McCormick Dementia Services – Caregiver’s Corner – On-site

ON-SITE DAY PROGRAM

Helpful Information

McCormick Day Program’s Modified Reopening

McCormick Day Program has gradually reopened to on-site clients during the COVID-19 pandemic. The day program is following guidelines from the London-Middlesex Health Unit to ensure staff, client and community safety. Our goal is to have all of our clients return to the day program for one day every other week before offering any spots to clients who are on our waitlist.

Our current business hours are Monday through Friday from 8:30 a.m. to 4:30 p.m. We can be reached by phoning: 519-439-9336.

At this time, we continue to offer many of the scheduled supports and education programs that you are familiar with, but these are now facilitated online using Zoom. These groups are live and interactive with staff and other participants. These include social work facilitated support groups, enhanced education series, and recreational programming. We encourage our clients and caregivers to consider accessing these services, if possible.

Our staff are available to assist any clients and caregivers who are new to using Zoom and other technology. Please contact Becky at 519-439-9336, ext. 2391 for assistance.

If you would like to submit any feedback or concerns, please contact our director, Karen Johnson.

Clients are contacted by social work staff to offer a day program spot.
It is unlikely that the day offered will be the same as when the client attended prior to our closure.
At this time, clients attend on a scheduled day every other week (NOT weekly).
Arrival time: 9:30 a.m.*
*clients can arrive later than 9:30 if necessary, but no earlier.
Pick-up time: 3:00 p.m.*
*clients can be picked up earlier than 3:00, but no later.

Day Before:
The day a client is scheduled to attend, our RPN will phone to conduct a pre-screening questionnaire.

Arriving on-site:
Once clients arrive on-site, clients and caregivers must remain in their car for the secondary screening process to take place. If you feel as though you are waiting an extended period, please phone our reception (519-439-9936).  This limits the number of people in our lobby and potential for increased exposure. Staff will be outside to direct traffic. Screening, including a temperature check, will take place in the caregiver’s car.

Caregivers must remain in their vehicle for five minutes after the client has entered the building in case staff discover the client has symptoms of illness. Caregivers are asked to wear a mask at all times onsite; however, masks are not required for clients.

Clients are monitored for symptoms throughout the day, including temperature checks, at noon and on departure from the program.

If a client develops symptoms of illness during their on-site visit, the emergency contact/primary caregiver will be contacted to pick up the client.

The client will be immediately isolated from other clients until their ride arrives and continued cleaning of the area will be performed.

Caregivers will be instructed to go home, self-isolate and contact their primary health care provider or public health unit to discuss symptoms and need for testing. The nursing care manager will contact the public health unit to notify them of a potential case and seek further direction, including the need to identify other clients who may have been in close contact. The health unit will provide further direction, including the need to isolate and be tested or not.

If a symptomatic client’s test results are negative for COVID-19, proof must be provided to the RPN or social worker. If the client is still presenting symptoms, the client will be denied access to the day program for five days after the symptoms have resolved.

Clients who have tested positive for COVID-19 will be excluded from the day program for 14 days after symptoms have resolved and clearance has been received from the public health unit.

The nursing care manager will be in contact with the public health unit of the confirmed positive case. The public health unit will provide specific advice on what control measures should be implemented to prevent the potential spread and how to monitor other clients and staff who may have come in contact with the infected person.

Once inside the program area, clients are escorted to an assigned programming room for the day. We have four separate programming rooms. Currently we have two clients in each room with one staff.  Additionally, with staff supervision, clients can enjoy our secured garden space. Physical distancing rules apply when outdoors as well.

Clients engage in person-centred recreational programs until lunch. Programming varies but may include art, crafts, music, word puzzles, trivia, exercises, physical games, table games, Montessori activities, helping tasks and access to digital programming.

Recreational programming continues in the afternoon until the program ends at 3:00 p.m.

Upon arrival clients are offered cookies and decaffeinated coffee or tea.

Lunch is served at noon by our nursing team. Temperature checks are performed at this time as well. Modified textures (regular, minced, soft, puree) and fluids (regular, thickened) are available.

Our nursing team  is available at all times to provide any level of personal care assistance required (from supervision in the washroom to full mechanical lift for transfers and product changes).

Our nursing staff pride in ensuring clients receive additional grooming attention while on-site. This may include having their finger nails cleaned, trimmed and polished (if interested), their hair brushed and potentially styled, and men’s faces cleanly shaved. Personal care products, including nail trimmers are labelled to avoid cross-contamination.

At this time additional services like foot care, baths, showers and the hair salon are not available.

Staff PPE requirements
During personal care, all nursing staff will be wearing full PPE to help protect clients and staff. PPE will be fully changed between each client. PPE consists of gloves, gowns, face shields or goggles and surgical masks.

During programming, recreation staff will wear a face shield or goggles and a surgical mask at

all times. When the two-metre physical distancing cannot be maintained, then recreation staff must wear a gown as well.

Clients are not required to wear masks, but are welcome to if they choose. Proper hand hygiene is required.

The day program space is cleaned at minimum three times in a six-to eight-hour visit, including before the client arrives, while the client is present and when the client leaves the day program.
These areas include, but are not limited to, high touch points such as light switches, table tops, chairs, railings, washrooms and program materials.
All staff are trained in Infection Prevention and Control (IPAC) and will be responsible for keeping the day program clean.

Fogging Machine
As an additional cleaning measure, the day program has purchased a fogging machine, which is a proven disinfecting agent for airborne bacterial, fungal and viral pathogens. The fogging machine is used indoors prior to clients arriving. Staff also use the fogging machine on themselves when moving from program areas to staff rooms or office areas.
To learn more about the fogging machine, visit the Environize website.

Day Program fees are $11 per day to attend the day program on-site. This includes snacks and lunch.
Please contact Shelley (519-439-9336) for any billing concerns.

At this time, all caregivers are responsible for transporting the client to the day program. This allows for the caregiver to assist in the screening protocol when the client may not be able to answer the questions for themselves. Additionally, if a client does not pass the screening protocol the caregiver is available to receive advice for next steps.

If a caregiver is unable to transport the client to the day program, transit through the Boys and Girls Club of London can be arranged. The caregiver must ride on the bus with the client to the day program. The caregiver does not have to ride home with the client at the end of the day, however.

To report all absences at any time, please all our main telephone line 519-439-9336. Please leave a detailed message if our staff are unable to answer your call.

Day Program fees are still charged in the event of an absence.

If you would like to discuss discharging from the day program, please speak with your social worker.

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