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Community Care Peterborough partners with Peterborough Regional Health Centre (PRHC) and Central East Local Health Integration Network’s Home and Community Care to support the safe and timely discharge of patients who face barriers to a smooth transition from hospital to home.
Home At Last is a service that assists adults who are aging, frail, or have special needs, and may benefit from settlement and transportation support on the day they are discharged from hospital.
A Community Care Peterborough Personal Support Worker (PSW) may assist by accompanying the individual home from the hospital, picking up medications and/or groceries, preparing a light meal, and providing personal care or homemaking services. Transportation home is provided by the PSW or may be arranged with an accessible vehicle. There is a follow-up phone call to check on well-being and make referrals to other services.
Home At Last is a free service. Settlements may be arranged while the individual is in hospital or in advance for a planned hospital stay. Ask at your PRHC nursing station for a referral.
Settlements can be arranged Monday-Friday, 9:00 a.m.-4:00 p.m., excluding statutory holidays.
For more information, contact Paula Fontaine, Personal Support Services Coordinator at 705-872-6850 or firstname.lastname@example.org
Home First is an initiative that promotes safe and timely care, services, and supports to meet the needs of patients and their families in the most appropriate setting. This approach enables all patients - particularly seniors - to return to their home from hospital safely and to remain at home, preventing a hospital re-admission.
Community Care Peterborough’s Enhanced Care Coordinator works as part of an interdisciplinary team at PRHC. The Coordinator collaborates with PRHC and Home and Community Care staff to develop individualized care plans for patients and their families to optimize well-being in support of safe and timely discharge from hospital.
Patients who are assessed by the Enhanced Care Coordinator may be eligible to receive short-term assistance with services such as meals, transportation, respite, personal distress alarms, and the purchase or rental of mobility equipment.
Referrals to Home First are made through Central East LHIN Home and Community Care.
For more information, contact Alex Rawek, Enhanced Care Coordinator at 705-743-2121 extension 2822.