greatcaretm booklet

Presented byCaring Senior Service

GreatCare®we provide

Quality Caregivers

Care Solutions

Active Involvement

Healthy • Happy • Home

Our GreatCare® method addresses the three leading areas

of concern when considering homecare; quality caregivers,

care solutions and active involvement. Whatever the reason,

families need solutions and recommendations they can trust.

More and more they turn to professional healthcare providers

for suggestions because they have established relationships,

or perceive these healthcare providers can offer a solution to

meet their care needs.

For more than two decades Caring Senior Service has set the

standard for non-medical services such as personal care, nu-

trition services and environmental management. Our services

help clients remain safely at home. By using quality caregivers,

care solutions, and maintaining active involvement we give

our clients and their families the control needed to live healthy,

happy and at home. Don’t your clients deserve GreatCare®?

“Change happens at all stages of life, and

when an elderly person gets to the point

where remaining at home safely is in ques-

tion, the options can become complex

and challenging. It’s important to see the

early warning signs - medication mistakes,

changes in nutritional intake, or lost interest

in housekeeping. Sometimes the triggering

event can be a fall or a new diagnosis. The

good news is with a little information and as-

sistance families can stay in control.”

- Jeff Salter, CEO of Caring Senior Service

CaringSeniorService.com | 3

GreatCare® means great outcomes

of our clients are SATISFIED with the service of their caregivers

Source: 2013 Internal Survey of Caring Clients and Healthcare Providers

93%

92%

94%

of our clients feel SAFER at home with our services

of healthcare providers feel Caring IMPROVES the health of their patients

4 | CaringSeniorService.com

Most states do not have any qualification requirements for caregivers.We only employ the best candidates to serve the seniors in our communities. Our experienced caregivers are able to handle varying care needs for clients, whether they need extensive hands-on care or companionship. From our ongoing caregiver training program to our bi-annual nationwide background checks, we ensure our caregivers have not only the right skills, but the per-sonality and customer service to handle themselves in any situation.

Quality CaregiversTrusted Care Solution

61% of individuals age 50+ need assistance with Activities of Daily Living. Seniors typically have more than one health condition and need proper integration of required treatments, or support for other homecare needs. We provide our professional recommendation to administer the right amount of care our clients need. We know each situation is unique and there is not one plan that works for everyone.

Care SolutionsSafe Homecare Option

21% of Medicare beneficiaries are readmitted to hospitals within 30 days.Studies show that quality care and communication after discharge from skilled care can help reduce readmissions. Our Care Coordination pro-cess makes this possible and keeps everyone, from family members to other involved healthcare professionals, informed so that our clients re-ceive the best available care. We believe that continued involvement with the healthcare professionals allows us to quickly identify and be informed of any special needs or required changes so nothing is overlooked.

Active InvolvementHealth Improvement


Source: Journal of the American Medical Association, Vol 303 No.17; 2009 Caregiving in the U.S. Study

We know that GreatCare®

can only be delivered by

quality, experienced staff.

At Caring, we make sure our

Caregivers have the right

skills, training and personality

to provide excellent customer

service.

Quality Caregivers

Skilled and Experienced Our caregivers must have a minimum of one year expe-rience or have passed the state certification to become a nurse aide. This means all of our caregivers are expe-rienced and trained to provide services to our clients.

Qualified and Verified ReferencesOur caregivers must provide references so we can ver-ify their experience and contact their former employers. This provides the assurance that our caregivers meet

our high standards of trustworthiness and work values.

Refined Interview ProcessOur caregivers go through a rigorous interview process and we select only the most professional, responsible, patient and compassionate individuals. This means we are able to match our caregivers and clients based on both skills and personalities.


Regular Nationwide Background CheckOur caregivers are carefully screened by identity verification and an exhaustive criminal background search in all 50 states. Further-more, we conduct regular background checks on all caregivers. This ensures that our care-givers have not had a criminal past and that helps protect our clients.

Our caregiver skill levels are

actively being improved through

our Caregiver Training Program.

On average 80% of our staff are at

the top 2 skill levels. Our multi-tier

testing process provides the

training to meet the varying needs of

our clients.

Ongoing TrainingOur caregivers receive direct training on skills and conditions. We provide each caregiver with access to our internal library of over 63 continuing education courses and make sure they have thorough knowledge of any condition they will be working with. This means that our families can rest assured that their caregiver is knowledgeable about the care that is needed.


Client Care Consultation We complete a full assessment with each client using our formulated consultation tool. We look at ac-tivities of daily living, social needs, as well as, emotional and financial needs. Our consultation process provides the family with a complete assessment of the care required so they can make an informed decision.

Each situation is different

and unique and there is no

one solution that works for

everyone. Our GreatCare®

method combines services

and safety care products to

make sure our clients can

remain at home safely.

Individualized Service PlanEach client receives an individualized service plan that is based on input from themself, other health-care providers, their family and includes our professional recommendations. The plan includes ser-vices provided by our caregivers, home safety products and vendor services where appropriate. This provides families with a highly personalized service plan that is tailored to their specific needs.

Care Solutions


00 -Walk without any help 01 -Walk with use of a cane, walker, crutch or push wheelchair

02 -Need and get help from one person when you walk 03 -Need and get help from two people to help you walk 04 -Cannot walk at all

00 -Can get into or out of bed or chair without any help 01 -Need somebody to be there to guide you but you can move in and out of chair or bed

02 -Need one other person to help you 03 -Need two other people or a mechanical aid to help 04 -Do not get out of bed or chair

00 -Can move in bed without any help 01 -Need & get help sometimes to sit up 02 -Always need & get help to sit up 03 -Always need & get help being turned or change position

00 -Can you comb your hair, wash your face, shave or brush your teeth without any help 01 -Need & get minimal supervision or reminding for grooming activities

02 -Need and get daily help from another person for grooming activities 03 -Are completely groomed by someone else

00 -Can bathe or shower without any help 01 -Need & get minimal supervision or reminding 02 -Need and get supervision only

03 -Need & get help in & out of the tub 04 -Need & get help washing and drying your body 05 -Cannot bathe without assistance

00 -Can eat without any help 01 -Need & get minimal supervision or reminding 02 -Need & get help cutting food, buttering bread or arranging food

03 -Need & get help with feeding 04 -Need to be fed completely or use tube feeding or IV feeding

00 -Can dress without any help 01 -Need & get minimal supervision or reminding 02 -Need some help from another person to put your clothes on 03 -Can’t do it at all.

G-1 SOURCE INFORMATION

Address to person if possible. Person may look at questions. The purpose of these questions is to determine actual capacity to do various

activities. Sometime, caregivers help with an item regardless of the person’s ability. Ask enough questions to make sure the person is telling

you what they can or cannot do. If informant is used, include help in the form of supervision or cueing. Now I want to ask you some ques-

tions about how you eat, dress, bathe, and get around. For each of these questions, I have a set of possible answers. I would like to read

them all and then we can go over them and discuss which one fits best for you. (Read all choices before taking answer)

G-2 DRESSINGHow well are you able to manage dressing? By dressing, we mean laying out the clothes and putting them on, in-

cluding shoes, and fastening clothes. Would you say that you:

Comments: __________________________________________________________________________________________________________

______________________________________________________________________________________________________________________

G-3 GROOMINGNow I have some questions about how you manage with grooming activities like combing your hair, putting on

makeup, shaving, and brushing your teeth. Would you say that you:

Comments: __________________________________________________________________________________________________________

______________________________________________________________________________________________________________________

G-4 BATHINGHow well can you bathe or shower yourself? Bathing or showering by yourself means running the water, taking the bath

or shower without any help, and washing all parts of the body, including your hair and face. Would you say that you:

Comments: __________________________________________________________________________________________________________

______________________________________________________________________________________________________________________

G-5 EATINGHow well can you manage eating by yourself? Eating by yourself means drinking and eating without help from anybody

else, but you can use special utensils and straws. It also means cutting most foods on your own. Would you say that you:

Comments: __________________________________________________________________________________________________________

______________________________________________________________________________________________________________________

G-6 BED MOBILITYHow well can you manage sitting up or moving around in bed? Would you say that you:

Comments: __________________________________________________________________________________________________________

______________________________________________________________________________________________________________________

G-7 TRANSFERRINGHow well can you get in and out of a bed or chair? Would you say that you:

Comments: __________________________________________________________________________________________________________

______________________________________________________________________________________________________________________

G-8 WALKINGHow well are you able to walk around, either without any help or with a cane or walker, but not a wheelchair? (Indepe-

dence in walking refers to the ability to walk short distances around the house, not including climbing stairs) Would you say that you:

Comments: __________________________________________________________________________________________________________

______________________________________________________________________________________________________________________

G. Functional Assessment: Activities of Daily Living (ADLs)

□ □ □ □Person Informant Medical Record Observation If Informant complete below:

Name ____________________________________________________________Date _____________________________________________

00 -Walk without any help 01 -Walk with use of a cane, walker, crutch or push wheelchair

02 -Need and get help from one person when you walk 03 -Need and get help from two people to help you walk 04 -Cannot walk at all

00 -Can get into or out of bed or chair without any help 01 -Need somebody to be there to guide you but you can move in and out of chair or bed

02 -Need one other person to help you 03 -Need two other people or a mechanical aid to help 04 -Do not get out of bed or chair

00 -Can move in bed without any help 01 -Need & get help sometimes to sit up 02 -Always need & get help to sit up 03 -Always need & get help being turned or change position

00 -Can you comb your hair, wash your face, shave or brush your teeth without any help 01 -Need & get minimal supervision or reminding for grooming activities

02 -Need and get daily help from another person for grooming activities 03 -Are completely groomed by someone else

00 -Can bathe or shower without any help 01 -Need & get minimal supervision or reminding 02 -Need and get supervision only

03 -Need & get help in & out of the tub 04 -Need & get help washing and drying your body 05 -Cannot bathe without assistance

00 -Can eat without any help 01 -Need & get minimal supervision or reminding 02 -Need & get help cutting food, buttering bread or arranging food

03 -Need & get help with feeding 04 -Need to be fed completely or use tube feeding or IV feeding

00 -Can dress without any help 01 -Need & get minimal supervision or reminding 02 -Need some help from another person to put your clothes on 03 -Can’t do it at all.

G-1 SOURCE INFORMATION

Address to person if possible. Person may look at questions. The purpose of these questions is to determine actual capacity to do various

activities. Sometime, caregivers help with an item regardless of the person’s ability. Ask enough questions to make sure the person is telling

you what they can or cannot do. If informant is used, include help in the form of supervision or cueing. Now I want to ask you some ques-

tions about how you eat, dress, bathe, and get around. For each of these questions, I have a set of possible answers. I would like to read

them all and then we can go over them and discuss which one fits best for you. (Read all choices before taking answer)

G-2 DRESSINGHow well are you able to manage dressing? By dressing, we mean laying out the clothes and putting them on, in-

cluding shoes, and fastening clothes. Would you say that you:

Comments: __________________________________________________________________________________________________________

______________________________________________________________________________________________________________________

G-3 GROOMINGNow I have some questions about how you manage with grooming activities like combing your hair, putting on

makeup, shaving, and brushing your teeth. Would you say that you:

Comments: __________________________________________________________________________________________________________

______________________________________________________________________________________________________________________

G-4 BATHINGHow well can you bathe or shower yourself? Bathing or showering by yourself means running the water, taking the bath

or shower without any help, and washing all parts of the body, including your hair and face. Would you say that you:

Comments: __________________________________________________________________________________________________________

______________________________________________________________________________________________________________________

G-5 EATINGHow well can you manage eating by yourself? Eating by yourself means drinking and eating without help from anybody

else, but you can use special utensils and straws. It also means cutting most foods on your own. Would you say that you:

Comments: __________________________________________________________________________________________________________

______________________________________________________________________________________________________________________

G-6 BED MOBILITYHow well can you manage sitting up or moving around in bed? Would you say that you:

Comments: __________________________________________________________________________________________________________

______________________________________________________________________________________________________________________

G-7 TRANSFERRINGHow well can you get in and out of a bed or chair? Would you say that you:

Comments: __________________________________________________________________________________________________________

______________________________________________________________________________________________________________________

G-8 WALKINGHow well are you able to walk around, either without any help or with a cane or walker, but not a wheelchair? (Indepe-

dence in walking refers to the ability to walk short distances around the house, not including climbing stairs) Would you say that you:

Comments: __________________________________________________________________________________________________________

______________________________________________________________________________________________________________________

G. Functional Assessment: Activities of Daily Living (ADLs)

□ □ □ □Person Informant Medical Record Observation If Informant complete below:

Name ____________________________________________________________Date _____________________________________________

Home Safety Survey We provide a 43-step home safety survey that includes review of each room of the home to make sure any issues are addressed. This provides the senior and their families with assur-ance that services can be delivered safely, and helps them make the necessary changes to keep the home environment safe.

You can access this checklist for your own use on our website at caringseniorservice.com under Education in Assessments and Tools.

Caregiver Personality and Skills MatchingOur client’s personality is factored into the process. We want to make sure that not only does the caregiver possess the skills needed to properly assist, but the personality traits they enjoy are matched. This assures a good match to avoid disruption and build lasting relationships.

Personal Caregiver IntroductionOur clients all receive a personal introduction to any new caregiver that will provide them with care. This introduction includes an overview of the caregiver’s skills and personality, and provides an opportunity for our supervisors to orient the caregiver to the client’s home. This provides the client with continuity of care and strengthens the relationship while easing the stress of changes that may occur.


Availability Our staff is available 24 hours a day and we always have the phones answered by Caring personnel. This means that when you need to reach someone to address any issue, we are there.

Supervisory VisitsOur staff makes visits to the client’s home as often as necessary to provide the ex-cellent care for which we are known. We conduct both scheduled and unsched-uled visits. This allows us to make nec-essary adjustments and maintain a high level of quality for our clients.

Attend Physician VisitsOur staff can attend physician visits with clients and family to make sure that we inform the physician of any observations and to gather information directly about any changes that need to occur. Attend-ing physician visits allows us to keep all professional care providers aware of changes and potentially set up additional care services.

Active Involvement

At Caring we believe that to provide

GreatCare® we must stay involved with

the client, family and other professional

care providers. This keeps everyone

informed of any special needs or required

changes to the service plan so that

nothing is overlooked.


Outlines the services our Caregivers provide based on the clients’ Individualized Service Plan.

‘Agency Recommendation’ provides the op-portunity for other care providers to recom-mend service plan adjustments or changes.

Regular Care Coordination Our staff makes sure that all other professional healthcare providers are informed of the status of the client as necessary. Since we are more frequently in the home or with the client, our services are the eyes and ears for other healthcare providers. Our approach to care coordination allows us to be more proactive in their care and be alerted to early warning signs.

Vendor RecommendationsOur staff assists clients with every aspect of maintaining their independence. This often includes assisting with arrangement of other non-care related services such as plumbing or home repair. We maintain a highly qualified and screened list of vendors to provide a plethora of services. This means that our clients don’t have to worry and have an additional level of protection when receiving any ser-vices in their home.

Care Coordination/Physician Form

Ambulation Assistance Yes NoAssist with DME use Yes No________________________Medication Reminders Yes NoMeal Preparation Yes NoFeeding Yes NoLight Housekeeping Yes NoBathing Yes NoDressing Yes NoTransportation and Errands Yes NoExercise Program Yes NoDelegated Nursing Directives Yes NoDietary Needs: Yes No

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Personal Assistance Services Provided

¨¨¨

¨¨¨

ProductsQuiet Care Yes NoSafetyCare Yes No

Coordinating Agencies and PhysiciansAgency Name ________________________________

Contact Name ________________________________

Phone ______________________________________

E-mail Address _______________________________

Physician Name ______________________________

Contact Name _______________________________

Phone ______________________________________

E-mail Address _______________________________

Goals / Recommendations / Notes:

Individualized Service PlanDiagnosis ___________________________________

Service Hours ________________________________

Service Days _________________________________

Weekly 2X Month 1X month ¨ ¨

Upcoming Medical Appointments

Type of Appointment Date Time

Home Safety Assessment Suggestions____________________________________________

____________________________________________

____________________________________________

____________________________________________

____________________________________________

____________________________________________

Client Name _________________________ Date ____________________________________

Company/Physician ___________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

05/11

Client Care Discussions

Is there a change in diagnosis? Yes No Change ______________________________

Is there a change in prognosis? Yes No Change ______________________________

Is there a change in medication? Yes No Change ______________________________

¨

¨

¨

¨

¨

¨

Current Weight

____________

¨¨¨¨¨¨

Vendor RecommendationsHome Health YesHospice YesDME YesRX Delivery Yes_______________________ Yes_______________________ Yes

Home HealthPhysician

Hospice Rehab

¨¨

¨¨


Care Coordination/Physician Form

Ambulation Assistance Yes NoAssist with DME use Yes No________________________Medication Reminders Yes NoMeal Preparation Yes NoFeeding Yes NoLight Housekeeping Yes NoBathing Yes NoDressing Yes NoTransportation and Errands Yes NoExercise Program Yes NoDelegated Nursing Directives Yes NoDietary Needs: Yes No

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¨¨

¨¨¨¨¨¨¨¨¨¨

Personal Assistance Services Provided

¨¨¨

¨¨¨

ProductsQuiet Care Yes NoSafetyCare Yes No

Coordinating Agencies and PhysiciansAgency Name ________________________________

Contact Name ________________________________

Phone ______________________________________

E-mail Address _______________________________

Physician Name ______________________________

Contact Name _______________________________

Phone ______________________________________

E-mail Address _______________________________

Goals / Recommendations / Notes:

Individualized Service PlanDiagnosis ___________________________________

Service Hours ________________________________

Service Days _________________________________

Weekly 2X Month 1X month ¨ ¨

Upcoming Medical Appointments

Type of Appointment Date Time

Home Safety Assessment Suggestions____________________________________________

____________________________________________

____________________________________________

____________________________________________

____________________________________________

____________________________________________

Client Name _________________________ Date ____________________________________

Company/Physician ___________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

05/11

Client Care Discussions

Is there a change in diagnosis? Yes No Change ______________________________

Is there a change in prognosis? Yes No Change ______________________________

Is there a change in medication? Yes No Change ______________________________

¨

¨

¨

¨

¨

¨

Current Weight

____________

¨¨¨¨¨¨

Vendor RecommendationsHome Health YesHospice YesDME YesRX Delivery Yes_______________________ Yes_______________________ Yes

Home HealthPhysician

Hospice Rehab

¨¨

¨¨

Additional Notes:

How do they monitor their caregivers?

How do they create a care plan?

What experience must their caregivers have?

Are their caregivers, employees or independent contractors?

1Where required.

Ask the right questions when calling a Personal Assistance Service!

Agency NameLicensed By The State?1

Bonded and Insured?

National On-going Background Checks?

Personal Caregiver Introductions?

On-going Caregiver Training?

Are Caregivers Screened?

Additional Fees? (Wknds/Nights/Holidays/Hands-On Care)

Up Front Deposits?

Hourly Rate

Transportation? Yes

Yes

Yes

Yes

No

No

Yes

Yes

Yes

greatcaretm booklet

Documents

personal care

skilled care

varying care needs

extensive handson care

homecare quality caregivers

care coordination process

clients receive

healthcare providers93