1. City of Helsinki Department of Social Services Kustaankartano Centre for Elderly

2. Kustaankartano Organisation 11.6.2007 Director Leena Pohjola Nutrition Centre Manager Marjut Huhtala Nutrition Centre Kustaankartano Restaurant Service Centre Manager Pirjo Tyllilä Service Centre Handicraft Centre Nursing Manager/ Director of Care Practices and Staff Walborg Ruohomaa Nursing home wards A, B2-3, C, D1, D2-3, E1-2, B1&E3 Staff Recruitment Substitute Staff IT and Studio Services Nursing Manager/ Director of Care Practices and Staff Maritta Haavisto Nursing home wards F1, F2-3, G1-2, G3, H1-2, H3 Kuntokartano L & M Day Care Services Therapy Units Maintenance Services Manager Tiina Vierimaa Cleaning Transportation Supplies Carpentry Administration and Finance Secretary Päivi Hälinen Administration Office Staff Information Desk Medical Services Nursing Consultant Quality Planner Innovation Programme

3. History and nursing home buildings Opened in 1953 At it’s most 830 placement At the moment 615 placement 10 bulding, 3 floors in each Single rooms, double rooms

4. Kustaankartano Centre for Elderly Nursing home –Short Term Care, Long Term Care Rehabilitation Day Care Service Centre

5. Residents Average age 83 years Over 90 years 25 % Under 60 years 2 % Women 77 %, men 23 % Average time of resindence 4-5 years Moderata or severe dementia 70 %

6. The nursing home staff Nursing staff ca. 350 Staff total ca. 500 Staff in Kuntokartano ca. 30 Nursting staff per resident 0,6 Staff on wards: –Registered nurses 25 % –Practical nurses 60 % –Nursing aides 15 %

7. Other members of Care Team –senior physician (2) + 1 outsourced physician –occupational therapist (2) –physical therapist (6) –physical instructor / lymphedema therapist (1) –physical therapy aide (1) –foot therapist (2) –social worker (1) –hospital priest (2) –laboratory worker (2) –instructor, handicraft (1,5) –activity instructors (2)

8. Vision Kustaankartano – a centre for innovation and knowledge in elderly care and gerontological nursing

9. Mission Statement By continuing development of gerontological nursing we ensure a good care and a safe and valuble life for our residents

10. Strategy Every employee is committed to act according to the ethical principles and quality hand book of Kustaankartano Management and the gerontological knowledge of the staff is systematically further developed. Technology is utilized in the care of elderly.

11. The Ethical Principles of Kustaankartano Individuality Functional Capacity Community Safety Good management and skills

12. Nursing Practices Primary Nursing Enhance Rehabilitation Progress Sustain physical ability Community Care Model

13. Quality Monitoring individual care plan care meeting interviews with residents and family members different forms of feed back from residents and staff continued monitoring RAI