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Staffing Plans in Assisted Living Facilities

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

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Staffing Plans in Assisted Living Facilities

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  1. Staffing Plans in Assisted Living Facilities Knowing When “Staff in Sufficient Numbers” is Really Sufficient Provider Release 2010

  2. Staffing Plans in Assisted Living Facilities Deborah Lloyd, RN Health Care Operations Consultant Virginia Department of Social Services

  3. Goals • For today • basic thought processes • manual tools • For the future • the whole package • automated processes • regulation

  4. Our History • the issues within the industry • 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

  5. Early attempts

  6. Problems persist

  7. 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???

  8. Starting over Calls contacts and dead ends!

  9. The process • Developing the tools • Input from staff and provider groups • Testing the tools

  10. 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

  11. 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.

  12. 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 ***

  13. Staff by Shift Count (short form or long) Handout # 2 – one page short form Handout # 3 – three page long form

  14. Personal care/direct care services checklist Handout # 4

  15. Computation of direct care/need-related staffing requirements Handout # 5

  16. Direct care time/task estimates *** Handout # 6

  17. The findings • The facilities • Similarities. • Differences. • What’s missing?

  18. The findings (2) • Tools • Time • Outcomes

  19. Where do we go from here? • Training • Licensing staff • interested provider groups • Revising and refining • high hopes & dreams • reality check

  20. Questions/Answers???

  21. Acknowledgements • Volunteer Facilities • Westminster-Canterbury/Richmond, Virginia • Gloucester House/Gloucester, Virginia • Summit Square/Waynesboro, Virginia

  22. Thank you and… KEEP REACHING FOR THOSE STARS!!!

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