About Long Term Care

Placement in Long Term Care - Where to start

  1. Family Physician A visit to the family physician may be a good place to start. He or she can help determine the best care environment based on the person's care needs. 
  2. Local Health Integration Network (LHIN) (formerly CCAC) To find out about the community services and long term care homes in your area, the place to begin is with your local Local Health Integration Network (LHIN) formerly known as Community Care Access Centre (CCAC). Each LHIN region has an office to support the local residents.  Our region includes Waterloo region and Wellington County, including Guelph. 

    The LHIN arrange for health and personal support services to be provided in peoples' homes and determine eligibility and arrange admissions to long term care homes. The LHIN also provides information and referrals to other community services including supportive housing, meals-on-wheels, friendly visiting, transportation services, adult day programs and caregiver respite programs.

    LHIN staff are trained to assess each individual's requirements and determine the eligibility of persons to receive assistance for the services that CCACs can offer.

    LHIN staff also assists with admission application to a Long Term Care Home; when help in the community is no longer adequate, care in a long term care home is usually the next step.

    Visit LHIN Website
Long Term Care Admission Checklist

List of questions to consider when visiting homes:

  • What group governs the home? Is it operated on a not-for-profit or for-profit basis? What is its Mission Statement? 
  • Is it convenient for family and friends to visit? 
  • Is there a welcoming atmosphere when I enter the building? 
  • Do residents appear well groomed and appropriately dressed? 
  • How do I see staff reacting toward residents and amongst themselves? Do they appear to know residents' names? 
  • Is the home clean? Is it free of offensive odours? 
  • Are resident rooms well appointed? Is furniture in good repair? Is a call bell - or some communication device or system - within easy reach? What personal belongings may the resident bring? 
  • Is there privacy in the resident's room? Are areas provided in the home for private visits with residents? 
  • Visit during a meal time. Check the menus and the choices provided. Is the dining area clean and inviting? Do the meals look appetizing? Are special diets provided? Is a dietitian involved with meal planning and assessment of residents? Are family members or friends able to have an occasional meal with the resident? 
  • Is there a special secured area for the safety of residents who might wander away? Is there special programming provided in that area? Are those residents included in activities with the rest of the residents? 
  • How is the community involved with the home? Is there an Auxiliary and/or volunteer group? 
  • Are there any restrictions about visiting? 
  • What activities are provided for the residents? Are there provisions for services to improve mobility rehabilitation? Are there activities away from the home in which the residents may participate? 
  • Is there at least one Registered Nurse on duty at all times? What other staff are employed in the home? 
  • Who are physicians attending the home? How often do they visit? 
  • Are safe outdoor areas easily available to residents?


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Source: Ontario Association of Non-Profit Homes and Services for Seniors 



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