Today, we have a guest post from our friend Daniel over at Cherry Hill Adult Family Home.  The point of view is from an assisted living perspective, but we can find many similarities in the NH industry.  You can see Daniel’s Assisted Living Blog HERE.

You’ve done your background checks, screenings, and interview and have selected a new caregiver to start training in your assisted living facility. Although you’ve done everything in your power to setup a good training program and select a good caregiver candidate, there are 4 common problems that can come up and bring havoc to the caregiver’s training. These four problems include: Information overload, lack of a mentor, an area a caregiver just can get right, and lack of information reiteration.

The first problem we commonly see come up during training is information overload. Caregivers have a lot of responsibilities. Often times, they cook, clean, run errands, and provide social activities for residents. When a caregiver first arrives at your assisted living facility for training, they can become bogged down with too much information. This often leads to them forgetting simple tasks that need to be done, and their training not being as complete as it should be. The simply solution for this is to spread your caregiver’s training out over the course of a long period of time. Each day is set a side for a new skill or process the caregiver must learn.

The second problem we often see is the lack of a mentor. Anybody in a new job position needs a mentor, someone who has been there longer and knows the ropes. Not having a mentor leads to them making mistakes that could easily have been avoided. The simple solution for this is to allow your new caregiver a day or two to “job shadow” an experienced caregiver.

The third issue is that we often get a new caregiver who just can’t quite get one area of their job right. As we already mentioned, caregivers have a lot of tasks that are expected of them. There might be one or two they are not proficient at. The way around this is to devote extra time for their training in that area, and have them train with one of your staff who are very good in the area.

The final common problem is lack of information reiteration. It is said that humans need to hear something at least 10 times til they understand it. If that is the case, then caregivers must be showed something multiple times. The best way to do this is ask them multiple questions on the same topic throughout their training.

Caregiver training can be a tough process. To get more tips on elderly care, be sure to visit Adult Family Home.

Thanks,

Daniel

Today, we have a special guest post from Shon over at www.eldercarelifesolutions.com:

Did you know? Nursing Home 5-Star Rating Not Consistent

 

Much has been discussed about the new Medicare 5-Star Rating system in the recent months.  Although this is a great system to quickly look at how a facility ranks, it is filled with problems. Many people have posted comments about one nursing home having a 5-star rating being deplorable, while one with one star is perfect.  This inconsistency has caused many consumers to doubt the validity of the rating system.

The system was designed to look at three criteria: health inspections, staffing numbers and quality measures.  The health inspections are conducted by state departments of health that are required yearly for nursing home licensure. The staffing numbers are reported to Medicare by the nursing home. Some states have required staffing ratios, while others do not. Quality Measures involve the acuity and health of the residents and the care that they receive.

The limits for each criteria vary. Although the regulations are set on the federal level, each states inspection process may vary from state to state and each surveyor may interpret the regulations differently. The staffing numbers are self reported and only reflect a two-week period of time during the year. You may be staffed better that week that the other 51 weeks of the year. The quality measures are also self reported and don’t include all aspects of care involved in the daily care of residents.

So what does all this mean? The 5-star rating is a good primary indicator of the nursing homes quality of care. However, because of the inconsistent data reported and different interpretation of the nursing home regulations, nothing beats putting any eye on the care yourself. You simply have to tour the home and see for yourself.

Conduct your visit after hours and on the weekends. This is when you will get the best picture of the care received. Why you say?  After 5 and on the weekends mean that the administrative staff and management team are not in the building. The only staff there are ones that are providing direct patient care. They are not being watched closely and you can get a better picture.

For more information please contact me at ihcconsult2@hotmail.com or www.eldercarelifesolutions.com.

 *Eldercare Life Solutions is a service-based company that specializes in assisting family members to obtain placement options for their aging loved ones. We research and find the best living alternative for your family members. We also provide seminars to local churches and civic organizations on long term care placement.

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