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What is the Households Model
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Culture Change offers the promise of enhanced quality care and quality of life for residents with the creation of a home-like meaningful environment where relationships can thrive.

The Household concept of Culture Change has become a reality here at the Rouse Home and we constantly strive to continue improving upon this philosophy.

The Household concept is a shift from a hospital or medical-based model of care to a consumer-driven model with facility structural changes to create a more home-like environment; restructuring staffing and management patterns to empower and support direct care staff; and creating a flexible and responsive service delivery system to meet the needs and preferences of individual residents.

During the planning phase of the Household project it was determined that the Rouse Home would be focusing on certain areas within the organization to better meet the needs of the residents and foster a culture in excellence and partnership in service and care with our community. The areas of change include:

  • De-Institutionalizing the Physical Environment
  1. The facility has been redesigned to eliminate many of the medical functions and tools usually seen within a skilled nursing facility

  2. Through the culture change philosophy The Rouse Home has established Households to make the resident’s home more comfortable, warm, inviting and more home-like with a modern open concept
  • Re-Structuring Staff Roles
  1. Direct care staff work more autonomously within self-directed work teams

  2. Staffs take on multiple roles across traditional departments, providing some nursing care, housekeeping services, meal preparation, personal care and social activities
  • Re-Structuring the Organization
  1. Staff is more actively involved in the organizational decision-making

  2. Elimination of the practice where direct care staff rotate across units thus empowering true resident-centered and directed care
  • Creating New Leadership Direction

  • Leadership will become more decentralized, moving toward an interdisciplinary empowering approach with emphasis on more staff and resident involvement
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Board of Directors of the Rouse Estate © 2012