Housing in a long-term care centre (CHSLD)

CISSS de la Montérégie-Ouest

Our housing resources

The CISSS de la Montérégie-Ouest has 16 housing centres for people who are no longer able to live at home.

Public housing centres

Private housing centres

Housing costs

The type of housing depends of the person’s needs: Income has no bearing on the choice of living environment. However, an exemption is possible for people who cannot afford public housing.

The Régie de l’assurance maladie du Québec (RAMQ) administers the programs. There are other solutions available—feel free to ask our worker about them.

Healthcare professionals in housing centres

Professionals from various disciplines make up a multidisciplinary team that assesses the specific needs of each resident.
Team members include:

Doctor;
Occupational therapist;
Physical rehabilitation therapist;
Social worker;
Nutritionist;
Nurse;
Geriatric psychiatry consultant;
Palliative care consultant;
Respiratory therapist;
Recreational technician;
Specialized educator;
Spiritual care professional;
Dental hygienist;
Auxiliary nurse;
Patient attendant.

Intervention philosophy

The intervention philosophy considers the resident’s remaining autonomy, wishes, decisions, and plans. All actions taken by the multidisciplinary team are focused on the resident. For example, the team takes the resident’s past experiences and history into account in their interventions. This history is written down at admission, and the patient attendants and team members can easily refer to it as needed.

Multidisciplinary approach

A multidisciplinary approach is an ideal way to combine the expertise of the various professionals, identify relevant information about the resident, and develop an intervention plan that addresses all aspects of the person. This requires working as a multidisciplinary team and showing a willingness for dialogue and cooperation. Communication and information-sharing are the cornerstones of a high-quality living environment. The resident must be kept informed of everything that affects them and be involved in all decisions that concern them.

Interdisciplinary intervention plan (IIP)

An IIP must be done within 4-6 weeks of the resident’s admission. The IIP is revised once a year or as the need arises. During the process of developing the IIP, the resident and their representative are asked to join the multidisciplinary team in determining the resident’s needs.

General services

24/7 nursing care and assistance;
Regular medical follow-up and free pharmacy service for medications prescribed by a doctor;
Food service consisting of complete, balanced meals;
Housekeeping and laundry services;
Maintenance physiotherapy and occupational therapy services;
Nutrition assessment and monitoring;
Spiritual care service.

Entertainment/recreation and volunteer service

A number of different activities are organized to liven up the residents’ days; this is made possible by the hard work of volunteers, contract employees, and staff members. We offer a diverse program of activities (individual, and small and large groups), adapted to all types of users, which take place evenings and weekends. Family members and friends are welcome to participate.

Residents’ committee

The residents’ committee is a way for residents to participate in community life. The committee has a mission to:

inform residents about their rights and obligations;
promote improvements to quality of life and assess residents’ level of satisfaction with the services provided;
defend residents’ collective and individual rights;
support and assist a resident who wants to file a complaint.

Change in living environment

We have a responsibility and an obligation to make sure a resident’s living environment is as ideally suited to their condition as possible. For this reason, we could decide at any time to move residents to a new room or to a different unit at a long-term care centre within the CISSS de la Montétégie-Ouest, or even to refer them to another type of resource.

Day centres

The day centre activities take place at the long-term care centres. Their objective is to improve or maintain the autonomy of seniors living in the community and, in some cases, to slow the progression of a degenerative disease.

Therapeutic activities and assistance for adults with a loss of physical, psychological or social autonomy are available in the form of transportation services, meals, healthcare, physical rehabilitation and psychosocial support.

Collaboration avec les fondations reliées à la santé

Plusieurs fondations sont reliées aux centres d’hébergement du CISSS de la Montérégie-Ouest. Elles sont d’un grand apport pour notre CISSS et s’impliquent dans le quotidien des résidents tout comme dans les grands projets. À titre d’exemple, des fondations ont contribué à l’achat d’équipements médicaux, à des travaux de rénovation ou au financement d’activités dédiées à la clientèle hébergée.

Temporary housing

The temporary housing program is a support measure for people experiencing a loss of autonomy. Its objective is to keep them at home by providing caregivers with an appropriate level of support.

The care and services for a person with a loss of autonomy are provided on a temporary basis, for a predetermined period of time. At the end of their stay, the person goes home.

The person or their family can access the temporary housing program for reasons related to respite care, a breakdown in their support network, recovery from a minor injury or procedure, or the need for protection.

For more information, visit Home care - People with a loss of autonomy.

Long-term care units for users with behavioural and psychological symptoms of dementia (BPSD)

The management of users with severe cognitive impairment due to Alzheimer’s disease and other related diseases is a major challenge, especially when they present with behavioural and psychological symptoms of dementia (BPSD). Given the aging population, the creation of special units in long-term care centres addresses the need for an accessible continuum of services for these users.

The main objectives of BPSD units are to:

ensure a continuum of permanent housing services for users with BPSD who cannot be kept in “regular” units without significantly disturbing the peace or threatening the safety of the other residents;
provide a safe living environment adapted to the users’ needs, to promote autonomy and the prevention/management of BPSDs;
decrease the number of users in short-term care beds and help to relieve hospital overcrowding;
give the BPSDs time to stabilize in the hope the user will be able to return to a “regular” unit at a long-term care centre;
give staff a workplace that’s better equipped for dealing with the behavioural issues of certain residents;
provide an alternative solution in the event a user’s behavioural issues are incompatible with a regular long-term care unit.