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

Fraser Health declared an outbreak of COVID-19 at Delta Hospital on Wednesday, Sept. 16, 2020. (Grace Kennedy photo)
Outbreak over at Delta Hospital

In all, 45 cases of COVID-19 were identified and seven patients died during the outbreak

Not everybody lined up to vote on Saturday. In Surrey, 68,396 mail-in ballots still need to be counted for the final election tally. (Black Press Media)
North Surrey voters steer left, South Surrey voters steer right

Once again, it’s NDP orange in the city’s north end, Liberal red in the south

Peace Portal Alliance Church, at the corner of King George Boulevard and 152 Street, is the extreme-weather shelter for South Surrey for the upcoming season. It is to have 14 mats available nightly for those experiencing homelessness, regardless of weather conditions. (Tracy Holmes photo)
14 beds planned for South Surrey extreme-weather shelter

Webinar tonight to field questions, share info on Peace Portal Alliance Church refuge

Hundreds of people gathered in White Rock last year to participate in the annual Remembrance Day ceremony – but due to COVID-19, the city’s ceremony this year will be online only. (File photo)
White Rock chooses ‘virtual’ Remembrance Day

Due to COVID-19 the Nov. 11 ceremony will be online only

The Sunshine Band Club video posted to Youtube.
VIDEO: Surrey youth band shines light on ‘COVID blues,’ raises money for hospital

Virtual concert from Sunshine Band Club, established last March

FILE – Provincial Health Officer Dr. Bonnie Henry provides the latest update on the COVID-19 pandemic in the province during a press conference in the press theatre at Legislature in Victoria, B.C., on Thursday, October 22, 2020. THE CANADIAN PRESS/Chad Hipolito
B.C. shatters COVID-19 records with 817 weekend cases; masks now expected indoors

Three people have died over the past three reporting periods

Some of the characters in the League of Legends video game. (Photo: na.leagueoflegends.com)
E-sports trial at B.C. high schools to start with ‘League of Legends’ team game

For fall launch, Vancouver’s GameSeta company partners with BC School Sports

Graphic on promo material for Best Buy Canada’s Tech Wonderland event.
Drive-through ‘Tech Wonderland’ coming to PNE site a few weeks before Christmas

Best Buy Canada-backed ‘holiday’ event to raise money for charity

Aaliyah Rosa. File photo
Crown says murder of seven-year-old in Langley was planned, deliberate

The trial of KerryAnn Lewis began Monday in New Westminster

Join Black Press Media and Do Some Good

Pay it Forward program supports local businesses in their community giving

B.C. Provincial Health Officer Dr. Bonnie Henry. (B.C. government photo)
Unnamed school in Fraser Health region closed due to COVID-19

Closure announced by Dr. Bonnie Henry during daily briefing

RCMP have released more details regarding what led up to an arrest caught on video in Williams Lake Sunday, Oct. 26. (Facebook video screenshot)
Review launched after ‘high-risk, multi-jurisdictional’ chase, arrest in Williams Lake

RCMP launching a full review and code of conduct investigation

(Pxfuel)
B.C. limits events in private homes to household, plus ‘safe six’ amid COVID-19 surge

Henry issued a public health order limiting private gatherings to one household, plus a group of ‘safe six’ only

Most Read