Managing Person-Centered Dementia Care in an Assisted Living Facility: Staffing and Time Considerations

Abstract

This study provides novel data related to the amount of staff time necessary to provide quality ADL care for persons with dementia in an assisted living care setting. This study also describes a standardized approach to staff management that was effective in maintaining quality ADL care provision. Assisted living facilities should consider these data when determining the necessary unlicensed staffing level to provide person-centered ADL care and how to effectively manage direct care providers.

Direct Care Workers’ Views on Improving Care for People with Dementia in Residential Setting

“…However, their execution involves a substantial time commitment and at times hiring additional staff, both of which are impractical under current staffing levels and reimbursement arrangements [27].…”

Experience of Choice and Control for Service Users and Families of Direct Payments in Residential Care Trailblazers

“…Cooney et al (2014) and Eritz et al (2016) examine the challenges in offering choices to residents with advanced dementia and multiple co-morbidities who may be less able to relay their personal history and express their wishes. Finally, several studies suggest that some of the difficulties care staff face include building close relationships with residents and learning how to fulfil their wishes when working in care homes affected by heavy workloads, high staff turnover and critical time constraints (Hunter et al 2016;Quasdorf et al 2017, Simmons et al 2018. Stevens et al (2011) dissected the difficulties of incorporating ' choice' into a public care system, using Clarke et al's (2008) "antagonisms of choice" framework.…”

A System for Managing Staff and Quality of Dementia Care in Assisted Living Facilities

“…Elements of quality of care important for resident‐centered care and quality of life cannot be easily measured through staff self‐report. Observational data can also be used to provide immediate feedback regarding quality of care and areas in need of improvement to the observed staff member . Accurate data from any source has limited utility if it cannot be organized into a usable, interpretable format, and observational data are conducive to efficient summary using simple data management programs.…”