IsiKhokelo esiGqibeleleyo kwiindidi ezahlukeneyo zeFanitshala yeKhaya loLonga elithengiswayo

Uphando alugxininisi kuphela kwimithombo echithiweyo, kodwa kunye nokwaneliseka kwabahlali (umzekelo, imvakalelo yokhuseleko, ukuzonwabisa kokutya); ukhathalelo lwempilo yobungcali (umzekelo, ukucwangcisa impilo yabahlali ngabanye); landela amayeza amiselwe ngugqirha wakho, unyango, kunye nezicwangciso zokutya; umgangatho wendawo yokuhlala (umzekelo, ukucoceka kwamagumbi); iimeko zegumbi; kunye nokutya (umzekelo, ukuba ukutya kubonelela ngeemfuno zesondlo ezisisiseko kwaye ukuba abahlali bayakuthanda ukutya). Ukuthelekiswa kokunikezelwa kwendawo () kubonisa ukuba amakhaya akumgangatho ophezulu aneendleko eziphezulu zokunyamekela izigulane ngokuthe ngqo izinto ezifana nokutya, abahlengikazi, abancedisi, unyango kunye nonyango lokubuyisela kwimeko yesiqhelo, ukucoca, ukuhlamba impahla kunye neebhedi. amakhaya abongikazi akumgangatho ophezulu kunye nomgangatho ophantsi weOhio Medicaid.

Ngokuqhelekileyo, kukholelwa ukuba ingaba ikhaya labahlengikazi liphethwe kwaye liqhutywa ngumbutho wabucala okanye ongenzi nzuzo aliyi kuchaphazela kuphela iindleko kunye nomgangatho wokunyamekela, kodwa nokuba lifikeleleke ngokulinganayo okanye cha. Kubo bonke abantu abayidingayo. Nceda. Ikhaya labalupheleyo linokuba lolona khetho lufanelekileyo kwabo banezidingo zonyango ezifuna ukhathalelo oluqhubekayo kunye nokufikelela kwiinkonzo eziziva ngathi sisibhedlele kunekhaya. Ikhaya labalupheleyo linokuba lolona khetho lulungileyo kubantu abafuna ukhathalelo lwezonyango kunye nolawulo lwe-24/7. Amakhaya abongikazi anikezela ngononophelo lwe-24/7 kubantu asebekhulile abaneemeko zonyango ezinzima kwaye bafuna ukhathalelo olusebenzayo kunye nokujongwa.

Kwamanye amakhaya abalupheleyo anikela iinkonzo zokunyamekela abagulayo, enikela inyameko yokunceda abalupheleyo abasele beza kufa. Noko ke, ukuba iimfuno zomntu okhulileyo zincinane ngakumbi, njengokuncedisa nge-ADL, njengokuhlamba, ukunxiba, okanye ukuya kwindlu yangasese, okanye ukuba umntu okhulileyo ufuna inyameko elula njengonyango lomzimba namayeza, ikhaya labalupheleyo lisenokuba luncedo kakhulu. ngqongqo. ... kwaye wongeze iindleko ezingeyomfuneko. Olunye uluntu lunikezela ngokhathalelo lobomi bonke ngokwenza ikhontrakthi kunye nemibutho yabadala abanezakhono okanye ngokunikezela ngamakhaya abongikazi kubahlali abaneemfuno zenkxaso eziguqukayo. Amakhaya aneenkonzo abonelela ngezifundo kunye namathuba okufunda ubomi bonke kubantu abadala abangakwaziyo ukubonelela ngokhathalelo lwasekhaya, kubandakanya uqeqesho lobugcisa kunye nobugcisa, iiklasi zokupheka, imidlalo yengqondo nokunye.

Ngelixa ukhathalelo lwasekhaya lunikezela ngokhathalelo lomntu olulungiselelwe iimfuno zomntu ngamnye, abantu abadala abaphila ngononophelo baxhamla kwiinkqubo ezahlukeneyo zentlalo kunye nokuphuma kuluntu loontanga. Amaziko abonelela ngendawo ekhuselekileyo yokuba abantu abadala bachithe ixesha nabahlobo, ukhathalelo lobuqu kunye neenkonzo zoncedo ngee-ADLs njengoko kufuneka, kunye nemisebenzi eyonwabisayo eyenzelwe ukubandakanya abathathi-nxaxheba. La maziko abonelela ngeenkonzo zononophelo lwasemini kubantu abadala abafuna ukusebenza ngaphandle kwekhaya, abantu abadala ebebenokwahlukaniswa nabangathanda ukuhlalisana nabanye. Enoba umntu owalupheleyo ufuna unyango okanye nje ukonganyelwa nokuba liqabane elithile, kukho abasebenzi bokunyamekela okwexeshana abanokunikela umlinganiselo wonyameko abalufunayo.

Kukho iintlobo ezahlukeneyo zokhathalelo lwexeshana olunokuthi lulungele abantu abadala abaneemfuno ezahlukeneyo zokhathalelo. Ababoneleli bexesha likaxakeka banika uluhlu lweenkonzo ezinokufikelelwa ngokweemfuno zomxhasi ngamnye. Ngelixa ezinye iintlobo zokhathalelo lwabantu abadala zinokubonelela ngeenkonzo ezifanayo zokhathalelo lwabantu abadala, kukho umahluko obalulekileyo ekufuneka uqatshelwe. Iinkonzo zeMemori zoNonophelo kumakhaya abongikazi Iinkonzo zeMemori zokuKhathalela iMemori Iinkonzo zokuZiphilisa zokuzityisa xxxx IiNkonzo zokuCoca kunye nezokuHlanjwa xxxx Imisebenzi yeNtlalo xxxx IiKlasi zeGym kunye neMpilo xxxx Amayeza xxx Uncedo ngeMisebenzi yeMihla (ADL) xxx Ukhathalelo oluKhethekileyo lwezigulana ezinoNcedo lwenkumbulo xx 24 ukubeka iliso xx Ukungena ngokukhuselekileyo nokuphuma ukunqanda ukubhadula xx Uthutho ukuya kwidinga xxx Unyango lokuphucula inkumbulo kukhathalelo lwabantu abadala sisithethantonye.

Ngenjongo yolu lungiselelo, iwadi yeengcali ithetha ulwahlulo-mhlaba lwekhaya labalupheleyo apho abahlali bahlala khona abanesidingo esifanayo sokhathalelo olulodwa, kubandakanywa kodwa kungaphelelanga apho kukhathalelo lwabanesifo sengqondo esixhalabisayo, iindawo zokuhlala abantu abagulela ukufa, okanye iiwadi zabagula ngengqondo. Ikhaya labahlengikazi liya kubonelela ngeenkonzo ukuhlangabezana neemfuno ezithile zomhlali ngamnye ochongiweyo ngolu vavanyo lokumkelwa de kube isicwangciso sokhathalelo esifunwa nguMthetho 3701-17-14 weKhowudi yoLawulo siphuhliswe kwaye siphunyezwe. Esi sigqibo siya kusekelwa kwiimeko zomzimba, abasebenzi bekhaya labongikazi kunye neenkonzo, kunye nenyameko efunwa ngabahlali ukuze bafumane okanye bagcine ikhaya labalupheleyo, kunye nomsebenzi ovunyelweyo ovunywe liSebe lezoRhwebo.

NgokweZiko leSizwe loNozikhalazo wexesha elide, amakhaya abongikazi kufuneka anikwe ilayisensi ngokufanelekileyo njengoko kufunwa ngurhulumente wabo kwaye axhomekeke ekuhlolweni nasekuhlolweni ukuqinisekisa ukuba ayahlangabezana neemfuno. ISebe lezeMpilo kunye nokuguga, iCandelo loLawulo lweNkathalelo yeXesha elide, lijongene nokuphonononga nokukhupha iilayisenisi zikarhulumente kwiindawo zokuhlala zokuhlala (RCF kunye neRCF *), izibonelelo zononophelo (ALF kunye ne-ALF **), kunye nezakhiwo zokunakekelwa kwesikhashana (ICF) . ), kunye neendawo zabongikazi abanezakhono (SNF). Ngolwazi oluthe kratya malunga nelayisensi ye-ICF / IID, tyelela iwebhusayithi ye-DMH.

Isicwangciso sakho sempilo sisekelwe kwinkcazelo yakho yezempilo kwaye kufuneka sivavanywe kwiintsuku zokuqala ezili-14 kwaye ubuncinane zonke iintsuku ezingama-90 emva koko. Ngokona luvo lubanzi, ifuna ukuba wonke umhlali wekhaya labalupheleyo afumane zonke iinkonzo azidingayo ukuze azenze kwelona nqanaba liphezulu. Umhlali unelungelo lokuba neemfihlo ezifikelela kuzo zonke iinkalo zokhathalelo, kuquka ukunceda ngeemfuno zobuqu, ukutyelela usapho nabahlobo, kunye nokunxibelelana nabanye ngefowuni nangeposi.

Ngelixa abahlali bamakhaya abongikazi benamalungelo amaninzi njengaye nawuphi na omnye umntu, indibaniselwano yeemeko zamaziko kunye nokukhubazeka okubeka umntu kwindawo yokuqala kwiziko ihlala ikhokelela ekuphulukaneni nesidima kunye nokhathalelo olungonelanga. Zombini ezi zisombululo zabantu abadala ziyafuneka kuwo wonke umjikelo wobomi babantu abadala, kwaye unokufumanisa ukuba wena okanye umntu omthandayo ufuna ukuhlala okufutshane kwikhaya labalupheleyo ukuze alulame esibhedlele ngaphambi kokuba abuyele kubantu abadala. Cinga ngokuqesha umgcini wekhaya okanye umncedisi wokhathalelo lwekhaya ukuba anyamekele lowo umthandayo rhoqo, okanye uphando ngeendawo zokuhlala ezifana neenkonzo zokhathalelo oluphezulu ezibonelela ngeenkonzo ezihlangabezana neemfuno zabantu obathandayo.

Noko ke, ukuba ufumanisa ukuba ufuna uncedo oluqhubekayo okanye izalamane zakho ezalupheleyo ziba nzima ngakumbi ukuzinyamekela, kusenokufuneka utshintshele kwindlela ecwangcisiweyo yokuphefumla. Ukubonelela ngoncedo lwengingqi kubantu abadala Kubalulekile ukuvumela abantu abadala ukuba baphile ngokuzimeleyo njengoko baziva bezimele kwaye kuba kubiza kakhulu ukwenza oko. Ukuze kukhuthazwe ukuphila ngokuzimeleyo, kudla ngokuba yimfuneko ukuthenga izixhobo zonyango ezomeleleyo kunye nokulungiswa kwendlu ukuze kuhlaliswe amagqala ezixhobo zonyango kunye nemithambo. Izixhobo zonyango ezomeleleyo Izixhobo zonyango ezihlala ixesha elide, ezaziwa ngokuba yi-DME okanye izixhobo zonyango zasekhaya, zibhekisa kwizixhobo zonyango ezihlala zihleli, ezinokuphinda zisebenziseke ezinokunceda abantu basebenze ngokuzimeleyo kwaye balawule imisebenzi yemihla ngemihla kubomi babo bemihla ngemihla.