“The Place of Assisted Living in BC’s Seniors Care System: Assessing the promise, reality and challenges” by Dr. Karen-Marie Elah Perry was co-published in June 2020 by the Canadian Centre for Policy Aternatives, the Hospital Employees’ Union and the BC Health Coalition. This report elaborates on recommendations to the Government of British Columbia examining challenges in assisted living and how they can be addressed.
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Address existing and future needs of the assisted living workforce
Recommendation 2: Adopt a process for moving the wages and benefits for health care workers in assisted living to an existing provincial standard established by the appropriate health sector bargaining association and the Health Employers’ Association of British Columbia.-
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Address existing and future needs of the assisted living workforce
Recommendation 3: Create a workforce development plan to address the recruitment and retention challenges in assisted living, and ensure that clear training standards are developed for all staff working in front-line and health-care supervisory positions in both private-pay and publicly subsidized assisted living residences.-
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Address existing and future needs of the assisted living workforce
Recommendation 4: Mandate the new provincial health sector occupational health and safety organization (announced in 2019) to analyze injury levels and risk factors in assisted living, and develop an injury-prevention strategy and plan for the sector.-
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Address existing and future needs of the assisted living workforce
Recommendation 5: Include in the health authorities’ service contracts with assisted living residences the requirement that they collaborate with the joint occupational health and safety committee at their site to develop comprehensive processes for monitoring injury rates, identifying risk factors and preventing and reducing injuries rates over time.-
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Recommendation 10:
Establish an expert panel of both academic and practice leaders in relational care to help shift assisted living from a philosophy of living at risk to a philosophy of relational care.
This panel’s work should begin with a report for the review process (above) on how to replace Managed Risk Agreements with Relational Care Agreements. Such agreements would acknowledge both the resident’s autonomy and the responsibility of assisted living operators to engage with residents and provide them with the support, education and social connections required to maintain and/or enhance their well-being and autonomy. The report would:
This panel’s work should begin with a report for the review process (above) on how to replace Managed Risk Agreements with Relational Care Agreements. Such agreements would acknowledge both the resident’s autonomy and the responsibility of assisted living operators to engage with residents and provide them with the support, education and social connections required to maintain and/or enhance their well-being and autonomy. The report would:
- Define and apply relational care principles to an assisted living environment;
- Outline a relational-care-planning process to be used with each resident when they enter an assisted living residence and a process for updating it at regular intervals;
- Describe the educational materials and quality-improvement processes needed to support a relational care framework and improve practice over time;
- Include strategies for ensuring that front-line staff and residents, and their family and friends, feel safe and respected in these processes; and
- Recommend how to facilitate the shift to relational care and processes for monitoring progress (i.e., through the inspection processes for assisted living residences).
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