whole meat and vegetable dishes regularly make their way onto dining room tables within Ryman’s 44 villages, spread across New Zealand and Australia. Comfort meals such as beef, lamb, and fish pie, usually remain staples of the menus no matter the
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season. The menus help ensure consistency in the quality of both meal preparation and plating up the cooked food to be presented to residents. The chefs get photos of prepared meals, as a plating guide, Orr said. There have also been recent additions to Ryman’s main menu. Partly to address the diversity of Auckland’s population, an extra vegetarian meal has been added in, alongside the protein (meat-based) meals offered. “So in fact, if you’re a flexitarian, you’ve got four choices; two vegetarian, two meat… We’ve added in the curry and spicy food. “Having the variety is great. But we’ve also tried to ‘up the game’ and improve the meals, so residents get a better dining experience – which has been received really well.” For Christmas and the festive season, Ryman has created a special village-wide menu. “We’ve got an entrée, a main and a dessert, and we’ve got a vegetarian option as well.” Because of COVID-19 precautions, the independent residents are going to be presented with Christmas baskets full of treats. “Basically, everyone in the village will get a nice festive meal.” Marko Meingassner is one of Ryman’s longerserving chefs and has been serving up at Charles Upham Retirement Village since the Rangiora village opened in 2016. Recently, Meingassner helped pave the way for a beehive to be placed on the village grounds.
The honey has been part of residents’ meals during fine dining experiences. Staff won’t miss out and for their Christmas meal, and in the lead-up to December 25, will get to sit down together, relax and choose from platters of carved ham, summer vegetables, cheese, salads and rolls. Chef Tim Garlick, from Jane Mander village in Whangarei, says in the five years of working for Ryman the Christmas meals and festivities have always been a big focus for the team. The traditional lunches would involve different parts of the village including the care centre and serviced apartments, with an evening meal for the independent residents. The Ryman food team includes Young Achiever of the Year Ryman Award winner Millie Fraser. Fraser cooks at Diana Isaac village and she’s proud of both the team members she is surrounded by, and the food they plate up. Given she is on an afternoon and evening shift Fraser said she prepares bar food for residents.
“We do nachos, seafood baskets, pizzas and chicken nibbles… and it’s a lot of fun doing the fine dining and events like that.” Media advisory: For more information, photos, interviews or comment please contact Ryman Healthcare Corporate Affairs Manager David King on 021 499 602 or Communications Advisor Alan Wood on 027 225 0268. About Ryman Healthcare: Ryman was founded in 1984 and has become one of New Zealand’s largest listed companies. The company owns 43 villages and serves over 12,750 residents in New Zealand and Australia. Each village offers a combination of retirement living and aged care. Ryman Healthcare employs more than 6,300 staff.
CHRISTMAS
Residents Love The Variety
Tomas Rodriguez, the head chef at Metlifecare’s Greenwood Park in Tauranga, is originally from Chile but has been in New Zealand for nearly six years.
decided to become a chef as I always liked travelling and it was a profession that would allow me to do that.” While studying at university, Rodriguez worked in different countries during his holidays to gain experience, learn from different cultures and work with a variety of ingredients. “Once I finished my studies and working in different places in Chile, I decided to take on a bigger challenge and move to New Zealand.”
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Retirement villages are becoming a popular and viable option for chefs, being less intense and demanding, but Rodriguez didn’t intend to work in a village. “To be honest, it was not in my plans to work in a retirement village, at least not yet. “The restaurant I was working in closed so I had to find something quick and thought I would take this opportunity while searching for something else. “After a couple of shifts though, I realised I didn’t want to move because it was completely different from the expectations I had.” The hospitality industry, especially for chefs, is notorious for hard, unsociable hours. “My work life was always working very long hours and until late. “Working at the village, there’s still daylight when I finish so I can spend time with my wife or do something else I enjoy.” With a broad, international experience under his belt, Rodriguez likes to create a variety of dishes. “I try to adapt to as many styles as I can. I believe I am here to please the residents, so I try my best to create different functions throughout the year to give them enough to choose from.” Every month, Rodriguez hosts a theme night,
with a menu based on a country or specific theme. “The residents trust me, even when they do not fully understand the menu. “One night I will not forget was when I served chocolate-coated crickets as dessert for the traditional Mexican night and they all decided to have it!” Sustainability is another constant in Rodriguez’s kitchen. “Early 2021, we started to separate all our food scraps into a different bin, and hopefully we’ll have our own compost to use in our veggie garden soon. “When season and weather allow, I also grow vegetables and herbs to use here in the kitchen. “I am very grateful to all the donations we have from residents who have their own gardens, with produce like lemons, parsley, oranges and rhubarb. Nothing goes to waste here.” Rodriguez and his wife do not have relatives in New Zealand, so for Christmas, they are spending the day with their village family. “We are offering a lunch on Christmas day here in the village for those residents who cannot spend the day with their loved ones.” Rodriguez loves and respects the elders he caters for, and now, he cannot imagine his life without them. November/December 2021
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CHRISTMAS
Deck the Streets with Summerset’s Christmas Party
For Gina Collins-Smith, the regional food lead for Summerset Lower North Island, food is about bringing people together and creating life-long memories.
remember being three years old, with a tea towel tied around my waist like an apron, flour in my hair with my grandmother showing me how to shape the sultana scones. “The love I felt in that moment is something I have never forgotten. It is what inspired me to embrace cooking as a form of communication and expression.” Collins-Smith was the managing chef at
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Summerset by the Ranges for nearly a decade before moving into her current position. “I wanted to provide a high level of customer and food service to the residents, and now, I am in a position to share my knowledge and experience with fellow chef managers.” Collins-Smith helps the village chefs create homely and nutritionally sound menus, serving the food on bespoke, dementia-friendly plates that Summerset designed with Southern Hospitality. “A study showed that residents consume up to 25 percent more food when using a red plate. The red rim also provides a plate edge reference guide for residents. “Red is a stimulating colour for dementia patients, and it provides contrast with food and promotes appetite.” For those on texture modified diets, CollinsSmith uses Pure Foods. After trialling this product, Collins-Smith found that not only did residents consume up to 40 percent more food, but it also cut down on labour in the kitchen. “Using Pure Foods saves us a full eight-hour shift by removing the labour-intensive processes of creating texture modified foods. It gives the kitchen time to focus on attention to detail,” said Collins-Smith.
Each year, Summerset holds a Christmas celebra-tion for residents. Usually, it’s a get together of all residents, sometimes as a themed dress-up, with entertainment, games, and a festive-themed meal. “We’ve had a team working on what the 2021 celebration will look like for several months now. “With the current Covid situation and uncertainty around alert levels, we wanted to provide all our residents with a special Christmas celebration.
The team came up with a Christmas picnic/ street party, allowing residents to come together in a socially distanced celebration. Depending on each site, dishes will be served either in the street under marquees or in recreational rooms. For those in higher alert levels, such as Auckland, the celebration will come to them with a dressed-up team delivering a picnic box with bubbles to the residents home via a golf cart “blinged” out with Christmas decorations blaring Christmas carols over the speaker.
November/December 2021
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CHRISTMAS
Innovative High Protein Menu Owned by the Archer Memorial Baptist Home Trust, Archer Group has three lifestyle boutique retirement villages and two care homes in Christchurch.
rcher Group’s residents enjoy a personable dining experience created by hospitality manager Russell Lowe. Lowe grew up on the West Coast, and spent his childhood helping his family forage from the sea, garden and countryside. “Lots of days were spent collecting mussels, mushrooms and fresh fruit. “My mum, nana and aunties were incredible cooks and growing up learning from them was an amazing pleasure. “I think that’s what inspired me to become a chef, but it took the big OE to London for me to train and learn my craft properly.” The love and pleasure of sharing and enjoying food are also what drew Lowe to the aged care sector. “Food is an emotional experience and bringing that to our elderly when they need it most is a highlight of my career. “When you work in a busy kitchen, customers come and go. One place I worked at in London would usually do 450 covers at lunch service, which wasn’t very inspiring. “In an aged care village, our customers are here every day and the challenge of exceeding their expectations is, in my opinion, the best.” Russell Lowe Because Lowe trained
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in London, he described his style as mostly European based but emphasised the foundations of his cooking are fresh, tasty, and sustainable. “I would describe my style of cooking as traditional dishes that most residents in an aged care facility would have grown up on, mixed with my cooking at the ground roots of gathering and foraging over a fire.” Lowe uses ingredients with high-protein in his menu and considers this an innovation. “We have smoothies, Acai desserts and complete high-protein menus available. Watching the residents enjoy this, knowing the protein is helping them, is an awesome feeling.” Not only rich in protein, Lowe also uses highquality produce from local suppliers, and meat from a renowned, local butcher. “I think people’s perception of aged care hospitality is outdated. “The days of boiled cabbage and soggy, fatty meat are well and truly gone. “Our residents enjoy authentic Indian cuisine, fusion foods and traditional dishes cooked with fresh, local produce and ingredients.” Sustainability is also at the forefront of the village’s dining experience. “All of our BBQ’s use recyclable plates and cutlery, as well as reusable, wooden platters and serving wear for events. “We’re constantly replacing plastic with better options.” As the Christmas season approaches, Lowe is planning numerous events in the lead up to the big day. “We have BBQ’s, Christmas parties and special morning and afternoon teas planned. “We make all of our Christmas mince tarts and cake in-house from old family recipes, which the residents always look forward to enjoying.”
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CARE
Life with COVID: Is it time for a health Warrant of Fitness?
What are your odds against COVID? Is there more you can do than vaccinate, mask up and social distance?
How about a health WOF?
Jo Pannabaker (NZRD) Specialises in Older Adult Nutrition
We know how to reduce the spread of COVID, but as this lockdown drags on in its various forms around the country it is becoming clear that we will be living with active COVID in the community from here on out. Even with vaccinations and social distancing, we will all eventually have exposure to this virus. Here is a check-list and a bit of a pep talk on investing in yourself and your future health, based on learnings from COVID intensive care cases and on the connection between nutrition and immunity.
1. Eat for the health status you want In a face-off against any infection you want a strong immune system and the protein reserves to manage inflammation. Fortunately, nutrition is an easy way to invest in both. Firstly, put protein on your plate at least three times a day Protein is needed for muscle maintenance, growth, and repair, but we also need it to manage inflammation. Infections lead to inflammation, which increases demand on protein stores – just at a time when your appetite is low. Muscles are the greatest protein store in the body which is why being laid low (literally) by illness for any length of time results in a loss of muscle mass. After 50 we’re all losing muscle as part of the ageing process, so eating enough protein becomes more important as we age. The simplest way to do this is to have protein at every meal. You can add an egg to your breakfast or swap out regular yoghurt for high protein yoghurt. Add beans and lentils to soups and winter stews, or break out your grandmother’s three bean salad recipe for summer picnics. Continued on page 34.
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CARE
Continued from page 32.
Dietitians can help you figure out the best changes to make in your diet; just choose someone who has the expertise for your age group or any unique conditions you have. General advice from the internet or from friends is unlikely to meet your needs and fit your lifestyle. The dietetic service on Waiheke is free to residents. Next dietary step: get fibre. Not the internet connection, but vegetables and fruit. Before you skip reading this step, please know it’s really not complicated. Vegetables. Fruit. 9 handfuls a day. That’s it. Throw left over vegetables from last night’s dinner in with your breakfast egg (protein!), snack on frozen peas, or simply double your vege servings in a stir fry. While you’re making 9-a-day a habit, it doesn’t matter that much which vegetables you choose – just eat more vegetables than fruit. Start slow – one extra serving daily for a stretch of several days to let your digestion adjust. And drink more water as you up the fibre to keep it digesting easily. The anti-COVID benefit of fibre (dressed up as vegetables and fruit) is that it feeds your gut bacteria, which is considered the largest immune organ in your body. Different gut bacteria have different anti-inflammatory effects on your immune system, and a variety of vegetables and fruit will keep the wee beasties thriving. Keep those bacteria healthy and they will return the favour. If your gut bacteria is something you want to learn more about, connect with a dietitian who knows their probiotics and prebiotics to get advice that is tailored just for you. Probiotics are not all the same and expert advice may well save you some intestinal grief.
2. Get on top of current health issues – such as diabetes, heart health, blood pressure Get with your GP to review your current health status and make sure you’re in your sweet
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spot. Discuss the best management plan for your current health challenges. Most chronic health conditions – the ones you live with for years – can benefit from a nutrition tune-up. Look for a registered dietitian – start with the Dietitians New Zealand website (www. dietitians.org.nz) – and find one you think will suit you best. Dietitians are now available via telehealth (phone, zoom etc.) so are really accessible at any level of lockdown.
3. Close the circle Check your other health essentials – your sleep, activity levels, emotional health, social & spiritual health. These need just as much attention as diet or medications. - Sleep – you need at least 7 hours a night. Adequate sleep cements your health investments, kind of like setting up an automatic payment into a savings account. Sleep has been shown to improve vaccine uptake too, so there’s a win-win. - Movement – Regular exercise/movement also improves vaccine effectiveness. ANY movement is better than nothing, so keep it simple and fun, and make a start. - Take care of your stress – let others share the load, learn to say no, look for joy and laughter in your day, try forest bathing or deep breathing. - Nurture your connection to others, yourself, and the environment. - Invest in feeling safe Free health coach services are available through the medical centres on Waiheke if you want some help with getting started. The coaches provide support for any lifestyle changes you want to make, and can be booked online. There’s much we don’t know about the COVID-19 virus, but we do know a lot about what makes – and keeps - us healthy. Let’s start with what we know and work out from there. Start by taking your own health really, really seriously. Just do it. Start with one thing. Start today. Start again tomorrow. © Jo Pannabecker (NZRD) specialises in older adult nutrition and has a private practice ‘Elders At My Table’, offering nutrition coaching and support to independent elders and carers of elders living at home. www.elderstmytable.co.nz™
Sanitise on your way in Covid19.govt.nz
CARE
Mobility products hire and cleaning services for an Easy Summer
The summer holidays bring added complexity to Villages and residents. Staff levels are lower as the team take a well-earned break. Residents leave the village to stay with family or friends. Infectious outbreak risks are heightened.
s a result, there is an increased demand for wheelchairs and walkers, commodes and other mobility items. Plus, just at the time that staffing levels are stretched, so too is the need for thoroughly clean mobility and assistive products.
Equipment Hire
ABOVE: Independent Living has an extensive range of Hire equipment, from mobility products to bathroom aids ABOVE RIGHT: Hubscrub can come to you. Small enough to fit through a door. Connects to mains power and water.
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Independent Living Charitable Trust has a complete hire service for everything from walkers and wheelchairs to shower stools and commodes – for both village and direct-to-resident hire. To see the full hire range, visit: https://ilsnz.org/ pages/hire Their simple online booking form shows all available products and pricing – with hire terms starting from as little as $15 for one week. Items are available for pick up from one of their 3 conveniently located Auckland stores – or delivered to your door in the greater Auckland region. All hire equipment is thoroughly cleaned and
sanitised using the class leading Hubscrub™ automated cleaning system, including UV treatment to effectively eliminate infectious pathogens. This ensures peace of mind for the hirer and a hassle-free return at the end of the hire period.
Equipment needing a good clean? Do you have mobility and bathroom equipment needing cleaning? The Hubscrub™ cleaning process is available for village items as well. For smaller jobs, a Hubscrub clean occurs at the Botany (East Auckland) branch of Independent Living or at one of their nationwide partners (please call for your closest stockist). For larger jobs, Hubscrub can come to you – just ring or email to discuss your cleaning requirements. All equipment can be treated to a thorough ‘regular clean’ with the average cleaning cycle taking only 6 minutes, and capable of doing multiple items in one wash. Hubscrub is on wheels so can be rolled inside or
FAR LEFT: Hubscrub allows easy roll-in, roll-out access LEFT: Clean multiple items at once in only 6 minutes
under shelter, and with access to standard power and hot water, it’s ready to operate in minutes. Had an infectious outbreak? Received a partial attainment in a care home audit? The Hubscrub cleaning service provides certainty of a thorough clean and gives peace of mind to staff and residents, as well as being a positive corrective action for Ministry of Health audits.
Hubscrub units are also available for purchase. Current customers have found the reduction in staff time and minimised chemical usage has provided payback in as little as a year - with the added peace of mind of a job well done. To find out more about Hubscrub™ services at your village, visit Hubscrub.co.nz or call 0800 248 272.
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hubscrub.co.nz November/December 2021
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CARE
Innovation in the familiar When an aged care provider decided to develop a village inspired by the pioneering Hogeweyk model of care for older people with dementia, they approached the AUT Centre for Active Ageing to partner with researchers and document the journey.
KAY SHANNON AUT Centre for Active Aging
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he CARE Village at Ngongotahā on the shores of Lake Rotorua is a purpose-built dementia-friendly village offering rest home, private hospital and specialist dementia care. The provider had operated a traditional facility in Rotorua and developed the village, inspired by de Hogeweyk in the Netherlands, in response to the expiry of the lease on their premises. They saw an opportunity to innovate to contribute to greater resident wellbeing. The AUT study identified that management had collaborated with government officials to ensure the village would be safe and comply with regulatory requirements. The physical environment was transformed to enable residents to feel at home in small houses and live with others from similar backgrounds. Person-centred care was promoted, enabling staff to know residents well and support them to continue to with activities they value, contributing to their continued sense of identity. The village resembles a small community, residents live in houses with five or six others and usual daily life is normalised. Each house has an open-plan living, dining and kitchen area, two bathrooms and a laundry, as well as a single bedroom for each resident. A staff member familiar to residents manages the day-to-day running of the houses including resident care, cooking, cleaning, and laundry. Additional staff assist with caring for residents with high care needs. Registered nurses co-ordinate clinical aspects of care. The move to an innovative model of care at The CARE Village has resulted in improvements in
resident wellbeing. The entire village is enclosed, keeping those who require a secure environment safe, while technology enables others to come and go from the village as they please. There is no segregation between those who require secure care and those who don’t, with everyone free to enjoy the beautiful lakeside grounds. The small environments, with familiar staff and peers are calm and quiet, with staff reporting fewer distressed and agitated behaviours and lower use of as required anti psychotice medication compared with in the previous facility. Recognisable domestic environments provide cues to normal living such as the smell of food cooking and familiar kitchen sounds reminding residents that meal times are approaching. Staff support residents to contribute to cleaning, laundry and gardening if they want to. The ability to continue contributing to their household has a positive impact on resident wellbeing. Residents and their families report a feeling of renewed sense of purpose resulting from making those contributions. A dedicated team organises activities that are purely for pleasure, guided by resident preference. Connections to culture contribute to continuation of lifelong identity for Māori residents, supported by Māori staff, including use of te reo, karakia and growing of kai in the garden beds. Family members report greater satisfaction with their relative’s care, appreciating seeing their family members happy and settled, and enjoying visiting the pleasant home-like environment that has plenty of space for children to play and run around.
Outdoor Infrastructure Solutions
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Stoddart has the knowledge and experience to transform any urban space - whether it’s a park, road-side, playground, street scape or a major infrastructure project. Stoddart's breadth of product offering and depth of experience in project management make it the market leader in urban transport focussed infrastructure solutions, and the most reliable choice for clients and patrons alike. Innovation is all about change, and understanding that solutions can only come from the ability to recognise that nothing is impossible.
CARE
More Dairy A Day Helps Keep Breaks At Bay A study published in the British Medical Journal has shown an increased intake ofcalcium and protein-rich dairy foods, including milk, yoghurt and cheese, can reduce the risk of falls and fractures in aged care residents.
enior Research Scientist at Fonterra’s Research and Development Centre in Palmerston North, Dr Caroline Gunn, was on the study’s steering committee and says the results clearly show that dairy can help older adults with their health and wellness. “The study was the first of its kind in investigating whether increasing the daily intake of dairy is both an effective and safe way to reduce fracture risk in older adults," said Dr Gunn. “The results of the study showed a 33 per cent reduction in all bone fractures, a 46 per cent reduction in hip fractures and an 11 per cent reduction in falls," said Dr Sandra Iuliano, Principal Investigator and Senior Research Fellow at the University of Melbourne. “Those residents having the extra dairy
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maintained lean muscle mass in their arms and legs, which could likely have contributed to the reduced falls risk. “The two-year trial involved 7195 residents in 60 aged care facilities across Australia. Half the aged care facilities provided their residents (average age 86 years) with an additional 1.5 serves of dairy (3.5 serves in total) per day while the other half continued providing the usual two servings or less of dairy per day. “This relatively modest increase in dairy was provided to the participants in a variety of ways that included replacing servings of the sweet cakes/ biscuit type foods.” Low calcium and protein intake can lead to fragile bones and an increase in the risk of falls and fractures. It is estimated that older adults in aged care account for approximately 30 percent of
all hip fracture cases. “In terms of public health spending, reducing the number of hip fractures would likely have costbenefits,” said Dr Iuliano. Fonterra helped to support the research by donating one million dollars worth of its products, including cheddar, parmesan cheese, yoghurt, skim milk powder and milk, to provide extra protein and easily absorbed calcium for the residents. “This study helps to demonstrate the important role dairy could play in improving nutritional outcomes in the older population," said Dr Gunn. “A glass of milk continues to be one of the richest sources of readily available dietary calcium and protein, which play a significant role in growing and maintaining healthy bones, muscle and immunity through all life stages. “The increase in protein also showed positive implications for the participant’s lean mass (arms and legs), that may allow them to maintain greater stability and improved control, potentially improving their confidence with mobility. “Today’s consumers are focused on leading healthier and more active lifestyles - and dairy can help contribute to this. “By 2030, over 0.7b of the world’s population will be aged 70 and over, reaching 0.9b by 2040. Studies like this latest one provide solutions to some of the challenges faced by the ageing population. “It is also a real opportunity for our Active Living business. We will continue to leverage our nutrition and science expertise across consumer brands to help people to live more active and healthier lives.
“There is also an opportunity for our Foodservice business, which already supplies aged care facilities with much-needed dairy nutrition,” says Dr Gunn. Fonterra supported the study along with the Centre National Interprofessionnel de l'Economie Laitière, Aarhus University Hospital, University of Melbourne, Austin Hospital Medical Research Foundation, Sir Edward Dunlop Medical Research Foundation, Dairy Australia, California Dairy Research Foundation, National Dairy Council, Dutch Dairy Association, Dairy Council of California, Danish Dairy Research Foundation and Dairy Farmers of Canada.
November/December 2021
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(09) 304 0142 ext 703 caroline@reviewmags.com
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October/November 2021 I VOL 54 I NO 5
