Thursday, May 15, 2008

Transformation at Clearwater Center in Florida

Adventures in Transformation: Stories from the Journey

(reprinted from Vol I Issue III of Momentum, the Institute's newsletter for eldercare professionals engaged in Person-Centered Care)

Does a change from an institutional appearance to one more reflective of a home really make a difference to our residents? The Clearwater Nursing and Rehabilitation Center in Clearwater, Florida had been on a journey to include their residents in all decisions that would affect them or their home. The home wanted to move away from their institutional appearance and create the reality of home. Initially, they invited residents to meetings related to paint colors and décor. The residents offered ideas for colors and decorating themes but wanted to see paint swatches so they could pick exact colors. After these initial meetings, the residents began to get very involved in the daily developments for the changes they planned. Once the excitement was there, they had little patience for delays and excuses. They were ready for change and could hardly wait for their vision to become a reality.

As the residents’ excitement was building, the Institute for Caregiver Education initiated education for Neighborhood Development, Neighborhood Teams and Neighborhood Meetings. The residents were very involved and liked what they were hearing. As the physical changes began to happen, the residents were right there inspecting and offering their comments throughout the process. During this time, the home’s administrator, Steve Kelly, was involving the residents in a Food Committee and having frequent meetings to learn more about what they wanted and desired. The residents responded and change began to happen. The transformation of the residents’ demeanor was obvious. They would greet people at the door and offer to show them around their home. When entering the home, visitors would be greeted by multiple smiling residents. During the home’s open house, many residents volunteered to be part of the groups giving tours. The residents mingled with the guests and discussed their experiences and excitement.

Steve Kelly shared the following story:

“After all the painting and decorating was completed on each neighborhood, a female resident approached the Social Service Director. She told the Social Worker that she needed some things from Wal-Mart. The Social Worker told her she would be happy to take her the following week. The resident insisted that she needed to go that day. The Social Worker was curious about the sudden urgency and asked the resident why she needed to go that day. The resident told her that since her home looked so pretty, she wanted to start looking good too. She wanted to go to Wal-Mart to buy make-up and nice things for her hair. She told the Social Worker that she wanted to start doing her hair and putting on makeup every day when she got up.”

Does a change from institutional appearance to one more reflective of a home really make a difference to our residents? It certainly made a difference in the lives of the residents of Clearwater Center!