Stationary house community

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Inpatient house communities are a special form of homes for the elderly and people in need of care.

They were created in Germany around the year 2000 and conceptually stand for the turning away from the institutionalized home and for the move towards the accompanied, everyday living space in the home. Of the just over 700,000 inpatient care places in Germany, an estimated 10,000 are in fully inpatient house communities. According to the structure proposed by the Kuratorium Deutsche Altershilfe (KDA), inpatient house communities are also referred to as “4. Generation of nursing home construction " in Germany.

A recent example are the KDA district houses. They enable a life in public and community and at the same time protect the right to privacy and self-determination.

Conception

The main idea of ​​stationary house communities is to enable their members to live a life in everyday life while at the same time providing security and security. Small family-like groups with 8 to 14 residents live in a fourth generation home. The aim is to organize the everyday life of permanently present caregivers together with the residents and, if necessary, the relatives. Everyday life is organized like a family household, classic care is only used when necessary. The explicit principle of equivalence between care, support, support and housekeeping is a difficult task for employees. A coherent personnel concept is therefore essential for the success of a house community.

"Presence employees" are employees who accompany the residents of a house community in their daily routine. You will take on management tasks which, for example, are carried out in home care by the caring relatives. You are responsible for housekeeping, care and, if necessary, for parts of the care.

Tasks of the presence staff

Decentralized food preparation is one of the most important tasks of the presence staff. The meals are prepared exclusively within the house communities and by their members. While in conventional inpatient facilities the residents can only choose from a given menu, these house communities can also plan their menu. Functional rooms with freezers, cabinets and the like are required for independent household management.

Forms of stationary house communities

  1. Solitary house community - A solitary house community is completely self-sufficient, without a spatial connection to other social institutions, but is often organizationally linked as a so-called "satellite" to a fully in-patient care facility.
  2. House communities as part of inpatient care facilities - In larger care facilities, occasionally only individual areas or floors of the house are occupied by house communities, while otherwise "traditional care" is used.
  3. House community complexes - House community complexes are homogeneous institutions that unite several house communities under one roof.

literature

  • Stefan Arend : A decade of house communities in Germany. In: FSO Info 3/2011, pp. 13-16.
  • Stefan Arend: Stationary house communities. In: Altenheim 10/2008, pp. 46–49.
  • Stefan Arend: House communities - From pilot experiment to standard supply. Hanover, Vincentz-Network 2005.
  • Stefan Arend: History and future of inpatient care. Historical and sociological aspects [...] In: Pflege Impuls. Trade journal for managers in nursing practice. No. 1/2003, pp. 2-6.
  • Stefan Arend: Manager of everyday life. In: Altenpflege 6/2003, pp. 27–30.
  • Stefan Arend: A new, important job description in inpatient care for the elderly: the presence staff. Link between care and housekeeping. In: bpa-magazin 03 + 04/2003, pp. 15-17.
  • Gunter Crößmann: House communities from the point of view of home supervision. In: pro ALTER 4/2001, pp. 16–19.
  • Hildegard Grothues: House communities - an alternative form of living and care for elderly people with dementia. Diploma thesis in the social gerontology course at the University of Dortmund. Ms., Dortmund 2000.
  • Gudrun Kaiser: From nursing home to house community - Recommendations for planning care facilities. Edited by the Kuratorium Deutsche Altershilfe. Cologne 2008 (Series Architecture and Gerontology Volume 5).
  • Margret Müller and Norbert Seidl: Living environment for people with dementia . Model project home-connected house community Wetter. Frankfurt am Main 2003.
  • Gerd Palm and Bernd Bogert: House communities . “One” way out of the wrong path for inpatient care. Marburg 2007.
  • Hans-Peter Winter, Rolf Gennrich, Peter Haß: House communities . Architecture and gerontology. Volume 2. Kuratorium Deutsche Altershilfe (KDA) (Ed.). Cologne 1999.
  • Hans-Peter Winter, Rolf Gennrich, Peter Haß. House communities: The fourth generation of nursing home construction . Volume 8. Kuratorium Deutsche Altershilfe (KDA) (Ed.). 2nd Edition. Cologne 2001.
  • Hans-Peter Winter, Rolf Gennrich, Peter Haß. KDA house communities: The fourth generation of nursing home construction . Documentation of 34 projects. Volume 9. Kuratorium Deutsche Altershilfe (KDA) (Ed.) Cologne 2002.
  • Peter Michell-Auli, Christine Sowinski. The 5th generation: KDA district houses . Approaches to realignment of old people's and nursing homes. Volume 6. Kuratorium Deutsche Altershilfe (KDA) (Ed.) Cologne 2013.
  • Werner Winkler: House communities . Experience with the Sankt Elisabeth project in the city of Bad Griesbach and comparison with other house communities in Germany. Cologne 2004 (KDA series presented vol. 70).