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Promising Practices in Dining

Dignified Dining Tools and Resources

 
 Photo of Teresian House in Albany, NY
Click here to view a case study of this transformed home.




DINING RESEARCH AND
RELEVANT FINDINGS


REGULATORY TOOLS


IMPLEMENTATION STRATEGIES


DINING POLICIES
AND PROCEDURES


DINING IMPLEMENTATION CHECKLISTS


COSTS ASSOCIATED WITH DINING


Dining Research and Relevant Findings
Regulatory Tools
DINING RELATED CMS SURVEY AND CERTIFICATION LETTERS
THE CMS TRADITIONAL SURVEY TOOLS
THE CMS QIS SURVEY TOOLS
CMS SURVEYOR PROCEDURES AND INVESTIGATIVE PROTOCOLS:
F - 241 Dignity Procedures: §483.15(a) F - 242 Self- Determination and Participation Procedures: §483.15(b) 1F - 246 Accommodation of Need Procedures: §483.15(e)(1) 1F - 252 Safe, Clean and Homelike Environment Procedures: 483.15(h)(1) 1F - 371 Sanitary Conditions Investigative Protocol.

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Dining Implementation Strategies

The package includes identification of critical elements, Decision Making Tools and Sample Action Plans for each. An exciting collaborative effort between CMS Region IX, the California State survey agency, the California Association of Health Facilities and the California Culture Change Coalition (CCCC) began in 2007. The CCCC presented a proposal for the project to the CMS Regional Office and the State agency. Both agreed to participate and offered letters of support, staff contacts and written responses to practice?related questions. Eleven nursing homes voluntarily agreed to explore one of three new practices that would expand dining choices for the people living in their facilities: restaurant style, buffet style, and an expanded snack program. The project began in January 2008 with an orientation for participating facilities and concluded in October 2008. The experiences of these providers including their "lessons learned" were collected and made into the Person-Directed Dining Package

This DVD highlights four providers who have transformed their dining services and includes state surveyor perspective. The training DVD is designed for user friendliness. When it is inserted a Main Menu appears on the screen displaying two options:
  1. Play All plays the entire program from the opening montage through the conclusion.
  2. Chapters plays 12 individual segments of the program (from "Before the Change: Is this the Army?" to "Conclusions") and returns to the Chapters menu after each segment is completed. The total running time of the DVD is 56:55 minutes.
The cost of purchase is $20 and may be ordered from the Making Oregon Vital for Elders

Learn about the innovative dining possibilities that can be options for all types of nursing homes regardless of where they are in the Culture Change process: Traditional, Transformational or Neighborhood. Written by Linda Bump, former administrator of Bigfork Communities in Bigfork, Minnesota and of Meadowlark Hills in Manhattan, Kansas, Registered Dietitian and Master of Public Health, this workbook is divided into three sections. Different dining styles and the facilities that have implemented them are featured throughout the book.

Beginning with the small steps the Traditional Home can take to begin to build the relationships and community that will support Culture Change, all the way through the systemic changes that need to take place to truly create Home, "Life Happens in the Kitchen" is full of practical advice, specific ideas, recipes, and photos that will help you on you way to providing a quality dining experience.

Perhaps the most consequential, profound and essentially basic change to be made in nursing home culture is in the area of dining. From sharing recipes, to resident refrigerator rights, to household kitchens open 24/7, organizations across the country have been using dining innovations to bring choice to residents and make the kitchen the heart of their home. More than twenty facilities from California to Maryland are represented in this comprehensive look into methods of transforming the dining experience.

The DVD focuses on increasing resident choice, accessibility and pleasure in dining across all four stages of nursing home transformation. Even if you are just beginning to dip your toes into culture change, the dining process is a great place to start. Small changes can have a big impact on your residents' autonomy and quality of life.


The kit also includes three copies of a booklet of the same name. This 24 page, full-color
magazine-style publication is perfect for introducing staff, families, residents or anyone to the concepts of dining in the transforming home. Using stories, photos and even recipes, this collection of articles highlights the dining achievements of nursing homes across the country while sharing practical information about bringing similar changes to your own organization.


The "deluxe" version of the kit also includes a copy of our workbook Life Happens in the Kitchen, the definitive work on dining in the household model. Buy it as a part of the kit and save $15!


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Dining Policies and Procedures


Dining Implementation Checklist


Costs Associated with Dining
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