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Your Guide to Home Care Services in Manitoba Table of Contents Information/Elig

Your Guide to Home Care Services in Manitoba Table of Contents Information/Eligibility . . . . . . . . . . . . . . . 1 Assessment . . . . . . . . . . . . . . . . . . . . . . . . 2 Care Planning and Co-ordination. . . . . . . . 2 Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 ◗ Personal Care Assistance ◗ Home Support ◗ Health Care ◗ In-home Relief ◗ Respite Care in alternate settings ◗ Supplies and Equipment ◗ Adult Day programs ◗ Volunteer Services ◗ Community Housing with Support Options Personal Care Home Placement . . . . . . . . . 4 ◗ Application Process ◗ Placement Process Roles and Responsibilities. . . . . . . . . . . . . 5 Questions and Concerns. . . . . . . . . . . . . . . 6 For more information. . . . . . . . . . . . . . . . . 6 Home Care Appeal Process. . . . . . . . . . . . . 7 ◗ When can I appeal a decision? ◗ Who can file an appeal? ◗ How do I file an appeal? ◗ Steps to filing an appeal ◗ How does the appeal process work? . . . 8 ◗ Who attends the appeal hearing? ◗ How will I know the result of the hearing? MG-4527(Rev.08/15) Your Guide to Home Care Services in Manitoba In Manitoba, home care provides community-based support and services to eligible individuals, regardless of age, who require health services or assistance with activities of daily living. Home care works with individuals and provides assistance to help them stay in their homes for as long as is safely possible. A professional assessment of your individual needs, existing supports and community resources will determine your eligibility for home care and the type and amount of services you may receive. Regional home care staff are responsible for ensuring the provision of reliable and safe assessed service in the home, education setting or workplace. To be eligible for home care services an individual must: ◗ be a Manitoba resident, registered with Manitoba Health, Healthy Living and Seniors (the department); ◗ require health services or assistance with activities of daily living; ◗ require service to stay in their home for as long as possible; and ◗ require more assistance than that available from existing supports and community resources. 1 Your Guide to Home Care Services in Manitoba Assessment Residents of Manitoba may contact, or refer an individual to, their regional health authority office to request an assessment of eligibility to receive home care services. Assessments are done by case co-ordinators who are health care professionals. The case co-ordinator assigned to you will meet with you and your family to discuss your care needs and how best to meet these needs. This assessment will determine: ◗ whether you are eligible for the program; ◗ how to help you and your family organize the help available to you; ◗ how to access community resources available to you; ◗ what services you may require from home care; ◗ when assessed services are required in an educational setting or in the workplace; OR ◗ whether your need for care is best met in another care setting. Care Planning and Co-ordination Before you receive home care services, a case co-ordinator will assess your situation with you and your family or your designated representative. Together, you will decide on your care plan. Your care plan will take into consideration how your existing supports can help you and identify community resources available to you. This mutually agreed upon care plan, of which you will receive a copy, will be signed by you and the case co-ordinator to ensure that you receive services according to the home care plan. Self or family management of your services as described in your care plan may be an option. If you or your family are interested in managing your care plan and/or arranging your own services, ask your case co-ordinator for more information. 2 Your Guide to Home Care Services in Manitoba Services Some of the services you may require are: Personal Care Assistance Direct service workers may help you with mobility, such as walking, transferring to and from a wheelchair, and with your personal care, such as bathing, dressing and toileting. Home Support Direct service workers may come to your home to help you with activities such as meals, light housekeeping and laundry. Health Care Nurses may provide health teaching, counseling and nursing care. Physiotherapists may teach you special exercises, and occupational therapists may assist you with planning your activities of daily living. In-home Relief/Respite Care in the Home A direct service worker may be arranged to provide short periods of in-home relief for your caregiver. Respite Care in alternate settings Respite care may be arranged to provide longer periods of relief for your caregiver. During this time, you may be admitted to an alternate care setting. There is a fee for this service. Supplies and Equipment Some supplies and equipment needed for your care may be available through your case co-ordinator. Adult Day programs These day programs enable you to meet other people and enjoy recreational activities away from your home. There is a fee for this service. Volunteer Services Volunteers may be available to help you with other activities that support your care plan. Community Housing with Support Options As care needs change, additional options are available to help seniors “age in place” in their communities. These options may include supportive housing, group living facilities and specialized supports. 3 Your Guide to Home Care Services in Manitoba Personal Care Home Placement A personal care home may be the appropriate care setting when: ◗ you can no longer remain safely at home even with home care services; and ◗ the services you need can be provided more effectively, safely and economically in a personal care home. Application Process The application form for personal care home admission is provided by your case co-ordinator and is signed by you. The form includes medical, nursing and other information about you. Once completed, the application is reviewed to decide whether you are eligible for admission to a personal care home. If you and your family have any questions or concerns about your application or about the decision regarding your eligibility for personal care home admission, please contact your case co-ordinator. You and your family may wish to visit several homes before deciding which one(s) you would choose. You may be asked to identify more than one personal care home that would be acceptable to you. Placement Process There may be a waiting period before you are admitted to the personal care home. During this time, home care services may be provided to you as necessary. If you require admission immediately or are in hospital awaiting placement, you may be asked to accept placement in a different care facility until you can be admitted to the personal care home of your choice. Appeal Process Placement panel decisions may be appealed to the Manitoba Health Appeal Board (MHAB). Pursuant to Section 10(2) of The Health Services Insurance Act, an appeal is commenced by a notice of appeal, setting out the grounds for appeal, which must be mailed or delivered to the board not more than 30 days after the date on which you receive notice of this decision, or within such further time as the board permits. If you wish to pursue this option, a notice of appeal should be forwarded to the Manitoba Health Appeal Board. 4 manitoba.ca/health/appealboard Your Guide to Home Care Services in Manitoba Roles and Responsibilities You, your case co-ordinator, resource co-ordinator and your direct service workers function as a co-operative team. Each is responsible for understanding the role they play in the development and delivery of your care plan. Clients and families who participate in their health care planning and understand the service benefit most from the program. Home care providers in Manitoba have a responsibility to: ◗ Work with you to develop an individualized care plan specific to your needs ◗ Arrange services as specified in your care plan ◗ Provide flexible service, responsive to your needs and supportive to your family caregiver ◗ Communicate promptly with you regarding schedule changes and replacement services ◗ Treat you with courtesy and respect ◗ Arrange for safe care You have a responsibility to: ◗ Participate in the development of your care plan ◗ Inform your case co-ordinator when you will not be available to receive the scheduled services ◗ Inform your case co-ordinator of changes in your health or home situation that affect your care plan and services ◗ Participate in planning uploads/s1/ home-care-services-your-guide-to.pdf