St Paul’s L’Amoreaux Centre
Strategic Plan
St. Paul’s L’Amoreaux Centre
Who We Are
• provider of services and housing to seniors
• client-focused
• dedicated to improving the quality of life of
seniors
• in the local community
• by providing services and housing in an
accessible, professional and progressive manner
St. Paul’s L’Amoreaux Centre
Vision
To provide an environment for seniors that:
• enables them to live independently
• in their community
• with wellness and dignity
• removes barriers of language, culture or
ability to pay
St. Paul’s L’Amoreaux Centre
Values: S.E.N.I.O.R.S
• Service: providing quality service that is client focused, efficient and
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•
•
•
•
•
effective
Excellence: providing programs, services and housing with excellence and
competence
Nurturing: creating a nurturing and caring environment to serve the best
interests of our clients and create a rewarding environment for staff
Inclusive: maintaining an inclusive and welcoming environment
regardless of race, colour, religion, sexual orientation or ethnicity
Outcomes: creating positive outcomes through collaboration with clients,
caregivers, partners, staff and volunteers
Respect: creating a culture of respect among clients, staff, and volunteers
Safety: ensuring client, volunteer and staff safety
St. Paul’s L’Amoreaux Centre
Strategic Plan
• Continue to provide the housing and programs that have made St.
Paul’s a valued community services provider
• Address space limitation issue for services, programs and parking
• Develop a Human Resource Plan
• Expand our housing and client services model to support a growing
senior population
• Re-invigorate fundraising programs
• Develop our volunteer program to appeal to the “Baby Boomer”
generation
• Expand partnerships to improve efficiency and effectiveness of
services to seniors in our community
• Improve our culture of client and staff safety
St. Paul’s L’Amoreaux Centre
Address space limitation issue for services,
programs and parking
• Need in the community - demographics
• Evidence
• Demand – bridging the gap
• Fiscal constraints
St. Paul’s L’Amoreaux Centre
Expand our housing and client services model to
support a growing senior population
• Community profile – needs assessment
• Health inequalities
• Complex needs
• Value of stable housing as a determinant of
health
• Demand for service
• Intergenerational programming
St. Paul’s L’Amoreaux Centre
Expand partnerships to improve efficiency and
effectiveness of services to seniors in our
community
• Evidence-based practice
• Value for money
• Greater capacity to meet needs holistically
• Building professional capacity
St. Paul’s L’Amoreaux Centre
Develop our volunteer program to appeal to the
“Baby Boomer” generation
• Large retiring population
• Health benefits of volunteering
• Shaping of services
• Contributions of professional skills
• Giving back to the local community
St. Paul’s L’Amoreaux Centre
What makes SPLC unique
• Services that wrap around the client, based on needs
• Services/programs that promote health & wellness
• Services that are well-integrated to seamlessly support a
senior with multiple needs
• Flexibility to adapt and respond to changing needs of local
population
St. Paul’s L’Amoreaux Centre
Successes
• 2003 ONPHA Award
• 2009 Innovations in Health Care Expo - Award Finalist for
S.A.L.T.
• 2010 Trillium Foundation funding – traffic circle
• 2011 Vital Person funding – Toronto Community Foundation
for Roberta Wong
• 2012 June Callwood Outstanding Achievement Award for
Voluntarism
St. Paul’s L’Amoreaux Centre
Programs, Services, Clinics
• Assisted Living Services
• Caregiver Support
• Crisis Intervention and Support
• Day Services
• Homemaking
• Home Maintenance
• Meals Delivery
• Respite
• Social and Congregate Dining
• Transportation
• Visiting – Social and Safety
• Recreation
• Clinics: Blood pressure, medical/physician, geriatrician, physiotherapy,
foot care, arthritis management
St. Paul’s L’Amoreaux Centre
Housing
The Centre: rental units
• 298 units: meal plan, bachelor, 1 bedroom - 258 are RGI units
The Terrace: life lease units
• 91 suites: 1 and 2 bedroom
Waiting lists
Centre
• Meal Plan units
133
• Market bachelor
234
• Market 1 Br
171
Terrace
• Terrace 1 Br
54
• Terrace 2 Br
51
St. Paul’s L’Amoreaux Centre
Client Safety Statement
• St. Paul’s takes a holistic view to service provision for each
individual … committed to providing services and conducting
day-to-day activities in a manner that promotes and respects
the safety of our clients in all aspects of their lives including:
• medical health,
• physical well-being and security,
• mental and emotional health and well-being,
• safety and security of personal information, finances and
possessions
… St. Paul’s welcomes suggestions and feedback from our
clients about how we can better meet their needs and we
work with our clients to achieve our goals.
St. Paul’s L’Amoreaux Centre
Partnerships
• COPA – Community Outreach Programs in Addictions - ASH:
Addictions Supportive Housing
• 4 residents in 2011-12
• Goal: 16 residents in 3 years
• Clients are seniors with addictions who are homeless or at severe
risk of homelessness
• Multiple, complex needs (mental health)
• Benefits: stable housing and case management for clients, crosspollination with our professional staff to support mental health and
addictions support needs of clients
• Client story
St. Paul’s L’Amoreaux Centre
Partnerships (continued)
• City of Toronto, Public Health: Diabetes Prevention Program
• CNIB: support group for clients and caregivers
• CAMH: CAN-ADAPTT – smoking cessation research
• Alzheimer's Society: workshops and counselling clinic
St. Paul’s L’Amoreaux Centre
Clients
Top 10 Languages:
• Chinese (Cantonese and Mandarin)
• English
• Tamil
• Arabic
• Greek
• Armenian
• Tagalog
• German
• French
• Vietnamese
St. Paul’s L’Amoreaux Centre
Clients
Typical conditions/disabilities:
• Hypertension
• High Cholesterol
• Osteoporosis
• Arthritis
• Heart disease
• Dementia
• Depression
• Cancer
• Asthma
• Alzheimer’s
St. Paul’s L’Amoreaux Centre
Clients
Average age:
• Residents: 81.6 years
• Community Clients: 69.6 years
Complexity of Needs
• Newcomers to Canada
• Low income
• Language
• Concurrent health needs
• Lack of family support
• Lack of information/knowledge of system
• Lack of access to resources
St. Paul’s L’Amoreaux Centre
St Paul’s addresses clients’ needs through:
• Evidence-based practice
• Partnerships
• Models of care
• Culturally appropriate programming and services
• Caregiver support
• Medical clinics: GP, Geriatrician, Nurse
• Advocacy – eg. Tax clinics
• Peer leaders
St. Paul’s L’Amoreaux Centre
Average # services used: 7
Top services used by residents
• Security Check
• Crisis Intervention and Support
• Clinics
• Food Services
• Recreation
Top services used by community clients
• Recreation
• Crisis Intervention and Support
• Transportation
• Food Services
• MOW
St. Paul’s L’Amoreaux Centre
Clinics and Utilization
• Blood pressure: 518 visits
• Medical: 420 visits
• Physiotherapy: 4653 visits
St. Paul’s L’Amoreaux Centre
Outcomes: ED visits prevented
1.2
90
Incidents
Incidents
in 2010
in 2010
- 2011
- 2011
78
1
80
1
70
70
70
67
62
0.8
60
Number of Incidents
Number of Incidents
75
64
62
65
54
51
50
0.6
38
40
#REF!
total
# incidents
##REF!
of ER visits
0.4
30
20
0.2
10
7
8
5
10
6
5
5
5
6
9
5
2
0
0
Apr May Jun
Months
Jul Aug
Sept Oct Nov Dec Jan Feb Mar
Months
Total number of incidents in 2010 -2011
Clients sent to ER in 2010 - 2011
Clients diverted from ER visits in 2010 - 2011
756
73
674
St. Paul’s L’Amoreaux Centre
Outcomes: Falls Prevention program
14
1.2
Falls
incidents
2010
- 2011
Falls
incidents
inin
2010
- 2011
13
12
12
1
1
incidents
Fallsincidents
Number
NumberofofFalls
10
0.8
8
8
7
0.6
6
7
7
6
6
5
5
#REF!
to tal # falls
#REF!
# sent to ER
4
0.4
4
3
3
2
2
0.2
2
1
1
0
0
0
Apr
May
1
1
1
1
0
Jun
Jul
Aug Sept Oct
Months Months
Total number of falls in 2010 -2011
Total number of ER visits related to falls in 2010-2011
Number of distinct individuals
Nov
Dec
Jan
Feb
Mar
80
20
70
FALLS Prevention Strategy implemented in Sept 2010. Do not yet have evidence of program effectiveness.
Now analyzing severity of falls and relation to interventions.
St. Paul’s L’Amoreaux Centre
Volunteer Services
• More than 600 volunteers
• Partnership with S.O.A.R. program – job and life skills
placement for people with developmental disabilities
• Volunteers are : newcomers, young people, seniors, high
school co-op students, adults developing skills to return to
work
• 20% increase in volunteers in past year
• Partnerships
St. Paul’s L’Amoreaux Centre
Staff
• Social workers
• PSWs
• Nurses
• Occupational therapist
• Dietitian
• Health Promoters
• Activation workers
St. Paul’s L’Amoreaux Centre
Client Impact
“I think all the people here love St. Paul's L'Amoreaux
Centre. I have been at St. Paul's for 9 years and have been
very happy, never feeling lonely because of the wonderful
residents, clients, staff and management. It has given me
so many ways to learn and be involved both as a 86 year
old client and as a volunteer. I spend my days
volunteering, playing games, enjoying activities and trips
that I wouldn't be able to go on if it wasn't for St. Paul's.
There are so many seniors who need St. Paul's."
St. Paul’s L’Amoreaux Centre
Caregiver Impact
“Day Programs are like a ray of sunshine for my
husband with Alzheimer’s… [w]hen I drop him off I
don't need to feel guilt, he is welcomed by staff and
volunteers who greet him warmly with big smiles on
their faces. Their kindness is felt not only by him but by
me too… [f]or me, each day he is there I don't have to
worry, he is safe, he is happy, he is cared for.”
St Paul’s L’Amoreaux Centre
Impact
• St Paul’s is a hub for the local community, hosting community
townhalls, forums, MPP events, events and fairs
• Tackling health inequalities, health equity
• Advocacy, media
• Integrated services
• Current and future needs of patients, caregivers and
communities
• Evidence-based approach to meet client and caregiver needs
• Seamless, responsive, proactive, readiness
• Sustainability, value for money
• Better client outcomes