Judie Shape, right, who has tested positive for the new coronavirus, but isn’t showing symptoms, smiles as she visits through the window and on the phone with her daughter Lori Spencer, left, Tuesday, March 17, 2020, at the Life Care Center in Kirkland, Wash., near Seattle. In-person visits are not allowed at the nursing home, which is at the center of the outbreak of the new coronavirus in the United States. (AP Photo/Ted S. Warren)

Lessons from a pandemic: How to design a nursing home that’s safe and love-filled

A look at how one care home is battling the pandemic with the social needs of the elderly in their care

By Martha Perkins, Local Journalism Initiative Reporter, North Shore News

The images were heartbreaking — a senior citizen, alone in their nursing home bedroom while, on the other side of the window, a family member stands outside and tries to establish some kind of connection to ease the sense of isolation and foreboding.

Surely, people said, there has to be a better way to keep residents of care facilities safe while also allowing them to be with their families.

Baptist Housing is working on it. The coronavirus pandemic has unexpectedly provided new insights into how nursing homes should be designed to help control the spread of any type of illness. The timing is especially beneficial as Baptist Housing works on its plans for the first phase of the Inglewood Care Centre redevelopment.

This past February, BC Housing financed the sale of the aging facility and three adjacent lots to Baptist Housing, which owns and operates 21 care homes in British Columbia. With a large financial commitment from the province, as well as Vancouver Coastal Health, Baptist Housing came up with plan to subsidize the construction of a replacement care home by creating a community of housing on the site. The total of 699 proposed units also includes private-pay units, life leases and rental apartments for staff.

In mid-September, the District of West Vancouver allowed the project to move to the public consultation stage.

In advance of the first public open house on Oct. 6, the North Shore News talked with Howard Johnson, Baptist Housing CEO and president, and Marc Kinna, executive vice-president operations and chief operating officer. They walked through some of the ways they’re adapting traditional nursing home designs to ensure residents and staff can enjoy a better quality of life and work during a pandemic.

“COVID-19 has taught us about the risk of bringing a virus from the outside world into the residences of these seniors,” Kinna says. “We have to remember that they don’t life where we work we work in their home. This has really transformed our thinking around that.”

As well, the changes will keep residents healthier, pandemic or not. “Every single design element that will make the building better, and the experience better for residents, also applies to other forms of illness,” he says. “We’re hoping that the incidence of other communicable illnesses such as influenza, the Norwalk virus and the common cold will be lesser as well.”

Because many of these design changes can be incorporated into the original plans, they are optimistic they won’t add much to the overall cost of the construction.

Room, sweet room

The COVID-19 dilemma: in some facilities, many residents share a room. (In Ontario, it is not uncommon to have up to four residents in a room in B.C. it is more commonly two.) This made residents much more susceptible to transmission of the virus. As well, it was challenging to isolate residents who were ill.

The Inglewood solution: every resident will have their own room plus an ensuite bathroom with shower. This gives them privacy, dignity and, when needed, the opportunity to reduce transmission risk.

Let there be visitors

The COVID-19 dilemma: Family members were not allowed to visit. There was no physical contact with the outside world, leaving many residents feeling lonely and confused.

The Inglewood solution: there will be two elevators — one for visitors, one for staff. When you get off the visitor elevator, there will immediately be a multi-purpose room. In normal times, it will be a place where residents can gather amongst themselves or with visitors. In times of a pandemic or influenza outbreak, it will accommodate one-on-one family visits. Safety protocols can easily put in place — perhaps it will be a plexiglass shield or some other sort of barrier — and visitors will not have to go near residents’ rooms or staff areas.

“It would just seem seamless,” Kinna says.

Creating communities

The COVID-19 dilemma: it was hard to isolate residents and staff from each other, especially when there could be up to 60 people living on one floor.

The Inglewood solution: the seniors home will be designed as households, with 23 residents living in that community. This creates distance and separation between households, which is particularly important when it comes to food services and living spaces.

As part of these households, staff will have their own lunch rooms and team spaces. “They will be able to take their breaks withing their own area of work and not have to congregate in larger spaces,” says Johnson. As well, Kinna adds, “it allows team members to be closer to the residents and not have to leave the floor they’re working on.

Embrace technology

The COVID-19 dilemma: unable to have in-person visits, residents relied on phones or tablets to stay in touch with family. Often they needed staff to assist them.

The Inglewood solution: “We’re going to expand our use of technology quite a bit more in terms of how we ensure there’s enough resources and flexibility to support residents,” Johnson says. “Our building will be equipped with state-of-the-art technology to allow for that, whether it’s Wi-fi or the wiring necessary to provide technology within the suite.”

Keep that air moving

The COVID-19 dilemma: at first it was believed that the virus spread primarily through physical contact. Now, much of the research indicates that it is also an airborne disease.

The Inglewood solution: “We need to keep the air moving in such a way that it’s not recirculating within the communities and potentially spreading anything that’s airborne,” Kinna says. Johnson adds, “Think about how often the air is exchanged. When you look at how we design buildings for seniors to live it, it’s similar in that you’re making sure the air in the building is new every six minutes or so.”

Each household of 23 suites will have its own air system, which will also help prevent the spread of airborne diseases from one floor to another.

CoronavirusHealthSeniors

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

Graham Jones of the Green Pub Moose puts the brakes on Ryan Kurbis of the RE Postill & Sons Orphans in Game 2 of the Boston Pizza Hockey League best-of-three championship series Sunday night at Priest Valley Arena. (Lisa Mazurek/Morning Star)
Vernon arena subject of COVID-19 relief grant application

Priest Valley Arena needs upgrades to the ammonia plant; city supports application to provincial program

Heather and Sean Lastik became the owners of Cobbs Bread Bakery’s Vernon franchise Thursday, Oct. 22, 2020. (Contributed)
New owners of Vernon’s Cobs Bread welcome trick-or-treaters

Heather and Sean Lastik want to give parents a safe trick-or-treating destination amid COVID-19

The Vernon Vipers announced they have signed 20-year-old wingers Josh Prokop and Tyler Carpendale Thursday, Oct. 29, 2020. (Allen Douglas photo)
Vernon Vipers add pair of veteran wingers

Team signs former Viper Josh Prokop, gets Tyler Carpendale on loan from Kamloops Blazers

Several police vehicles were seen at the Sagmoen farm on Salmon River Road in Silver Creek on Thursday night, Oct. 29, 2020. (Martha Wickett-Salmon Arm Observer)
UPDATE: One person arrested, released following police presence at Sagmoen farm

RCMP were at Silver Creek property where remains of 18-year-old Vernon woman were found in 2017

A case of COVID-19 has been confirmed at Little Seedlings Daycare in Armstrong, located beside Highland Park Elementary School (pictured above). Interior Health confirmed the positive case was present at the daycare on Oct. 22 and 23, 2020. (Google image)
COVID-19 case reported at Armstrong daycare

IH letter says positive case was present at Little Seedlings Daycare Oct. 22 and 23

Physical distancing signs are a common sight in B.C. stores and businesses. THE CANADIAN PRESS
272 more COVID-19 cases for B.C., outbreak at oil sands project

Three new health care outbreaks, three declared over

Join Black Press Media and Do Some Good

Pay it Forward program supports local businesses in their community giving

A fundraising initiative has been set up to help Mirjana Komljenovic, who has been diagnosed with Hermansky Pudlak Syndome and requires $2,000 a month to cover the costs of her medication. (gofundme.com)
Fundraiser created to help Summerland woman with rare condition

Mirjana Komljenovic requires costly medication to treat Hermansky Pudlak Syndome

Heather Pescada is Ms. Halloween and when COVID threatened to ruin her haunted fun, she got creative, inventing a six foot candy chute at her Summerland, Trout Creek home.
(Peskelly Family Facebook page)
Okanagan Halloween house invents huge candy chute

The six foot chute looks like the snake from Nightmare Before Christmas

This house at 414 Royal Ave. became notorious for its residents’ and visitors’ penchant for attracting police. It was also the site of a gruesome torture in August 2018. It was demolished in 2019. KTW
6-year sentence for Kamloops man who helped carve ‘rat’ into flesh of fellow gang member

Ricky Dennis was one of three men involved in the August 2018 attack

Cpl. Nathan Berze, media officer for the Mission RCMP, giving an update on the investigation at 11:30 a.m., Oct. 30. Patrick Penner photo.
VIDEO: Prisoner convicted of first-degree murder still at large from Mission Institution

When 10 p.m. count was conducted, staff discovered Roderick Muchikekwanape had disappeared

Among the pumpkin carvings created this year by Rick Chong of Abbotsford is this tribute to fallen officer Cont. Allan Young.
Abbotsford pumpkin carver’s creations include fallen police officer

Rick Chong carves and displays 30 pumpkins every year

A GoFundMe page has been launched to assist Frankie and Billie Douglas as Frankie undergoes surgeries related to an illness which leaves her bones brittle. (GoFundMe photo)
Fundraiser supports Shuswap child battling brittle bone disease

A $5,000 goal has been set to assist Billie and Frankie Douglas as Frankie spends time in hospital

Most Read