Green House Blog

Green House's 'New Style of Nursing Home' Stalled in California

Ninety-nine Green House Project nursing homes are operating in 27 states and plans are under way to spread the small-scale skilled nursing model to nearly all 50 states.

However, those efforts have stalled in California where regulations written with big institutional nursing homes in mind are hindering development of The Green House Project’s innovative home-like model for delivering skilled nursing care.

California lawmakers held a hearing April 25 to investigate what regulatory roadblocks need to be addressed to allow development of Green House Project homes in California.

For example, current state regulations require separation of a nursing home’s cooking area from the living area. “For a big facility with dozens or even hundreds of patients and an industrial kitchen, that might make sense,” reported Veteran California journalist Daniel Weintraub, editor of the policy news site HealthyCal.org.

But in a Greenhouse Project home, the kitchen is much like that of a normal house, and it serves a similar function. Its open design allows a staff person to cook and chat with residents at the same time, much like people do in a regular home setting.

Weintraub interviewed Green House Project Director Robert Jenkins, who works with nursing homes to help adopt the Greenhouse Project model. Jenkins said:

“When they are cooking a meal, they can have a conversation with an elder sitting at the counter, or in the living room. It’s just a little more creative use of resources…

“We are shifting from a model where people are there to receive bed and body work, but not much else. We are shifting to a place where you or I would be known as the person we are, and cared about and cared for as an individual with preferences, a history, with needs and emotions, and a desire to have meaningful days in the nursing home where we are receiving our care.”

This increased one-on-one time allows the staff person to get to know the patient better and, Jenkens said, leads to better care. Studies have shown that staff enjoy their jobs more, family members believe the care is better, and the patients spend less time in the hospital.

Although Jenkens says that a key part of the project’s success to date has been its ability work within federal and state rules and regulations, that hasn’t been the case so far in California. One facility is on the drawing boards, in Pomona in Los Angeles County, but Jenkens said his group is still trying to find a way to make that home fit within the state’s rules.

To learn how to support efforts to bring Green House homes to your community, download the Green House Project Consumer Tool Kit here. If you live in California, please contact your state representative using the sample letter included in the toolkit to express your support for The Green House Project. Simply enter your zip code at this website to find your state representative‘s contact information.

Green House’s ‘New Style of Nursing Home’ Stalled in California

Ninety-nine Green House Project nursing homes are operating in 27 states and plans are under way to spread the small-scale skilled nursing model to nearly all 50 states.

However, those efforts have stalled in California where regulations written with big institutional nursing homes in mind are hindering development of The Green House Project’s innovative home-like model for delivering skilled nursing care.

California lawmakers held a hearing April 25 to investigate what regulatory roadblocks need to be addressed to allow development of Green House Project homes in California.

For example, current state regulations require separation of a nursing home’s cooking area from the living area. “For a big facility with dozens or even hundreds of patients and an industrial kitchen, that might make sense,” reported Veteran California journalist Daniel Weintraub, editor of the policy news site HealthyCal.org.

But in a Greenhouse Project home, the kitchen is much like that of a normal house, and it serves a similar function. Its open design allows a staff person to cook and chat with residents at the same time, much like people do in a regular home setting.

Weintraub interviewed Green House Project Director Robert Jenkins, who works with nursing homes to help adopt the Greenhouse Project model. Jenkins said:

“When they are cooking a meal, they can have a conversation with an elder sitting at the counter, or in the living room. It’s just a little more creative use of resources…

“We are shifting from a model where people are there to receive bed and body work, but not much else. We are shifting to a place where you or I would be known as the person we are, and cared about and cared for as an individual with preferences, a history, with needs and emotions, and a desire to have meaningful days in the nursing home where we are receiving our care.”

This increased one-on-one time allows the staff person to get to know the patient better and, Jenkens said, leads to better care. Studies have shown that staff enjoy their jobs more, family members believe the care is better, and the patients spend less time in the hospital.

Although Jenkens says that a key part of the project’s success to date has been its ability work within federal and state rules and regulations, that hasn’t been the case so far in California. One facility is on the drawing boards, in Pomona in Los Angeles County, but Jenkens said his group is still trying to find a way to make that home fit within the state’s rules.

To learn how to support efforts to bring Green House homes to your community, download the Green House Project Consumer Tool Kit here. If you live in California, please contact your state representative using the sample letter included in the toolkit to express your support for The Green House Project. Simply enter your zip code at this website to find your state representative‘s contact information.

Not Just a CNA — Shahbazim Job Opportunies Growing

Green House Project Shahbazim are changing the face of skilled nursing care by redefining and expanding the role of the certified nursing assistant (CNA).

The Shahbaz (plural form is Shahbazim), the manager of The Green House home, is charged with the honor of nurturing, sustaining and caring for the ten elders who live there. A shahbaz is a universal worker who provides a wide range of assistance, including personal care; activities; meal planning, preparation, and service; and laundry care for seven to ten elders. The Shahbazim also perform light housekeeping duties. Through deep knowing, strong relationships,and an organizational structure that keeps much decision making power in the home, the shahbazim are able to create a meaningful life for and with the elders who call The Green House their home.

Learn more about Shahbazim here and view the latest Shahbaz job openings around the country below:

  • Direct Care Partner Elder Assistant — Shahbaz

    Memory Care Residences at Cottage Grove – North Chili, NY

    Direct Care PartnerElder Assistant — Shahbaz ALL SHIFTS,FT/PT, Per Diem & Weekends: Would you like to work in an unique assisted living and Eden Alternative community – one of the first of its kind in New York State? The Memory Care…

    29 days ago from CareerBuilder

  • Shahbaz

    Rochester, NY

    This role supports and facilitates all aspects of the Elder39s daily life according to hisher preferences and needs. Candidates will be certified as a nursing assistant CNA, as well as successfully complete training and education…

    21 hours ago from CBCJobs

  • Shahbaz

    Providence Health & Services – Seward, AK

    including cooking, laundry and housekeeping. The Shahbaz is a member of a self-managed work team and is … on the self-managed work team. The team and individual Shahbaz work collaboratively with the Clinical Support Team…

    30+ days ago from Providence Health & Services

  • SHAHBAZ – 78258

    Providence Health & Services – Seward, AK

    Job Requisition Number:78258 Posting Title:SHAHBAZ – 78258 Shift:4 – Rotating/Variable Shift Department: LTC NURSING Emp … Maximum:22.52 External Description: Providence is calling SHAHBAZ. The primary role of the Shahbazim will be to…

    30+ days ago from Providence Health & Services

  • Shahbaz – (CNA)

    Tabitha Health Care Services – Lincoln, NE

    JOB SUMMARY: The Shahbaz is responsible for creating an environment that enhances opportunities for a good quality of … The Shahbaz delivers personal and clinical services necessary to protect, nurture and sustain the Elders of the Green Ho…

    23 days ago from careerlink.com

  • Shahbaz (CNA)

    Porter Hills Retirement Communities & Services – Grand Rapids, MI

    Individual will assist the elders with activities of daily living in accordance to their care plan and complete necessary documentation. Candidates will also organize and conduct weekly menu planning meetings as well as prepare and serve…

    30+ days ago from CareerMatrix.com

  • Certified Nursing Assistant (CNA)

    Ave. Maria Home – Memphis, TN

    our Green Housey homes, which will open this summer. The Shahbaz is a new position in eldercare and will help protect, nurture, and sustain 10 elders in each home. You will work in self-directed teams and will be responsible for caring for…

    16 days ago from Monster

A Person-Centered Roadmap For Piecing Together Long-Term Care

Check out this great new tool from The National Consumer Voice for navigating the long-term care system. Dr. Bill Thomas’ Picker Report on Aging in America blog reports:

Last month The National Consumer Voice for Quality Long Term Care released a new guide book to help people with questions about long-term care services navigate the system and better advocate for themselves. The new tool, Piecing Together Quality Long-Term Care: A Consumer’s Guide to Choices and Advocacy, is designed to educate people with disabilities and older adults about their options for long-term services.

The guide book fully embraces the philosophy of person-centered or person-directed care, which means you are the one directing or guiding the services you receive, when you receive them and how you receive them. By educating consumers about their options and choices, the guide empowers individuals to make decisions for themselves rather than relying on professionals or family members. The concept of person-directed care is at the heart of “culture change,” a movement to provide older adults services in a way that values choice, dignity, respect, self-determination and purposeful living.

The Consumer Voice has developed a website (www.theconsumervoice.org/piecing-together-quality-long-term-care) for the guide, which features Piecing Together Quality Long-Term Care in different formats, including an HTML version, a PDF version and audio portions of the guide. The website will also include three state-specific guides funded by the Consumer Voice and written by citizen advocacy groups in Kansas, North Carolina and Virginia. These state guides are designed to assist older adults and persons with disabilities in making informed decisions when choosing long-term care services. A hardcopy of the 80-page, professional bound guide is available for $20 and can be purchased online.

“While older adults and individuals with disabilities may have different needs, they all deserve a choice of quality long-term care services,” said Consumer Voice Executive Director Sarah F. Wells. “Many consumers face the daunting and overwhelming task of trying to navigate a long-term care system that is fragmented and complicated. This project aims to build a bridge between the aging and the disability communities and create a strong, unified long-term care consumer voice.”

Figuring Out Demand For Senior Housing

Senior Housing News asked experts what kind of residences they predict baby boomers will demand as they age:

As a growing number of Americans enter their golden years, builders are anticipating a new demand for senior housing.

But what kind of residence they’re looking for and how they will pay for it have yet to be figured out.

“There almost has been an overbuilding in anticipation of this market,” said Tim Underwood, an industry analyst and former executive director of the Home Builders Association of Greater Kansas City.  ”The issue is trying to figure out what the demand is. If you look at the baby boomers, it could be a real issue of people figuring out how the heck they’re going to live.”

The average age of people entering some type of assisted-living residence is about 85.

“The boomers are retiring now, but they probably won’t need our services for 20 years,” said Paul Williams of the Assisted Living Federation of America. “At that point there will be a tremendous demand for assisted living.”

In 20 years we want to see Green House Project homes in every community in America.

Tabitha Celebrates 125-Year Anniversary And Opens 2 New Green House Homes

Journey Home Green House. Click on the photo to view Tabitha's Flickr Photostream

Green House Project adopter Tabitha Health Care Services in Lincoln, Neb., is celebrating its 125th anniversary Tuesday, April 26, with the grand opening of two new Green House Project alternative nursing homes.

The Lincoln Journal Star reports:

Green Houses are a new choice for individuals requiring skilled nursing services. These communities remove all institution-like elements, as they are designed with the home in mind and are built to support and uplift individuals to live life on their own terms and schedules.

As part of Tabitha’s commitment to providing a continuum of care, the organization also celebrates the upcoming May 2 opening of the new GracePointe Assisted Living & Memory Care Suites, a community for older adults who are not in need of skilled nursing care but would like extra help and support around the house.

GracePointe will feature an innovative lifestyle program for residents called “Promote Life,” headed up by life enrichment coordinator Charyl Lentz.

“Promote Life offers activities designed to maintain activity in the mind, body and soul while promoting health, independence and social interactions in a supportive environment,” Lentz told the Lincoln Journal Star. Group activities include cooking clubs, the Memories in the Making painting group (an Alzheimer’s Association initiative) and Go4Life-Fitness program (provided by National Institute of Aging).

For more information on Tabitha’s community preview events or about our living communities and services, please visit www.tabitha.org or call 402-486-8520.

As a nonprofit organization serving 28 counties, Tabitha’s love embraces a society where everyone is valued and empowered to live life to the fullest with compassionate at-home support, innovative living communities, exceptional rehabilitation, health care and hospice services.

 

 

 

Are you Listening?

The Green House model is built on the coaching style of leadership. Listening is the most fundamental communication skill in coaching, but doing it well is very difficult. Listening fully and actively takes an enormous amount of energy and effort, which we do not often have. Because we know it is important for communication and relationships, most of us have developed very effective ways to look like we are listening when we really aren’t. This is called pseudo listening.

But what happens, where do our minds go, when we start to pseudo listen? What BLOCKS us from listening with our full attention?

One of my most pervasive listening blocks is Rehearsing.

Rehearsing is practicing (in our heads) what we are going to say while someone else is speaking. We start rehearsing when we have a point to make or something important to share.

Example: You asked your employee to come in early today to meet about the upcoming series of meetings and she did not show up when expected. She eventually arrives and immediately begins telling you about her hectic morning. While she is talking, you are busy rehearsing your speech about how disappointed you are that she didn’t show up as planned.

What are some of your listening blocks? What strategies have you found to be successful as you work through these blocks in order to be a listening, coaching leader?

Nation's 100th Green House Project Alternative Nursing Home To Open in New Jersey

Did you know that THE GREEN HOUSE® Homes at Green Hill in New Jersey is the location of the 100th The Green House® Project home in the nation?

The Green Hill Inc, The Green House Project, and the Robert Wood Johnson Foundation will be celebrating the Green House Homes Grand Opening Garden Party on June 30th, at Green Hill in West Orange.

This celebratory event is to be attended by an invited guest list of dignitaries, Green Hill Inc, The Green House Project, and Robert Wood Johnson trustees, and staff, and Green Hill donors and supporters of the Green House Homes at Green Hill.

If you are interested in becoming a Green House Homes at Green Hill supporter, and in attending this exciting event, email or call Barbara Heines at b.heines@green-hill.com, or 973-731-2300.

Nation’s 100th Green House Project Alternative Nursing Home To Open in New Jersey

Did you know that THE GREEN HOUSE® Homes at Green Hill in New Jersey is the location of the 100th The Green House® Project home in the nation?

The Green Hill Inc, The Green House Project, and the Robert Wood Johnson Foundation will be celebrating the Green House Homes Grand Opening Garden Party on June 30th, at Green Hill in West Orange.

This celebratory event is to be attended by an invited guest list of dignitaries, Green Hill Inc, The Green House Project, and Robert Wood Johnson trustees, and staff, and Green Hill donors and supporters of the Green House Homes at Green Hill.

If you are interested in becoming a Green House Homes at Green Hill supporter, and in attending this exciting event, email or call Barbara Heines at b.heines@green-hill.com, or 973-731-2300.

Is Baltimore Harboring the Secret to Success in Community Revitalization?

How do you stabilize and revitalize socially and economically challenged communities within a city like Baltimore?

In today’s environment, can neighborhoods suffering from blight be transformed into a healthy, thriving community for families that addresses resident needs with outstanding outcomes in health, education, housing, and employment?

This episode of Impact News Network, from the Green House Project’s parent organization NCB Capital Impact, looks at how community development finance institutions, foundations, local government and businesses, and community groups are successfully working together to revitalize Baltimore.

Impact News Network interviewed Mitch Posner from Govans Ecumenical Development Corporation, which is building Maryland’s first Green House Project residences at Stadium Place in Baltimore. Also featured: Tracy Kartye from Annie E. Casey Foundation, Thibault Manekin from Seawall Development, Sean Closkey from TRF Development Partners, and Terry Simonette and Jon Kelly from NCB Capital Impact.

 

Green House Project Teams Strive for Trusting Relationships

Trust is vital to successful teamwork. A team with trusting members is much more likely to be innovative. They will share and debate ideas, engaging in conflict at times, but in a productive way that allows for learning and growth. The Green House Project teams work to create trusting environments where elders can best served. Check out a recent article in The Green House Project Newsletter on Trust:

What are some ingredients of trust?

  • Sincerity – we consider someone to be sincere when they are honest; when they say what they mean and mean what they say. They can be believed, taken seriously and their opinions are valid and backed up by sound thinking. We also know that their actions will be consistent with their words.
  • Reliability – we consider someone to be reliable when the meet the commitments they make and keep their promises. And when they can’t, when something interferes, they let you know as soon as they know
  • Competence – we consider someone to be competent when we believe they have the ability to do what they are doing or what they propose to do. This often boils down to having the skills, knowledge and resources required to accomplish a particular task.
  • Care – we consider someone to care when they have our interests in mind as well as their own. This is often the most important factor for building lasting trust. If we believe someone is only concerned with their own self-interest, we may trust their sincerity, competence or reliability in a specific situation, but will probably not trust them as a general rule.

What are some ways we put these aspects of trust into practice? You can ask these questions:

  • How am I behaving in ways that build trust?
  • What are people I trust saying and doing that makes them trustworthy?
  • How do their actions relate to the four aspects of trust?
  • Ask others you trust how they experience you in these areas.

Building, maintaining and repairing the trust of those you work with on The Green House team takes an understanding of how one judges trustworthiness, language and actions consistent with the aspects of trust and an intention to be a trusted member of The Green House team. Remember, our elders are counting on us!

Feltman, C.  The Thin Book of Trust, An Essential Primer For Building Trust At Work. Thin Book Publishing Co., 2009.

What are practices on your teams that foster trust, learning and growth?

The Green House Project Featured in USA Today, Plus Our Consumer Toolkit

The Green House Project was happy to lend its support to a new USA Today piece published today, entitled The Supplement on Alzheimer’s Disease. The story talks to Green House Project Director Robert Jenkens as part of an “expert panel” (on page 10 of the print version).

Click here for the web version of The Supplement on Alzheimer’s Disease.

The Green House model embodies principles that support elders living with dementia to have full and supported lives. To learn more about the model and to follow us please become a fan of The Green House Project on Facebook today. Find Green House homes in your state.

Finally, learn how to bring Green House homes to your community by downloading the The Green House Project Consumer Toolkit here.