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

A health care worker prepares to test a Coastal GasLink field worker for COVID-19. (Coastal GasLink photo)
Coastal GasLink begins COVID screening of pipeline workers

Construction is once again ramping up following Northern Health approval of COVID management plan

FILE – A COVID-19 vaccine being prepared. (Olivia Sullivan/Sound Publishing)
B.C. seniors 80 years and older to get COVID vaccine details over next 2 weeks: Henry

Province is expanding vaccine workforce as officials ramp up age-based rollout

Chris Paulson of Burns Lake took a quick selfie with a lynx over the weekend of Feb. 20-22, 2021, after the wild cat was found eating some of his chickens. (Chris Paulson/Facebook)
VIDEO: Burns Lake man grabs lynx by scruff after chickens attacked

‘Let’s see the damage you did, buddy,’ Chris Paulson says to the wild cat

Fisheries and Oceans Canada released it's 2021 Pacific Herring Integrated Fisheries Management Plan Feb. 19. (File photo)
Northern herring opportunities kept to a minimum

2021 management plan caps Prince Rupert fishery at 5 per cent

A collaborative genomic research project is underway to map the movements of 118 Northwest sockeye populations to better inform management decisions on at-risk stocks. (File photo)
Genomic study tracks 118 Northwest B.C. sockeye populations

Development of new tool will be used to help harvesters target healthy groups

A health worker holds a vial of AstraZeneca vaccine to be administered to members of the police at a COVID-19 vaccination center in Mainz, Germany, Thursday, Feb. 25, 2021. The federal state of Rhineland-Palatinate, start with the vaccination of police officers in internal police vaccination centers. (Andreas Arnold/dpa via AP)
B.C. officials to unveil new details of COVID vaccination plan Monday

Seniors and health-care workers who haven’t gotten their shot are next on the list

An investigation is underway after a man was shot and killed by Tofino RCMP in Opitsaht. (Black Press Media file photo)
Man shot and killed by RCMP near Tofino, police watchdog investigating

Investigation underway by Independent Investigations Office of British Columbia.

B.C. Supreme Court in Vancouver on Tuesday December 11, 2018. THE CANADIAN PRESS/Darryl Dyck
B.C.’s compromise on in-person worship at three churches called ‘absolutely unacceptable’

Would allow outdoor services of 25 or less by Langley, Abbotsford and Chilliwack churches

Baldy Mountain Resort was shut down on Saturday after a fatal workplace accident. (Baldy Mountain picture)
Jasmine and Gwen Donaldson are part of the CAT team working to reduce stigma for marginalized groups in Campbell River. Photo by Marc Kitteringham, Campbell River Mirror
Jasmine’s story: Stigma can be the hardest hurdle for those overcoming addiction

Recovering B.C. addict says welcome, connection and community key for rebuilding after drug habit

A Vancouver restaurant owner was found guilty of violating B.C.’s Human Rights Code by discriminating against customers on the basis of their race. (Pixabay)
Vancouver restaurant owner ordered to pay $4,000 to customers after racist remark

Referring to patrons as ‘you Arabs’ constitutes discrimination under B.C.’s Human Rights Code, ruling deems

Join Black Press Media and Do Some Good
Join Black Press Media and Do Some Good

Pay it Forward program supports local businesses in their community giving

Nanaimo children’s author and illustrator Lindsay Ford’s latest book is ‘Science Girl.’ (Photo courtesy Lindsay Ford)
B.C. children’s writer encourages girls to pursue the sciences in new book

Lindsay Ford is holding a virtual launch for latest book, ‘Science Girl’

Pig races at the 145th annual Chilliwack Fair on Aug. 12, 2017. Monday, March 1, 2021 is Pig Day. (Jenna Hauck/ Chilliwack Progress file)
Unofficial holidays: Here’s what people are celebrating for the week of Feb. 28 to March 6

Pig Day, Canadian Bacon Day and Grammar Day are all coming up this week

Most Read