| Dimension 1 |
Central focus on residents, families and communities |
| 1 Access without excluding differentiations |
a) The unit accepts to receive an old person with a mental disorder; b) The unit accepts to receive older refugees / immigrants; c) The unit accepts to receive an old person with a history of homelessness; d) The unit accepts to receive old people from indigenous communities or from traditional communities (example: quilombola, gypsies, riverside dwellers); e) The unit accepts to receive old people with physical, sensory or intellectual disabilities; f) The unit accepts to receive Transvestite, Transsexual, Transgender old people. |
{(number of affirmative variables/6)*100} |
The bigger the better |
| 2 Presence of coordinator at the facility |
a) LTCF has a higher education coordinator/technician responsible, with a minimum workload of 20 hours, with a formal bond to coordinate the unit, according to RDC 283/2005; b) LTCF has a coordinator/technician responsible for the unit. |
{(number of affirmative variables/2)*100} |
The bigger the better |
| 3 Valuing the team of professionals |
a) Number of professionals with a working relationship with the facility [private sector employee, outsourced, press/cooperative/service provider worker, statutory servant or public employee]; b) Number of professionals with and without working bond with the facility. |
{(a/b)*100} |
The bigger the better |
| 4 Attention to the family of the old person |
a) Performs psychosocial care of the families of the people receiving care (family guidance); b) Promotes meetings with groups of users' families; c) Promotes family contact and participation in the user's life. |
{(number of affirmative variables/3 )*100} |
The bigger the better |
| Dimension 2 |
Human Resources |
| 5 - Ratio of caregivers per old person |
Number of caregivers with a workload of 40 hours per week or more; b) Number of old people residents. |
{(a/b)} |
RDC nº 283/2005 establishes, at least, a caregiver with 40 hours per week for a group of 20 old people. Best result ≥0.05 |
| 6- Low turnover of professionals |
a) Number of professionals who work at the facility for 1 year or more; b) Total number of professionals working at the facility. |
{(a/b)*100} |
The bigger the better |
| 7 - Permanent education |
a) Existence of lectures, workshops, training and qualification of workers in the unit; b) Existence of training in the field of geriatrics (Aging or Rights and care for old people). |
{(number of affirmative variables/2)*100} |
The bigger the better |
| Dimension 3 |
Family Involvement |
| 8 Favoring the Family Bond |
a) The unit promotes coexistence services and strengthens bonds for the old people and their families (weight 0: no; weight 1: yes); b) The unit welcomes users with family ties (weight 0: no; weight 1: yes); c) LTCF visits are permitted (weight 0: no; weight 1: only on specific dates; weight 2: monthly, biweekly and 1 to 2 days or 3 to 6 days a week; weight 3: daily). |
{(Sum of variables a, b and c weights/5)*100} |
The bigger the better |
| Dimension 4 |
Individualized care |
| 9 Socialization |
a) LTCF promotes activities with the participation of the community; b) Accompanies the old person to retrieve documents; c) Carries out tours with users; d) Promotes the participation of the people received in services, projects or activities existing in the community. |
{(number of affirmative variables/4)*100} |
The bigger the better |
| 10 Health care management |
a) Use of Individual Service Plan; b) Use of medical records in the unit; c) Makes technical reports of the cases being monitored; d) Conducts case discussions with other network professionals. |
{(number of affirmative variables/4)*100} |
The bigger the better |
| 11 Multiprofessional team in the health area. |
a) Presence of a psychologist for psychosocial care (individual or group in the unit); 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. |
{(number of affirmative variables/5)*100} |
The bigger the better |
| Dimension 5 |
Environment |
| 12 Professionals for leisure activities |
a) Number of higher education professionals for leisure activities (educator / occupational therapist); b) Number of old people residents. |
{(Number of professionals for leisure activity for 12 hours per week / number of old people residents)} |
RDC nº 283/2005 establishes, at least, a professional of 12 hours per week for physical, recreational and cultural activities for a group of 40 old people. Best result: ≥0.025. |
| 13 Physical structure |
a) Existence of dormitories for a maximum of 4 people; |
{(number of affirmative variables/9)*100} |
The bigger the better |
| b) Existence of bathrooms in the same number as bedrooms; |
| c) Existence of an external recreation area; |
| d) Existence of kitchen for food preparation, with or without pantry; |
| e) Existence of a laundry room; |
| f) Existence of a cafeteria/dining room; |
| g) Existence of a living room; |
| h) Existence of an administration room or meeting room; |
| 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 according to ABNT; |
{(number of affirmative variables/9)*100} |
The bigger the better |
| b) Main access adapted with ramps and the existence of an accessible route from the sidewalk to the interior of the unit; |
| c) Bathrooms adapted for people with disabilities or reduced mobility; |
| d) Bathrooms adapted for people with disabilities or reduced mobility according to ABNT; |
| e) Accessible route to the bathroom; |
| f) Accessible route to the bathroom according to ABNT; |
| g) Accessible route to dormitories and spaces for collective use; |
| h) Accessible route to dormitories and spaces for collective use according to ABNT; |
| i) Equipment/Furniture/materials suitable for people with disabilities or dependence (Assistive Technologies). |
| Dimension 6 |
Housing |
| 15 Existence of materials and equipment that encourage culture. |
a) Presence of bibliographic collection; b) Presence of educational and cultural materials; c) Presence of sporting goods; d) Presence of educational and hobby games; e) Presence of television. |
{(Number of variables with affirmative answers/5)*100} |
The bigger the better |
| 16 Social profile of the facility |
a) Presence of an agreement or term of partnership with the government; b) The facility is of a governmental nature; c) The facility is registered with the Council for the Rights of Old People; d) The facility receives a provision from a public entity for physical structure, HR, equipment/materials or transportation; e) Presence of old people with Continued Benefit at the facility (disabled or not). |
{(Number of variables with affirmative answers/5)*100} |
The bigger the better |
| 17 Occupancy rate |
a) Number of people admitted to the unit; b) Maximum service capacity. |
{(a/b)*100} |
≤100% |
| Dimension 7 |
Communication |
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| 18 Openness to dialogue. |
a) The unit organizes or promotes discussions with the old people about the unit's routines; b) The unit holds meetings with family members of the old people. |
{(Number of variables with affirmative answers/2)*100} |
The bigger the better |
