ELDERLY CARE

RESIDENTIAL CARE HOME

The Residential Care Home for the Elderly is a residential social-healthcare service that caters for non self-sufficient guests with stabilized conditions following physical or sensory illnesses or with chronic and/or degenerative conditions, who cannot be cared for at home. Its goals are the functional recovery and maintenance of the guest’s residual physical, mental, relational and affective capacities as well as to prevent the deterioration of any functional damage they have suffered as a result of complex diseases and conditions which, however, do not require hospitalization. The principles that inspire the service are respect for the dignity of the guest as a person, their protection against exploitation and discrimination and the organization of activities patterned on normal family life.

The care home is organized in various units. The service provides personal assistance in daily activities, specialist medical care, nursing, rehabilitation and psychological care, differentiated according to the guests’ needs and socio-medical conditions.
The facility has 82 places available, of which 56 are accredited, in rooms equipped with bathroom facilities, telephone and television.

The Care Home has dedicated places for critical patients, including non geriatric patients, and also for cases of Severe Acquired Disability, for which appropriate healthcare and assistance are provided to suit the severity and clinical complexity of each case.

The length of stay of elderly guests at the Care Home can be permanent of temporary, based on the assessment carried out by the relevant local institution (Geriatric Assessment Unit).
Temporary periods of residence can be genuine ‘relief stays’, providing a period of rest to families that choose to care for their elderly relatives at home and not to resort to the option of permanent residential care for them.

Waiting time
Based on bed availability.

Booking
Through the National Health Service
Booking is agreed directly with the Geriatric Assessment Unit (known as the U.V.G.), which carries out the multidimensional and inter-professional assessment and goes on to develop the individually tailored care plan that determines the length of stay and the possibilities of the guest returning home.
Any extensions of the length of stay must be authorized by the U.V.G., upon request by the Care Home physician.

Private guests
Booking can be made through the Admission Office
•    by phone: 0536 – 42039
•    in person
•    by E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.
•    by Fax: 0536 - 42020

Prospective guests and their families can visit the facility before admission by prior appointment.

Documents required at the time of admission
• A valid identity document
• National Insurance number
• Certificate from the GP specifying the drug therapy being taken
• Previous examinations and diagnostic investigations, no more than six months old
• Photocopies of medical records of any previous stays in other Care Facilities
• Hospital discharge letter, if available

Admission
The Care Home can take charge of the guests as soon as they are admitted and the presence of their family is always welcome.
The admission stage allows guests, their families and staff to get to know each other. It provides an understanding of the guest’s tastes and habits, their ties with their family as well as their and their family’s expectations and needs. It is a process of taking overall charge of the person, which is essential in order to facilitate their settling into the ward and to develop the Individual Care Plan (ICP).

Individual Care Plan (ICP)
The Individual Care Plan (ICP) takes into account the person’s health, cognitive, psychological and social issues and needs identified in the course of an integrated multidimensional and multi-professional assessment. The information gathered is structured according to the various areas of intervention and translated into goals and actions.
All the members of the team participate in the development, implementation and verification of the ICP, with the active engagement of the patient-guest and/or their family. The team members are: geriatric physician, charge nurse, Care Services Supervisor (known as RAA) and recreation worker. A psychologist and/or care and rehabilitation therapist, a dietician and a physiotherapist are also available for any psychological-emotional support that may be required by guests and their families.

All the professionals in the team are specifically qualified for their particular jobs in accordance with existing regulations.

Engagement and Relations
The guest’s contact with their family and the participation of families is facilitated throughout their period of stay. To this end, relatives have the opportunity to:
• eat meals at the Home together with the guest
• visit the guest throughout the day, and any restrictions are kept to an absolute minimum in accordance with guest needs
• participate in the events, parties, etc., that are regularly organized, as opportunities for internal and external socialization
• stay at the Home
• contact the guest by phone
• use the Home’s communal comforts and facilities, including the cafeteria.

The team members are available to speak to relatives, by appointment, for any information, clarification and communication they may require.

Specialist Medical Care
The geriatric physician carries out the clinical assessment and comprehensive diagnostic evaluation, develops the drug therapy plan and takes charge of any possible complications. The geriatric physician is responsible for the Individual Care Plan (ICP) and for coordinating the team. Medical care is guaranteed around the clock, 7 days a week
Nursing care
Nurses provide compassionate comfort and support to the guest in the face of minor and major everyday difficulties, and intervene to resolve any problems. They carry out nursing tasks such as administering the drug therapies prescribed by the physician, monitoring vital parameters (blood pressure, glycaemia, temperature, etc.) and medical dressings.
Charge nurses direct and guide the activities, plan and coordinate the work of the whole nursing team, plan examinations and assist the work of the geriatric physician. Nursing care is guaranteed around the clock, 7 days a week

Care Service
Care workers play a crucial role in taking care of the guest’s basic needs and in fostering their wellbeing and autonomy. The care worker (known as OSS) attends to the guest’s daily and regular personal hygiene activities; helps to stimulate their residual functional capacities and stands by them as they recover their autonomy and in daily activities, as set out in the Individual Care Plan (ICP). Care workers also provide assistance with eating and drinking at any time during the day. They also collaborate with rehabilitation therapists in individual, non-specific motor reactivation.
The Care Services Supervisor (RAA) plans care activities, checks that they are appropriately carried out and helps to integrate care services with catering, cleaning and laundry services.

Care services are guaranteed around the clock, 7 days a week

Rehabilitation Therapy Service
Rehabilitation treatments are planned according to the Physiatrist’s and /or Geriatric Physician’s prescription, based on evaluation of the guest’s conditions and the possible benefits they may gain from the interventions.
The individual rehabilitation programme is developed by the physiatrist in collaboration with the rehabilitation therapist and forms part of the Individual Care Plan. The goal of rehabilitation is the maximum functional recovery of the guest’s motor autonomy and/or to maintain their psycho-physical potential. The therapist shares the individual rehabilitation programme and expected goals with the guest and/or their family. At the end of the programme the effectiveness of the rehabilitation programme and the attainment of planned goals are assessed.

Recreational Activities
The role of the recreation worker is to stimulate the guest’s physical and cognitive abilities and to help them reinforce or regain their personal identity. The aim is to foster social participation and avoid situation of isolation and marginalization, and to offer support for the guest’s interaction with their family and the outside world. The recreation worker’s job also involves stimulating and maintaining the guest’s residual motor capacities through non-specific motor reactivation group activities carried out in collaboration with the rehabilitation therapist. Recreational activities take place in the recreation and relaxation rooms, on the terraces and the equipped veranda next to the park.

Psychology Service
The Psychology Service is instructed to intervene by the geriatric physician upon notification by the multi-professional team and/or by request from the guest-family. The service provides its professional skills in close association with the team. In practice, the interventions consist of individual and/or group interviews designed to foster an improved quality of life, psychological wellbeing and to provide support at difficult times (worsening of the illness, etc.).  The Psychology Service also provides support to the families while the guest is staying at the Home.

Hospital Discharge and Continuum of Therapy and Care
At the time of discharge, the interdisciplinary team discusses with the patient and/or the family the attainment of the objectives set by Individual Care Plan, the prescription of any aids and their use and whether any home care services should be requested. The guest and/or their family are given a letter of discharge addressed to the GP, with details of the plan undertaken and results attained, the diagnostic investigation and consultations carried out, and the recommended drug therapy. The letter also contains diagnostic-therapeutic indications and useful information on how to ensure the best possible conditions for the guest’s return home.

Payment of fees
Private guests
The board and care fee varies according to the complexity of the required care and is recalculated every year. The net amount of the invoices for fully private stays is partially tax deductible. At the user’s request, the relevant certification will be issued, drafted in conformity with legal requirements and in good time for inclusion in the income tax return form.

National Health Service guests
The board and care fee is recalculated when the National Health Service agreements are renewed.
Information about the applicable fees is provided by the Admission office. The fee includes health, rehabilitation and care services, band A (essential and chronic illness) medication (excluding over-the-counter medication), incontinence products, catering, cleaning and laundry (excluding personal laundry). Any additional costs are determined on a monthly basis. Payment of these costs and of the board and care fee must be made by the 10th day of the month by:
•    cash or banker’s-postal cheque, payable at the admission office
•    banker’s draft, on current account n. CC0530000180 of the CASSA DI RISPARMIO DI RAVENNA FILIALE DI MODENA VIA FARINI ABI 06270 - CAB 12900 - IBAN IT07A0627012900CC0530000180, account holder’s name "Villa Pineta s.r.l.", stating the nature of the transaction.

Security Deposit
Before being admitted, guests will be required to pay a security deposit equal to one monthly fee.