November 22, 2013
Annual General Meeting

Aging in Place

In 2012, the Coalition released a Vision for Change: Aging in Place document- a copy of which can be found at http://www.coalitionnb.blogspot.ca/
This document reflects those pillars that the Coalition continues to address for aging in place in New Brunswick.
Ø  Provide for a Public Home Care
Ø  Home Support Workers (better  working conditions)
Ø  Nursing Care Fees (Protect assets)
Ø  Ombudsman Jurisdiction - Better Protection for Seniors
Public Home Care
New Brunswick is one of the provinces in Canada where Home Support Workers are paid the least and yet many cannot get enough work hours to earn a decent living. These workers are a huge part of the services for the elderly, as they enable seniors to live at home rather than in a health care institution. Without adequate working conditions, there tends to be a high turnover of this support. This has a high impact on the care that is required for those that need the service.
Many elderly, who have been treated in hospital, continue to occupy acute-care hospital beds even though they should be cared for, with proper support, in their home and in the community. It would be more economical to increase more services in-home as opposed to having seniors using acute hospital beds.
The New Brunswick’s Extra Mural-Mural program provides in-home health care to individuals of all ages. The program is comprehensive with a public service delivery accessible for everyone who needs the service. Therefore it is important to incorporate home support workers under the umbrella of the Regional Health Authorities so that public services are provided for continuity and efficiency.
A key element in developing a home care program is to set standards with provisions of core services based on public delivery accessible for all who requires the service. Best practise with standards of delivery are the federal programs that assist veterans to remain in their own homes and communities with the emphasis on independent living.
Home support workers and home care go hand in hand where programs should include professional services such as nursing, occupational therapy and social work; personal care services to assist in the delivery of daily living.
The Coalition calls upon the government to incorporate home support workers under the umbrella of the Regional Health Authorities.

001.tifCoalition for Seniors and Nursing Home Residents’ Rights   Pillars for Change – November 22, 2013 http://www.coalitionnb.blogspot.ca/
Assets - Nursing Care Fees
In 2006, nursing home daily fees were changed to $70 per day with the removal of assets. Since then the fees have increased steadily from $101 in July 1, 2012, to $107 as of April 2013. In April 2014, the fee will increase again to $113 per day.
A resident of a nursing home retains 108 per month from their income for personal needs; this amount was last increased in 2007 from $88 to $108.
a)      That the government establish a Long-Term Care Act that would house all policies affecting seniors.
b)      That the government ensure that assets of seniors not be included in the calculation upon entering a nursing Care facility or receiving services at home.
c)       That the daily fees be comparable with other provinces.
Ombudsman Jurisdiction – Better Protection for Seniors               
Seniors are a very vulnerable population, who deserve to have a voice, particularly in these financially difficult times. There are Eight (8) Provinces  that have the jurisdiction to investigate long-term care and nursing care facilities. New Brunswick has fallen behind in the oversight of investigating issues of concern to seniors and those living in nursing care facilities.
The oversight of the Ombudsman to investigate without reprisals for seniors and long-term care facilities is a critical piece of caring for the elderly.
That the oversight to investigate long-term care facilities be the responsibility of the office of  the     Ombudsman with sufficient resources.

Coalition for Seniors and Nursing Home Residents’ Rights   Pillars for Change– November 22, 2013
Special Care Homes
 There are approximately 430 privately operated special care homes in the province that could take the pressure off the health care system if they were required to provide Registered nurses and Licensed Practical nurses on duty.   Currently, the wait list for nursing care beds is 702 with 453 in acute hospital beds.
 The government subsidized daily rate for a special care home is up to $75.50 per day. Residents retain $135 per month for personal needs.
a)      That all operators of Special Care Homes be required to have at least one primary staff member  that must be a registered nurse.

b)      That a licensed Practical nurse (LPN) be on duty for shifts when a registered nurse is not available.

c)       That the staff ratio be set out in accordance with the New Brunswick Standards and Procedures for Adult Residential Facilities. (May 29, 2012.)

d)      That an assessment process be done within thirty days of the request.
Text Box: It is very difficult for many seniors in facilities such as nursing and special care
homes to manage on small amount of money such as $108 and $135 per month.
Expenses for foot care, hair care and clothing are increasing steadily. 


001.tifCoalition for Seniors and Nursing Home Residents’ Rights   Pillars for Change - November 22, 2013