“Big Family” House. Family- style affordable alternative for Nursing Home. (part 1: chapters 1-5 of 19).

1. Table of Contents.

• 1. Table of Contents. 2. Objective of Big Family House (BFH) project. 3. Services Concept Mix.
• 4. Architectural solution. 5. Operations groups. 6. Residents Profiles
• 7. Social stimulation and Care plan approaches specific for each of the profiles. 8. Equipment
• 9. GR. 10. Operation/ Legal structure 11. Marketing and residence filling
• 12. ‘Big Family house’ residents composition and Operator Revenue. 13. Costs of Operator. 14. Financial results Operator
• 15. Financial results. Proprietor 16. Additional Packages. 17. Modular Extension- Dumbbell.
• 18. Conclusion 19. Signature?

2. Objective of Big Family House (BFH) project.

To develop the “budget” and modular model of institutional care care.

2.1. Characteristics

• Family- style of life and care
• Low size of one house (7 residents)
• Relying on existing services
• Affordable for low- middle class families

2.2. Analogues

• “Accueil familial” in France, GreenHouse in the US.

2.3. Family approach

Big Family House (BFH) is not a traditional senior- care residence. The architectural, technological and social innovations assure an independent, interesting and safe way of living for residents of this unique community,which really resembles that of a “Big Family” house. Aged people live in BFH as in their own big house. Besides the set of direct and indirect services found in traditional homes for older people, the most important tasks of their “Daughter”- the live-in carer are

• to teach residents how to lead relatively independent lives in specially adapted spaces of BHV and its walking area without fear and gloom
• to stimulate the ‘touch sense’ among the residents.

The “family council”, consisting of all the residents and carers, elects a Captain, who helps the daughters to better understand and use the best and most current ways of social stimulation.

3. Services Concept Mix.

To meet the demands of the widest segment (low middle class) we propose

• the basic package that includes the 4 main groups of guaranteed services: Housing & Food, Security, Care, Social stimulation and
• 2 groups of optional additional services.

3.1. Guaranteed services

1. Housing & Food (warm and clean living environment & homemade food),
2. Security (training of residents to live in an adapted environment and minimise the probability of falls; emergency help and medication available 24/7: family atmosphere but residents encouraged to help themselves as much as possible to retain their independence
3. Care (regular assessment, Personal ADL- Activities of Daily Living- Clean and cared-for body)
4. Social Stimulation (stimulation of independence, community and family interactions support).

3.2. Additional Services

But besides the basic guaranteed services family can choose and pay for additional  services from two groups:

1. IADL (Instrumental Activities of Daily Living- Companion Care, Restauration, Transporting, Wellness)
2. Health Promotion (Medical Care, Nursing, Rehabilitation)

4. Architectural solution.

One of the the basic architectural solutions of “Nordic Homes”  (Latvia)- family house “Cloudberry” was chosen as the model to be adapted according to our specification.

This basic solution ‘Cloudberry’ is already

1. -comfortable,
2. -energy efficient and
3. -affordable
4. - fast manufactured & installed (6 months from signing the contract)

The main objectives of house adaptation were:

1. To assure the safety of residents, while they perform themselves the Daily Activities
2. To make the care and other activities of personnel more efficient and the work of carers more comfortable.

4.1. Construction specification

We’ve shared with the engineers of the Nordic home plant our construction specification

And they’ve come back with the adapted version of “Cloudberry model”- the “Senior Cloudberry”.

4.2. The resulting plan

The resulting model ‘Senior Cloudberry’ includes 3 bedrooms for 7 residents of 47 sq meters total surface (6.7 sq m per person) and 9 other rooms used for common living and services for residents.

Big Family House has 2 toilets, living room, kitchen and other essential rooms.

Total internal area is 120 sq meters which gives 17,1 sq meters of total surface per resident or 40 sq meters of total surface per resident bedroom.

5. Operations groups.

The full services mix of BFH is guaranteed by assuring the delivery by on-site and visiting carers of the necessary services for each resident. The set of these operations is called the ‘care-plan’ and is drawn-out according to

• The latest assessment of the state of resident and allocating him/her to one of the defined profiles (guaranteed services)
• The services chosen by family ‘à la carte’ from the “additional services list”.

All the operations are executed by daughters- carers living together with residents 24/7 and by visiting helpers (nursing, doctors, cleaners, cooks) with active participation and under control of community of residents itself.

The operations are consolidated in 20 sub-groups on the low level and united in 6 groups on Upper- level.

To be continued.