St. Clair West Services for Seniors CREMS 2010 ROUNDTABLE December 3, 2010

1. St. Clair West Services for SeniorsCREMS 2010 ROUNDTABLEDecember 3, 2010 Embracing Diversity, Encouraging Independence, Ensuring Dignity

2. St. Clair West Services for Seniors We are a non-profit charitable organization serving seniors and/or adults with disabilities. Our agency welcomes multilingual and multicultural caregivers, participants and clients. ABOUT US Supported by: OUR FUNDERS

3. St. Clair West Services for Seniors • 1973 : • St. Clair West Meals on Wheels was established by local churches, with a federal grant, to deliver meals three days weekly. Our name originates from our initial location. • 2010: • We employ 86 staff the majority Personal Support Workers • We benefit annually from the contribution of 50 placement students and over 200 volunteers. • Our client and participant base is 1700 • We are leaders in innovation in Meals on Wheels and Intake and Assessment • We are community focused and partnership driven Celebrating more than 35 years

4. Our Service Boundaries Adult Day Centre, Respite Care, & Case Management, Information and Referral

5. Our Service Boundaries Home Help, Meals on Wheels, & Transportation

6. Demographics • Toronto inner suburb area. • In the immediate environs, 26% - 39.9% of families live below Statistics Canada low-income cut-off line. • However, the catchment area is diverse and our clients and participants range from very poor to affluent. • Immediate community and its seniors are concerned about safety. • Greater than average incidence of diabetes, hypertension and heart disease. • Low levels of literacy, a high immigrant population and many individuals whose first language is not English. • Service area is one of the most multicultural communities in Canada populated by significant numbers of Italians, Portuguese, Latin Americans, Somalis, West Indians, South Asians and Eastern Europeans.

7. St. Clair West Services for Seniors • Adult Day Centre • Case Management, Information and Referral • Community Programs • Home Help and Respite Care • Meals on Wheels • Supportive Housing • Transportation • Donating • Volunteering OUR SERVICES OPPORTUNITIES TO GIVE

8. The Agency has a Community Development focus. Training in Community Development, funded by United Way has assisted us on our path. At St. Clair West Services for Seniors Community Development is a participatory process that includes clients, participants, volunteers, employees and supporters. This process creates mutual and equitable opportunities that build sustainable communities and empower individuals and groups to influence decisions which affect their lives. Community Development

9. St. Clair West Services for Seniors • Supervised social, recreational and therapeutic programming. • Service 7 days a week, with extended hours • Meals, transportation to the program, and assistance with personal care • Modest fee (Subsidy available). • Three program streams: • Adult Day Program for Frail Seniors • Alzheimer Day Program • Interlude Program(Overnight Respite Care) Adult Day Centre

10. Adult Day Centre Baking Outings Snoezelen Therapy Therapeutic fun - Dr. Clown: http://www.youtube.com/watch?v=8F-E_t2EUMw Celebrations

11. Interlude Program • “The program gives the caregiver time for themselves to do or enjoy some “me” time without having to worry about their loved ones because they are in good hands”, Caregiver, St. Clair West Services for Seniors (SCWSS) • “The Interlude program allows caregivers time to attend functions that otherwise they may not be able to such as attend a wedding, visit family in another city or even attend a baseball game”, Staff Member, SCWSS • “I feel that the program is a blessing. It will allow me to keep him home longer. I wish to avoid him from going to a long term care facility.” Caregiver, Downsview Services to Seniors

12. St. Clair West Services for Seniors • Case Management: Friendly and professional team available to provide assistance and supportive counseling in response to identified needs or crises. • Information and Referral: provides information about the eligibility criteria to access programs, and referral and connection to appropriate agencies providing services within specified geographic areas. • Services offered in Portuguese, Italian, Somali, Spanish, Urdu and others • No fee applies. Case Management, Information and Referral

13. St. Clair West Services for Seniors • Home Help: Assistance for seniors with routine household activities, and other services that enable their independent living. • Light housekeeping, laundry, and light meal preparation • Assistance with banking, shopping and errands • Companionship • Personal care • Respite Care: Home Help workers offer in-home short-term relief for family and caregivers, allowing them free time for other activities. • Modest fee (Subsidy available). Home Help and Respite Care

14. St. Clair West Services for Seniors • Home delivery of nutritious meals. Our staff and/or volunteers deliver hot meals, frozen meals, milk, juice, and fruit and vegetable baskets. They also check regularly on the clients’ safety and wellbeing. • Innovative delivery system which offers clients variety and choice. • Modest fee (subsidy available). Meals on Wheels

15. St. Clair West Services for Seniors • 24-hour on-site personal care and support services for seniors and/or adults with disabilities in designated Toronto Community Housing (TCH) buildings.  • Tenants who require frequent assistance with their Activities of Daily Living or need short-term help because of injury or illness are eligible for this service. • No fee applies. Supportive Housing

16. St. Clair West Services for Seniors • Personalized door-to-door assisted rides to clients who are unable to use public transportation. • Escort assistance is available for frail seniors who need more help.  • We offer rides to and from medical appointments, grocery shopping, banking and hairdressing, Day Programs, and social outings • Modest fee, plus parking charges if applicable (Subsidy available). Transportation

17. St. Clair West Services for Seniors • Community programming offered at 8 locations within our service boundaries. • Activities include culturally sensitive social dining, exercise, educational workshops, bingo, gardening, outings, special events, line dancing, and much more! • A Community Development focus drives our work. We are moving from ‘doing for’ to ‘doing with’. • United Way funded training has assisted us in our transition. • Modest fee. Some programs are free of charge. Community Programs

18. Community Programs Community Kitchens Social Action Theatre by Seniors (SATS) Summer trips and year-round outings Drumming Gardening

19. Eglinton Hill Centre • Working with others to deliver programming. • Currently offering dance, computers classes, Community Kitchen, English conversation classes, health workshops. • Our Agency focuses on building community and neighbourhood inclusion • Recent Elderly Persons Centre and Ontario Trillium Foundation funding will expand our program offerings and the scope of the centre. • Nurse Practioner-Led Clinic Opening in April 2011

20. Partnership Power • ASHTOR (Asociacion de Seniors de Habla Hispana del Gran Toronto) • Art Starts • City of Toronto • Hazel Burns Hospice • Social Planning Toronto • Syme 55+ Centre • Toronto Public Health • Unison Health and Community Services (formally New Heights Community Health Centre and York Community Services) • West Park Healthcare Centre • York Hispanic Centre • York West Active Living Centre • Funders including United Way Toronto and New Horizons for Seniors

21. St. Clair West Services for Seniors • We have various volunteer positions including: • Board Member • Meals on Wheels Driver and Runner • Office or Program Assistant • Where possible, we can develop volunteer opportunities to accommodate your objectives and skill set Volunteering Days of Caring Volunteers

22. Community Support Services Initiatives • INTEGRATED INTAKE • HOME AT LAST • CNAP • interRAI CHA

23. INTEGRATED INTAKE Working Together Collaborative approach by CSS agencies to provide easy and timely access to community support services through common processes

24. INTEGRATED INTAKE • Since March 2007 • Partner agencies • St. Christopher House • St. Clair West Services for Seniors • West Toronto Support Services • Goals • Provide easy single point accessibility to partner agencies • Provide live information, referral and intake coverage • Share common resources, processes and tools

25. Home At Last • Partnership between community support service agencies, Community Care Access Centre (CCAC) and hospitals • Provide planned, escorted discharge from hospital to home following their hospital stay • Preferably for seniors living alone, with an older or frail caregiver or with family away all day • Support with transportation and the services of a Personal Support Worker • Escorted from the hospital and settled in at home safely and comfortably

26. Home At Last • Program Goals & Priorities • Enhance existing hospital/CCAC/ community care processes to minimize delays in discharge • Ensure that seniors do not remain in hospital any longer than needed • Facilitate safe and timely discharge • Coordinates patients, caregivers, hospital and community service staff to smooth the transition from hospital to community • Ensure that needed community care supports are coordinated and initiated on time to minimize preventable readmissions

27. Home At Last • Program Benefits • Allows senior to leave hospital at the earliest possible discharge date • Prevents a possible trip back to emergency or return to hospital – thus reducing costly hospital expenses. • Contributes to a sense of security and well-being and ensures a speedy recovery. • Seniors without existing service supports are provided with information and care options to suit their immediate and future needs • Families see their loved ones well taken care of; settled at home, food and medication arranged, connected to community resources as appropriate.

28. Community Navigation and Access Project (CNAP) The Community Navigation and Access Program (CNAP) is a network of over 30 not-for-profit organizations, working together to serve seniors in communities across Toronto http://www.cnap.ca/content/home/home.aspx

29. Connect to services for seniors in your community with one phone call:

30. The interRAI CHA: Creating and Acting on Evidence in the Community Support Sector • interRAI CHA training • August 2008, University of Waterloo • October 2008 : implementation of the interRAI CHA as standard assessment tool for Supportive Housing Clients • Paper - hard copy • Research grade software, University of Waterloo • March 2009: implemented in Adult Day Services • July 2010: Draft Screener/interRAI CHA for community clients

31. The interRAI CHA: Creating and Acting on Evidence in the Community Support Sector

33. The interRAI CHA: Creating and Acting on Evidence in the Community Support Sector

34. Partnership with EMS Community Service Organization Notification Program . Applied for Funding Go ahead with the project Try in one Supportive Housing Building Consent of clients/tenants

35. Partnership with EMS Community Service Organization Notification Program • This proposed demonstration project aims to address service gaps by creating better linkages and establishing protocols with Toronto EMS/hospital emergency departments around SH residents calling 911 • These protocols would initiate timely community services which prevent admission or reduce length of hospital stay • Services may include monitoring, assessment, provision of home, personal and instrumental supports • Plans would include expanding these protocols to non-supportive housing settings and to other jurisdictions

36. Partnership with EMS Community Service Organization Notification Program • opportunities for client outreach and education, prospects for preventing unnecessary unscheduled hospitalization and for assisting clients to transition from hospital to home as quickly and safely as possible

37. Community Service Organization Notification Program

38. St. Clair West Services for Seniors For more information please visit our website www.servicesforseniors.ca