Home for Us

Home for Us

INTRODUCTION & VISION

1.1 Overview

Creating communities of joy, purpose, meaning and belonging for all

Home for Us represents a fundamental transformation in long-term care, moving from institutional models to a social-relational approach that prioritizes resident-directed living and meaningful relationships.

The H4U care model is different from traditional seniors’ care philosophies because caring with this approach means recognizing that aging adults are more likely to thrive when they are supported to maintain their independence, social connections, and their desired and purposeful personal routines.

In fact, studies show that maintaining a sense of independence and purpose plays a vital role in active, healthy aging. When people know they have a say in making decisions about their day and can direct their own routines, feel connected in meaningful and mutually fulfilling relationships, and see the care home as their home rather than the staff’s workplace, they feel more in control of their future.

Within this new model of care residents will have access to medication management, physical therapy, and tailored care plans developed with the resident and their family by a team that assesses their unique physical, emotional, and cognitive health needs.
At the same time, they will be supported to maintain strong family and community connections, and empowered to enjoy autonomous, meaningful lives.

To enable the massive shift Providence envisions, the H4U long-term care model will be easily scalable and adaptable to serve diverse populations across the province and around the country.

INTRODUCTION & VISION

1.2 Core Vision

Creating communities of joy, purpose, meaning and belonging for all.

INTRODUCTION & VISION

1.3 Foundational Principles

Jointly created by Providence Living and Providence Health Care, this model puts residents’ needs and preferences at the center. It includes three guiding principles.

A. Emotional Relationships Matter the Most

People won’t remember what you said or did, they will remember how you made them feel

  • Building meaningful relationships
  • Creating emotional safety
  • Prioritizing connection over tasks
  • Supporting family bonds

Real-world Example: Morning Greeting Scenario

B. Residents Direct Each Moment

Time is not measured by a clock, but by moments
  • Flexible daily routines
  • Resident-led activities
  • Choice in daily decisions
  • Personalized care approaches

Real-world Example: Morning Routine Scenario

C. Home is not a place. It is a feeling.

Home feels friendly, relaxing, secure and familiar.

  • Creating familiar environments
  • Personal space customization
  • Family involvement
  • Comfortable atmospheres

Real-world Example: Living Space Scenario

INTRODUCTION & VISION

1.4 Model Benefits

Key Outcomes for Residents, Staff and Families

  • Enhanced quality of life
  • Maintained independence
  • Meaningful relationships
  • Personal dignity
  • Choice and control
  • Active participation
  • Peace of mind
  • Partnership in care
  • Continued relationships
  • Regular involvement
  • Professional fulfillment
  • Empowered decision-making
  • Meaningful relationships
  • Career development
  • Work satisfaction

2.0 Core Model Components

CORE MODEL COMPONENTS

2.1 Social-Relational Model Framework

Creating communities of joy, purpose, meaning and belonging for all

A. Transformation from Traditional to Social-relational Care

TRADITIONAL MODEL
Medical Care Focus

HOME FOR US MODEL
Living Your Best Day

REAL-WORLD EXAMPLE
Mrs. Lee decides when to take her medications around her preferred breakfast time instead of fixed medication rounds

TRADITIONAL MODEL
Siloed Teams

HOME FOR US MODEL
Collaborative Teams

REAL-WORLD EXAMPLE
Morning huddles include all staff members sharing insights about residents’ preferences and needs

TRADITIONAL MODEL
Task-based

HOME FOR US MODEL
Purpose-based

REAL-WORLD EXAMPLE
Staff member John notices Mr. Smith’s interest in gardening and adjusts schedule to support this meaningful activity.

TRADITIONAL MODEL
Facility Mindset

HOME FOR US MODEL
Home Environment

REAL-WORLD EXAMPLE
Residents help plan menu choices and participate in meal preparation in household kitchens

B. Implementation Framework

PRACTICAL APPLICATION

  • Daily choice in activities
  • Flexible schedules
  • Personal routines
  • Individual preferences

Real Example: Evening Routine Scenario

Mr. Williams enjoys watching late-night sports

KEY ELEMENTS

  • Consistent staff assignment
  • Knowledge of personal history
  • Family involvement
  • Community connections

Practical Example: Care Planning Scenario

CORE MODEL COMPONENTS

2.2 Operational Components

A. Staff Empowerment

• On-the-spot problem solving
• Resident preference support
• Schedule flexibility
• Resource allocation

Example Implementation: Spontaneous Activity Scenario

• Cross-functional communication
• Shared responsibility
• Collective problem-solving
• Information sharing

B. Physical Environment Design

  • Private rooms
  • Personalized spaces
  • Household kitchens
  • Comfortable furnishings
  • Multiple gathering areas
  • Quiet spaces
  • Activity areas
  • Outdoor access

Real Example: Space Utilization Scenario

CORE MODEL COMPONENTS

2.3 Quality Framework

A. Measurement Approach

• Resident satisfaction
• Engagement levels
• Social connections
• Personal goal achievement

• Staff satisfaction
• Family feedback
• Health outcomes
• Community integration

EXAMPLE ASSESSMENT

  • Monthly Quality Review
  • Resident council feedback
  • Staff observations
  • Family input
  • Health metrics
  • Environmental assessment

3.0 Physical Implementation

PHYSICAL IMPLEMENTATION

3.1 Facility Design and Layout

B. Neighbourhood Design

Each neighborhood designed to support 12 residents with:

  • Individual bedrooms with ensuite bathrooms
  • Personal temperature control
  • Storage for personal items
  • Window views where possible

EXAMPLE NEIGHBOURHOOD LAYOUT

  • Open concept living/dining area
  • Household kitchen
  • Comfortable seating areas
  • Laundry facilities
  • Access to outdoors

Real-world Implementation: Neighborhood Morning Scenario

B. Community Amenities

  • Bistro
  • Community Hall
  • Art Studio
  • Multipurpose Rooms
  • Chapel and Indigenous Sacred Gathering Space
  • Convenience Store
  • Wellness Centre
  • Medical Office
  • Salon
  • Therapy Areas

Practical Application: Daily Community Integration

PHYSICAL IMPLEMENTATION

3.2 Environmental Features

A. Indoor Environment

  • Tunable lighting systems
  • Natural light maximization
  • Task-appropriate lighting
  • Individual room control

Real-world Implementation: Lighting

  • Sound absorption materials
  • Quiet areas
  • Social space design
  • Privacy considerations

B. Outdoor Spaces

  • Raised planting beds
  • Secure walking paths
  • Seating areas
  • Shade structures
  • Children’s play space
  • Central courtyard
  • Forest retreat
  • Town square

Practical Usage: Daily Outdoor Programming

PHYSICAL IMPLEMENTATION

3.3 Technology Integration

A. Support Systems

• Staff mobile devices
• Family communication platforms
• Digital care planning
• Emergency response systems

• Individual room controls
• Lighting automation
• Security systems
• Temperature management

Real-world Application: Technology in Action

4.0 Daily Life Examples

DAILY LIFE EXAMPLES

4.1 A Day in the Life

A. Morning Routines – Flexible Starts

7:00 AM – Wake-up call
7:30 AM – Morning care
8:00 AM – Breakfast in dining room
9:00 AM – Scheduled activities

6:30-10:00 AM – Natural wake times
7:00-10:00 AM – Breakfast available
Morning care based on preference
Activities flow naturally

Real-life Example: Mrs. Johnson’s Morning

B. Mealtime Experiences

  • Household kitchen
  • Bistro setting
  • Private dining
  • Family dining
  • Room service
  • Personal preferences
  • Cultural options
  • Special diets
  • Flexible timing
  • Family recipes

Practical Implementation: Lunch Time Scenario

DAILY LIFE EXAMPLES

4.2 Activities and Engagement

A. Spontaneous Activities

MORNING EXAMPLE SCENARIO
Residents notice plants need water

RESULT
Spontaneous gardening group forms

  • Some water plants
  • Others tend gardens
  • Some observe and socialize
  • Staff support as needed

AFTERNOON EXAMPLE SCENARIO

  • Card game develops in living room
  • Others join to watch
  • Coffee and snacks offered
  • Stories and laughter shared

B. Structured Programs

  • Exercise classes
  • Art sessions
  • Music programs
  • Cultural events
  • Spiritual services
WEEKLY SCHEDULE EXAMPLE

Monday: Local school visits
Tuesday: Garden club
Wednesday: Music therapy
Thursday: Community volunteers
Friday: Cultural celebrations

DAILY LIFE EXAMPLES

4.3 Personal Care and Support

A. Resident-Directed Care

1. Care Planning

2. Daily Support: Morning Care Example

B. Health and Wellness Integration

DAILY WELLNESS EXAMPLE

  • Morning check-ins
  • Activity monitoring
  • Nutrition support
  • Medication integration

IMPLEMENTATION
– Walking programs
– Balance exercises
– Social engagement
– Mental stimulation
– Proper nutrition

DAILY LIFE EXAMPLES

4.4 Evening and Night

A. Evening Transitions

6:00-8:00 PM: Dinner options

  • Evening activities as desired
  • Gradual wind-down
  • Individual bedtime preferences

B. Night Support

  • Quiet activities available
  • Light snacks accessible
  • Staff available for support
  • Security and safety maintained

5.0 Staff Development

STAFF DEVELOPMENT

5.1 Cultural Transformation Training

A. Mindset Shift

From Task-Based to Relationship-Based Care

  • Focus on completing tasks
  • Time-driven schedule
  • Standard procedures
  • Limited decision-making
  • Focus on relationships
  • Resident-directed timing
  • Flexible approaches
  • Empowered decision-making

Real-World Training Example | Scenario-based Learning

Resident doesn’t want breakfast at scheduled time

B. Core Competency Development

  • Active listening
  • Emotional intelligence
  • Problem-solving
  • Cultural competency
  • Family collaboration

SKILLS DEVELOPMENT EXAMPLE

MORNING HUDDLE SCENARIO
– Share resident preferences
– Problem-solve together
– Celebrate successes
– Learn from challenges

STAFF DEVELOPMENT

5.2 Staff Empowerment Framework

A. Decision-Making Authority

STAFF AUTHORIZATION TO

  • Adjust daily schedules
  • Respond to preferences
  • Initiate activities
  • Solve problems
  • Support choices

Implementation Example | Real-world Scenario

Resident shows interest in gardening

B. Team Collaboration

  • Daily huddles
  • Shift handovers
  • Team meetings
  • Family conferences
  • Documentation systems

COLLABORATION EXAMPLE

MORNING PLANNING
– Care staff input
– Kitchen team updates
– Activity coordination
– Maintenance awareness
– Family communications

STAFF DEVELOPMENT

5.3 Professional Development

A. Continuous Learning

  • Initial orientation
  • Ongoing education
  • Skill updates
  • Best practice sharing
  • Leadership development

DEVELOPMENT TRACK EXAMPLE

NEW STAFF

  • Core principles training
  • Shadowing experienced staff
  • Mentorship program
  • Regular check-ins

EXPERIENCED STAFF

  • Advanced skills training
  • Leadership development
  • Mentoring opportunities
  • Specialization options

B. Performance Support

SUPPORT STRUCTURE

  • Regular mentoring
  • Peer support
  • Leadership guidance
  • Performance feedback
  • Growth opportunities

EVALUATION AREAS

  • Resident satisfaction
  • Family feedback
  • Team collaboration
  • Skills development
  • Initiative demonstration

6.0 Research & Evaluation

RESEARCH & EVALUATION

6.1 Research Framework

A. Partnership Structure

UBC Centre for Advancing Health Outcomes (link)

  • Five-year research project
  • Multiple site comparison
  • 156 residents at The Views
  • 700 residents in other homes

B. Research Focus Areas

MEASUREMENT AREAS

  • Quality of life indicators
  • Social engagement levels
  • Physical health outcomes
  • Emotional well-being
  • Personal goal achievement

EVALUATION POINTS

  • Job satisfaction
  • Work-life balance
  • Professional growth
  • Team dynamics
  • Care delivery quality

RESEARCH & EVALUATION

6.2 Evaluation Methods

A. Data Collection Approaches

KEY METRICS

  • Health indicators
  • Participation rates
  • Incident reports
  • Staff turnover
  • Family involvement

COLLECTION METHODS

  • Regular assessments
  • Daily documentation
  • Health records
  • Activity tracking
  • Survey responses

DATA SOURCES

  • Resident interviews
  • Family feedback
  • Staff observations
  • Focus groups
  • Case studies

DOCUMENTATION

  • Personal stories
  • Observed changes
  • Relationship development
  • Community impact
  • Cultural shifts

RESEARCH & EVALUATION

6.3 Outcome Measurements

A. Quality of Life Indicators

MEASUREMENT AREAS

JOY & PURPOSE

  • Activity engagement
  • Social connections
  • Personal achievements
  • Expression of preferences
  • Life satisfaction

WELL-BEING METRICS

  • Sleep patterns
  • Nutritional status
  • Physical activity
  • Mental alertness
  • Emotional stability

ASSESSMENT AREAS

  • Social connections
  • Family involvement
  • Community integration
  • Cultural celebration
  • Intergenerational engagement

B. Operational Effectiveness

KEY INDICATORS

  • Care plan adherence
  • Resident satisfaction
  • Family feedback
  • Staff efficiency
  • Resource utilization

MEASUREMENT POINTS

  • Hospital transfers
  • Medication usage
  • Care hours allocation
  • Resource efficiency
  • Cost effectiveness

RESEARCH & EVALUATION

6.4 Continuous Improvement Process

A. Learning Cycle

REVIEW PROCESS

WEEKLY

  • Team observations
  • Incident reviews
  • Quick wins identified

MONTHLY

  • Trend analysis
  • Pattern recognition
  • Success stories
  • Challenge areas

QUARTERLY

  • Comprehensive review
  • Goal assessment
  • Strategy adjustment
  • Research updates

ACTION FRAMEWORK

IDENTIFY

  • Success patterns
  • Challenge areas
  • Improvement opportunities

PLAN

  • Action steps
  • Resource needs
  • Timeline
  • Responsibilities

EXECUTE

  • Staff training
  • Process updates
  • Environment modifications
  • Communication plans

B. Knowledge Translation

COMMUNICATION METHODS

  • Staff meetings
  • Training updates
  • Success stories
  • Learning briefs
  • Best practice guides

SHARING PLATFORMS

  • Research papers
  • Conference presentations
  • Industry publications
  • Community updates
  • Partner communications

7.0 Community Integration

COMMUNITY INTEGRATION

7.1 Community Partnership Framework

A. External Partnerships

IMPLEMENTATION EXAMPLES

SCHOOLS

  • Reading programs
  • Art projects
  • Music performances
  • History sharing
  • Cultural exchange

UNIVERSITIES/COLLEGES

  • Student placements
  • Research projects
  • Professional training
  • Program evaluation
  • Innovation development

PARTNERSHIP TYPES

CULTURAL GROUPS

  • Traditional ceremonies
  • Cultural celebrations
  • Language programs
  • Art exhibitions
  • Music events

LOCAL ORGANIZATIONS

  • Volunteer programs
  • Special events
  • Shared resources
  • Joint programs
  • Community projects

B. Intergenerational Programs

DAILY INTEGRATION

MORNING

  • Daycare interactions
  • Shared activities
  • Story time
  • Garden projects

AFTERNOON

  • Creative arts
  • Music sessions
  • Outdoor play
  • Special events

PROGRAM EXAMPLES

  • Technology mentoring
  • Life story projects
  • Skill sharing
  • Social events
  • Holiday celebrations

COMMUNITY INTEGRATION

7.2 Community Access and Integration

A. Public Spaces

AVAILABLE FACILITIES

  • Bistro
  • Garden areas
  • Art studio
  • Meeting spaces
  • Chapel/Longhous

USAGE EXAMPLES

MORNING

  • Community coffee groups
  • Garden club meetings
  • Exercise classes

AFTERNOON

  • Art workshops
  • Social gatherings
  • Cultural events

REGULAR ACTIVITIES

  • Farmers markets
  • Art shows
  • Music concerts
  • Cultural celebrations
  • Seasonal festivals

B. Indigenous Community Integration

DEDICATED AREAS

  • Longhouse
  • Sacred spaces
  • Garden areas
  • Gathering places
  • Cultural displays

USAGE

  • Traditional ceremonies
  • Elder visits
  • Cultural teaching
  • Community gatherings
  • Healing practices

REGULAR ACTIVITIES

  • Traditional practices
  • Storytelling sessions
  • Art workshops
  • Language sharing
  • Cultural celebrations

COMMUNITY INTEGRATION

7.3 Family Integration

A. Family Participation

INVOLVEMENT AREAS

  • Care planning
  • Daily activities
  • Decision making
  • Special events
  • Quality improvement

IMPLEMENTATION

  • Regular meetings
  • Open communication
  • Shared decisions
  • Flexible visiting
  • Resource sharing

SUPPORT SYSTEMS

  • Education programs
  • Support groups
  • Resource sharing
  • Counseling services
  • Social events

B. Community Education

PROGRAM TYPES

  • Information sessions
  • Workshops
  • Tours
  • Presentations
  • Resource sharing

TOPICS

  • Aging well
  • Dementia care
  • Family support
  • Health promotion
  • Cultural sensitivity

SHARING METHODS

  • Newsletter
  • Website updates
  • Social media
  • Community reports
  • Success stories