Personal Care Home Services
PCH staff work closely with residents and their families to meet the resident's needs and provide quality care. PCHs provide:
- 24 hour nursing care
- personal care
- basic medical supplies
- medications eligible under Manitoba's PCH program
- laundry/linen service
Staff can include Nurses, Nurse Practitioners, Physicians, Health Care Aides, Occupational Therapists, Physiotherapists, Rehabilitation Aides, Recreation Facilitators, Social Workers, Spiritual/Pastoral Care staff, Dietitians, and Pharmacists.
Professional staff, available for consultation as the need arises, includes Speech Language Pathologist, Geriatric Mental Health Clinician, Geriatric Psychiatrist, Respiratory Therapist, Clinical Nurse Specialist, Palliative Care Clinical Nurse Specialist and Clinical Health Psychologist.
Other services such as hairdressing, foot care and dental care are available at most PCHs for a fee. Education and support programs for residents and families may be offered.
Assessment and Care Plan
On admission and at minimum every three months, a computerized MDS (Minimum Data Set) assessment is completed for every resident that lives in a personal care home. This interdisciplinary assessment is used as a basis for developing an individualized plan of care and triggers areas requiring further assessment. As well, this computerized system allows PCHs and the Winnipeg Health region to evaluate the quality of care by comparing their data on a variety of clinical and safety quality indicators with other PCHs and other regions.
Resident and Family Councils
Residents and families are active participants in achieving quality of life for residents. Each PCH has a Resident Council that provides a forum where residents have an opportunity to participate in decision making and provide feedback about life in the PCH. As well, many PCHs have Family Councils.
Within 8 weeks of moving into a PCH, a meeting with the resident, family and health care team members will be held. The focus of the meeting is to ensure that the plan of care addresses all of the resident's needs.
A care conference is held once per year or more often if the need arises.
The Physician or Nurse Practitioner, Pharmacist and Nurse review resident medications at the time of admission and quarterly to consider benefits and possible side effects. The pharmacist is available to answer resident, family and staff questions about medications.
Each resident will be assigned a Physician or a Nurse Practitioner (NP). The provider generally visits the PCH weekly and addresses medical issues and concerns. As well, they are available for phone consultation to the nursing staff 24 hours per day 7 days per week. A complete physical is provided to each resident every two years.
Medications and treatments are administered by nurses as prescribed by physicians or NPs. Medications or treatments requested by the resident or family will be given consideration by the team. If it is felt that there is not enough scientific evidence to support the efficacy or safety of the request, the physician or NP is not obligated to prescribe it. The family may have the opportunity to administer the medication or treatment independent of the nursing staff. In order to prevent undue risk for the resident it is important to openly communicate with the care team about medications, products and treatments that are being administered.
Wheelchairs and Specialized Seating
Many individuals going to a PCH need a wheelchair for mobility. PCHs do not supply wheelchairs for daily use and individuals must provide their own wheelchairs and seating equipment based on an Occupational Therapist's assessment and recommendation. Individuals who have insurance may want to consult their plan for coverage.
Advance Care Planning: Respecting Autonomy, Honoring Choice
When a resident is admitted to a PCH, the health care team will ask about wishes for future care and medical treatment. An Advance Care Planning/ Goals of Care discussion is an opportunity to participate in care planning with the health care team. The health care providers will talk with the resident and the substitute decision maker (if desired and/or appropriate), about the resident's condition and the care that would and would not be desired, and what can be expected from treatment and care. The health care providers will want to know what is important to the resident, and the resident is encouraged to ask questions and share concerns, expectations and preferences.
If a Health Care Directive or an Advance Care Plan/ Goals of Care has already been completed a copy should be given to the PCH health care team. The doctor, nurse practitioner or other health care providers can answer questions about advance care planning.
Learn more about Advance Care Planning
Residents in PCHs sometimes have respiratory issues that require treatment or the services of a respiratory therapist. The most common respiratory treatment in a PCH is oxygen therapy.
If oxygen therapy is required prior to being paneled for a PCH, information will be reviewed to see if the oxygen therapy can be supported in that setting. If it is determined that oxygen therapy can be provided, an oxygen concentrator will be provided at no charge which will provide stationary oxygen.
The PCH that accepts individuals with oxygen therapy must provide an equivalent of 2‐3 hours per day of portable oxygen at no charge. If more is required, the PCH will provide it but there will be an additional charge.
There is a respiratory therapist that works with the PCHs in Winnipeg. The therapist provides assessments, education and recommendations for therapy. The therapist is available on a consult basis during regular working hours. Your personal care home knows how to access respiratory therapy services when required.
Managing money in a Personal Care Home
PCHs have a process in place whereby residents can access funds for expenses that arise. It is not advisable for residents to keep money or valuables in their room as the PCHs are not responsible if items go missing.
Expenses may include:
- Clothing: Purchase, replacement, labeling, major repairs, alterations, dry cleaning of owned items e.g. dry cleanable items such as drapes, blankets.
- Room set-up: Television, phone and internet hook‐up and monthly charges, including charges for moving phone, cable or internet service to a preferred room.
- Personal consumption/use: Cosmetics, deodorant, mouthwash, toothbrush & paste, denture cleaner, facial tissue, non prescription lotions, creams, sun screen, ointments, personal hygiene products where the resident prefers a type not supplied by the facility, support hose, compression stockings, compression garments, alcohol, candy.
- Personal aids: Dentures (including labeling and repair), denture adhesive, eye glasses, hearing aides and batteries.
- Personal services: Hiring of additional private services such as hairdressing (shampoo, cut, color, perm), manicures, pedicures, massage therapy, chiropody, foot care nurse, companion care or private duty nursing.
- Equipment: For personal use that remains personal property. Equipment may include: Lift slings, commodes‐not to be shared, transfer belts for personal use, transfer poles, wheelchairs (WCs) for daily use, or custom fitted ones, personal WC cushions, specialized WC seating for pressure reduction/relieving, walkers, crutches, canes for long term use, compression garments, portable oxygen for outings other than approved recreation programs, insurance for repair or loss of personal belongings, repair and preventive maintenance contract for owned equipment.
- Medical/nursing supplies: Incontinence care products preferred by the resident and not supplied by the facility.
- Dietary supplies: Personal use aids and utensils.
- Drugs: The cost of drugs or medication not included in the Manitoba Health nursing home formulary.
- Preventative halth care: Foot care, optometry and dental services may be available on site for a fee. If not, it is advised to continue ongoing follow‐up with the resident's usual practitioner. The resident is responsible for making appointments, arranging transportation and any associated costs.
- Transportation for medical care: The resident may be responsible for ambulance or stretcher care service for trips that result in hospitalization. The resident is also responsible for medical appointments arranged by the family that are not a request of the attending physician or NP.
If you are unsure of what the Home does and does not provide please ask the Personal Care Home staff.