Realtionship-based Elderly Health Care – Tubbemodellen

1. Realtionship-based Elderly Health Care– Tubbemodellen

5. Tjörn 15 675 inhabitants15 000 summer residents Sweden's 7th largest island 168 km21000 new homes 50 km to Gothenburg Part of the VästraGötaland region

7. Tubberödshus Tubberödshus is a retirement housing for 31 older people in need of assisted living. 26 working members is working in the organization, day, evening and night also is the restaurant included.

8. What is an Intraprenad? • A mode of operation within the municipality. • Staff still employed by the municipality. • Laws, policies apply as for municipal operations. • The operation funded by the municipality with its own budget • Deficit is regulated within its own budget.

9. Intraprenad – what was the purpose • Improved quality for residents • Participation, commitment, new ideas • Long-term economic thinking • Streamlined decision-making gives residents and staff • Great influence over the contents of the care

10. Tubbemodellen As long as you are in life, you should live. Inspired by the danish Tyra Franks

11. Organizational model • Municipal Chief • Social Chief • Elderly Chief • Magement team • Elderly members Pedagogical Aktivity Scheme/staff Purchase Budget

12. In our organizational model, our accommodations roles in various working groups. This means the opportunity to influence and be involved. The elderly is giving the organization knowledge and experience from there lives. Every day there is activity – to be sitting together is making bounds thicker.

13. Our residents contribute in our business: The host/hostess at study visits. Support person at e.g. bingo. Practical tasks: watering, set the table, feeding animals ...

14. The elderly have the opportunity to participate in the management/ board meeting if they wish.

15. What does that mean for our elderly A dignified life Involvement

16. Take advantage of the residents' knowledge and provide our organization value.Our residents feel that they are still needed and that their knowledge is requested.

17. The restaurant food councils every two months. This creates meal menus with the residents Every day the working members is sitting together whit the elderly at the meals

18. Tubbemodellen Tubberödshus be developed from the residents' needs. Continue living as before To feel needed. Knowing the community and be a part of a context. Open house

19. Accommodation perspective • Not feeling of living in a workplace • No work clothes. • Tired when evening comes. • Encourage participation in everyday activities,interests

20. Tubbemodellen Continue to live according to the tradition.Hen house, fish pond and cats.Own fruit, vegetable and berry bushes.Own kitchen with the residents involved - menus are common.Pub evening, readings, tours and entertainment. Animals, nature as a thread through operations

21. What does this mean for staff • Greater influence • Job content • Greater involvement • Increase • Responsibility

22. Tubbemoddellen changes traditional hirarkiska organization where top-down tradition is ordinarie Using employees' knowledge and therefore all resources in the organization Tubbemodellen Tradition organization

23. Success factors Homelike environmentRelationship-based care for the elderly Clear visions, goals and valuesStructureGroup organizationSmall adjustments and improvementsMeasurable activitySocial gatheringsGood foodBudget in balanceCreate willingness throughout the organization and accommodation Traditional organization -Operations are controlled from above by management Group organization -Self-governing groups with great responsibility and influence

24. Elderly Care on Tjörn • Clear elderly focus • We work with structure and order • Smaller workgroups and more understanding • Trust Policy • Joy and pride in caring care • To turn organization's pyramid through learning organization • Many study visits at other municipalities • Less administration / in favor of the individual

25. Elderly perspective

26. It will be good to live!