‘This is a true milestone’: Newly written standards offer a road map for long-term care

“(Government) officials have expressed a concrete desire to expand the capacity of the long-term-care system and invest in new infrastructure, something that’s not even really on the table in America,” Penny Cook said.

“The only question,” she said, “is whether they will take the harsh lessons of the pandemic to heart and implement empowering care models such as Green House — or choose to ignore the experiences of elders and decades of research and build the exact same types of traditional, outdated buildings that failed too many Canadians before, during and after COVID-19.”

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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.”