Staffing Plans in Assisted Living Facilities

Knowing When “Staff in Sufficient Numbers” is Really Sufficient

Provider Release 2010

Staffing Plans in Assisted Living Facilities

Deborah Lloyd, RN

Health Care Operations Consultant

Virginia Department of Social Services

Goals

For today basic thought processes manual tools

For the future the whole package automated processes regulation

Our History

the issues within theindustry

the issues for Virginia in the beginning (or somewhere near) “the back burner” effect

administrative changes restructuring responsibilities other people’s priorities

baby steps in a very grown-up world

Early attempts

Problems persist

Starting somewhere

The Universal Assessment Instrument (UAI) The Individualized Service Plan (ISP) And ???

a long and winding road!!!

or is it even

possible to get

there from here???

Starting over

Calls

contacts and

dead ends!

The process

Developing the tools

Input from staff and provider groups

Testing the tools

Determining a need…

Recognizing the warning signs Systemic non-compliance with

laws/regulations Numerous complaints from residents, families,

employees “Something just does not feel right!”

Assessing the situation Observations Record reviews Interviews

The tool…

Handout # 1

DIRECT CARE STAFFING ASSESSMENT

helps us to complete a basic review of the

facility operation including a number of

prescriptive situations that we may not require in

regulation.

Choices

STAFF by SHIFT COUNT (short form)

STAFF by SHIFT COUNT (long form)

PERSONAL CARE/DIRECT CARE SERVICES CHECKLIST

Computation of Direct Care/Need-Related Staffing Requirements

DIRECT CARE TIME/TASK ESTIMATES ***

Staff by Shift Count (short form or long)

Handout # 2 – one page short form

Handout # 3 – three page long form

Personal care/direct care services checklist

Handout # 4

Computation of direct care/need-related staffing requirements

Handout # 5

Direct care time/task estimates ***

Handout # 6

The findings

The facilities Similarities. Differences.

What’s missing?

The findings (2)

Tools Time Outcomes

Where do we go from here?

Training Licensing staff interested provider groups

Revising and refining high hopes & dreams reality check

Questions/Answers???

Acknowledgements

Volunteer Facilities Westminster-Canterbury/Richmond, Virginia

Gloucester House/Gloucester, Virginia

Summit Square/Waynesboro, Virginia

Thank you and…

KEEP REACHING FOR THOSE STARS!!!