At this Toronto long-term-care home, a little extra money has paid off handsomely — with time, respect and attention for residents

It’s not just an exercise in kindness. Independent research shows that the residents living in the U.S.-based Green House Project homes (small households) have deeper relationships with staff, fewer trips to the hospital emergency department and fewer pressure ulcers or urinary-tract infections — conditions that can be serious for older adults and costly to the health-care system.”

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  • “Healthia is the first care home in Australia to implement the U.S.-founded Green House Project model of care, which is informed by person-directed care principles and supports residents to have increased input into their everyday living.”

  • Facilities could improve their ventilation systems. They could abandon “semiprivate” rooms for private ones. Dividing buildings into smaller units with consistently assigned staff — an approach pioneered by the Green House Project — would both bolster relationships and reduce residents’ exposure to infection from workers coming and going.

  • The Green House concept just makes perfect sense for elder care, McAlilly said. “It’s built around the concept of home,” he said. “It’s their home, and we just happen to work there.”

  • AARP Iowa state director Brad Anderson: “Another approach would be investing in Green House homes, which are small skilled nursing homes and assisted living facilities with private rooms, kitchens, and living rooms that look and feel like a home. These homes provide better care with lower staff turnover and are popping up in states across the country. Let’s start trying this model in Iowa.”