Momiji Health Care Society モミジ ヘルスケア ソサエティ Annual Report 2014 – 2015 年次報告 モミジ理事会 執行役員 議長 パメラ・ウェイントローブ 副議長 ドナ・デービス 会計 ジョディ・ハマデ 事務 マイケル・ドイ LHINアドバイザー プログラム/サービス委員会 イレイン・エイモニ 元議長 サンドラ・ミイケ 役員 ジューン・アサノ ゲイル・カリ ヨシコ・ドーチャック スーザン・ヒダカ スティーブン・コダマ マユミ・マエムラ デレック・オイカワ ウェンディ・オオツ スミット・レイバーダン イレイン・リョウジ 名誉役員 Dr. フレッド・スナハラ 特別アドバイザー 理事会議長の挨拶 年々忙しさが増す中、私共はシニアとその家族の皆様の期待にお応えしたく 邁進しております。モミジ財団、ボランティア、寄付者、職員の皆様の献身的な 貢献に感謝しております。 外部コンサルタントによる居住者満足度アンケート調査は95%の回収率で、 回答者全員が「モミジに全体的に満足している」と答えました。今後も尊重・ 信頼・意思疎通を基盤に、成功に不可欠な分野の質向上と将来に影響を及ぼす要 因に注目して行きます。 長い過程を経て私共は保健・長期ケア省からシニアレジデンス全住戸スプリ ンクラー設置助成金を獲得しました。工事は2015年後期に開始、2016年末に完 了予定です。安全設備が向上され嬉しく思います。 創設者達のビジョンを受け継ぐ覚悟でスタートした「レガシー保存キャンペ ーン」は、7年間にわたる努力の積み重ねにより、目標の200万ドルを達成しまし た。委員会の尽力と寄付者の方々の寛大なご支援に深く感謝しております。こ れでコミュニティセンターの今後の改築・修復が保証されます。 今回のキャンペーンを通してシニアの方々のニーズとモミジ支援活動の価値 が再認識されました。このニーズに応えるべく、私共は効率的で刷新的なチー ム力でコミュニティのシニア支援・介護者支援の拡張計画を開発したいと考え ております。 私共は他のシニア支援機関、資金援助機関、政府と関わりながら、独自のチャ レンジと成功を示し、持続可能性を積極的に追求しています。モミジは州政府 に多文化・多部門の環境における「文化に配慮したサービス」の将来を示して います。諸機関からモミジが高い評価を受け、その主張が聞き入れられるのは、 理事会役員と職員の努力のたまものです。 資金調達活動は今後も継続する必要があります。モミジをさらなる発展に導く 新しい世代として、皆様が理事会の活動に参加されることを心から願っており ます。 アン・アッシュリー パム・ウェイントローブ モミジ・ヘルスケア・ソサエティ議長 Board of Directors Board Executive Chair – Pamela Waintraub Vice Chair – Donna Davis Treasurer – Jody Hamade Corporate Secretary – Michael Doi LHIN Advisor, Programs & Services Committee – Elaine Aimone Past Chair – Sandra Miike Directors June Asano Gayle Cali Yoshiko Dutczak Susan Hidaka Steven Kodama Mayumi Maemura Dereck Oikawa Wendy Otsu Sumit Raybardhan Elaine Ryoji Honorary Director Dr. Fred Sunahara Special Advisor Ann Ashley Chair’s Message As usual, the past year has been busier than the last. We never stand still because our seniors and their families rely on us. With the commitment of our funders, volunteers, donors and staff, Momiji truly is an exemplar of care. An external consultant conducted a tenant survey and reported that, with a 95% response rate, 100% of tenants were “satisfied overall” with Momiji. Our priority will be to focus on quality improvement in critical areas of our success and the important factors that will impact our future, building on respect, trust and communication. After a long and tenacious process, Momiji was able to secure an unprecedented $915,600 grant from the Ministry of Health and Long Term Care to install sprinklers in our 133 apartments. Work will begin later in 2015 and should be completed by the end of 2016. The Board is incredibly grateful for the peace of mind that this development brings. Our $2 Million Capital Campaign reached its goal! We aptly named the campaign “Preserve the Legacy” because we have committed to carrying on the vision of our founders. Reaching our goal was the culmination of more than seven years of hard work. Thanks to the efforts of the committee and the overwhelming generosity of all our donors, we have ensured that our Community Centre will be renovated and refurbished for years to come. The campaign greatly expanded community awareness of Momiji’s good work, as well as the continuing and growing needs of our seniors. We are developing plans to address these needs by leveraging our team strengths of innovation and efficiency to expand on our reach into the community to support seniors and their caregivers. On an ongoing basis we engage with our peers, funding partners and the government; present our successes and challenges, and participate on a proactive basis to seek solutions for sustainability. We have provided input to the provincial government on the future of ethno-specific services in a multi-cultural and multi-sector forum. It is a tribute to our Staff and Board that Momiji is held in such high esteem to have our voice heard among our much larger peers. We look forward to positive responses. In reflecting on the successes and challenges of the past year, it is clear that our need to continuously raise funds, and awareness does not end with our Capital Campaign. Please join me and the other volunteers on our Board of Directors on our journey as the new generation of builders and preservers. Your support and your participation are greatly appreciated. Pam Waintraub Chair, Momiji Health Care Society モミジのチーム エランギ・アルヴィハレ シェリー・リン・アーム ストロング ユキエ・ビースリー グレース・ビサダ キヨシ・デンボウ リエ・ハナノ サトミ・ヒラガ スーザン・ホー ケイコ・ホシ ヴィッキー・シン クリスティーナ・ファン ミエコ・イセ ヒョスク・キム ミホ・キムラ レイコ・コバヤシ サム・ラウ スェンシン・リー ヒロシ・マエダ ノリコ・マツオ リナ・ミン リー・ミクソン シヴォンヌ・モデステ サチコ・ムライ・キャメロン トヨノリ・ナイトウ モトコ・ニシハラ スコット・オオハシ ユカ・オカダ ナオミ・オオノ ユキエ・オオツボ ジョヴェル・パトリシオ ファラ・ラヒム イレイン・ランドラ クリストファー・レイド ビアギータ・ロバートソン パーバティ・ルプナラーニ ドナ・サトウ ゾーラ・シルヤノスキ キクエ・タナカ ケン・テラサワ ユウコ・トジマ メイラン・ツゥ ユキコ・ウエムラ アダム・ウォレス ヨネコ・ウェスタガード マイケル・ウォン ゲーリー・ヤマサキ アキ・ヤン ホンミン・ヤン マユコ・ヨシカワ 皆様のおかげで モミジの活動の基盤には、シニアの方々がコミュニティの一員であるという 認識と助け合いの精神が根付いています。 次の5〜10年間における日系シニア支援に目を向けながら、昨年度は以下のよ うな目標を達成しました。 • 資本キャンペーン:政府援助対象外であるコミュニティセンターの先20年間 の改築・修復に必要な資金調達活動で、目標200万ドルを$16,000 上回るとい う結果を達成。 • スプリンクラー:シニアレジデンス全住戸のスプリンクラー設置に、保健・長 期ケア省から$915,600の助成金を獲得。居住者高齢化とともに住戸で火災の 発生する可能性を懸念していたモミジは、ビジネス事例を提出し助成金確保 に成功。 • 2014年居住者満足度アンケート調査:「モミジに満足していますか」という 質問に、回答者全員が「非常に満足している」または「満足している」と答 え、今回、初めて満足度100%を達成。しかし、それが「全ての利用者が全て の面で100%満足している」という意味ではないことは報告書でも明らかで す。とは言え、95%の回収率で「不満足」と答えた人がいなかったことに、私 共は大きな誇りを感じます。 • コミュニティサービス:昨年度の利用者数は5,692人となり5%の増加。この 5%の多くはコミュニティの独居老人で、今後もこの分野のサービス提供に注 目が必要です。 モミジの成功と発展の背後にはチームの貢献があります。それは、シニア 支援のビジョンを分かち合う方々の寄付であり、理事会の年間を通した指導で もあります。サービスの提供に献身的に取り組む職員にも深く感謝していま す。多くの方々が専門技能と熱意でモミジを推進してくれます。ボランティア の方々はモミジの基盤であり、彼ら無しでモミジは存在しません。さらにシニ アの方々の知恵がモミジの活動を導いてくれます。 チームの貴重な要素が合わさって、モミジは独特な組織として効果的なシニ ア支援活動を実現しています。将来に自信を持って皆様がチームに加わられ共 に目的を達成できることを願っております。 ビアギータ・ロバートソン 所長 Momiji Team Erangi Aluwihare Sheri-Lynn Armstrong Yukie Beasley Grace Bissada Kiyoshi Dembo Rie Hanano Satomi Hiraga Susan Hoo Keiko Hoshi Vicky Hsing Kristina Hwang Mieko Ise Hyosook Kim Miho Kimura Reiko Kobayashi Sam Lau Suen Sing Lee Hiroshi Maeda Noriko Matsuo Rina Min Lee Mixon Shivonne Modeste Sachiko Murai-Cameron Toyonori Naito Motoko Nishihara Scott Ohashi Yuka Okada Naomi Ono Yukie Otsubo Jovel Patricio Farrah Rahim Elaine Randla Christopher Reid Birgitte Robertson Parbattie Rupnaraine Donna Sato Zora Siljanoski Kikue Tanaka Ken Terasawa Yuko Tojima Meilan Tu Yukiko Uemura Adam Wallace Yoneko Westergaard Michael Wong Gary Yamasaki Aki Yang Hong Ming Yang Mayuko Yoshikawa Because of You There is something fundamental about working at Momiji; it’s more than a job, it is people coming together to help each other and the seniors who are part of the community. Momiji now has to look to the future and how we can serve the Japanese-Canadian seniors in the next 5 to 10 years. In the last fiscal year Momiji planned for the coming years, and achieved the following: • Capital Campaign: We reached our goal of $2 million with a surplus of a little over $16,000 for our non-funded Community Centre’s renovations and repairs for the next 20 years. • Sprinklers: We received $915,600 from the Ministry of Health and Long Term Care to install sprinklers in every apartment. Because of the seniors aging in place, Momiji worried about possible fires in the apartments. Counter to advice from various government sources, Momiji decided to put forward a business case, and we were successful. • 2014 Tenant Satisfaction Survey: When we asked, “Overall, how satisfied are you with Momiji?”, every respondent chose either “Very satisfied” or “Satisfied”. We were pleased to report for the first time, a 100% satisfaction rate. This does not mean that every client is 100% satisfied with everything at Momiji, as an analysis of the complete report shows. However, we are very proud of the fact that none of the 95% of tenants who responded were dissatisfied. • Community Service: Momiji served 5,692 seniors; a growth of 5%. Many of this 5% are the most isolated seniors in the community. We are looking to the future and planning to provide more services in the community. While Momiji has grown to serve thousands, I attribute its success to a team of people. First, we owe a debt of gratitude to our donors for sharing our vision of excellent care for our seniors. Our Board of Directors offer guidance throughout the year, and I am also deeply grateful to our dynamic staff members who are passionate in the care they provide. Guided by their skills and compassion, these remarkable men and women offer direction to Momiji. Our volunteers are the foundation of Momiji. Without them Momiji would not exist. Last but not least, are our seniors whose wisdom guides us in our work. The combined fruits of the Momiji team have resulted in a unique and effective organization rooted firmly in service for the most vulnerable among us. Please join us in meeting the future years with confidence in this team, so they can accomplish what they set out to do. 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When needed, Momiji will assist individuals in finding appropriate accommodation and services to maximize their independence, health, and personal growth where the seniors can enjoy an enriched quality of life. モミジ・ヘルスケア・ソサエティは、日系カナダ人のシニアの方を主な対象として、自立 した生活が可能な限り送られるような支援サービスを提供する非営利慈善団体です。モミ ジはシニアの方の必要に応じて適切な住居を紹介し、自立・健康・自己成長などの面におい て十分な支援ができるようにサービスを提供し、シニアの方が質の高い豊かな生活を楽しま れることを願っております。 Momiji Health Care Society 3555 Kingston Road, Scarborough ON M1M 3W4 416 261-6683 www.momiji.on.ca AGM 2014-2015 Staff Reports Staff Reports 2014-2015 FINANCIAL DEPARTMENT 2014-2015 Annual Report Another year has passed and Momiji has completed another fiscal year on March 31, 2015. Momiji’s financial reports for the fiscal year of 2014-2015 were completed and submitted to the Central East LHIN, Ministry of Health and Long-Term Care, the Ontario Seniors Secretariat and the City of Toronto. Momiji also met the deadlines for its Registered Charity Information Returns, the Workplace Safety and Insurance Board reports, HST rebates and the Ministry of Finance Remittances. Capital Reserve Spending This year very little was spent out of our reserve funds, as Momiji prepares for a very busy year filled with construction. Only $1,903 was spent on capital items as of March 31, 2015 which was a portion of the costs associated with the sound system replacement in the auditorium. The remainder of the sound system costs were spent during April 2015. Capital Reserve Fund Investment RBC Global Asset Management Inc. managed the replacement reserve fund for Momiji Seniors Residence. The Ministry of Health and Long-Term Care continues to provide Momiji with a small boost to the shelter reserve each year. Our investments at year end were more than sufficient to cover our required reserves. The Momiji Foundation Momiji received contributions of $273,219 for the year 2014-2015. We reduced our request from the Foundation in the previous fiscal year and asked for additional funds in 2014-2015. The Momiji Foundation also pays Momiji Health Care Society for administrative costs with regards to running the foundation. Yee Hong and Macassa Lodge Momiji programs at Macassa Lodge and Yee Hong Centre are funded by the Nipponia fund. Funding for 2014-2015 was $67,863 for the outreach programs at Macassa and Yee Hong Centre. Special Fundraising Campaigns We raised $40,000 from the annual Christmas Campaign, which is almost $10,000 higher than any previous campaign. It is great to have so much support from tenants and the community. The Bowlathon in May 2015 was a very successful event. We welcomed many new participants and an all-time record for donations was set by the event. Overall we had a surplus of $33,416 from the Bowlathon. We hope more of the community can join us for the 11th annual event in May 2016. The Annual Bazaar in March 2015 raised $34,638. This was another record setting event for Momiji, as our wonderful volunteers came out in huge numbers to help organize and run the most financially successful bazaar to date!! This means overall, that we raised $108,054 from our 3 largest fundraising drives. We are very grateful for the support of the community for our seniors. It is especially important as our government funding has remained stagnant in the last couple of years. Regular Donations Momiji received KODEN (in memorial) and regular donations totalling $53,600. This is 45.5% lower than the previous year’s total of $98,314. A lot of our regular donations are tied to people passing away or celebrating milestones. The regular donation level fluctuates annually quite a bit, which is why Momiji needs to count on fundraising events to help sustain our programs. Preserve the Legacy Campaign: The Momiji Preserve the Legacy campaign is complete. Pledges will continue to be collected for a couple years, but the fund raising portion of the campaign is complete. Foundation Report Momiji Health Care Society is grateful to the Momiji Foundation. The Foundation’s annual contributions allow us to enhance all our programs for both the tenants at Momiji and our clients in the community. This year the Foundation subsidized Momiji Health Care Society programs and services with a total of $218,228, $67,863 for Yee Hong and Macassa and $54,991 for nursing and administration. Our programs at Yee Hong and Macassa receive no Government funding, so the Foundation provides funds to hire staff to continue these programs. The Foundation subsidized the tenants living at Momiji and community members participating in programs and services. The average subsidy per tenant is $1,032 per year and for community members it is $71 per year. The above chart shows the average subsidy provided by the Foundation to Momiji tenants. Client intervention is a break even program with the Government funding and requires no Foundation money to operate. The above chart breaks down where funds are required from the Foundation for community members to participate in our programs. The Foundation and donations assist friendly visiting, which includes our work at Greenview and Castleview. The above chart shows funds provided by the Foundation strictly to run programs at Yee Hong and Macassa. Neither program receives any government funding, so the Foundation covers the costs of staff to run the programs at these two sites. The above chart shows the overall Foundation contribution to different programs and the subsidy provided per unit of production and per individual. The Foundation’s additional funds go to Momiji’s General Program to cover costs associated with Nursing and Administration. Administration and Housing During 2014-15, the Housing and Building operation department was faced with many challenges and opportunities. Fire safety and building security are an important part of Momiji operations. We continue to carry out fire drills and fire safety information meetings which are participated well by tenants and staff. There were 2 fire alarm incidents during this period. The annual fire safety equipment inspection was carried out in January. It involves testing of smoke/heat detectors and speakers in all apartments, in addition to all manual pull stations and auxiliary relays. It also requires access to all elevator shafts and the hydro vault to test equipment. Wet and dry sprinkler systems which cover from the basement to the 2nd floor are also tested once a year and all deficiencies are rectified. The building is generally in good condition in both maintenance and repair. However, after nearly 23 years in operation, normal wear and tear became visible in many areas. Replacements or refurbishments of domestic hot water risers, many recirculating pipes/valves, thermal windows, corridor carpets, emergency generator and 3 elevator doors will be some of the 201516 capital expenditures. New Audio Equipment in Auditorium: With generous proceeds from the 9th Annual Momiji Bowlathon, the Auditorium audio system was overhauled and added new equipment. In addition, many chairs of the 9th floor tenant lounge will be upholstered. Tenancy Update: Between April 1, 2014 to March 31, 2015, 14 individual tenants or 10 households left Momiji. The average age of 14 tenants who moved out is 93.5. We have welcomed 9 new households during the same period. The chart below indicates the total number of tenants served during 2014-15. It should be noted that the average age of all tenants served during the year has risen to 88.9 from previous year’s 88.7 and nearly 47% are over 90 years old. 464 individual tenants have been admitted since opening the Centre in December 1992. Tenants Age, Male/Female Distribution 2014-15 Age Under 69 # of Tenants Served 0 70 - 74 % Male Male % Female Female % 0.00 0 0.00 0 0.00 3 1.80 1 0.60 2 1.20 75 - 79 6 3.59 3 1.80 3 1.80 80 - 84 21 12.57 4 2.40 17 10.18 85 - 89 59 35.33 19 11.38 40 23.95 90 - 94 57 34.13 15 8.98 42 25.15 95 - 99 16 9.58 4 2.40 12 7.19 Over 100 5 2.99 0 0.00 5 2.99 Total 167 100 46 27.54 121 72.46 Average Age 88.9 88.6 89.2 Automatic Sprinkler System Update We started our initial funding application to the Ministry of Health for the automatic sprinkler system installation in June 2013. Due to Momiji’s classification under the Ontario Building Code as “Residential Occupancy” rather than “Care Occupancy”, we were uncertain if we would qualify for funding. It was officially announced on March 23, 2015 that Momiji would received up to $915,600 to support the completion of upgrades to comply with the new Ontario Fire Code requirements. I am grateful for our Ministry contact person who helped me through the difficult application process, the fire marshal’s office for guidance and some family members of Momiji tenants who advocated on our behalf by contacting the Toronto Fire Services. A fire safety consultant has been hired to oversee the tendering and project administration. We hope to complete the installation of 1,000 sprinkler heads in the floors from 3rd to 9th by next summer. It will be somewhat disruptive during the retrofit; however, tenants and their family members feel safer knowing the building is better protected with a sprinkler system in place. I would like to take this opportunity to thank each and every Fire Warden and other tenant volunteers for helping to make Momiji a safe and pleasant place to live. Community Services Volunteers In fiscal year 2014-15, Momiji had a total of 871 registered volunteers, who provided us with 33,851 hours of volunteer service: a 4.4% increase over the previous year, and an all-time record! Compared to the year 2007-08, when we first hired our Volunteer Coordinator Jovel Patricio full-time, we have seen an increase of 33.8% in volunteer hours and 52.3% in the number of volunteers. These volunteers and the hours they provide are a vital resource to Momiji, as our core of committed long-time volunteers are aging and our seniors’ needs continue to grow. Our 2014 Volunteer Appreciation Event, “A Tropical Getaway”, was held on November 2 and was attended by 157 volunteers; in our annual Volunteer Survey, 99% of them told us they were satisfied with their volunteer experience at Momiji. Congratulations to the six volunteers who were nominated by their peers to win Ontario Volunteer Service Awards in 2015: Yutaka Chiba, Sheila Matsui, Doreen Morita, Takako Morosawa, Naomi Takasaki and Eiko Watanabe. Elderly Persons Centre Momiji’s Elderly Persons Centre (EPC) provided its participants with 29 different regular activity programs and 7 different spiritual care programs in 2014-15, as well as frequent outings and special events – many of a Japanese cultural nature – throughout the year. The number of individuals we served in our EPC was 890, which is a 6.6% increase over last year and a 12.7% increase over 2013-14; this shows how steadily participation from seniors living in the wider community has grown. However – as community seniors join programs less frequently than seniors living at Momiji Centre due to transportation issues, our “attendance days” (the units our government funders to use to measure EPC participation) increased by only 1.7% over the previous year. The seniors we serve (and particularly those living onsite at Momiji Centre) have grown increasingly frail; this means that many of our programs and events have had to be modified to accommodate them, and we have started to develop Individual Activation Plans for many of the frailest. In addition, we need an ever increasing amount of volunteer support to ensure we can serve this population effectively. Our EPC had a total of 268 volunteers last year, who gave us 13,598 hours of volunteer service: this represents 40% of Momiji’s total volunteer hours, and is a 20.7% increase over the previous year. EPC participants do seem to appreciate the programs we provide: the most recent EPC Program Evaluations showed 98.5% satisfaction overall and 7 of the programs had 100% satisfaction. Meal Programs Momiji’s Meal Programs include a wide array of meals for seniors, served every day of the year: ten regular Japanese meals per week at Momiji Centre, plus a weekly “Western Lunch”; our Community Congregate Dining luncheons, held weekly on a rotating basis at many locations around the GTA; Japanese meals we provide for seniors at our partner long-term care sites; and a variety of special event meals throughout the year, from Japanese traditional festivals to the summer Tenants’ Barbecue and the Momiji Christmas Dinner. Tasty, nutritious Japanese meals have long been a cornerstone of the culturallyappropriate care we provide, and our meal programs have grown considerably in popularity over the years: in 2014-15 we served a total of 27,914 meals to 773 different seniors. This is record high number of meals served, and our sixth consecutive year of increase – we are now serving 60% more meals per year than we did in 2008-09. This is largely due to our tenants aging in place at Momiji Centre who are no longer able to shop and cook for themselves as they once did, and are purchasing meals from Momiji instead. Our Community Congregate Dining meals also continue to be popular and well-attended; by March 2015 we had 127 seniors registered for our five existing community luncheons, located in Downtown Toronto, Markham, Don Mills, Downsview and Mississauga, and had begun investigating the possibility of expanding this number to include Japanese community luncheons in Oakville and Hamilton as well. This is set to be implemented in 2015. We are also planning a revision of the rotating menu of Japanese meals we serve as our Congregate Dining Meal Plan at Zero Sun Restaurant at Momiji Centre, following suggestions by clients in our recent Client Satisfaction Survey. Transportation Momiji’s Transportation Program takes seniors to medical appointments, shopping trips, and social and recreational outings, by our staff drivers in Momiji’s three vehicles (including our wheelchair-accessible van), or by volunteer drivers in their own vehicles. 39% of our Transportation clients live outside Momiji in the greater community, and use the service primarily to access EPC programs or meals. In September 2013, we raised the client fees for this program, as the previous fees were extremely low compared to our costs, and our funders pressured us to align our user fees with those of all the other seniors’ transportation service providers in Scarborough. While the fee increase was necessary and unavoidable to keep the program viable, it was unpopular with clients and led to a sudden drop in Transportation program usage, from which we have still not fully recovered. As a result, for the second year in a row, we did not meet our annual usage targets set by our funders, providing only 4117 rides: almost 23% fewer than in 2012-13 before the fees were raised. Program usage did improve somewhat over the course of the year, but not enough to return to previous rates of usage, as many Momiji tenants have been carpooling, using Wheel Trans, or depending on family members to avoid paying the higher fees. It is quite urgent that we increase the number of rides we provide in 2015-16: as we have been under target for two years running, our funders will hold us very strictly to a target of at least 4750 rides per year if we wish to maintain our funding for transportation. This is an increase of more than 150 rides per quarter. Plans have been developed to increase the number of rides we provide so we can meet this challenge, focusing on marketing the service to new clients in the wider community rather than to tenants at Momiji Seniors Residence. Friendly Visiting /Community Programs Momiji has a very dedicated crew of Friendly Visiting volunteers who brighten the lives of seniors every day, all over the GTA and beyond. In 2014-15, 190 Friendly Visitors visited 771 seniors; among them are seniors living at our various community partner sites – some of the frailest of our community – as well as seniors living in their own homes around the city and at Momiji Centre. Currently, we are serving 25 Japanese Canadian seniors at Yee Hong Scarborough-Finch, 23 at Castleview-Wychwood Towers, and just one (who is also the last remaining resident of Nipponia Home) at Macassa Lodge in Hamilton. Unfortunately, the number of visits we were able to provide in 2014-15 was about 10% less than in the previous year, due in large part to the declining number of Japanese Canadian seniors at these partner sites, and lengthy closures of those facilities due to outbreaks of illness that prevented our volunteers from visiting. Our community programs were considerably affected by staffing changes in early 2015, as our Community Programs Worker based at Castleview and Macassa, Donna Sato, took on the Education Coordinator position following Maxine Rehder’s retirement. Kiyoshi Dembo our Community Programs Coordinator, will now be visiting Macassa Lodge; Kiyoshi and Donna will both continue to visit Castleview one day per week, where they will be joined by a new part-time staff member, Hyosook Kim, who started work in February. Hyosook, who also works part-time at Yee Hong Scarborough Finch, is fluent in English, Japanese and Korean and has considerable experience with activation for frail seniors; she will be working at Castleview on Wednesdays and Fridays. Welcome Hyosook! Education and Leisure Programs Momiji’s Education and Leisure Programs had a phenomenal year in 201415, setting new records for participation and for revenue earned – but it was a bittersweet year as well, because we said goodbye to Maxine Rehder, our Education Coordinator, who retired in February 2015. Momiji offers a wide variety of courses and workshops for the whole community throughout the year, in four seasonal sessions: everything from watercolour painting to yoga and Pilates, computer workshops to flower arranging, and pottery to conversational Japanese. In recent years, our art and fitness classes have been especially popular. True to form, Maxine made her last year before retirement her most successful one. Units of service were up 15.7% over the previous year, reaching a record annual high, with the Fall 2014 course session being our single best attended session ever. Total revenue for our courses topped $122,000, also a record, and an astonishing 36.3% more than in 2013-14. The annual Art & More Sale held in June 2014, along with the very popular Art Café and Café Boutique sale, also had its most financially successful year, raising over $8000 for our Education Programs. Congratulations and thank you Maxine, for wrapping up your Momiji career on such a high note! As mentioned above, our new Education Coordinator as of February 2015 is Donna Sato, who has been our Community Programs Worker for the last five years. While she has some big shoes to fill, Donna has all the right qualities to take on this challenge and make the position her own. Welcome Donna and good luck in your new role! Support Services Supporting Seniors’ Independent Living The Support Services department is dedicated to supporting seniors to live independent. We provide the services for seniors’ day to day needs; home making, personal care, medications reminders, meal preparation, grocery shopping, medical/non-medical escorting and more. Our case management and social work is also an important part of the care. A total of 10,450 hours of staff time was spent on case management. It facilitates seniors to achieve their wellness and autonomy through advocacy. Respect and Dignity is our motto, and we enjoy each single moment working with our seniors. We believe that by using our services, Momiji seniors can continue enjoy their independent, high quality of living. Care needs – Inter RAI CHA Inter RAI CHA (Community Health Assessment) is a standardized assessment that helps to identify the client’s needs. With the information provided, Momiji is able to have a better understanding of the client’s current status, and to plan the services the client needs. In the assessment results from 2014-15, we found that 28.6% of seniors are in the “very high needs” or “High needs” category. This means, more than a quarter of the clients in Momiji need extensive care. Due to our limited budget, it was challenging to find the time and staff to meet their needs. However, with everyone’s hard work, we were able to maintain the seniors’ maximum quality of life and safe independent living. Care level Very High needs MAPLe High IADL Number of tenants 2015 High 12 (7.8%) High Moderate Moderate High Moderate Needs Moderate Moderate Low High Low Needs Low Low High Needs 32 (20.8%) 47 (30.5%) 63 (40.9%) *The scores we obtain are more comprehensive. These two scores are the part of them. MAPLe (Method of Assigning Priority Level) IADL (Instrumental Activities of Daily Living) Care summary In 2014-15, we provided 20,859.5 hours of home making/personal care to Momiji seniors. This is about 57 hours of services per day. We provide daily checks and medication reminder services as well. The total number for these services was 93,047 checks per year. This means 225 checks were performed per day 365 days a year to Momiji seniors! Support Services also coordinates physiotherapy and foot care programs. A total of 1205 clients used the physiotherapy treatment and 184 clients used the foot care services through out the year. Growing health care needs We know that with aging in place here at Momiji, the increasing need for medical care is inevitable. There is an ever increasing demand for Momiji’s registered nurse and her care team. For example, clients need constant daily blood pressure monitoring, education/monitoring about medications, wound care, consultation about their health conditions, pre and post operation education/monitoring and more. Momiji is very fortunate to have Dr. Roy Chan who holds his clinic at Momiji twice a week. About 100 tenants have registered as Dr. Chan’s patients, and a total of 1,309 patient visits happened in 2014-15. His excellent care practices, especially for Momiji seniors, are highly valued. It has a big impact on maintaining Momiji seniors’ wellness and quality of life. With this highly committed medical team, the numbers of tenants who visited the emergency department and the need for hospital stays have decreased. Incidents ED visit Hospitalization Fall Pull cord 2013‐14 2014‐15 128 95 37 19 165 146 95 94 Quality of care Momiji continually provides our care staff with training to maintain the safety and quality of care. We had numerous training sessions for front line care staff. The learning topics were; mental health, vision impairment, mechanical lift/wheel chair handling technique, and safe medication reminder. One of our home makers upgraded their PSW certificate level. We continue providing mask fitting tests for all staff. Health Promotion The registered nurse is reaching out to the Japanese community seniors and the caregivers through out the GTA. She attends the community congregate dinning lunches and talks about various aspects of health and prevention. Last year’s main topic was Dementia. It consisted of three sessions where participants learned about the knowledge, prevention and how to care for the people with dementia. JAMSNET Momiji’s nurse is involved with the Japanese Medical Support Net Work Canada (CJAMSNET). This network is world-wide and is formed by various areas of health care professionals. Its mission is to provide support to Japanese communities in the field of medical and mental health, welfare, and education. In Canada, there are currently 65 members registered. Momiji’s nurse was invited to attend its world symposium in April 2014 in New York, and provided a presentation about Momiji. She talked about our history, services, programs, and more. After the presentation, there were many comments received from the audience that Japanese Canadians are lucky because Momiji is one of the best organizations in the world in regards to the care for seniors. It is difficult to find other agencies that can provide the same level of services in the world. She also attended two other meetings, which were held in Tokyo and Montreal in 2014-15. Client Intervention Client Intervention is a service that provides social work to seniors in the community and Momiji tenants. Client Intervention has a wide spectrum of services and its goal is to provide case management with a client centered care model to maintain the client’s quality of life and independent living. The service includes crisis intervention for seniors in the community who need immediate help. Supporting isolated seniors in the community by referring them to appropriate organizations to provide immediate support and decrease isolation. Client Interventions Services Currently, Client intervention services are increasing the number of cases for two types of clients: isolated seniors and couples where one spouse requires increasing caregiving needs. First, regarding isolated seniors, the Client Intervention Worker (CIW) observed that more and more shin-ijusya (new immigrant) who lost social networks after their retirement, and do not have any family members around become isolated in this society. The second type is senior couples where one spouse requires increasing caregiving needs and they do not have any family support since their family lives far from them, they do not want family’s support or they do not have any close family members. The majority of these couples are over 80 years old and the caregiving spouse begins feeling distressed due to the increasing caregiving needs beyond what they can do. Momiji tenancy applicants During the year of 2014, forty four (44) new applications were added to the waiting list, and twenty four (24) applications withdrew their application. In total, there were 487 applications on the list as of the end of the year. The Client Intervention worker (CIW) assessed 43 applicants with inter RAI CHA assessments prior to moves into Momiji. In the year of 2014, Momiji offered 9 apartments (3 Market rent apartments and 6 Rent Geared Income rent apartments) and 12 new applicants moved into Momiji. Applicant Community Services Survey In our latest Community Services survey for 2015, sent to the applicants on Momiji's waiting list for residents, we asked which of the following services they would be interested in receiving from Momiji, if they were available (note that not all of these services are currently available to seniors living in the community). 169 applicants responded to the survey; the chart below shows how many of them expressed their interest in each service. There seems to be especially high needs for congregate dining, transportation and housekeeping services. In addition, 46 applicants indicated that it is important for them to receive these services in Japanese. Home First program The Home First program is the joint program among the Scarborough nonprofit community service organizations. It is for the community seniors who need intensive services in a timely manner while they are recovering at home after a hospital stay. For the year of 2014, Momiji has provided a total of 758 hours of services - home making (124 hours) and respite services (634 hours). Caregiver support Momiji, as one of the community partners of the Caring for Aging Relatives Group (CARG), collaborated in the collective event “Community Resource Fair for Caregivers”. Momiji joined this event and the CIW and two Ryerson social worker students had a presentation about our services. Japanese Social Services and Momiji collaborated in the seminar about “Will and Power of Attorney” at the Japanese Culture Centre. A total of 48 participants attended the workshop and 30 people were on the waiting list. The participants learnt about the importance of preparing a will and P.O.A. For caregiver support, we had a number of educational sessions in the past year. The caregiver support program was very successful as a total of 222 participants joined this program. The “One to One Alzheimer and Dementia counseling” sessions are very popular. It is held every three months with a counselor from the Alzheimer’s Society. Educational Sessions for caregivers 2014-2015 Communication and Behaviour Strategies Tools for Wellness for Caregivers CCAC Information Session Advance Care Planning Understanding Ontario’s Tax Credits and Benefits for Seniors and Caregivers Hearing Problems and Older Adults Frauds and Scams Against Seniors Tours St. Clair O’Connor Community senior’s apartment Belmont House long-term care home Ina Grafton Gage long-term care home Economic Development and Donor Relations (EDDR) Two staff (one full-time, one part-time) were hired and started working for Momiji’s new Economic Development and Donor Relations department in July 2014. The department has two main goals: Improve upon the results of current initiatives and Create new initiatives that would bring new revenue to Momiji Current initiatives Our first priority was to ensure the Preserve the Legacy Capital Campaign was successfully completed. With the help of our enthusiastic Campaign Cabinet and very generous donations from the community, the Campaign was completed prior to fiscal year end. We also received a very generous second $100,000 gift from Alex Yanoshita. Once all of the pledges are realized, it is anticipated that Momiji will benefit with a surplus of just over $17,000. After a review of Momiji’s previous Christmas Appeal mailings and segmentation, our strategy was to place a greater emphasis on mailing to our donors and family members (where we had approval) who in the past, were not mailed. We also ensured that our holiday card was branded so that people would know without a doubt that it was from Momiji. Just over $40,000 was raised which was an increase of just over 20% over last year’s revenue. In an effort to help enhance the annual Bazaar and Bowlathon, EDDR staff joined these Committees and provided strategic advice and on the ground day-of support. For the Bazaar, we took the lead on pre-event promotion (including online which was a new initiative). For the Bowlathon, we introduced the Committee to online pledging via Canada Helps. Since July, in conjunction with other Momiji staff members, we have undertaken a number of Donor Relations enhancements. Working with the Finance Department, we have streamlined the processing of donations to increase responsiveness to donors while reducing the data entry time. This allows for a quicker turn around for receipting, and personalized and timely acknowledgment of donations. We continue to work with the IT Manager on our new Sumac system, helping with the clean up of unnecessary duplication. Future work on Sumac will be undertaken in fiscal 2015-16. A thorough review of our newsletter, Momiji Mosaic was also undertaken. The newsletter, now called Momiji Matters, was rebranded to also appeal to tenant families. A new mailing schedule was implemented to provide more consistent and relevant contact with donors. New Initiatives In November, we introduced the Vandermeer Nurseries Holiday Fundraising program to our tenants, their families and our education participants. We sold over $1,600 worth of plants which raised almost $490 for Momiji. This initiative allowed us to connect with our tenants and community members in a new way and in addition to selling just over 100 plants, it created a sense of excitement. The EDDR department also took on the responsibility of selling items, mostly vintage and collectible items, online. At the end of this fiscal, just over $600 had been raised. With the system established and firmly in place for both of these new fundraising initiatives, volunteers will be recruited and trained to coordinate going forward. We also established new relationships with GMCR Canada Holding Inc. and Purdy’s Chocolates, obtaining gift in kind donations for our Volunteer Appreciation event and the Bazaar. Meet Our Centenarians Amy Mclean Kazuko Umemoto Nancy Okayasu Yasuko Shimoda Vision Momiji commits to serve our seniors in our community with excellence. Mission Momiji Health Care Society is a not-for profit charitable organization whose objective is to assist seniors, primarily of Japanese Canadian descent, to live independently in their own homes as long as possible by arranging for services. When needed, Momiji will assist individuals in finding appropriate accommodation and services to maximize their independence, health, and personal growth where the seniors can enjoy an enriched quality of life. Momiji Health Care Society Values The client’s right to choice, dignity and independence. An environment of trust, caring and respect Innovative leadership and advocacy. Staff and volunteer commitment and contribution Suitable and Sensitive Programs and Services Community participation and partnerships Reinforcing the Joy of Living
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