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)

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

RCMP are looking for “an unknown man who wrapped his arms around” a female youth in Clayton Feb. 26. (Black Press file photo)
Youth assaulted by unknown man in Cloverdale

Mounties looking for ‘tall and thin’ Caucasian man in his 40’s with short dark brown hair

A model of the planned Salishan Place centre was displayed at a Fort public information session in 2018. (Langley Advance Times files)
$711,000 tourism grant goes to Langley arts and culture centre

Salishan Place by the River is a planned community hub with many amenities and uses

Cyclists checked out the 216th interchange crossing the night before it opened to motor vehicles in early September, 2020. The overpass has separated bike lanes for riders. (Mitchell Nurse/Special to the Langley Advance Times)
Langley overpass wins cycling infrastructure award

HUB Cycling handed out the award to the Township and province recently

A retail cannabis outlet in Aldergrove got its final rezoning approval on Feb. 22. (Black Press Media File)
Aldergrove cannabis shop gets rezoning approval – barely

Council voted twice after narrowly defeating the project the first time

Cloverdale-Langley City MP Tamara Jansen spoke on Tuesday, Feb. 23, 2021, against proposed amendments to MAiD that would make more groups eligible, calling the Senate amendments a ‘Frankenstein bill’ (House of Commons video image)
OPINION: The grim future of palliative care in British Columbia

Takeover of Delta Hospice by Fraser Health is a major step toward the dismantling of palliative care in B.C.

Dr. Bonnie Henry leaves the podium after talking about the next steps in B.C.’s COVID-19 Immunization Plan during a press conference at Legislature in Victoria, B.C., on Friday, January 22, 2021. THE CANADIAN PRESS/Chad Hipolito
COVID: 589 new cases in B.C., and 7 new deaths

No new outbreaks being reported Feb. 26

Gina Adams as she works on her latest piece titled ‘Undying Love’. (Submitted photo)
‘Toothless’ the kitty inspires B.C. wood carver to break out the chainsaw

Inspired by plight of a toothless cat, Gina Adams offers proceeds from her artwork to help animals

Passengers aboard Komagata Maru in Vancouver’s Burrard Inlet, 1914 - Library and Archives Canada image
Abbotsford council is asked to rename street in memory of Komagata Maru victims

Most of 376 the passengers aboard ship were denied entry into Canada in 1914

Cannabis bought in British Columbia (Ashley Wadhwani/Black Press Media)
Is it time to start thinking about greener ways to package cannabis?

Packaging suppliers are still figuring eco-friendly and affordable packaging options that fit the mandates of Cannabis Regulations

The first of 11 Dash 8 Q400 aircraft's have arrived in Abbotsford. Conair Group Inc. will soon transform them into firefighting airtankers. (Submitted)
Abbotsford’s Conair begins airtanker transformation

Aerial firefighting company creating Q400AT airtanker in advance of local forest fire season

The Canada Revenue Agency says there were 32 tax fraud convictions across the country between April 2019 and March 2020. (Pixabay)
Vancouver man sentenced to 29 months, fined $645K for tax evasion, forgery

Michael Sholz reportedly forged documents to support ineligible tax credits linked to homeownership

Framed photos of Travis Selje and other items fill the top of a dresser in his bedroom. (Photo: Tom Zillich)
Crown says defence case epilepsy caused fatal Surrey crash fails on balance of probabilities

‘She very clearly had some form of control over that vehicle,’ Crown argues

Then-Liberal leader Andrew Wilkinson looks on as MLA Shirley Bond answers questions during a press conference at Legislature in Victoria. (Chad Hipolito / THE CANADIAN PRESS)
B.C. Liberal party to choose next leader in February 2022

Candidates have until Nov. 30 to declare whether they are running

After nearly 10 months of investigations, Mounties have made an arrest in the tripping of an elderly woman in Burnaby this past April. (RCMP handout)
VIDEO: Mounties charge suspect for tripping elderly woman near Metrotown in April

32-year-old Hayun Song is accused of causing bodily harm to an 84-year-old using her walker

Most Read