The Special Care Unit at The Special Care Unit at Renfrew Care CentreRenfrew Care Centre

Professional Environment Professional Environment Assessment ProtocolAssessment Protocol

PEAP Evaluations

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PEAP Dimensions

5-P

oint

Sca

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Score 1 (Derek Jang) Score 2 (Vera Conceicaa) Mean Score

PEAP Dimensions

Maximize Aw areness and

Orientation

Maximize Safety

and Security

Provision of Privacy

Regulation of Stimulation

Quality of Stimulation

Support Functional Abilities

Opportunities for Personal Control

Continuity of the Self

Facilitation of Social Contact

Therapeutic Environment Screening Therapeutic Environment Screening Scale (TESS)Scale (TESS)

Many windows and wide windows giving Many windows and wide windows giving residents many views to outside and other key residents many views to outside and other key spaces like courtyard, allow sunlight and when spaces like courtyard, allow sunlight and when opened, for fresh air.opened, for fresh air.

The unit is a round track design to cut down on The unit is a round track design to cut down on dead ends and generally one way so, resident dead ends and generally one way so, resident sees where he/she is going.sees where he/she is going.

Kept reasonably clean, no odors, and no Kept reasonably clean, no odors, and no obstacles impairing safety.obstacles impairing safety.

Main activity/dining room seats 100% of Main activity/dining room seats 100% of residents while smaller one can seat 50%.residents while smaller one can seat 50%.

TESS continued...TESS continued...

There is a real effort by Renfrew to create There is a real effort by Renfrew to create “residential” home-like atmosphere through “residential” home-like atmosphere through furniture, decorations and other features like a furniture, decorations and other features like a selected kitchen.selected kitchen.

There are lots of cues and not a lot of noise. There are lots of cues and not a lot of noise. And there is just enough tactile stimulation in And there is just enough tactile stimulation in

fake plants, dolls, plush animals, stereos, props.fake plants, dolls, plush animals, stereos, props. Renfrew’s SCU generally scored high subjective Renfrew’s SCU generally scored high subjective

ratings regarding aspects of overall unit ratings regarding aspects of overall unit atmosphere, ranging from 7 to 10’s.atmosphere, ranging from 7 to 10’s.

FLOOR PLANFLOOR PLAN

ANNOTATED ANNOTATED FLOORPLANFLOORPLAN

ANNOTATED FLOOR PLAN CONT…ANNOTATED FLOOR PLAN CONT…

COMMENTS ON FLOORPLANCOMMENTS ON FLOORPLAN

This space is used for all major activities and This space is used for all major activities and also for dinning.also for dinning.

When it sunny residents prefer to go to the When it sunny residents prefer to go to the smaller lounge when the sun shines in. smaller lounge when the sun shines in.

Everyone that uses the space has their own Everyone that uses the space has their own favorite seat and for dinner/lunch/breakfast favorite seat and for dinner/lunch/breakfast seating is assigned.seating is assigned.

LEVELS OF SOCIAL ENGAGEMENT IN LEVELS OF SOCIAL ENGAGEMENT IN THE MORNINGTHE MORNING

Level of Morning Activity (Between 9:00am and 11:00am)

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PEAP Dimensions

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RC

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Series1 Series2 Series3

Level of Social Engagement

SLEEPING SITTING NOAVCTIVITY

WALKING NOSOCIAL

EXCHANGE

WATCHING TV SITTING

AKNOWLEDGING

WALKINGAKNOWLEDGING

PASSIVE PARTICIPATION

ACTIVE ENGAGEMENTIN PLANNED

ACTIVITY

ACTIVECONVERSATION

STAFF

OTHER AGGITATEDBEHAVIOUR

RESIDENTS VISITORS

LEVELS OF SOCIAL ENGAGEMENT IN LEVELS OF SOCIAL ENGAGEMENT IN THE AFTERNOONTHE AFTERNOON

Level of Afternoon Activity (Between 12:00pm and 3:00pm)

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PEAP Dimensions

PERC

ENTA

GE

Series1 Series2 Series3

Level of Social Engagement

SLEEPING SITTING NOAVCTIVITY

WALKING NOSOCIAL

EXCHANGE

WATCHING TV SITTING

AKNOWLEDGING

WALKINGAKNOWLEDGING PASSIVE

PARTICIPATION

ACTIVE ENGAGEMENTIN PLANNEDACTIVITY

ACTIVECONVERSATION

STAFF

OTHER AGGITATEDBEHAVIOUR

VOLUNTEERSRESIDENTS

LEVELS OF SOCIAL ENGAGEMENT IN LEVELS OF SOCIAL ENGAGEMENT IN LATE AFTERNOON/ EVENINGLATE AFTERNOON/ EVENING

Level of Late Afternoon/ Evening Activity (Between 3:00pm and 6:00pm)

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PEAP Dimensions

PE

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Series1 Series2 Series3

Level of Social Engagement

SLEEPING SITTING NOAVCTIVITY

WALKING NOSOCIAL

EXCHANGE

WATCHING TV SITTING

AKNOWLEDGING

WALKINGAKNOWLEDGING

PASSIVE PARTICIPATION

ACTIVE ENGAGEMENTIN PLANNED

ACTIVITY

ACTIVECONVERSATION

STAFF

OTHER AGGITATEDBEHAVIOUR

VOLUNTEERRESIDENT

Levels of Social EngagementLevels of Social EngagementDiscussionDiscussion

The percentage of social activity among The percentage of social activity among volunteers can be misleading. At the most volunteers can be misleading. At the most there were only five visitors during one period there were only five visitors during one period of the day. of the day.

Nurses and care aids varied in number during Nurses and care aids varied in number during the day. There were more workers in the late the day. There were more workers in the late afternoon than at any other time.afternoon than at any other time.

PhotographsPhotographs

Qualitative ImpressionsQualitative ImpressionsEnvironmental AmbienceEnvironmental Ambience

Although the environment is kept very clean Although the environment is kept very clean and tidy and tidy there is no trace of menacing cleaning there is no trace of menacing cleaning odours in the airodours in the air..

The walls are decorated with still photos and some The walls are decorated with still photos and some children’s drawingschildren’s drawings. .

The access to the outdoor spaces and  The access to the outdoor spaces and  a safe a safe place to smoke is a great physical characteristic of place to smoke is a great physical characteristic of the centrethe centre..

No background noise present. (except No background noise present. (except television and elevator).television and elevator).

Qualitative Impressions Cont.Qualitative Impressions Cont.Environmental AmbianceEnvironmental Ambiance

Small activity space is clinical looking and Small activity space is clinical looking and there are not many residential cues.there are not many residential cues.

The main activity area is visually connected to The main activity area is visually connected to two hallways and the nurses’  two hallways and the nurses’  station.station.

There are only three double rooms. Every There are only three double rooms. Every other room is private and every room has its other room is private and every room has its own bathroom.own bathroom.

Lighting is inadequate in transitory places. Lighting is inadequate in transitory places. Abundant sunshine is present but not Abundant sunshine is present but not adequately filtered.adequately filtered.

Social AmbienceSocial Ambience

Renfrew Care centre reflects the cultural Renfrew Care centre reflects the cultural diversity of the area. There are many diversity of the area. There are many languages spoken including Italian, Cantonese, languages spoken including Italian, Cantonese, and Hindi just to name a few. and Hindi just to name a few.

The staff accommodates this diversity by The staff accommodates this diversity by learning key terms and also there are many learning key terms and also there are many bilingual staff members.bilingual staff members.

Games played do not require a person to Games played do not require a person to speak English fluently; games like Bingo.speak English fluently; games like Bingo.

Social Ambiance Cont.Social Ambiance Cont.

Provide a newsletter that has many positive Provide a newsletter that has many positive functions like creating an inclusive functions like creating an inclusive environment for family participation.environment for family participation.

Residents are accustomed to sitting in Residents are accustomed to sitting in particular places and there are designated particular places and there are designated seats for meals.seats for meals.

The staff is extremely friendly and competent. They The staff is extremely friendly and competent. They always try to communicate with the residents and are always try to communicate with the residents and are very nice to visitorsvery nice to visitors..

The presence of memory boxes is a quite The presence of memory boxes is a quite positive environment.positive environment.

Design RecommendationsDesign Recommendations

For cosmetic changes Renfrew Care Centre For cosmetic changes Renfrew Care Centre could consider the following:could consider the following: Introducing more residential style furniture.Introducing more residential style furniture. Changing paint colour to something a bit brighter Changing paint colour to something a bit brighter

and not as clinical.and not as clinical. More contrast between colours of floor and walls.More contrast between colours of floor and walls. Window treatments to filter sunlight.Window treatments to filter sunlight. Creating more small group seating arrangements.Creating more small group seating arrangements.

Design Recommendation Cont.Design Recommendation Cont.

For more elaborate changes consider:For more elaborate changes consider: Reducing dead endsReducing dead ends Change flooring to either darker no glare linoleum or Change flooring to either darker no glare linoleum or

to another finishing i.e.:carpetingto another finishing i.e.:carpeting Creating a more open floorplan. Creating a more open floorplan. Using part of courtyard to extend activity area. This Using part of courtyard to extend activity area. This

would provides spaces that could be used for small would provides spaces that could be used for small group discussions.group discussions.

Creating more tactile surfaces on walls.Creating more tactile surfaces on walls. Using wider variety of materials for furniture. This Using wider variety of materials for furniture. This

would create more visual and tactile interest.would create more visual and tactile interest.