Dimension 1 - Central focus on residents, family members, employees and community |
1. Access without exclusive differentiations |
a) The unit accepts older people with mental disorders; |
{(Number of variables with affirmative answers/6)*100} - I: 0 to 33% - ID: 50 to 68% - D: 80 to 100% |
b) The unit accepts older refugees/immigrants; |
c) The unit accepts older people with a history of homelessness; |
d) The unit accepts older people from indigenous or traditional communities (example: quilombola, gypsies, riverside people); |
e) The unit accepts older people with physical, sensory or intellectual disabilities; |
f) The unit accepts older transvestites, transsexuals, transgenders. |
2. Presence of Coordinator at the institution |
a) The LTIE has a coordinator/technical manager with a higher level, with a minimum workload of 20 hours, with a formal link to coordinate the unit, according to legislation; |
{(Number of variables with affirmative answers/2)*100} - I: 0% (Non-coord.) - ID: 50% (Coord., but it does not comply with the law) - D: 100% (Coord. according to law) |
b) The LTIE has a coordinator/technician in charge at the unit. |
3. Valuing the professional team |
a) Number of professionals with an employment relationship with the institution [private sector employee, outsourced, press worker/cooperative/service provider, statutory employee or public employee; |
{(a/b)*100} - I: 0 to 33% - ID: 33.01 to 66% - D: 66 to 100%. |
b) Number of professionals working in the institution. |
4. Care for the older person’s family |
a) Provides psychosocial assistance to the families of the people sheltered (family orientation); |
{(Number of variables with affirmative answers/3)*100} - I: 0 to 33% - ID: 33.01 to 66% - D: 66 to 100% |
b) Promotes meetings with groups of families of the older people; |
c) Promotes contact and participation of the family in the life of the older person. |
Dimension 2 - Human Resources |
5. Ratio of caregivers per older person |
a) Number of caregivers with a workload of 40 hours a week or more than 40 hours a week. |
{(a/b*100} - I: <0.025 - ID: between 0.025 and 0.049% - D: ≥0.05% |
b) Number of older residents. |
6. Low turnover of professionals |
a) Number of professionals working at the institution for 1 (one) year or more; |
{(a/b)*100} - I: <50% - ID: between 50% and 86% - D: >86% |
b) Total number of professionals working at the institution. |
7. Permanent Training |
a) Existence of lectures, workshops, training and qualification of workers in the unit; |
{(Number of affirmative variables/2)*100} - I: 0% - ID: 50% - D: 100% |
b) Existence of training in the area of geriatrics (Aging or Rights and care for older people). |
Dimension 3 - Family Involvement |
8. Favoring Family Bond |
a) The unit promotes coexistence and bonding services for the older people and their families (0: no; 1 yes); |
{(Sum of the variables codes a, b, c/5)*100} - I: 20 to 30% - ID: 40 to 60% - D: 80 to 100% |
b) The unit welcomes users with family ties (0: no; 1 yes) |
c) Visits are allowed in the LTIE (0: no; 1: only on some specific dates; 2: monthly and 1 to 2 days a week; 3: daily) |
Dimension 4 - Individualized Care |
9. Socialization |
a) The LTIE promotes activities with community participation; |
{(Number of variables with affirmative answers/4)*100} - I: 0 to 25% - ID: 50 to 75% - D: 100% |
b) Accompanies the older person to collect documents; |
c) Conducts tours with users; |
d) Promotes the participation of people welcomed in existing services, projects or activities in the community. |
10. Health care management |
a) Use of Individual Care Plan; |
{(Number of variables with affirmative answers/4)*100} - I: 0 to 25% - ID: 50 to 75% - D: 100% |
b) Use of medical records in the unit; |
c) Produces technical reports of cases under follow-up; |
d) Discusses cases with other professionals in the network. |
11. Multiprofessional team in the health area |
a) Presence of a psychologist for psychosocial care (individual or in groups at the unit); |
{(Number of variables with affirmative answers/5)*100} - I: 0 to 20% - ID: 40 to 60% - D: 80 to 100% |
b) Presence of a nurse in the unit; |
c) Presence of a nutritionist in the unit; d) Presence of a physiotherapist in the unit; e) Presence of a doctor in the unit. |
12. Professionals for leisure activities |
a) Number of higher-level professionals for leisure activities (occupational educator/therapist); |
{(Number of professionals for leisure activities 12 hours a week/number of older residents)} - I: 0 - ED: <0.025≠0 - D: ≥0.025 |
b) Number of older residents. |
Dimension 5 - Environment |
13. Adequate physical structure |
a) Existence of dormitories for a maximum of 3 older people; |
{(Number of variables with affirmative answers/9)*100} - I: 0 to 33% - ID: 44 to 67% - D: 78 to 100% |
b) Existence of bathrooms in the same number as bedrooms; |
c) Existence of an external recreation area; |
d) Existence of kitchen, with or without pantry; |
e) Existence of laundry; |
f) Existence of a cafeteria/dining room; |
g) Existence of living room, for coexistence; |
h) Existence of an administration room or meeting rooms |
i) Existence of room for collective activities. |
14. Accessibility |
a) Main access adapted with ramps and the existence of an accessible route from the sidewalk to the interior of the unit; |
{(Number of variables with affirmative answers/9)*100} - I: 0 to 33% - ID: 44 to 67% - D: 78 to 100% |
b) Bathrooms adapted for people with reduced mobility; |
c) Route accessible to the bathroom; |
d) Route accessible to dormitories and spaces for collective use; |
e) Equipment Furniture/materials suitable for PwD or dependency (Assistive Technologies); |
f) Main access adapted with ramps and the existence of an accessible route from the sidewalk to the interior of the unit, as per regulation; |
g) Bathrooms adapted for PwD, according to regulation; |
h) Route accessible to the bathroom, according to regulation; |
i) Route accessible to dormitories and spaces for collective use, according to specific regulation. |
Dimension 6 - Housing |
15. Existence of materials for culture and leisure |
a) Presence of a bibliographic collection; |
{(Number of variables with affirmative answers/5)*100} - I: 0 to 20% - ID: 40 to 60% - D: 80 to 100% |
b) Presence of educational and cultural materials; |
c) Presence of sports equipment; |
d) Presence of educational and pastime games; |
e) Presence of television; |
16. Institution’s social profile |
a) Presence of an agreement or partnership with the public authorities; |
{(Number of variables with affirmative answers/4)*100} - I: 0 to 25% - ID: 50 to 75% - D: 100% |
b) The institution is of a governmental nature; |
c) The institution is registered with the council for the rights of the older people; |
d) Presence of older people with the Benefit of Continued Benefit in the institution (disabled or not). |
17. Occupancy rate |
a) Number of people accommodated in the unit; |
{(Number of older residents in the LTIE/maximum capacity of the LTIE)*100} - I: >100% - ID: <85% - D: 85 to 100% |
b) Maximum service capacity. |
Dimension 7 - Communication |
18. Openness to dialogue |
a) The unit organizes or promotes discussions with the older people about the routines of the unit; b) The unit holds meetings with Family members of the older people. |
{(Number of variables with affirmative answers/2)*100} - I: 0% - ID: 50% - D: 100% |