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1

2
3
4

Category

1
Not there Yet
The resident is out guest and there is no need for them to do
anything
Staff determine when the resident starts their day

Staff determine the planned activity available to the resident at


Ask the Resident the allocated time
Staff choose the resident entertainment

8
9

The food menu is determined by the organization


Meals are prepared by the kitchen

10
11
12
13
14
15
16
17
18
19

Residents are not involved in committees/interest groups

Not there Yet

3
On the Way

Involve the
Family

5
The Principles are in Action
Residents are invited to choose roles that are aligned with their
strengths and abilities and participate daily in these roles

15

The resident wakes and starts their day when they are ready

15

The resident is asked and is an active participant in determining the type


of planned activities that they would like to participate in

15

The residents choose and organize the resident entertainment

15

The residents are consulted in the development of the menu

15

Residents are involved in food and dining preparation

15

Residents are involved in various committees/interest groups

Residents decide on and lead committees/interest groups

15
105

7
30%

Total Possible
15

11/4/16
9

15

15

9
9
9

On the Way

The Principles are in Action


Our organization has dedicated visitors information area for families

Meeting for family and friends are run as needed

Our organization has a meeting for family and friends run by the families

15
15

Our organization has a family and friends committee run by families

15

90

51%

Not there Yet

Our organization arranges a regular family and friends meeting


Families are encouraged to be involved in committees arranged
and led by organization

On the Way

Families have access to information and resources to support a good visit


Our families have a newsletter that is developed and distributed by the
families
Our families organize and lead events and activities

We do not have an intergenerational program

children visit and engage with our residents

The Principles are in Action

Children are welcomed to visit their families

Children are not paired with residents

Children do not directly engage with residents

Children participate in activities with our residents

Total Possible
15
Residents are paired with children to develop on going roles and rapport
15
Residents lead purposeful activities for children
15

We do not formally invite school groups to attend the facility

School children are invited by staff to provide entertainment for


residents

Our residents are part of a school curriculum engaging with children in


education

An occasional guest speaker may present to residents

Staff organize regular guest speakers from the community to


present

Our residents choose and invite guest speakers from their community

Community and cultural events follow the yearly calendar

The organization plans and organizes community cultural events

Community visitors and volunteers are welcomed in our


organization

Community visitors and volunteers have specified roles


determined by staff to support residents

Our organization has a formalized intergenerational program

Connecting with We do not formally invite mothers and babies to our organization We have occasional guest groups attend with mothers and their
Regular play groups are held with residents in our organization
others
28
to engage with residents
babies
29
30
31
32
33
34
35

Not there Yet


Staff have organizational identification badges with small text
The organization does not prompt independent resident activity
through visual cues or signage

36
Prepare the
enviornment

38

Not there Yet

50
51

Create and
sustain a
community

On the Way

The Principles are in Action

Residents, visitors and staff all wear large text name tags
The environment has visual cues and signage to prompt independent
The environment has some visual cues to prompt independent
resident activity (glasses and jug of water sitting on table with a sign,
resident activity (glasses and jug of water sitting on table)
"Please help yourself to a drink.")
The environment has some directional signage that supports
The environment has signage and visual cues that supports way finding
independent way finding (dining room, activity room, staff room) (help find the persons room use familiar objects, photos and names)
Residents have a general schedule of events and activities in a
Residents have individual daily planner. Residents remind and invite
commonly used area and is provided a copy of the general
others to attend events and activities. Notice is given when events
schedule
change.
Activity stations are created throughout the environment to support
There is more than one area for people to engage in activity
engagement and activity
Activity stations are maintained and supported by all staff
The dining experience is driven by staff choice and supports
nutrition and hydration

On the Way

Memorial services are held by the organization annually for


residents, family and staff to remember those who have passed
Staff encourage residents to be involved

Staff will encourage resident companion groups

The organization does not produce a regular resident newsletter

Staff publish and distribute residents newsletter

Staff support other residents in the organization

Staff informally encourage residents to support other residents

The organization supports special occasions

Residents choose and decide how to celebrate community and cultural


events
The role of community visitors an volunteers are determined by the
residents

Staff wear name tags with larger text

New residents are welcomed by staff and introduced to other


residents
Residents are involved in celebrating anniversaries and special
occasions
Staff arrange individual memorial services for residents who have
passed

New residents are welcomed by staff

45

48
49

Residents have a general schedule of events and activities in a


commonly used area

Activity areas are maintained and supported by lifestyle staff


The dining experience is driven by standards and supports
organizational policy

41
42
43
44

47

The environment has standard directional signage (exits and


toilets)

Activities are undertaken in a designated area.

39
40

Progress Tracking
Total Possible 11/4/16

Our organization provides information for families


Families can access lifestyle staff resources to use during their
Resources are not available for family visits
visit
The family newsletter is written and distributed by the
There is currently no family newsletter or written communication
organization
Families are invited to attend activities and events
Our families are involved in activities and events

Families have limited involvement in the communities

27

46

Some of the residents participate in supporting staff in day to day


activities
The resident starts their day at the agreed time with resident and
staff
The planned activities are chosen that are tailored and suited to
the resident interests
Residents are consulted in the type of entertainment they would
like
The resident is regularly offered choice of menu
Residents have restricted involvement in meal and food
preparation

Information is provided to families on request

20
21
22
23
24
25
26

37

Residence Self-Study - Back Office

Activity stations are maintained by residents and families


The dining experience is driven by resident choice and supports
engagement, participation and enjoyment

The Principles are in Action

11/4/16
7
7
9

15

15

15

15

15

120

43%

Total Possible
15

11/4/16
3

15

15

15

15

15

15

105

33%

Total Possible

11/4/16

Residents have their own welcoming committee to welcome new


residents

15

Residents arrange and celebrate anniversaries and special occasions

15

15

15

15

Residents choose how to commemorate the passing of each member of


their community
Residents have a buddy system to ensure all residents are included in the
community
Residents develop, maintain an distribute their own newsletter
There is a resident "volunteer" support program to support other
residents in the organization

15

90

42%

1
2
3
4

Category

1
Not there Yet

Residence Self-Study - Brushy Creek


3
On the Way

The resident is out guest and there is no need for them to do


anything

5
The Principles are in Action

Progress Tracking
Total Possible 11/4/16

Some of the residents participate in supporting staff in day to day


activities
The resident starts their day at the agreed time with resident and
Staff determine when the resident starts their day
6
staff
Staff determine the planned activity available to the resident at the The planned activities are chosen that are tailored and suited to
7 Ask the Resident allocated time
the resident interests
Residents are consulted in the type of entertainment they would
Staff choose the resident entertainment
8
like
The food menu is determined by the organization
The resident is regularly offered choice of menu
9
Residents have restricted involvement in meal and food
Meals are prepared by the kitchen
10
preparation

Residents are invited to choose roles that are aligned with their
strengths and abilities and participate daily in these roles

10

The resident wakes and starts their day when they are ready

10

The resident is asked and is an active participant in determining the type


of planned activities that they would like to participate in

10

The residents choose and organize the resident entertainment

10

The residents are consulted in the development of the menu

10

Residents are involved in food and dining preparation

10

11
12
13
14
15

Residents decide on and lead committees/interest groups

10
70

2
37%

Total Possible
10

11/4/16
6

10

10

2
6
2

16
17
18
19

Residents are not involved in committees/interest groups

Not there Yet


Information is provided to families on request
Resources are not available for family visits

Involve the
Family

There is currently no family newsletter or written communication


Families are invited to attend activities and events
Meeting for family and friends are run as needed
Families have limited involvement in the communities

20
21
22
23
24
25
26

Not there Yet

27

Residents are involved in various committees/interest groups

On the Way

The Principles are in Action

Our organization provides information for families


Families can access lifestyle staff resources to use during their
visit
The family newsletter is written and distributed by the
organization
Our families are involved in activities and events

Our organization has dedicated visitors information area for families

Our organization arranges a regular family and friends meeting


Families are encouraged to be involved in committees arranged
and led by organization

Our organization has a meeting for family and friends run by the families

10
10

Our organization has a family and friends committee run by families

10

60

40%

On the Way

Families have access to information and resources to support a good visit


Our families have a newsletter that is developed and distributed by the
families
Our families organize and lead events and activities

We do not have an intergenerational program

children visit and engage with our residents

The Principles are in Action

Children are welcomed to visit their families

Children are not paired with residents

Children do not directly engage with residents

Children participate in activities with our residents

Total Possible
10
Residents are paired with children to develop on going roles and rapport
10
Residents lead purposeful activities for children
10

We do not formally invite school groups to attend the facility

School children are invited by staff to provide entertainment for


residents

Our residents are part of a school curriculum engaging with children in


education

An occasional guest speaker may present to residents

Staff organize regular guest speakers from the community to


present

Our residents choose and invite guest speakers from their community

Community and cultural events follow the yearly calendar

The organization plans and organizes community cultural events

Community visitors and volunteers are welcomed in our


organization

Community visitors and volunteers have specified roles


determined by staff to support residents

Our organization has a formalized intergenerational program

Connecting with We do not formally invite mothers and babies to our organization We have occasional guest groups attend with mothers and their
Regular play groups are held with residents in our organization
others
28
to engage with residents
babies
29
30
31
32
33
34
35

Not there Yet


Staff have organizational identification badges with small text
The organization does not prompt independent resident activity
through visual cues or signage

36
37

Prepare the
enviornment

38

Activity areas are maintained and supported by lifestyle staff


The dining experience is driven by standards and supports
organizational policy

41
42
43
44

Not there Yet

48
49
50
51

Create and
sustain a
community

Residents, visitors and staff all wear large text name tags
The environment has visual cues and signage to prompt independent
The environment has some visual cues to prompt independent
resident activity (glasses and jug of water sitting on table with a sign,
resident activity (glasses and jug of water sitting on table)
"Please help yourself to a drink.")
The environment has some directional signage that supports
The environment has signage and visual cues that supports way finding
independent way finding (dining room, activity room, staff room) (help find the persons room use familiar objects, photos and names)
Residents have a general schedule of events and activities in a
Residents have individual daily planner. Residents remind and invite
commonly used area and is provided a copy of the general
others to attend events and activities. Notice is given when events
schedule
change.
Activity stations are created throughout the environment to support
There is more than one area for people to engage in activity
engagement and activity
Activity stations are maintained and supported by all staff
The dining experience is driven by staff choice and supports
nutrition and hydration

On the Way

Memorial services are held by the organization annually for


residents, family and staff to remember those who have passed
Staff encourage residents to be involved

Staff will encourage resident companion groups

The organization does not produce a regular resident newsletter

Staff publish and distribute residents newsletter

Staff support other residents in the organization

Staff informally encourage residents to support other residents

The organization supports special occasions

The Principles are in Action

Staff wear name tags with larger text

New residents are welcomed by staff and introduced to other


residents
Residents are involved in celebrating anniversaries and special
occasions
Staff arrange individual memorial services for residents who have
passed

New residents are welcomed by staff

45

47

Residents have a general schedule of events and activities in a


commonly used area
Activities are undertaken in a designated area.

39
40

46

The environment has standard directional signage (exits and


toilets)

On the Way

Residents choose and decide how to celebrate community and cultural


events
The role of community visitors an volunteers are determined by the
residents

Activity stations are maintained by residents and families


The dining experience is driven by resident choice and supports
engagement, participation and enjoyment

The Principles are in Action

11/4/16
4
2
6

10

10

10

10

10

90

38%

Total Possible
10

11/4/16
2

10

10

10

10

10

10

70

31%

Total Possible

11/4/16

Residents have their own welcoming committee to welcome new


residents

10

Residents arrange and celebrate anniversaries and special occasions

10

10

10

10

Residents choose how to commemorate the passing of each member of


their community
Residents have a buddy system to ensure all residents are included in the
community
Residents develop, maintain an distribute their own newsletter
There is a resident "volunteer" support program to support other
residents in the organization

10

60

33%

Residence Self-Study - Cypress


Category

1
Not there Yet

3
On the Way

The resident is out guest and there is no need for them to do


anything

Ask the Resident

10

The resident wakes and starts their day when they are ready

10

The resident is asked and is an active participant in determining the type


of planned activities that they would like to participate in

10

The residents choose and organize the resident entertainment

10

The food menu is determined by the organization

The resident is regularly offered choice of menu


Residents have restricted involvement in meal and food
preparation

The residents are consulted in the development of the menu

10

Residents are involved in food and dining preparation

10

Residents are involved in various committees/interest groups

Residents decide on and lead committees/interest groups

10
70

2
31%

Total Possible
10

11/4/16
6

Families have access to information and resources to support a good visit

10

Our families have a newsletter that is developed and distributed by the


families

10

6
4
2

Residents are not involved in committees/interest groups

Not there Yet


Information is provided to families on request
Resources are not available for family visits
There is currently no family newsletter or written communication

Families can access lifestyle staff resources to use during their


visit
The family newsletter is written and distributed by the
organization

The Principles are in Action


Our organization has dedicated visitors information area for families

Our families are involved in activities and events

Our families organize and lead events and activities

Meeting for family and friends are run as needed

Our organization arranges a regular family and friends meeting


Families are encouraged to be involved in committees arranged
and led by organization

Our organization has a meeting for family and friends run by the families

10
10

Our organization has a family and friends committee run by families

10

60

40%

Total Possible
10
10
10

11/4/16
8
4
6

Not there Yet

On the Way

The Principles are in Action

We do not have an intergenerational program

children visit and engage with our residents

Our organization has a formalized intergenerational program

Children are welcomed to visit their families

Children are not paired with residents

Residents are paired with children to develop on going roles and rapport

Children do not directly engage with residents

Children participate in activities with our residents

Residents lead purposeful activities for children

School children are invited by staff to provide entertainment for


residents
We have occasional guest groups attend with mothers and their
babies
Staff organize regular guest speakers from the community to
present

Our residents are part of a school curriculum engaging with children in


education

10

Regular play groups are held with residents in our organization

10

Our residents choose and invite guest speakers from their community

10

10

We do not formally invite school groups to attend the facility

Connecting with We do not formally invite mothers and babies to our organization
others
to engage with residents
An occasional guest speaker may present to residents
Community and cultural events follow the yearly calendar

The organization plans and organizes community cultural events

Community visitors and volunteers are welcomed in our


organization

Community visitors and volunteers have specified roles


determined by staff to support residents

Not there Yet


Staff have organizational identification badges with small text

On the Way

Residents choose and decide how to celebrate community and cultural


events
The role of community visitors an volunteers are determined by the
residents

The Principles are in Action

Activity areas are maintained and supported by lifestyle staff

Residents, visitors and staff all wear large text name tags
The environment has visual cues and signage to prompt independent
The environment has some visual cues to prompt independent
resident activity (glasses and jug of water sitting on table with a sign,
resident activity (glasses and jug of water sitting on table)
"Please help yourself to a drink.")
The environment has some directional signage that supports
The environment has signage and visual cues that supports way finding
independent way finding (dining room, activity room, staff room) (help find the persons room use familiar objects, photos and names)
Residents have a general schedule of events and activities in a
Residents have individual daily planner. Residents remind and invite
commonly used area and is provided a copy of the general
others to attend events and activities. Notice is given when events
schedule
change.
Activity stations are created throughout the environment to support
There is more than one area for people to engage in activity
engagement and activity
Activity stations are maintained and supported by all staff
Activity stations are maintained by residents and families

The dining experience is driven by standards and supports


organizational policy

The dining experience is driven by staff choice and supports


nutrition and hydration

The organization does not prompt independent resident activity


through visual cues or signage
The environment has standard directional signage (exits and
toilets)
Residents have a general schedule of events and activities in a
commonly used area
Activities are undertaken in a designated area.

Not there Yet

Staff wear name tags with larger text

On the Way

Memorial services are held by the organization annually for


residents, family and staff to remember those who have passed

New residents are welcomed by staff and introduced to other


residents
Residents are involved in celebrating anniversaries and special
occasions
Staff arrange individual memorial services for residents who have
passed

Staff encourage residents to be involved

Staff will encourage resident companion groups

The organization does not produce a regular resident newsletter

Staff publish and distribute residents newsletter

Staff support other residents in the organization

Staff informally encourage residents to support other residents

New residents are welcomed by staff

Create and
sustain a
community

On the Way
Our organization provides information for families

Families are invited to attend activities and events

Families have limited involvement in the communities

Prepare the
enviornment

Progress Tracking
Total Possible 11/4/16

Residents are invited to choose roles that are aligned with their
strengths and abilities and participate daily in these roles

Meals are prepared by the kitchen

Involve the
Family

5
The Principles are in Action

Some of the residents participate in supporting staff in day to day


activities
The resident starts their day at the agreed time with resident and
Staff determine when the resident starts their day
staff
Staff determine the planned activity available to the resident at the The planned activities are chosen that are tailored and suited to
allocated time
the resident interests
Residents are consulted in the type of entertainment they would
Staff choose the resident entertainment
like

The organization supports special occasions

The dining experience is driven by resident choice and supports


engagement, participation and enjoyment

The Principles are in Action

10

90

40%

Total Possible
10

11/4/16
2

10

10

10

10

10

10

70

34%

Total Possible

11/4/16

Residents have their own welcoming committee to welcome new


residents

10

Residents arrange and celebrate anniversaries and special occasions

10

10

10

10

Residents choose how to commemorate the passing of each member of


their community
Residents have a buddy system to ensure all residents are included in the
community
Residents develop, maintain an distribute their own newsletter
There is a resident "volunteer" support program to support other
residents in the organization

10

60

33%

Residence Self-Study - WoodCreek


Category

1
Not there Yet

3
On the Way

The resident is out guest and there is no need for them to do


anything

Ask the Resident

10

The resident wakes and starts their day when they are ready

10

The resident is asked and is an active participant in determining the type


of planned activities that they would like to participate in

10

The residents choose and organize the resident entertainment

10

The food menu is determined by the organization

The resident is regularly offered choice of menu


Residents have restricted involvement in meal and food
preparation

The residents are consulted in the development of the menu

10

Residents are involved in food and dining preparation

10

Residents are involved in various committees/interest groups

Residents decide on and lead committees/interest groups

10
70

2
23%

Total Possible
10

11/4/16
6

Families have access to information and resources to support a good visit

10

Our families have a newsletter that is developed and distributed by the


families

10

4
4
2

Residents are not involved in committees/interest groups

Not there Yet


Information is provided to families on request
Resources are not available for family visits
There is currently no family newsletter or written communication

Families can access lifestyle staff resources to use during their


visit
The family newsletter is written and distributed by the
organization

The Principles are in Action


Our organization has dedicated visitors information area for families

Our families are involved in activities and events

Our families organize and lead events and activities

Meeting for family and friends are run as needed

Our organization arranges a regular family and friends meeting


Families are encouraged to be involved in committees arranged
and led by organization

Our organization has a meeting for family and friends run by the families

10
10

Our organization has a family and friends committee run by families

10

60

37%

Total Possible
10
10
10

11/4/16
6
4
6

Not there Yet

On the Way

The Principles are in Action

We do not have an intergenerational program

children visit and engage with our residents

Our organization has a formalized intergenerational program

Children are welcomed to visit their families

Children are not paired with residents

Residents are paired with children to develop on going roles and rapport

Children do not directly engage with residents

Children participate in activities with our residents

Residents lead purposeful activities for children

School children are invited by staff to provide entertainment for


residents
We have occasional guest groups attend with mothers and their
babies
Staff organize regular guest speakers from the community to
present

Our residents are part of a school curriculum engaging with children in


education

10

Regular play groups are held with residents in our organization

10

Our residents choose and invite guest speakers from their community

10

10

We do not formally invite school groups to attend the facility

Connecting with We do not formally invite mothers and babies to our organization
others
to engage with residents
An occasional guest speaker may present to residents
Community and cultural events follow the yearly calendar

The organization plans and organizes community cultural events

Community visitors and volunteers are welcomed in our


organization

Community visitors and volunteers have specified roles


determined by staff to support residents

Not there Yet


Staff have organizational identification badges with small text

On the Way

Residents choose and decide how to celebrate community and cultural


events
The role of community visitors an volunteers are determined by the
residents

The Principles are in Action

Activity areas are maintained and supported by lifestyle staff

Residents, visitors and staff all wear large text name tags
The environment has visual cues and signage to prompt independent
The environment has some visual cues to prompt independent
resident activity (glasses and jug of water sitting on table with a sign,
resident activity (glasses and jug of water sitting on table)
"Please help yourself to a drink.")
The environment has some directional signage that supports
The environment has signage and visual cues that supports way finding
independent way finding (dining room, activity room, staff room) (help find the persons room use familiar objects, photos and names)
Residents have a general schedule of events and activities in a
Residents have individual daily planner. Residents remind and invite
commonly used area and is provided a copy of the general
others to attend events and activities. Notice is given when events
schedule
change.
Activity stations are created throughout the environment to support
There is more than one area for people to engage in activity
engagement and activity
Activity stations are maintained and supported by all staff
Activity stations are maintained by residents and families

The dining experience is driven by standards and supports


organizational policy

The dining experience is driven by staff choice and supports


nutrition and hydration

The organization does not prompt independent resident activity


through visual cues or signage
The environment has standard directional signage (exits and
toilets)
Residents have a general schedule of events and activities in a
commonly used area
Activities are undertaken in a designated area.

Not there Yet

Staff wear name tags with larger text

On the Way

Memorial services are held by the organization annually for


residents, family and staff to remember those who have passed

New residents are welcomed by staff and introduced to other


residents
Residents are involved in celebrating anniversaries and special
occasions
Staff arrange individual memorial services for residents who have
passed

Staff encourage residents to be involved

Staff will encourage resident companion groups

The organization does not produce a regular resident newsletter

Staff publish and distribute residents newsletter

Staff support other residents in the organization

Staff informally encourage residents to support other residents

New residents are welcomed by staff

Create and
sustain a
community

On the Way
Our organization provides information for families

Families are invited to attend activities and events

Families have limited involvement in the communities

Prepare the
enviornment

Progress Tracking
Total Possible 11/4/16

Residents are invited to choose roles that are aligned with their
strengths and abilities and participate daily in these roles

Meals are prepared by the kitchen

Involve the
Family

5
The Principles are in Action

Some of the residents participate in supporting staff in day to day


activities
The resident starts their day at the agreed time with resident and
Staff determine when the resident starts their day
staff
Staff determine the planned activity available to the resident at the The planned activities are chosen that are tailored and suited to
allocated time
the resident interests
Residents are consulted in the type of entertainment they would
Staff choose the resident entertainment
like

The organization supports special occasions

The dining experience is driven by resident choice and supports


engagement, participation and enjoyment

The Principles are in Action

10

90

36%

Total Possible
10

11/4/16
6

10

10

10

10

10

10

70

34%

Total Possible

11/4/16

Residents have their own welcoming committee to welcome new


residents

10

Residents arrange and celebrate anniversaries and special occasions

10

10

10

10

Residents choose how to commemorate the passing of each member of


their community
Residents have a buddy system to ensure all residents are included in the
community
Residents develop, maintain an distribute their own newsletter
There is a resident "volunteer" support program to support other
residents in the organization

10

60

30%

Residence Self-Study - Sundance Totals


Back Office

Brushy Creek

Cypress

WoodCreek

Company Averages

11.4.16 April '17 Oct '17

11.4.16 April '17 Oct '17

11.4.16 April '17 Oct '17

11.4.16 April '17 Oct '17

11.4.16 April '17 Oct '17

Ask the Resident

30%

37%

31%

23%

30%

Involve the Family

51%

40%

40%

37%

42%

43%

38%

40%

36%

39%

33%

31%

34%

34%

33%

42%

33%

33%

30%

35%

Connecting with
Others
Prepare the
Environment
Create and sustain
a Community

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