Background
The changing face & pace of aging
Canadian healthcare
Sustainable seniors’ care
Methods
Literature review
Ethics approval and advisory group
Case study sampling
Case Studies and Contexts at Time of Case Selectiona (N = 6) | Interviewsb (N = 34) Respondents (N = 41) | On-site Interviews and Tours |
---|---|---|
Northern (town) | 5 Interviews | 2 days |
Principal Provider: Municipal Campus Campus Size: 162 LTCH beds and 175 mixed housing units Housing: Social, Affordable, Market, Life Lease, LTCH Unique Populations: Francophone and Catholic Heritage Maturity: Four components offered > 15 years Visitor Hospitality Suite: Noc | (4) Campus Staff (1) Campus Partner | |
Semi-Rural (town) | 8 Interviews | 3 days |
Principal Provider: Municipal Campus Campus Size: 143 LTCH beds and 139 mixed housing units Housing: Social, Affordable, Market, Retirement Home, Life Lease, LTCH Unique Population: Large Francophone sub-population Maturity: Four components offered in last 5 years Visitor Hospitality Suite: Yesc | (7) Campus Staff (4) Campus Partners | |
Urban (small city) | 5 Interviews | 2 days |
Principal Provider: Municipal Campus Campus Size: 128 LTCH beds and 198 mixed housing units Housing: Social, Affordable, Market, Life Lease, LTCH Unique Population: None specified Maturity: Four components offered > 15 years Visitor Hospitality Suite: Noc | (4) Campus Staff (1) Campus Partner | |
Urban (large city) | 6 Interviews | 2 days |
Principal Provider: Charitable NFP Campus Campus Size: 198 LTCH beds and 227 mixed housing units Housing: Social, Affordable, Market, Cluster Care, LTCH Unique Population: Designated French language services provider Maturity: Four components offered between 5 and 10 years Visitor Hospitality Suite: Yesc | (5) Campus Staff (3) Campus Partners | |
Rural (town) | 5 Interviews | 2 days |
Principal Provider: Charitable NFP Campus Campus Size: 41 LTCH beds and 189 mixed housing units Housing: Social, Affordable, Market, Life Lease, LTCH Unique Population: German Mennonite Heritage Maturity: Four components offered > 15 years Hospitality Suite: Yesc | (5) Campus Staff (2) Campus Partners | |
Urban (city) | 5 Interviews | 2 days |
Principal Provider: Charitable NFP Campus Campus Size: 127 LTCH beds and 81 mixed housing units Housing: Social, Affordable, Market, LTCH Unique Population: Jewish Heritage Maturity: Four components offered > 15 years Visitor Hospitality Suite: Yesc | (5) Campus Staff (0) Campus Partner |
Case studies and interview respondents
Respondent anonymity
Data collection methods, instruments and technologies
Data sources and analysis
Results
Campus inception and development
Organizational legacies – addressing unmet and changing needs
Organizational vision and readiness for windows of opportunity
Organizational structure and capacity to expand
Campus design and functions
Intentional physical and social design
Recreation Opportunitiesa | On-Site Amenitiesa | Events and/or Volunteer Opportunitiesa |
---|---|---|
• Bingo • Pub nights • Art classes • Choir • Line dancing • Religious services • Off-site outings • Woodworking • Shuffle board • Wellness centres – gym, therapy pools | • Health related clinics/labs • Hair Salon • General store/Tuck Shop • Community gardens • Library • Restaurant/Bistro/Café • Laundry • Common spaces for planned and spontaneous activities • Hospitality Suitesb | • BBQs • Live entertainment • Bazars • Golf Tournaments • Tuck Shop • Friendly Visiting • Family Councils • Board Committees |
Service mix, amenities and partnerships
I = Available Internally to Campus Residents = I; E = Available Externally to Local Community | ||||||
---|---|---|---|---|---|---|
Campus | Meals on Wheels | Day Programa | Active Living Centres/Wellness Programsb | Falls Prevention Programs/ Physio-therapyc | Congregate Dining | Supportive Housing/ Assisted Livingd |
Northern Mature (Municipal) | I & E | Not onsite | I & E | I & E | I | |
Semi-Rural (Municipal) | I & E | I & E | I & E | I & E | I | |
Small Urban Mature (Municipal) | I & E | I & E | I & E | I & E | I & E | I & E |
Urban (NFP) | I & E | I & E | I & E | I & E | I & E | |
Rural Mature (NFP) | I & E | I | I | |||
Urban Mature (NFP) | E | I & E | I & E | I & E | I & E | I |
Campus Feature | Provincial Legislation or Policy |
---|---|
Independent Seniors Housing | • Residential Tenancies Act 2006. • Housing Services Act, 2011 |
Assisted Living/Supportive Housing | • Home Care and Community Services Act, 1994 • Assisted Living Services for High Risk Seniors Policy, 2011 |
Adult Day Programs | • Patients First Act, 2016 |
Wellness Centres | • Seniors Active Living Centres Act, 2017 |
Retirement Homes | • Retirement Homes Act, 2010 • Residential Tenancies Act, 2006 |
Long-term Care Homes | • Ontario Long-term Care Homes Act, 2007 |
Hospital | • A Public Hospitals Act, 1990 |
Foundation | • Canada Revenue Agency Guidelines • Not-for-Profit Corporations Act, 2010 • Individual Gift Agreements with Philanthropists |
Unions | • Labour Relations Act, 1995 • Collective Agreements |
Common to All | • Building Code Act, 1992 • Employment Standards Act, 2000 • Fire Protection and Prevention Act, 1997 • Health Protection and Promotion Act, 1990 • Human Rights Code, 1990 • Municipal Regulations and By-Laws • Personal Health Information Protection Act, 2004 • Quality of Care Information Protection Act, 2016 • Workplace Safety and Insurance Act, 1997 |
Government Partners | Community Partners | Clinical Intervention Partners * | Academic Partners** |
---|---|---|---|
• Municipal (housing, paramedics) • Regional (Local Health Integration Network homecare) • Provincial (Ministry of Health and Long-term Care, Public Health, Ministry of Housing and Municipal Affairs, Infrastructure Ontario) • Federal (Canadian Mortgage and Housing Corporation) | • Community Care Agencies • Hospitals • Community Health Centres • Primary care • Alzheimer Society • Community Living (serves people with developmental delays) • Mental Health Agencies • Pharmacies • Faith Communities • Local Businesses • Community Programs (choirs) • Shelters | • Audiology • Chiropody • Denture care • Primary care • Phlebotomy lab • Physiotherapy • Pharmacy Services | • Colleges • Universities • School Boards |