Person Directed Care "IDEAS" fall 2015

Ideas P2 / Roundtable + Tour Healthcare leaders and others interested in promoting culture change met in Rochester at the Arbor Ridge Community.

P3 / Physical Change in Culture Change Our Environments for Aging Conference c0-presentation with Eden Alternative’s CEO Chris Perna.

P4 / Lesson’s Learned After a decade of experience, we reflect on lessons learned since The Green House® Project’s inception.

Person Directed Care SWBR Architects thoughts, ideas, and approach to Person Directed Care and supporting environments

2015

FALL EDITION

NEW SAINT ELIZABETH GREEN HOUSE ®

CONGRATULATIONS TO SAINT ELIZABETH HOME ON THEIR GREEN HOUSE® HOME GROUND BREAKING!

In the summer of 2014, Saint Elizabeth

Four new homes of 12 elders are planned

Home was the only provider selected among

around a residential styled cul de sac adjacent

a pool of applicants to receive new nursing

to the legacy home. Pushing to incorporate

On October 27, 2015, Saint Elizabeth

beds under the Rhode Island program.

the latest ideas and code allowances, Saint

leadership, elders, family, and community

The approval came in large part due to the

Elizabeth has designed per new 2014 FGI

members came together to kickoff this

ongoing excellent reputation of the Home

Guidelines for Residential Health Facilities

significant project. Not only is this project the

as well as its commitment to implement The

and will incorporate a corridor of just 6’

first Green House® project in Rhode Island,

Green House® model of care. Since that

width per new allowances of the 2015 NFPA

it is also the first new skilled nursing project

decision was announced, Saint Elizabeth

Life Safety Code. When these homes open in

under the state’s RESIDENT DIRECTED

has been extremely busy educating staff and

Fall 2016, they will truly be leading the way

HOMES Program.

engaging in a robust design process.

both in Rhode Island and nationwide.

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Roundtable & Tour 2015 PERSON DIRECT CARE ROUNDTABLE AND TOUR A SUCCESS IN ROCHESTER, NY

SWBR Architects hosted and facilitated their first annual Person Directed Care Roundtable and Tour on September 25, 2015. The Roundtable gathered community healthcare leaders and others interested in promoting culture change in the Rochester area. The event was held at the Arbor Ridge Community, home of the nation’s first community based

“

How can we afford this? We can’t afford not to do this.

”

- James Clark, Chief Financial Officer, St. John’s Home

Green House® homes developed by St.

Chris Perna, CEO of The Eden Alternative,

to provide exceptional care in the small home

John’s Home. Educational sessions were

followed by discussing the differences

setting, but they are doing it below the cost

presented by a distinguished panel as a

between Person Directed Care and Person

of care in their legacy home.

springboard to the day’s conversation.

Centered Care and reminded us that “Words The day ended with a wonderful Open House

make Worlds.”

Ann Marie Cook, CEO of Lifespan, started

and Tour of the Penfield Green House®

the discussion with a download on the

CFO of St. John’s Home, James Clark,

homes. Elders joined Roundtable attendees for

state of culture change in the community,

discussed the financial success of the Green

music and refreshments in the courtyard and

highlighting the efforts of the TAKE IT

House model as implemented at their Penfield

then welcomed attendees in for a tour around

ON FOR MOM initiative.

Green House® homes. Not only are they able

their home.

PROUD PARTNERS SWBR Architects is proud to be an Eden Alternative Value Added Partner and the only Architecture practice partner. Eden recognizes its partners as organizations that have proven to be culturally aligned with the principles of the Eden Alternative and active in the culture change movement. For more information on Eden Alternative and its Value Added Partners please visit the Eden website:

edenalt.org/resources/value-added-partners

SWBR ARCHITECTS

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The Role of Physical Change in Culture Change

PERSON DIRECTED VALUES + PRINCIPLES REPRINTED FROM THE SMART CONSUMER’S GUIDE TO QUALITY CARE

An initiative of Lifespan of Greater Rochester, NY and sourced from Pioneer Network. pioneernetwork.net

As presented by Chris Perna, CEO Eden Alternative, and Rob Simonetti, Project Architect SWBR Architects, at the 2015 Environments for Aging Conference.

Key learnings, process improvements, and takeaways: 1. Individual, organizational, and physical change, as three elements working together, can drive deep cultural change.

2. An effective planning process can support deep, sustainable culture change resulting in true person-directed care.

3. Specific design elements can and should be used to support specific cultural objectives.

4. Slow Down. Recognize the value of time as it relates to our ability to process and accept change.

5. Create a Program focused on the

6. Benchmark other Person Directed Environments. Through stories and images bring stakeholders to these environments and discuss positive and negative experiences.

• Know each person • Each person can and does make a difference • Relationship is the fundamental building block of a transformed culture • Respond to spirit, as well as mind and body • Risk taking is a normal part of life • Put person before task • All elders are entitled to selfdetermination wherever they live • Community is the antidote to institutionalization • Do unto others as you would have them do unto you • Promote the growth and development of all • Shape and use the potential of the environment in all its aspects: physical, organizational, psychosocial, spiritual • Practice self-examination, searching for new creativity and opportunities for doing better • Recognize that culture change and transformation are not destinations but a journey always a work in progress

7. Organizations cannot simply build a new environment to achieve person-directed care; they must build culture first.

8. Physical design and organizational culture need to remain in balance to support persondirected care practices.

9. You can’t get there unless you start.

10. Go deep. Step through the door and close it behind you.

EXPERIENCE of being in a space.

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PERSON DIRECTED CARE / FALL 2015

UPCOMING TALK SHEDDING THE INSTITUTIONAL LENS: THROUGH AN ENGAGING DESIGN PROCESS

SWBR Architects is teaming with Saint Elizabeth Home to co-present a Green House Project webinar on February 25, 2016 at 3:00PM, EST. The webinar will explore how a well-designed environment supports person directed care and the collaborative processes that lead to quality of life and real home.

The webinar, which was also presented at The Green House Project Annual Meeting in Loveland, CO in November 2015, uses the Saint Elizabeth Home Green House as a case study.

SWBR will also present “The Role of Physical Change in Culture Change” at the Eden Alternative Conference in Little Rock, Arkansas in May 2016.

Person Directed Care Resources: Eden Alternative edenalt.org Pioneer Network pioneernetwork.net

SAGE Federation sagefederation.org The Green House Project thegreenhouseproject.org SWBR Architects swbr.com

Lesson’s Learned LESSONS LEARNED FROM A DECADE OF GREEN HOUSE® HOME EXPERIENCE

Debbie Wiegand, Project Guide for The Green House Project and Rob Simonetti, Project Architect at SWBR Architects have presented some of the many lessons learned since The Green House Project inception. Presented as a Webinar for The Green House Project and as an education session at the 2015 Pioneer Network Conference, the session focused on ideas to bring forward as new adopters consider building Green House homes. Wiegand and Simonetti discussed strategies for addressing regulatory hurdles, Green House Project Design Survey results, and the changing nature of the Bath Spa. Of note in the Spa we’ve learned: • Size matters – Smaller is better • Provider radiant heat panels to warm elders • Select tubs that both elder and staff are comfortable with • Place the Spa immediately adjacent to the bedrooms

• Ensure privacy and dignity • The Spa is not a closet -Provide an adjacent space for storage • Start from a residential image and then build in required functionality

SWBR Architects, expert in the design of Environments for Person Directed Care, has success in the household, small house, and Green House® models. We recognize the privilege and responsibility of being involved in this work and will assist in educating affected staff on the merits and impacts of changing to an environment which supports person centered care.

Independent Living | Assisted Living | Skilled Nursing | Memory Care 387 East Main Street, Rochester, NY 14604

SWBR ARCHITECTS

For more information:

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Tom Gears, AIA / tgears@swbr.com / cell# (585) 746-2541 Rob Simonetti, AIA / rsimonetti@swbr.com / cell# (585) 208-3949