Design scheme of community home care service for the aged

# Planning # Introduction In recent years, the aging problem in China has become a concern of the society and many families, so more and more measures have been taken to improve the problems of employees. The following is the design scheme of community home care service compiled by KaoNet. Welcome to read!

The first design scheme of community home care service for the aged

Community home-based care for the aged is a socialized service with family as the core, community as the support, professional service as the main service form, government actively leading, widely mobilizing social forces, making full use of community resources and providing care for home-based care for the aged. I. Guiding ideology

Guided by the Party's important thought of xxx and the spirit of xxx, we should conscientiously implement the xxx Scientific Outlook on Development, aim at meeting the growing material and spiritual and cultural needs of the elderly in our street, focus on protecting the elderly (over 80 years old) and special elderly groups (including scattered "three noes" elderly people, low-income elderly people and elderly people with special care, the same below), adhere to the reform and development direction of social welfare undertakings, and actively build a social welfare security system led by the government and with social participation. Introduce social resources, encourage competition in the aged care service market, provide thoughtful, convenient, efficient and thoughtful professional services for the elderly, continuously improve the overall level of social welfare services in our street, and promote the healthy development of aged care services in our street.

Second, the working principle

The implementation of community home care services should follow the following principles:

(a) adhere to the principle of combining government leadership with the participation of social forces.

(2) Adhere to the principle of combining government purchase of services with market-oriented operation.

(three) adhere to the principle of focusing on the protection of the elderly and special elderly groups, and then gradually benefit all the elderly.

Third, the service object and content

The community home care service in our street provides diversified services for the elderly over 60 years old with Songgang household registration.

According to the actual situation of the elderly, home care services can be divided into free services, low compensation services and paid services. The object of free service is the "three noes" elderly with Songgang household registration; The object of low compensation service is the elderly with Songgang household registration and the special group of the elderly; The object of paid services is the elderly or community residents who have financial resources and need home-based care services.

Community home care service carrier diversification. The government cultivates and develops community NGOs by purchasing services. As one of the important carriers of community home care services, it provides public welfare and welfare community services for the elderly or community residents in need.

The characteristics of community home-based care for the aged are "community-based, oriented to the elderly and professional service". Services mainly include: life care, domestic service, rehabilitation service, day care service, psychological consultation, spiritual comfort and hospice care.

Iv. subsidy objects and standards

For the elderly and special groups with Songgang household registration, the government implements monetary subsidies for home care services. The conditions and standards for enjoying subsidies are as follows:

(a) the elderly who are 60 years old and above and cannot take care of themselves (nursing, the same below) shall be subsidized according to the standard of xxx yuan/month per capita.

(two) the elderly over the age of 60 who are not subsistence allowances but cannot take care of themselves (nursing) shall be subsidized according to the standard of xxx yuan per month.

(III) The "three noes" elderly, low-income elderly and special care elderly over 60 years old (that is, the special care recipients who enjoy regular subsidies, including "five old people") are subsidized according to the standard of xxx yuan per month.

(four) the elderly over the age of 80, according to the standard of xxx yuan per month to give subsidies.

The above standards are high or low, and there is no double calculation. Service subsidies can only be used to buy home-based care services, and may not be used to pay for medicines or buy other commodities.

V. Application procedures and approval procedures for service subsidies

(1) application procedure.

Meet the above conditions of the elderly or their relatives and friends, to the domicile of the community workstation (no community workstation, by the neighborhood committee, the same below) to apply for home care service subsidies, and submit the following materials:

1, submitted by the elderly over 60 years old who enjoy the minimum living allowance and cannot take care of themselves.

(1)XXX community home care service subsidy approval form.

(2) Copy of XXX Residents' Minimum Living Security Certificate (with the original attached for future reference).

(3) the diagnosis certificate provided by the directly affiliated hospital 3)xxx, district and street.

(4) A copy of the applicant's ID card and household registration book (with the original attached for future reference).

2, more than 60 years old, non subsistence allowances, but life can not take care of themselves (nursing) for the elderly.

(1)XXX community home care service subsidy approval form.

(2) The diagnosis certificate provided by the directly affiliated hospital; 2)xxx, district and street.

(3) A copy of the applicant's ID card and household registration book (with the original attached for future reference).

3. Submitted by the "three noes" elderly over 60 years old who are supported by dispersion.

(1)XXX community home care service subsidy approval form.

(two) five guarantees certificate.

(3) A copy of the applicant's ID card and household registration book (with the original attached for future reference).

4, 60 years old and above to enjoy the minimum living allowance submitted by the elderly.

(1)XXX community home care service subsidy approval form.

(2) Copy of XXX Residents' Minimum Living Security Certificate (with the original attached for future reference).

(3) A copy of the applicant's ID card and household registration book (with the original attached for future reference).

5, 60 years old and above key entitled groups submitted by the elderly.

(1)XXX community home care service subsidy approval form.

(2) a copy of the certificate of key entitled groups (with the original for future reference).

(3) A copy of the applicant's ID card and household registration book (with the original attached for future reference).

Submitted by the elderly over 6.80 years old.

(1)XXX community home care service subsidy approval form.

(2) A copy of the applicant's ID card and household registration book (with the original attached for future reference).

The above submitted materials are all A4 paper specifications, which are true and reliable, and are audited and stamped by the community workstation.

(2) examination and approval procedures.

1, preliminary examination of community workstation. After receiving the relevant application, the community workstation shall accept all the application materials and complete the preliminary examination (including the publicity time) within 10 working days. The materials provided by the applicant can be verified in the form of household surveys and neighborhood visits, and the applicant shall cooperate. The community workstation shall post the relevant information of the applicant and accept supervision. After verification, the community workstation will report it to the street social affairs office.

2, street social affairs office audit. The street social affairs office shall review the applicant's situation and review it within 5 working days. To disagree with the subsidy, explain the reasons in writing.

Organization and mode of intransitive verb service

(1) Service organizations: community non-governmental organizations registered by the civil affairs departments.

(II) Confirmation of service institutions: The sub-district office selects 1-3 qualified institutions as community home care service institutions.

(3) Service mode: customers choose their own service institutions among these institutions. In case of disputes, the parties can choose their own solutions, such as settlement through coordination between the two parties, or applying to an arbitration institution with jurisdiction for arbitration, or bringing a lawsuit to a people's court.

Seven. Appropriation methods and funding channels

(1) payment method. Audited eligible recipients, the street social affairs office will send the service record book and service consumption card to me, and send the working time record table to the service organization. According to the service time and payable amount recorded in the service record book and man-hour record table, within the amount of subsidy funds, the subsidy funds will be allocated to the service institutions every quarter. If the amount of subsidy funds is not used up this quarter, subsidies will be given in the next quarter according to the actual amount in the previous quarter.

All communities and service agencies should timely summarize the subsidies for home-based care services (including the approved quantity, standard and total amount of subsidies) and report them to the Street Social Affairs Office.

(2) funding channels. The source of funds for community home-based care for the aged is raised in the form of "three points", that is, one point for the municipal Welfare Lottery Fund, one point for the district finance, and one point for the society and individuals. The service fee that the subsidy object exceeds the subsidy amount shall be paid by the individual subsidy object.

Eight. Monitoring and evaluation

(1) Management and supervision. The community workstation checks the applicant's home care service record book once every quarter, checks whether the subsidy funds are used for home care services, and reports the inspection to the street social affairs office.

Street Social Affairs Office will regularly or irregularly inspect and supervise the application, management and use of subsidy funds for community home care services. If it is found that there are fraudulent means to defraud subsidy funds, it shall immediately stop issuing and recover the defrauded subsidies, and at the same time cancel the eligibility of the parties to enjoy subsidies, and investigate the legal responsibilities of the relevant personnel according to law.

(2) evaluation. Sub-district offices conduct annual assessment on the service level, service quality and mass satisfaction of service agencies, and the assessment results are divided into three grades: excellent, qualified and unqualified. If the assessment grade is qualified, it shall be ordered to make rectification within a time limit and reach an excellent grade; If the assessment is unqualified, the qualification of the home care service institution will be cancelled (the assessment system will be stipulated separately).

Nine, organize the implementation

(1) Organization:

Sub-district offices set up a community home care service leading group, with xxx as the leader, xxx as the deputy leader, xxx as the director of social affairs office, XXX as the director of finance office, and members composed of party branch secretaries of various communities. There is an office under the leading group, which is located in the Social Affairs Department, and the director of the office is xxx.

(2) Implementation steps:

1, preliminary work:

(1) set up a leading group for community home care services.

(2) Community investigation and verification of qualified customers.

(3) to carry out the publicity work of community home-based care for the aged, so that the policies and contents of community home-based care for the aged are well known.

2. Implementation stage:

In 20xx, xxx Senior Citizens Association was entrusted to carry out community home care service in the whole street.

X. job requirements

(1) Attach great importance to and strengthen leadership. Street social affairs offices and community workstations should do a good job in specific organization, audit, coordination, management and service, and be equipped with full-time staff to ensure the implementation of home-based care services.

(2) Carefully organize and strengthen supervision. Street social affairs offices and community workstations should conscientiously perform their functions, not only strictly examine the qualifications of subsidized objects, but also strengthen the supervision of service institutions to ensure the standardization and quality of home-based care services.

Article 2 Design Scheme of Community Home Care Service for the Aged

In order to further improve the community residents' old-age care service, explore new ideas and methods of home-based care, and make the community home-based care work closer to the needs of the elderly, the work plan is formulated as follows: 1. Work objectives.

1, providing more than 5 home-based care services for the elderly in the community.

2. Expand the volunteer team and form a helping pair with the elderly over 70 years old in the community to provide free volunteer service.

Second, the construction standards

1, improve the working system:

Formulate the working system of home care service station, and standardize the content, mode and workflow of home care service. Through the formulation of service standards, service processes and supervision and evaluation methods, the service behavior is standardized, so that there are rules to follow and services are provided according to regulations. Relevant system, service content, workflow, etc. As far as possible, it should be posted on the wall or printed as a convenience manual for the elderly in the community to know.

2, expand the work force:

The work team includes full-time and part-time managers and service teams. Full-time and part-time managers can be selected from community cadres or staff, and can also be openly recruited for the society.

The service team includes:

(1) A full-time and part-time service team for the elderly can be composed of community workers and elderly waiters (elderly waiters should strive to be included in government public welfare posts).

(2) Volunteer service teams (including volunteer service teams for the younger elderly and young volunteers). ).

(3) The professional service team is composed of people with professional knowledge in home economics, water and electricity maintenance and medical treatment.

3, formulate employee responsibilities:

Formulate the responsibilities of the managers of home care service stations, full-time (part-time) assistants for the elderly and other staff. Job responsibilities should mainly include service concept, professional ethics, work content or service items, business skill standards, relevant treatment, supervision and restraint regulations and corresponding reward and punishment measures. By clarifying the responsibilities and responsibilities of each post, standardize the service and continuously improve the service quality.

Third, the service content.

1. Contact the Civil Affairs Bureau to install pagers for widowed elderly, seriously ill elderly and disabled people.

2. Security services. By establishing the corresponding contact system, we should give full play to the role of service workers, community workers and volunteers, and strengthen the help and contact with the "empty nest" elderly through regular telephone calls, visits and visits.

When the elderly in the community are sick, they often visit and pay attention to knocking at the door and making phone calls. At the same time, it is necessary to establish a corresponding emergency rescue mechanism, so that the elderly can get timely, fast and effective assistance and help when they encounter unexpected situations.

3. Life care service. It mainly provides special nursing services such as day care, shopping, catering, food delivery and escort for the elderly, as well as general housekeeping services such as cleaning, cooking, laundry, home appliance maintenance and pipeline dredging.

4. Health care services. Mainly provide disease prevention for the elderly (blood pressure measurement, temperature measurement, etc.). ), accompanied by medical care, rehabilitation nursing, mental health, hospice care, health education, establishment of health records, opening of family beds and other services.

5. Cultural and recreational services. It mainly provides places for learning activities, sports and fitness facilities and organizes fitness teams for the elderly, and organizes and guides the elderly to participate in learning and training, painting and calligraphy, knowledge lectures, book reading and other services; Actively guide the elderly to participate in various cultural and sports activities.

6. Spiritual comfort service. It mainly provides neighborhood communication, chat, psychological consultation, and counseling when there is depression and contradiction for the elderly.

7. Legal services. It mainly provides legal advice, legal aid, justice and services to safeguard the legitimate rights and interests of the elderly such as property, support and marriage.

Article 3 Design Scheme of Community Home Care Service for the Aged

With the rapid development of population aging, the problem of providing for the aged has become increasingly prominent. At the end of 20xx, the elderly population over 60 years old in our city is about xx million, accounting for xxx% of the city's total population. In order to meet the severe challenge of the aging population, meet the growing demand for social pension services, and give full play to the important role of pension services in promoting economic development, promoting employment and improving people's livelihood, this plan is formulated according to the Opinions of the People's Government of xx Province on Accelerating the Development of Pension Services and the Notice of the General Office of the People's Government of xxx Province on Printing and Distributing the "xx" Plan for the Development of Jilin Province's Aging Cause, combined with the actual situation of our city. I. Guiding ideology, basic principles and overall objectives

(1) guiding ideology:

According to the general idea of "government-led, policy-supported, social participation and market-driven", we will further increase government investment, strengthen policy guidance, fully mobilize all social forces, comprehensively promote the development of the aged care service industry, and establish a moderately inclusive aged care service system that adapts to the aging process of our city, is coordinated with the level of economic and social development, and is coordinated with urban and rural areas, so that the elderly can live a happier and more dignified life.

(2) Basic principles:

1. Adhere to the combination of government-led and social participation. Earnestly perform the duties of planning guidance, policy support, supervision and management, encourage and support social forces to participate in the aged care service, and gradually establish a development model and operating mechanism that is compatible with the market economy.

2. Adhere to the combination of local conditions and overall development. Based on reality, scientifically formulate the development plan of the old-age service system, integrate all kinds of resources, optimize the spatial layout, and coordinate the comprehensive and scientific development of urban and rural old-age care.

3. Adhere to the combination of highlighting key points and moderate tolerance. On the basis of focusing on ensuring the service needs of the elderly with low income, living alone and disability. , continue to expand the scope of services for the elderly, and promote the transformation of the old-age service industry from filling vacancies to moderately inclusive.

4. Adhere to the combination of home care and social care. Give full play to the functions of family and community, make efforts to consolidate the position of family in providing for the aged and promote intergenerational harmony. Take various measures to vigorously develop social pension and explore the implementation of the pension model with Jiaohe characteristics.

(3) Overall objective:

By the end of 20xx, the community home care service network in xx District will achieve full coverage, and more than xx% of townships and more than xx% of rural communities will establish old-age service facilities and places. We will comprehensively promote the construction of community home care service stations in the central city and rural old-age compound. Day care services will basically cover communities in the central city and rural communities above xx%, improve the construction of urban and rural social welfare centers, support the development of private old-age care institutions, and have xx beds for every 1,000 elderly people. By the end of xx, the number of beds for the aged in the city will reach xxxx, and a moderately inclusive old-age service system based on home-based old-age care, supported by community services and institutional old-age care, with reasonable layout, appropriate scale, perfect functions and covering urban and rural areas will be basically established.

Second, the main task

Consolidate and develop home care service;

1. Establish and improve the home care service network. By the end of 20xx, a three-level home care service network covering the central city, township streets and communities (villages) will be established, and the streets and communities in the central city will realize full coverage of the home care service network; More than xx% of township streets and more than xx% of rural communities have established facilities and places for the aged. Accelerate the construction of information management platform for home-based care services, fully grasp the basic situation, health status and service needs of the elderly and family members, promote the effective docking of information platforms and home-based care service entities, and bring timely and convenient services to the elderly in need.

2. Vigorously improve the home care service security system. Guide and absorb all kinds of social service resources and economic entities to enter the field of aged care services, effectively aggregate service resources in functional areas, and focus on developing home-based aged care services such as life care, housekeeping services, medical rehabilitation, spiritual comfort and legal aid. To form a home-based care service guarantee system that reflects the characteristics of home-based care, the docking of needs and services, and the relatively perfect allocation of various service resources, so that the practical difficulties encountered by the elderly at home can be effectively solved and the life and medical services can be basically guaranteed.

3. Strengthen home care services for special groups. In view of the characteristics and needs of special elderly groups such as the elderly, living alone and disabled, low compensation and paid services are adopted to provide services such as family escort, basic life care, special care and emergency assistance for the elderly in need. At the same time, further introduce market mechanism, expand service fields and materials, and explore the establishment of classified service methods for special old-age groups to meet their diversified service needs.

4. Explore the construction of livable communities for the elderly. Constantly improve the basic living conditions of the elderly, Shiwupeizu should give priority to the protection of elderly families who have been registered as low-rent housing security targets. In the development and construction of urban housing where the elderly live in concentration, we should fully consider the needs of the elderly to live, go up and down stairs and travel. At the same time, combined with urbanization and commercial housing development, we will explore the construction of a number of livable communities for the elderly with moderate scale and complete functions to meet the needs of the elderly.

(B) to promote urban and rural community pension services:

1. Promote the construction of urban community home care service stations. Establish community home care service stations in each urban community, take the service stations as the carrier, comprehensively grasp the service information of the elderly, integrate service resources, organize service activities for the elderly, bring policy support and help to the elderly with special difficulties, and form an all-round and diversified community home care service brand.

2. Promote the construction of rural home care service compound. Combined with the construction of rural communities, relying on established villages or conditional natural villages to build home-based care service compound, provide necessary indoor and outdoor activities for rural elderly people, organize cultural and sports activities suitable for the characteristics of the elderly, and adopt the ways of government purchasing services, pairing assistance, neighborhood watch, etc. to promote life care, spiritual comfort and other services to improve the level of home-based care services in rural areas.