Silverado At Home

An integrated Model of Care |Comprehensive At-Home Assessment
Geriatric Care Management | Home Care Companions | Contact Us

Our Services

An integrated model of care

Silverado At Home has combined the concepts of superior care management provided by geriatric professionals with in-home companion care services. This model promotes the highest quality of care delivery by creating regular interactions between care companions and care managers. An integrated model of care promotes high quality service delivery by providing an expert resource (geriatric care manager) available for regular consultation with our clients and with care companions in the home. This enhances communication and allows for rapid response to changing care needs of those we serve.

How does an integrated Care Model work?

It begins with a thorough assessment performed by a geriatric care manager.
The results from the assessment process are shared during a service plan meeting
attended by all interested parties.
Recommendations are made for care options that meet the specific needs of the client.
The client and their loved ones make choices that best match their needs.
A care manager is assigned to provide care oversight and if desired, a home care companion is matched to serve the unique needs of the client.
In cases that involve a home care companion, the companion will work under the guidance and supervision of the assigned care manager, promoting high quality service delivery.

Questions to ask when seeking assistance for a senior at home….

	Silverado	Other Agencies
Are care companions required to clear a criminal background check prior to beginning an assignment?	YES
Are care companions oriented and trained prior to beginning an assignment?	YES
Are care companions required to work a shift with an existing staff person prior to beginning an assignment?	YES
Are care companions employed by the contracted agency and covered by liability insurance and worker’s compensation insurance?	YES
Do all care companions receive specific training in working with memory care needs, such as Alzheimer’s disease, prior to beginning an assignment?	YES
Do all cases begin with a comprehensive assessment in the home setting, performed by a Professional Geriatric Care Manager to ensure an appropriate plan of care?	YES
Are you provided with a written report summarizing findings and recommendations following the comprehensive assessment?	YES
Is there 24 hr. “on-call” access to a Professional Geriatric Care Manager to ensure immediate response to changing care needs?	YES
Are care companions provided with direct supervision and oversight of the care plan by a Professional Geriatric Care Manager?	YES
Does the agency have immediate access to support services such as assisted living respite stays, licensed nursing expertise, support groups, and educational events?	YES
Does the agency offer a full continuum of services including assisted living and hospice options?	YES

Comprehensive Assessment
A comprehensive assessment is used to initiate new client cases. It is essential for our care managers to understand our clients and their family’s needs. A professional geriatric care manager administers the assessment in a client’s current living setting including private homes, independent living settings, assisted living settings, or even hospital settings. The assessment takes approximately 2-3 hours to administer. The assessment explores psychological, cognitive, behavioral, socio-cultural, and physical functioning. Additionally, the living environment is evaluated for safety and appropriateness.

Results and recommendations are presented in a written report that often may serve as a life plan as memory and/or health decline. The assessment and interpretation process allow us to develop a service plan that has the greatest likelihood of enhancing quality of life.

Contact Silverado At Home for a Comprehensive Assessment

Geriatric Care Management
A geriatric care manager is a professional trained to assist with a variety of senior care needs. Typically, geriatric care managers are master’s level social workers or licensed nurses. Silverado’s geriatric care managers are active members of the National Association of Professional Geriatric Care Managers, the premier professional care management organization. Examples of services performed by care managers include the following:

Comprehensive Assessment and Follow-up Recommendations
Ongoing management of care needs (Changes in condition)
Consultation with other professionals
24 hour access (on-call)
Long-term planning including regular communication with families
Placement or other care decision-making assistance
Coordination of needed services:
- Home Care
- Skilled rehab.
- Guardianship/conservator issues
- Neuropsychological testing
- Financial planning
- Durable powers
- Medical assessment and treatment
Counseling/Family interventions Service
Plan oversight and quality assurance

Contact Silverado At Home for a Geriatric Care Manager

Home Care Companions
Silverado’s home care companions are carefully selected, trained, and matched to the unique needs of each client. Each care companion is insured and has the capacity to transport clients on outings or to appointments. Prior to beginning work for Silverado, all care companions must pass a thorough criminal background check and a physical. Before being given an assignment, care companions complete orientation and training specific to meeting the needs of seniors with memory care concerns. Each care companion must then spend a full shift shadowing an existing care companion in one of Silverado’s assisted living settings. This allows us to observe and carefully evaluate performance before sending an individual to a private home setting. This investment in our care companions separates Silverado from most other home care providers. Care companions are available for live-in or hourly assignments.

Examples of care companion roles are listed below:

Companionship
Activity engagement
Personal care
Medication preparation and assistance
Transportation to appointments and outings
Light housecleaning/Assistance with meals
Assistance with ambulation and transfers and other safety assurance
Ongoing communication with care managers

Contact Silverado for a Care Companion

The Silverado At Home Story
Silverado Senior Living has developed a reputation for giving life to those that others have given up in our specialized assisted living settings. We now have a goal to be the best in the world at bringing life to seniors in the setting of their choice. Silverado At Home combines professional care management with uniquely trained care companions. The result is a bright, reliable staff that is exceptional at engaging seniors with memory care needs in any setting. The Silverado model promotes the highest quality of care delivery by creating regular interactions between care companions and care managers.

The development of Silverado At Home was a response to requests from our customers to provide as many options as possible for people seeking access to Silverado’s memory care expertise. The relationship with our AL communities gives us great training and staffing advantages. All of our Silverado At Home care companions spend at least a full day in our Silverado AL communities interacting with a diverse range of individuals with memory care needs including those with Alzheimer’s and other dementias. This experience allows us to see our care companions in action before sending them out into a home setting. It is the most important part of our training to ensure that we have the best care companions in the industry. Most other home care providers simply do not have the advantage of delivering this kind of training.
Reliability is always a question in the “home care” industry. Silverado is able to provide great reliability because of our large caregiver pools and affiliation with our assisted living communities. This allows for many back-up plan options if a care companion becomes ill.

Silverado At Home is about making a difference in the lives of others. We serve our referral sources by providing solutions for meeting the special needs of those with memory care issues. We serve our clients by giving life through meaningful engagement in the setting of their choice. We serve the families of our clients by providing peace of mind that their loved ones are receiving the highest quality of care and assistance.

Silverado At Home Mission
To empower those we serve to have life-affirming options that afford them dignity and meaning.
To engage seniors in their home setting in a manner that enriches their lives and the lives of their loved ones. To provide care management services that offer relief to families and creative meaningful assistance to seniors experiencing cognitive difficulties.

Our Philosophy
Silverado At Home honors the value of each life by empowering clients and their families to make life choices that maximize their freedom and independence. We believe that appropriate assistance for those experiencing cognitive impairment can contribute to significantly slowing decline in functioning. We believe that clients experiencing cognitive problems have the right to continue life to the fullest extent possible and that they deserve opportunities for growth and fulfillment. We believe that family members deserve reliable help and assistance with decisions and challenges presented by a loved one with a progressive illness.

Core Values

Recognize, value, and build the human spirit in all that we do
Retain and enhance family unity through understanding and positive action
Provide all clients and their loved ones with the level of care we want our mothers and fathers to have.
Respect for client and family decision making.
Recognize the physical, emotional, and spiritual dimensions in clients and families.
Continue to improve the level of care management and home care services, setting the standard of care for persons with memory impairment and providing continuous innovation in the delivery of those services.
Operate in a fiscally and socially responsible manner exceeding expectations for all constituencies/stakeholders, today and 20 years from today.
Recognize that economic rewards follow from the provision of quality service.

Our Clients

The following are examples of the types of clients that are served by Silverado At Home:

An 82 year old man with moderate dementia was hospitalized following a hip fracture. A care companion was hired to stay with him during his hospitalization so that he would not place weight on his hip and jeopardize the healing process.
A 73 year old female was living at home alone and was recently diagnosed with earl Alzheimer’s disease. Following a comprehensive assessment, a care companion provided assistance 5 hours per day during weekdays while her daughter was at work. A geriatric care manager helped arrange additional support services for both the daughter and the client.
A live-in care companion was hired to stay with a frail 93 year old female while her son and his wife went on a two week vacation to Europe.
The family of a an 84 year old man hired a care manager to meet with his family a couple of times per month to assist them with the planning process relative to their father’s care needs. He is beginning to have some mild memory problems and they want to be prepared if further changes occur.
A comprehensive assessment was requested for a 68 year old female living in an independent living setting. She had begun to display some unusual behaviors and her family wanted some assistance with understanding their mother’s behaviors.
The spouse of a 76 year old male with moderate to late Alzheimer’s disease requested help with her husband due to her declining health. After an initial assessment, daily companion care was scheduled as well as ongoing care management. The well spouse began to show improvement in her own health.
A Geriatric Care Manger was hired specifically to assist a family with the process of finding an assisted living environment that would be most conducive to their mother’s level of functioning

FAQ
What is the process for obtaining service through Silverado At Home?
Most new clients begin by receiving a comprehensive assessment in the home setting that covers all aspects of functioning as well as safety considerations within the home. This process takes approximately 2-3 hours and is conducted by a geriatric care manger (usually an MSW or RN). The results of the assessment are used to develop a service plan with the client. The service plan usually involves some level of home care accompanied by some level of geriatric care management services.

How do you promote quality care in private home setting?
All clients receiving home care service are assigned a professional geriatric care manager to monitor the care plan through regular communication with care companions and families. This arrangement provides a real resource for care companions as questions arise. It also provides immediate support for family members who may have changing perceptions about care needs and services.

Will long term care insurance cover home care and/or care management?
Policies need to be reviewed on an individual basis. Most polices provide a daily rate of reimbursement for services that covers at home care. It is becoming more common for LTC insurance to have additional coverage for care management built into policies.

What are your hours of availability?
Silverado At Home has a 24 hour on-call service that allows for rapid response to service requests. This includes weekends, evenings, and holiday.

What makes Silverado the memory care experts?”
The answer is multi-faceted. It begins with Silverado’s specialized focus on memory care. This has always been our exclusive area of focus. This began with our CEO’s awareness of a service gap for individuals and their families facing difficulties posed by Alzheimer’s disease and other dementias. One of the core founding values of Silverado is to continue to improve the level of memory care services, setting the standard of care for persons with memory impairment and providing continuous innovation in the delivery of those services. This commitment is backed up by training programs that have won several state awards for their effectiveness.

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