2016 Community Report

Transcription

Life
N o r t h w o o d Life 2 0 1 6 s p e c i a l e d i t i o n
community report
I 2016 I special edition
The Power
of Love
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The Power of Love
Northwood’s Power of Love is rooted in our six
action pillars of advocacy, research, innovation, diversity,
community and loving care. Everything we do, and everyone
who works at Northwood, lives the power of love through
these social justice pillars.
innovation
From new ideas to new technologies,
Northwood leads the way with a commitment to
quality, innovation and service. We are empowered to do
this, because our focus is on people, not profit margins.
Advocacy
Northwood is recognized both here at home
and across Canada as an extraordinary
example of the power of social justice. In 1962, a small
group of committed individuals, led by Edward L. Roach,
began speaking out about the plight of seniors living alone
in Halifax.
We are proud to be an organization of “firsts”.
What emerged was a
shared belief that people,
committed to an ideal, could
make a difference in the
world. As an organization,
we commit to speaking up
on issues that are critical
to us and to the people we
serve.
research
Northwood
is
proud of its
legacy of service to the community. During our 54-year
history, we have led by example and consistently pushed
the boundaries of our knowledge.
At Northwood, we recognize the value of evidence based
practice and research. We engage with the academic
community and actively support and participate in research
projects that directly impact the delivery of care at the
bedside.
On the cover:
Santosh, Mark, Patricia and Madeleine demonstrating
the power of love!
diversity
Northwood recognizes that every individual
brings unique capabilities, personal beliefs,
individual aspirations and their own life experiences to the
organization. We embrace
these
differences
and
celebrate the opportunities
that allow those differences
to flourish. We are stronger
together.
Community
Since
our
inception,
Northwood has been a
vital part of the community;
contributing to the local
economy, enhancing the
physical environment and
becoming an active participant in community development.
Special
Milestones
Congratulations to all those who achieved milestones at
this year’s Long Service Award Ceremony! A special event
was held on May 27 to honour the 120 employees who
have collectively given more than 2,700 years of service
to Northwood.
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Working with our partners, community groups and
neighbours, we foster relationships that contribute to
a better world while addressing the needs of those less
fortunate.
Loving Care
It’s not just about the care we provide at
Northwood, but also the conversation we have
while doing it. Whether it’s the person at the bedside, in the
home, or the individual who cleans the room, delivers the
meal or works in an office, it’s a commitment that reflects
the very nature of our organization, and our relationship
with each other. We like to call it the Power of Love.
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Advocacy
Using our Influence
We commit to speaking up on issues critical to
carrying out our mandate, to influence discussion
at a system level and, when appropriate, take
public positions on issues that are important.
The Face
of Northwood is
Changing
In many ways Northwood is a reflection of our wider
community. As we welcome more immigrants to Atlantic
Canada, and embrace their cultural differences, the profile
of Northwood’s residents, tenants, staff and volunteers is
bound to change as well. Just over 3% of our workforce
are Aboriginal. About 10% identify themselves as a visible
minority.
June Andrew’s new book is available at the Business
Office in both Northwood Halifax and Northwood Ivany
Place for a discounted price of $20. Northwood recognizes that every individual brings unique
capabilities, personal beliefs, individual aspirations and
their own life experiences to the organization. Northwood
commits to working with everyone to create an environment
which is based on inclusiveness.
Valuing diversity is about celebrating and embracing
people’s different social identities and creating an
environment that allows these differences to flourish.
Northwood has adopted a new diversity statement that
lays out the principles of our commitment to staff and to the
clients we serve. Northwood is also working on developing
a comprehensive diversity strategy to ensure diversity is
reflected in all we do.
Northwood’s Diversity Committee works throughout the
year to create opportunities to learn about other cultures,
faiths, and people of different backgrounds. Through
displays, multi-cultural events and observances, the
Committee has helped raise awareness of and celebrate
our cultural differences.
This past year, they embarked on a new campaign called the
“Dignity and Respect” initiative. Modeled after a program
started in Pittsburg, it featured a grassroots initiative to
support communities, organizations, youth programs,
schools, and sports teams in making our world a better
place for ALL to live—with ALL of our differences.
It’s official – Bedford West’s first Community
Garden has broken ground at Ivany Place!
Vollick McKee Petersmann, award winning landscape
architects, led the design working with residents, staff
and the community. The first 36 beds are now built and
on site thanks to Ken Newman and the amazing Ivany
Maintenance Team. Canada Bread purchased the lumber
and the Cobequid Community Health Board donated soil.
donations, including a charming lilac hedge pledged in
loving memory of a resident who adored lilacs.
The Garden Park is open to the community and welcomes
all Northwood clients, families and caregivers. Reaction so
far has been truly heartwarming. This project hits close to
home for many as an inclusive space where anyone can go
to enjoy the outdoors and feel welcome, without barriers.
Making a donation is easy:
• Call the Northwood Foundation at 902-454-3069.
• Go to the Northwood Foundation web-site at
www.northwoodfoundation.ca and select Making a
Difference. Choose West Bedford Community Garden
and donate!
• Mail your Community Garden Park donation to the
Northwood Foundation at 130 Eileen Stubbs Avenue,
Suite 1 South, Dartmouth, NS B3B 2C4
It is a dream that clearly also resonates with funders from our
community. The Nova Scotia Department of Communities,
Culture and Heritage has provided grants for landscape
design and installation of paved walkways. Halifax Regional
Municipality and our District Councillor, Tim Outhit are also
funding the first phase of the build, which will occur this
summer. Fiskars provided a grant for garden tools and
certificates to Canadian Tire. We have also received private
Staff and volunteers were asked to take a pledge to treat
others with dignity and respect no matter their differences.
Displays were set up at each location and people took the
pledge and left their handprint on a banner.
By making small changes in our behaviour and how we
treat each other, we live our values and celebrate our
differences.
Our Mission
You can follow progress of the build by joining the West
Bedford Community Garden Facebook page. Call 902454- 3341 to reserve a garden bed.
More than a building or a workplace, Northwood strives to
make a positive difference by changing the conversation
on positive aging and building successful models for
community growth. Join us as we sow the seeds of a vibrant
collective future!
As a leader in continuing care, we build meaningful relationships
with our clients everyday and make a positive difference in the communities we serve.
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Matthew McCarthy
Reboom community computer skills resource
Reboom is more than just an outreach program
The same can be said for Northwood. “Working with
of Northwood. It’s also about connecting people and
Northwood and Reboom makes perfect sense.” He’s
connecting communities. Matthew McCarthy reflects
introduced people to computers who might otherwise
Northwood’s new approach to community engagement.
not have had the opportunity to explore what it offers. His
Matthew is Branch Manager of the Halifax North Memorial
introductory program has also expanded to include a follow
Library on Gottingen Street. He partners with Reboom to
up level, an introduction to iPads and a look at various
provide basic computer skills to people in the community
“apps” and how they could be used.
with no or limited computer experience.
“We’ve tried to eliminate the mystery and connect people
“It’s a great way to introduce something new to people in
with their interests whether it’s email, games or favourite
a venue that they are used to,” says Matthew. The program
shows,” Matthew says. “At Reboom, we connect people
was introduced by Northwood to respond to requests from
with what they like; that is what the library does with books
clients and to support its laptop borrowing program; a free
and DVD’s.”
program made possible thanks to a generous donation
from IMP Solutions.
Matthew’s work with Reboom has also encouraged
Northwood’s residents to explore their community. Several
For Matthew, it was a natural fit. Originally from England,
are now regular visitors to the Halifax North Library.
Matthew moved to Canada 10 years ago. His background
“Community doesn’t just happen. Relationships and
in library services landed him a job with Halifax’s public
connections have to be worked at and developed.”
Photo and article by John Verlinden, Communications
library system and he’s never looked back. He worked for
a time in Sackville and at the Keshen Goodman library but
Reboom offers over 30 programs geared to an active
has found a home in the North End. He sees the library
population. They include one-time events, recreational
as a catalyst for building connections within a community.
opportunities, fitness sessions and various informational
presentations. Programs are now available at Halifax, Ivany
“It is the one place that is accessible to all,” he says. “People
can connect at a library and build relationships over time.
It’s not just about books or resource material.”
He enjoys working in the North End and being part of an
active and diverse community. “The library has a very strong
presence in the area.”
Place in Bedford and Fall River.
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Get Connected: A Great Way to Give Back
Get Connected is a Northwood program that brings together Northwood
volunteers and older adults living alone in the community. Each week,
volunteers make a social phone call to an older adult that promotes meaningful
conversation and a friendly connection.
As a volunteer with the Get Connected service, Diane Klabunde knows firsthand
what a difference that friendly phone call can make in a senior’s day.
“It’s wonderful to hear the person perk up at the sound of your voice when you
call,” she says. “They really get to know you and can’t wait to hear from you.”
Diane first heard about the Northwood phone call service in 2013 from a friend
who was receiving the service. Feeling a bit isolated herself, Diane signed up to
receive the calls and quickly saw the benefits in her own personal life.
“It was such a great way to start the day; it was like having a chat over breakfast
with a friend. It set the tone for the rest of my day.”
After moving into Northwood, Diane soon developed friendships and found a
great community of people who support her. She was eager to see how she
could give back. Remembering how valuable the Get Connected phone calls
were for her, she decided to volunteer as a caller. Diane now calls each of the
individuals on her list once a week, and finds there is always something to
discuss or catch up on.
“I have been volunteering with Northwood for several years now, and I love it! It’s a
great way to stay involved, and I just love the idea of brightening someone’s day.”
Shoreham/Northwood Partnership pays dividends
In 2016, Northwood and Shoreham
Village signed an agreement forming a
new, innovative partnership that allows
the two organizations to work together
towards a single goal: providing quality
care to residents. This is the first
partnership of its kind in Nova Scotia.
Both organizations worked hard on
finalizing the formal agreement and
clarifying the lines of communication
and accountability. It was an important
process and both sides committed the
time needed to get it right. The formal
agreement, now signed, forms the
blueprint for work being done by staff
from both organizations.
“We are learning to take advantage of
opportunities to share information and
resources on both sides,” says Josie
Ryan, Northwood’s Executive Director
for Incare Living. “It’s a sign that the
partnership is working.”
By integrating functions such as
human resources, financial services
and occupational health, both
organizations are benefiting from
the partnership by spreading costs
over a wider area. The partnership
has also allowed both Shoreham
and Northwood to take advantage of
opportunities to share educational
resources and knowledge over all
three sites. Northwood is piloting a new
program called Leadershift that looks
at problem solving at the unit level. By
trialing the initiative at all three sites,
Northwood is better able to access
the program and make adjustments
before rolling it out across the entire
organization.
There are other benefits as well.
Shoreham was able to go through
the licensing process under the
new requirements issued by the
Department of Health. Shoreham
benefited from Northwood’s support
but also provided valuable information
for both Ivany Place and Halifax who
go through the process later in the
year. By sharing information and
lessons learned, both organizations
take advantage of the opportunities
inherent in the partnership.
Honouring Pauline Potter
Mothers are extra special people. They care for us,
encourage us and love us for who we are. But, unfortunately,
we don’t always have our mothers with us for as long as
we’d like.
At Northwood, we are truly blessed to be able to keep
one mother’s memory alive through donations to the
Northwood Foundation that have made a lasting difference
to our community.
Since 1998, the Municipal Group of Companies, owned
and operated by the Potter Family, has been donating to
Northwood because they believe in our mission and values.
They believe we are making a difference to people’s lives.
Lives like their mother, and grandmother, Pauline Potter.
Pauline lived here with us at Northwood for many years.
Northwood is the largest, non-profit, continuing-care
organization in Atlantic Canada. Being a non-profit means
we rely on donations to support our efforts to enrich the
lives of those we serve.
The donations made in memory of Pauline Potter can be
seen throughout Northwood. Through their support of our
annual gala fundraising events – the Live More Awards
and the Live More Walk – Northwood has been able to
create an active living environment that everyone in our
community can be a part of.
Our Vision
You may have had a dentist appointment or a massage at
the Pauline Potter Community Health Centre or ran a mile or
two on a treadmill and lifted some weights at Northwood’s
newly renovated Pauline Potter Fitness Centre. These two
areas would never have been possible without the kindness
and generosity of the Municipal Group of Companies, and
the Potter Family.
Other projects they supported include: the purchase of
various pieces of mobility equipment, Manor dining room
renovations, renovation in the Shirley Burnstein Hall, a new
nursing call system, and the purchase of our Northwood
Bus – just to mention a few.
We were fortunate to have Tim Potter with us for the
grand re-opening of the Pauline Potter Fitness Centre
this past March. Tim was proud to know that they have
been supporting Northwood in loving memory of his
grandmother, Pauline. Keeping her memory alive and
honouring the Northwood Community that cared for her at
the same time is something very important to the family.
It’s difficult to share with a donor just how much they make a
difference and how grateful Northwood truly is. Sometimes,
thank you doesn’t seem like enough.
To the folks at the Municipal Group of Companies, and
the Potter Family – Northwood is better because of your
kindness. Thank you for caring!
People living life to the fullest, flourishing in a
community of belonging, dignity and choice.
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Joan Murphy
Tenant, Northwood Manor
Sitting down with Joan Murphy in her Manor apartment,
you immediately feel welcome. Conversation comes easy
as she talks about her experience moving into Northwood.
Photo by Tara Dunn, Communications and article by John Verlinden, Communications
“People kept recommending Northwood,” she says. “I
heard from people I knew who lived there as well as staff
who worked at Northwood. They all said this place would
be perfect.” So did her son who first toured the building to
scout out the location. Joan has four sons, a daughter and
several grandchildren.
Joan moved to Northwood in February of 2016 and has had
no regrets. At the time, she was looking for a place that
offered a pleasant atmosphere and a sense of security. She
found both at Northwood. She also had a range of options
to choose from including Independent Living, Supportive
Living or Assisted Living.
Joan chose Supportive Living because she appreciates the
extra support to maintain her independence.
Included in her monthly rent is a newly renovated apartment,
heat, hot water, power, cable and phone, parking, weekly
laundry and housekeeping, personal care, Intouch,
medication reminders and an evening meal. It also gives
her access to Northwood’s Community Health Centre and
the Fitness Centre.
“It feels more like a hotel,” says Joan, who loves the
pampering she receives. She can’t say enough about the
staff. “They are kind, efficient and make me feel important.”
Meal time has been a pleasant surprise. Tenants in the
program gather in a private dining area on the ground floor
of the Manor. Supper is served at 4:30 p.m. every day. Joan
can choose from the options offered by filling out a menu
card for the following day. “The food is great,” she says,
“And so is the service.”
Joan’s passion is painting. She is an accomplished portrait
artist and displays some of her work on the walls in her
apartment. Figures include neighbours, friends, family
members or just faces that caught her attention. She
learned her craft from a professor at St. Mary’s who took an
interest in her and helped develop her talent. She has had
a number of exhibitions of her work over the years and sold
many of her paintings.
“I don’t do landscapes,” she says. “I’m much better at faces.”
Looking at the paintings that adorn her wall, you can’t
argue. Whether it’s a grandchild, a friend or just someone
she met, her paintings draw you in and capture the soul of
the person staring back at you.
The table in her apartment is full of painting supplies though
she hasn’t been able to do much painting. “It would be great
to have a space somewhere at Northwood where painters
like myself could gather,” says Joan. It’s an idea Northwood
is looking at.
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Housing
Building for the Future
Northwood will develop a new vision for
housing that responds to the needs of the
population we serve and addresses
perceived gaps within the system.
Back to our Roots
The opening of Ivany Place in 2010, not only introduced
a new model of care to the province, it also opened up
West Bedford to development. Today, West Bedford is a
growing community, offering a mix of single-family homes,
townhomes, semi-detached homes, apartments and
condos. Conveniently located just off Highway 102 on
Hammonds Plains Road, the area offers easy access to
nearby amenities, such as shops and restaurants and the
BMO Centre.
When Northwood opened Ivany Place, part of the vision
for the site was to create a unique retirement community
incorporating the facility as a primary anchor. Now six years
later, Northwood is developing plans to realize that vision.
This year will see the development of a community garden
on the grounds in front of Ivany Place. Thanks to the Board
of Governors, the support of the Foundation and donations
from organizations, companies and individuals, the garden
will bring joy to both the resident population and the wider
community.
Still in the planning stages, is the development of 13
acres of land Northwood owns behind the facility. In
exploring its options.
“Northwood began as a response to the plight of seniors
living alone in the community,” says Janet Simm, Northwood
President and CEO. “Our first project, located on Northwood
Terrace, provided housing options to those who could not
afford the standard rents available in the marketplace.”
Northwood is going back to its roots and focusing on a
population with modest means who may require some
support and social stimulation to flourish within a retirement
living community.
Conceptual plans call for a range of apartment and lifestyle
options, on-site services to support both Independent and
In Care Living and a link to Ivany Place.
“By creating a blended population, we promote active living,
increase options for people and support the development
of a true community identity,” says Janet. While plans are
still in the development stage, Northwood hopes to move
forward on its vision for the Bedford site in the near future.
Northwood’s Retirement Living offers a variety of housing options:
Independent Living
Ideal for people who are independent and want a safe
affordable apartment with the convenience of location
and access to an active social life. Monthly rent includes
heat, hot water and power (Towers only).
Supportive Living
Ideal for people who are not quite managing on their own
and need support to maintain independence. Monthly
fee includes all utilities, evening meal, weekly laundry/
housekeeping, personal care, Northwood Intouch, case
management, medication reminders and more!
Assisted Living
Ideal for people having daily challenges and who require
all nutritional, medication, housekeeping and laundry
needs met in a well appointed apartment and dining
room where personalized service is what you can expect.
Monthly fee includes all utilities, three meals daily, weekly
laundry/housekeeping, personal care, Northwood
Intouch, onsite doctor/nurse and more!
For more information, contact 902-440-2574,
[email protected] or visit us online at
www.nwood.ns.ca/retirement-living
Every community has a main street
Main street is the heart of a
community. It’s where things happen
and where people can find the
services they need. It’s where they will
find restaurants, entertainment and
shopping. A bustling main street is
often a sign of a community’s vitality.
Northwood is no different. With over
800 people living, working and
volunteering at Halifax and over 200
at Ivany Place in Bedford, Northwood
is a busy community. Creating a main
street that will reflect our focus on
“living more” and provide access and
choice for residents is a priority.
Northwood has conducted a review of
space along Halifax’s main floor and
is looking at moving offices to more
appropriate locations. In its place, it
has created a resident program space
next to Lawtons and opened the
Marjorie Lindsay Centre for our Seeds
of Success program. People also
have choices. Lawtons provides a full
service pharmacy to meet the basic
shopping needs for both residents and
staff. In addition, residents and staff
can drop by CoCo’s for meal service,
have their hair done at our “Ageless”
Beauty Salon, attend an event in the
Shirley Burnstein Hall or listen to music
in the Harbourview.
Thanks to funding from the Northwood
Foundation, work will soon begin on
renovations to the main floor of the
Manor to accommodate Reboom,
Volunteer Resources and the Tenant
Wellness Manager.
“We’re looking a creating a community
hub on the main floor of the Manor that
will be both inviting and serviceable,”
says Janet Simm, Northwood President
and CEO. “It will also open up more
space and create additional options
for our main street in the Centre.”
While a decision has not been made
about what will go into the space
left by the departure of Reboom and
Volunteer Resources, ideas are being
explored. The main street concept
will also be used at Ivany Place in the
future.
We Can Always Do Better
Achieving excellence in all our
programs and services is based on learning from our mistakes, applying the best evidence and setting the
highest standards. We value our ability to challenge the status quo in pursuing new opportunities.
Simple Rule: Challenge thinking, learn more, do better
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Charmaine Cater
home support worker & mentor, Northwood homecare
Seventeen years ago, home support worker Charmaine
declares. “It’s nice to share tricks of the trade, so to speak,
Cater was approached by her supervisor about becoming
but also to be shown new ways of doing things.”
a mentor. Since then, she’s mentored more than 25 CCA
students and new hires for Northwood Homecare. “I love my
Still friends with the first student she mentored 17 years ago,
job and enjoy the mentoring aspect of it,” says Charmaine.
Charmaine says mentoring has become an important part of
“This is a job where you’re always learning and mentoring
her job; a job she loves and plans to stay at until retirement.
keeps me on my toes and refreshed.”
“You have to get up every morning and go to work. If you
don’t love your job, you better figure out a way to.”
Being the youngest of three girls, Charmaine says she
spent her early life around people who were older than her.
Charmaine has been married to her husband Cyril for 20
“I relate more to older people and see myself as an ‘old
years and has one son and a two-year old grandson. She
soul’ kind of person,” she explains. “My grandmother lived
enjoys spending time with her family, travelling, bowling,
with our family and we were very close. I’ve always been
walking and playing bingo.
more comfortable with elderly people.” In a way, Charmaine
always knew she wanted to care for others and began
working in home care in June 1997.
Charmaine’s easy-going personality has made her the
ideal person for mentoring. She says that being able to ‘go
with the flow’ has definitely helped her deal with different
personalities and is an important quality to have when
Photo and article by Tara Dunn, Communications
teaching others. “I always tell the students I’m mentoring
that I will show them the way I do something, and then say,
you may do it differently. What’s important is that we both
accomplish what we have to do at the end of the day.”
Mentoring not only means teaching others, but also learning
yourself. Charmaine states that she enjoys when the
students are willing to listen and watch, then ask questions;
rather than her always saying ‘do this’. “I’m always open
to new suggestions and certainly don’t know it all,” she
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Human Resources
An Employer of Choice
Northwood will focus on developing new approaches
to recruitment, encouraging individuals to
enter the profession and supporting
our people to reach their full potential.
(blue box initiatives) that are actively being pursued
throughout the organization. They include person
centred care, enhancing the resident dining experience,
the implementation of Kronos and the development of a
diversity strategy to name just a few. While most of these
initiatives involve a team approach, Northwood is also
looking at ways staff can contribute more directly to our
success and make a real impact on the lives of the residents
they serve.
Called Leadershift, it is an initiative now being trialed at
Shoreham, in Bedford and at Halifax. The program provides
a tool to solve problems or issues that come up on the front
line of care.
“Not every issue requires a formal response,” says Josie
Ryan, Executive Director for In Care Living. “Many day-today issues come up that affect life on the floor can best be
solved by staff working there.”
Northwood: Employer of Choice
Northwood continues to be an employer of choice
for many people. Northwood offers an excellent benefit
package, educational opportunities, employee discounts as
well as a positive work environment. Below is an overview
of our activity this past year:
• Number of jobs available to outside candidates
(not filled internally): 403
• Number of applications received between
April 1, 2015 – March 31, 2016: 4,216
• Number of recent grads hired on a FT basis: 50
- CCA/PCW (LTC): 5
- HSW/CCA: 44
- RN: 0
- LPN: 1
• Number of paid summer students for 2015: 40
• Retirements: 40
• Voluntary full time turnover rate: 3
It may be a seemingly small issue, like not having enough
glasses available for breakfast on the floor in the morning
or a missed resident’s birthday, but it has a big impact on
the workflow and experiences of both residents and staff.
Leadershift:
Northwood is guided by a singular purpose: “We can
always do better.” When life changes, and society
changes, Northwood has always led the way, with a
commitment to quality and a promise of service. For over
54 years, Northwood has been Nova Scotia’s most dynamic
continuing care organization committed to innovation and
change.
Our commitment to quality is ingrained into our culture.
Northwood has over 30 quality improvement initiatives
People working on the floor come together to create a daily
status sheet. This helps the staff get ahead of their day and
foresee any issues or challenges and opportunities to work
together to address them. Issues are also identified through
improvement opportunity tickets. Anyone can contribute
a ticket. Tickets are posted on a “huddle board.” Two or
three times a week, staff discuss tickets posted, establish
priorities and develop solutions. Updates are provided
on previous initiatives, progress noted and successes
celebrated. Results are tracked.
Leadershift reflects a culture shift within the organization.
It moves problem solving to the front line and promotes an
interdisciplinary approach that encourages communication
on the floor. It provides staff with the opportunity to develop
their own skills, learn more about their environment and
feel they can make a difference.
People Come First
We believe treating each other with respect and dignity
builds the trust that is essential to our effective relationships. We foster the talent and potential in everyone.
Simple Rule: Seek to understand and act with kindness
Northwood Flexicare is looking for caring
and compassionate people... Who:
• Have provided care to others, personally or professionally
• Can help with meal preparation and light housekeeping
• Are able to accompany clients on outings (social or errands)
• Can provide personal care
We offer flexible hours and
competitive wages.
If this opportunity interests
you, call 902-454-3369
or email [email protected]
Northwood is proud to be an inclusive employer
who encourages diverse applicants.
Staff Education:
Everyone plays a part
In 2015, educators and managers came together
to discuss ways to improve the assessment, planning
and delivery of staff education across the organization.
Their mandate was to identify those areas and make
recommendations for a more coordinated approach.
Here is what they determined:
• An Education Steering Committee will be formed to
provide oversight and accountability of an organization wide education plan.
•
A multi-year organization-wide education plan will be
developed based on the needs of both the organization
as a whole, as well as within specific programs.
Initiatives will have clearly defined objectives.
• The mandatory education policy will be reviewed
to determine clear accountabilities and how it fits into
departmental operation plans.
• Processes will be developed around responding to
specific education needs outside of the education plan.
•
Ways of improving technology to support/track
education delivery will be explored. This could include
a tracking system, an education hub on the staff portal
and an online learning management system.
• The roles and responsibilities of the managers and
educators will be clearly articulated.
The first education planning day will be held later this
summer. The committee is looking forward to the beginning
of a more collaborative and coordinated approach to
ensure staff get the most out of our education and training
opportunities.
Everyone Plays a Part
We value a vibrant and diverse community where
contributions are recognized and celebrated. We are stronger together.
Simple Rule: Share what you know, ask for what you need, invite different views
16
17
Stephen Jefferson
Resident, schooner landing, Ivany Place
On the wall of Stephen Jefferson’s room is a framed
On December 5, 2009, at age 85 and 88, Stephen and
photograph of his wedding day in December 2009. His
Roberta were married; the first couple to wed in the chapel
bride, Roberta, is stunning in her blue dress and pearl
at Melville. “When Roberta came in, the tears sprang to
necklace. His brand new suit and tie were purchased just
my eyes,” says Stephen. “Sometimes the right thing is put
for this very special day; the day he and Roberta said “I do.”
in front of us and I was so sure this was the right thing to
This is their love story.
do.” All 100 residents came to their reception, as well as a
CTV cameraman to cover the joyous event. “I remember
When Stephen walked into Melville Heights and saw the
Roberta telling him I was her ‘toy-boy’.”
snooker table and bridge sign, he knew that’s where he
wanted to live. He didn’t know then that the woman he
In 2014, Roberta spent three months in hospital after being
would soon marry lived on the next floor up.
diagnosed with cancer of the bowel. When she recovered,
they moved into Ivany Place in March 2015. Stephen says
It was a flood in her apartment that brought them together
Roberta’s health never really came back to the way it was
in a chance meeting in the hallway. “I saw Roberta with
before and in November 2015, she passed away.
pictures lined up against the hallway wall and wondered
what was going on,” says Stephen. “I offered to help hang
“We knew we were each other’s soul mate, and even
the pictures in her new apartment but she said no.” Realizing
though it ended as it did, I wouldn’t exchange one hour of
the paintings were quite good, he offered to buy one from
our lives together.”
her and again she refused, but in end finally said yes. After
that, he says he put a love note under her door.
Over the next while, they would walk the corridors together
and Roberta even helped Stephen with a presentation
Article by Tara Dunn, Communications
he was doing in the common room. “It was after that, that
I kissed her and said ‘I love you’,” says Stephen. “When
Roberta said ‘I love you’ back, the world stopped.”
When Stephen introduced Roberta to his two daughters,
they immediately approved and said they hadn’t seen their
father this happy in years. Soon after, they announced their
engagement at a family dinner.
18
19
Homecare: Change in Action
Program Growth and Development
Achieving Excellence in Care and Services
It’s 8:00 o’clock in the morning and the door bell rings at
a home in Dartmouth. It’s Northwood Homecare making a
regular visit to a client living alone in the community. It’s one
of five or six visits this home support worker will make today.
With over 550 Home Support staff, Northwood serves over
1,800 clients throughout the Halifax Regional Municipality,
Windsor, West Hants and Hantsport.
We are committed to strengthening
programs to improve the quality of life
and safety of our clients by developing
new responsive programs.
With more than 30 years of experience working in the
community, Northwood has built an enviable reputation as
one of Nova Scotia’s leading home care providers.
Person & Family
Centred Care
Person and Family Centred Care is an approach that
influences the way in which health care is delivered. It
acknowledges the expertise and experience that both those
receiving care and care providers bring to the relationship.
Services and supports are designed and delivered in a way
that is integrated, collaborative and mutually respectful of
all persons involved.
In 2011, Northwood was selected by the Alzheimer Society
of Canada as one of six long term care facilities across
Canada to participate in a project entitled: ‘Client Centred
Care: Future Directions for Policy and Practice in Home and
Community Care’. The project was in partnership with Saint
Elizabeth Health Science Centre in Ontario.
Northwood was provided with resource materials to
develop an education program for the full range of direct
care providers (eg. nursing, allied health, support services).
The content was delivered in three 90-minute sessions
over a period of several months with 854 Northwood
employees participating in at least one session.
Following completion of the education, work began on
addressing what staff perceived as potential barriers
to implementing this model of care, as well as defining
professional boundaries, teamwork, ethical decision
making and cultural sensitivity. ”Northwood sees this as
an opportunity to formally establish a model of care for In
Care Living,” says Darlene Rogers, Director of Resident
Programs & Services. “Our goal is to have this philosophy
embedded in everything we do.”
Research: Building on what we know
Most Canadian seniors in long term care take several
prescription drugs. This is called polypharmacy. Studies
show that too much or inappropriate medications can lead
to adverse effects, such as falls, higher health care use and
lower quality of life.
The polypharmacy research project at Northwood is
conducted by Olga Kits, a doctoral candidate in the Faculty
of Pharmacy at the University of Toronto and a research
methodologist at the Nova Scotia Health Authority. She
is researching the everyday world of prescribing and
polypharmacy at Northwood, asking questions such as,
what does the practice of prescribing look like on the floors
and in the administrative offices? What are some of the
challenges involved in ensuring residents receive no more
drugs than clinically necessary?
Olga is shadowing clinicians and administrators, observing
the day-to-day world at Northwood learning how people
think about and do their work. This research looks at
opportunities for intervention and education for healthcare
providers, residents, and their caregivers around the
management of polypharmacy within long term care.
“It’s not just the care we provide,” says Michele Lowe,
Executive Director for Northwood in the Community. “It’s
also about the conversation we have while we’re there and
the relationships that are formed.”
Clients depend on Northwood to provide the support
they need to remain at home. Tasks include help with
bathing, dressing or personal hygiene. We also provide
light housekeeping including vacuuming and laundry. We
provide these services as part of the province’s continuing
care system. It’s a system that is under stress.
We have accomplished this work without compromising on
our values. We continue to recruit and invest in our staff
to make sure they are well prepared to respond to client
needs, and we have supervisors to support front line staff,
clients and families to work through challenges and achieve
the best quality of life possible. We have invested in and
continue to invest in tools and technologies to support
communication and efficiency of work. And we continue to
support fair and equitable pay and benefits for staff.
That doesn’t mean we can rest on our laurels. We believe
we offer the best Home Support Service in the HRM and
beyond. That doesn’t happen by accident. “It takes a team
with everyone playing a part,” says Michele. “It requires
high quality, committed individuals working in the home,
a dedicated staffing group, a supportive supervisory
team, backed by Human Resources and Finance working
together to achieve our goals.”
The work continues.
People want to remain in their homes as long as they can.
With an aging population and the ongoing fiscal challenges
faced by the province, Nova Scotia is making difficult
decisions to ensure people receive the care and support
they need to age with dignity and respect.
That has meant significant changes to how the home
care sector does business. Northwood has faced these
challenges before head on with innovative approaches to
our service delivery model. We have made tremendous
progress to become more cost effective and accountable.
However, government continues to set new targets to
reduce wait times for access to service. Northwood is one of
five home care agencies that share a central intake process
for clients who are referred for service by Continuing Care.
Through strong recruitment efforts, Northwood Homecare
has made a significant impact on reducing the wait list
resulting in a “service list” where clients now receive help
in their homes within days of Northwood accepting their
service.
Homecare client Madeline Way with Home Support Worker,
Lucy Warwick-Sullivan.
20
21
Darryl Coffey
Production Supervisor, Food & Nutrition Services
Northwood at the Harbour
Growing up in the north end of Halifax, Darryl Coffey
any family, we always come together to make everything
saw Northwood as just another part of his neighbourhood.
work.”
“I can remember the site here before the Centre was built,”
he says. “I also remember coming down when the Queen
Speaking of family, Darryl’s wife Florence also spent 30
came to visit in 1976.” So it worked out well when he was
years working at Northwood. “Florence got a job here in
hired on November 1, 1980 to work part time in the dish
1981 and didn’t even tell me,” he says. “I came to work and
room at the age of 16.
saw her and said, ‘what are you doing here?’” Most of the
time, Darryl was her boss, but he says they always found a
After graduating from high school and figuring out he
way to leave work at work, and home at home.
was interested in cooking, Darryl starting the culinary arts
program at NSIT on Leeds Street. Two years later, in 1984,
Looking back, Darryl says he never thought he’d stay this
he received his Red Seal Journeyman papers and was
long at Northwood, but can’t imagine working anywhere
promoted to first cook at Northwood. In 1992, Darryl moved
else. “You have your good days and your bad days, but that
into the production supervisor role and is now in charge
comes with every job. Northwood has always been a good
of kitchen operations, ordering food, creating recipes,
place to work.”
Photo by Bill Ryan, Financial Services and article by Tara Dunn, Communications
managing food shortages, as well as overseeing the meals
created for Meals on Wheels, Out & About and Supportive
Darryl and Florence have a son named Shawn and two
Living.
grandchildren; Liam (10) and Abby (8), who live with them. He
owned a catering business for 13 years and a restaurant for
With nearly 36 years of service come a lot of memories!
three and a half years. Darryl enjoys making and painting
When Darryl first came to Northwood, he says there was
ceramics, swimming in the summer and spending time with
a dining room and servery on the main floor of the Manor
his family.
(where the Fitness Centre is now), where Manor residents
would come down to eat their meals. Food services staff
would serve the food from behind an open steam table.
He also remembers when the Harbourview Lounge (known
then as Tiffany’s) had a fountain in the middle of the room,
two snooker tables and a pool room in the back.
“Northwood has been more than just a job for me,” says
Darryl. “Many of my coworkers have become family, and like
22
23
Seeds of Success participants
happy to have program
Seeds of Success is Northwood at the Harbour’s mental
health support program offered to residents and tenants.
Allister and Gary are program participants who wanted to
share their experiences.
We can always do better
Christina Kotowski, 2 Manor with Nurse Practitioner, Cathy Misener
Primary Care Clinic a Success
Allister Hiltz
Gary Wentzell
What does the Seeds of Success program mean to you?
It means time spent with people, my friends, doing things
I like to do. It means I can do art, planting and gardening
and painting. I was one of the first people to sign up and
I’ve only missed one day!
What made you want to join the Seeds of Success group?
I was tired of sitting in my apartment staring at the wall.
It’s a good way to meet people. Now I know people I didn’t
before and I love that. I’m expanding my horizons.
Resident, Hickory Shore, Northwood at the Harbour
How do you feel when you leave the program?
I wish it would never end. I enjoy all of it and the program
always makes me really happy.
What would you say to someone who is thinking about
joining the group?
I would tell them they will have a good time; talking
and being around people. I used to be upset a lot and this
program helps me feel happy.
Tenant, Northwood Manor
What do you get out of being a participant?
For me, it’s a form of self expression, especially with
planting. If I’m having a bad day, it makes me feel better. It’s
therapeutic. Plus all the new friends I’ve made.
How do you feel when you leave the program?
If I feel good when I arrive, then I feel three times better
when I leave. If it’s a bad day, I still feel better when I leave.
We Are All Accountable
Each person is accountable for their actions
in delivering service, proper use and respect of resources, and fostering healthy relationships.
Simple Rule: Own your responsibilities and the impact of your actions
For the past year, tenants living at Northwood at the Harbour have
been able to access a primary care clinic offered through the Pauline
Potter Health Centre.
The weekly clinic brings together Northwood’s Nurse Practitioner, Cathy
Misener and physician, Dr. Cathie Meehan to offer the same services
that any GP or family doctor would provide. “We’re pleased to be able
to provide excellent access to primary care right in the building,” says
Michele Lowe, Executive Director, Northwood in the Community. “This
service allows the nurse practitioner and physician to really specialize
in senior care, which is in line with other services at the health centre.”
Already proving to be a success with Northwood tenants, the hope
is to eventually expand the clinic into surrounding communities. “This
vision fits with Northwood’s goals of program growth and community
engagement,” says Michele. “We have so much to offer our clients.”
The Primary Care Clinic is just another service in the full menu of
services available at the Pauline Potter Health Centre:
• Dentistry and Dental hygiene
• Ophthalmology
• Chiropractic services
• Registered therapist
• Podiatry and Foot Care
• Massage therapy
• Audiology
• Esthetics
• Optometry
Northwood believes that, to achieve excellence
in all our programs and services, we need
to learn from our mistakes, apply the best
evidence and set the highest standards. We
value our ability to challenge the status quo by
pursuing new opportunities and responding to
the emerging needs of our clients.
Quality is reflected in one of Northwood’s
key values: We can Always Do Better.
Quality improvement is part of the day to
day operations of the organization. Various
teams come together on an ongoing bases.
They include Department teams, Quality
Circles, Infection Control, Education, Diversity,
Resident/Family
Councils,
Occupational
Health and Safety Committee, Homecare
Continuous Quality Improvement committee.
Quality improvement is one of their core
responsibilities and integrated in all they do.
Other teams come together for specific quality
initiatives. They are time bound, have specific
deliverables and bring together the resources
they need, both internal and external to deliver
results. Current initiatives include:
• Development of a diversity strategy
• Person centred care education
• Education program review
• Resident room standards
• Fall prevention strategy
• Emergency preparedness
• Recruitment
• Implementation of an electronic health
record in In Care Living
• Mental health strategy
• Space planning
N o r t h w o o d Life
special edition
24
Margaret remembers the first time
she drove by the
Margaret saw opportunity. It wasn’t long before she was
multi-coloured building in Bedford. Intrigued, she asked
working with people across Northwood to develop ideas -
around and was surprised to learn it was a new long term
the new business development role was born.
care facility being built by Northwood.
It’s a nice fit. With her background in business and
“It was not what I pictured a nursing home would look like,”
development, Margaret brings a new perspective and hard
says Margaret Szabo, Northwood’s Director of Business
skills to the table. “In many ways we are going back to
Development. When she later saw the ad for Director of
our roots as we connect with community. Helping people
InCare Living at Ivany Place, she decided to learn more. It
frame out ideas and communicate value as they reach out
seemed like a natural fit. Having trained as a nurse, she had
to funders is key”. One of the first projects was to help
later completed a MBA and had spent her career working
the Recruitment Team build a business plan for Flexicare,
for a leading human resource firm specializing in change
Northwood’s new staffing agency. Margaret is also the go
management and leadership development.
to person for the new Community Garden in Bedford West.
“Funders are looking for maximum impact for dollars spent,”
For Margaret, losing both parents to dementia was life
she says. “With the right project and a tight, coordinated
changing.
approach, teams have been very successful in attracting
Learning firsthand what it was like to be a
caregiver, while getting to know each of them again in a
grants this year”.
totally different way, opened her eyes and her heart to
others. In 2010, Margaret accepted Northwood’s challenge
Margaret sees a bright future for Northwood; one where
to open Ivany Place. She learned a lot over the next five
we continue to scale up our work on behalf of those we
years, not only about Northwood, but also about herself.
serve. Her work has brought profile to Northwood’s social
enterprise model, built new connections and added value
“I learned that together we are stronger,” she says. I learned
to what we do as an organization.
the value of community.”
“Northwood is a great organization and we are really
In 2015, she was asked to help Northwood Homecare
positioning ourselves for growth,” says Margaret.
prepare for a possible RFP given her consulting background.
best part is I get to work with great people who care and
It was a chance to learn more about Northwood and to
think outside the box.” It’s a model that will help to guide
help Homecare showcase the value they bring to clients.
Northwood’s journey forward. The road trip continues!
In an industry facing tremendous change and competition,
“The
26
27
Brand Awareness
Getting to Know Us
Northwood will capitalize on its
name and reputation to promote
a better understanding of our
continuum of services.
Look what we’ve
accomplished!
Citizenship Ceremony
Held at Ivany Place
Awards
Atlantic Canada Top 100 Employer, 4th year in a row
Nova Scotia Top 50 Employer, 3rd year in a row
Top 50 Atlantic Canada CEO
Employer of the Year – Eastern College
Finalist: BBB’s 2016 Torch Award for Ethics
Northwood in the News
Northwood takes advantage of opportunities to profile the
organization in the media and at community events. This
past year, Northwood’s brand was featured prominently in
a number of venues.
A grand opening of the Marjorie Lindsay Centre was
held, where guests saw a video produced to promote the
program We were featured on the news.
CTV news did a feature on our “Giving Tree” campaign in
December.
Eastlink did a story on NWBC for inclusion in a feature
about their Community Television station.
Northwood was featured extensively on 92.9 JACK FM
in December, promoting our Christmas Card Campaign.
Global TV came in to film on the day we distributed the
cards.
A story on the Conservatory of Music and their
performance at Northwood aired on CBC news in January.
The official reopening of our Fitness Centre as a
dementia friendly environment was held in March. The
event was featured on social media, Global television,
News Radio 95.7 and CTV.
Excellence in Promoting a Psychologically Healthy
Workplace (Large Organization) award for 2015 from SMU
2015 Co-op Employer of the Year award from MSVU
Accreditation with Commendation in 2015
Donations/Grants:
$100,000 from Marjorie Lindsay to launch
the Seeds of Success program
$100,000 from the Municipal Group of Companies to
renovate the Pauline Potter Fitness Centre
Nova Scotia Department of Seniors
Age-Friendly Community Grant
(dementia-friendly fitness programming) - $9,833.35
Community Garden grants:
Nova Scotia Department of Communities, Culture and
Heritage (design and infrastructure) - $60,000
Halifax Regional Municipality
(infrastructure) - $15,000
Councillor Tim Outhit - $10,000
Canada Bread Good Neighbour Project grant (lumber and
supplies for planting beds) - $5,500
Fiskars 2016 Project Orange Thumb Grant
(cash and tools) - $3,500
Cobequid Community Health Board partnership support
(soil) - $1,000
We Promote Social Justice
We believe in using our voice to
influence positive change and fairness.
Simple Rule: Speak up for positive change, fairness and choice
Northwood’s Ivany Place had the privilege of hosting
a Community Ceremony on May 11th for 39 new Canadians
as they took their Oath of Citizenship and officially became
Canadian citizens. Organized by the Institute for Canadian
Citizenship (ICC), a non-profit charity dedicated to helping
new citizens integrate into Canadian life, Northwood was
asked to participate to create a unique experience for all
those who participated.
“I believe new citizens should be warmly welcomed into
their community and that their first day as a Canadian citizen
should be filled with warmth, new friends and pride,” says
Annette Carter, a volunteer, with the Halifax Committee of
the Institute for Canadian Citizenship.
Ceremonies are usually held twice a year in welcoming
public spaces. Several Northwood staff and volunteers
were involved.
Northwood offered the backdrop of a long term care
facility and the opportunity for both residents and staff to
participate. A number of Northwood staff and volunteers
stepped forward to host the informal discussions with new
citizens and their guests and encourage them to share their
stories and experiences as they celebrate and reflect on
what it means to be a Canadian citizen.
Saturday, September 10 - Northwood at the Harbour
All money raised from the Live More Walk will
benefit the Dignified Living Fund
Register today at www.northwoodfoundation.ca or
call 902-454-3069 for more information.
Brake the Stigma Car Raffle
In support of Northwood’s Mental Health Initiatives
WIN
a 2016 Honda Civic SE
Sponsored by
For the Northwood members who participated, it proved to
be a meaningful experience.
“It was a wonderful hearing their stories” says Joyce Mal
“I was so pleased to hear how welcoming Nova Scotia is.”
“What an amazing opportunity to meet so many individuals
who were so proud to call Canada their home!” commented
Margaret Szabo. “There is so much that we can learn from
each other as we work to build an inclusive society.”
Tickets are $25 each or 5/$100(902)
and can
be
northwoodfoundation.ca
454-3069
purchased
northwoodfoundation.ca;
Debit andat:
Credit
ticket purchases available at the Northwood902-454-3069;
Business Offices
or Northwood Halifax/Bedford business offices.
Draw Date:
September
2016 $25 each
or 5 for $100
Draw
date is10,September
10, 2016
Lottery license: AGD-101822-16
Proud to be
partnering with:
Prize may not appear exactly as shown. No substitution of the offered prize may be made and no
28
29
LOOKING AHEAD
Focus on the Community
PointClickCare:
Northwood moves to electronic health records
Our world has been transformed by digital
technology – smart phones, tablets, and webenabled devices have changed our daily lives
and the way we communicate. Healthcare is
no exception.
In November 2015, Northwood started the
process of moving towards electronic health
records with a program called PointClickCare
(PCC). This web based software, used by
12,000 senior care providers, allows for secure
access to health records for departments
providing care and services to residents.
“PointClickCare will not only improve
communication but will assist in ease of
documentation by eliminating many of the
tasks associated with manual charting,”
says Karie Raymond, In Care Living and
PCC Project Lead. “While much of the
information is the same, it’s presented in a
more streamlined way. This is going to help
us to have up-to-date information always at
our fingertips. Plus we will never have trouble
reading handwriting again.”
Now fully operational, PointClickCare gives
charting access to not only care staff like RNs,
LPNs and CCAs, but also to Allied Health staff
and external consultants (e.g. dentist, foot
care, etc.). Thanks to the purchase of tablets
for each of the floors, charting can now be
done either from an office or at the bedside.
Northwood’s reach extends beyond the walls of our facilities and
into the community. For over 30 years, Northwood has provided
a range of services designed to support those who choose to live
at home. In 1985, we introduced home care services to respond to
families concerned about loved ones living alone in their own homes.
The following year, we introduced a personal response service as part
of an emerging focus on technology for clients living at risk. Adult Day
was added to support families living with dementia, providing a range
of meaningful, stimulating and structured activities according to the
individual abilities, needs and interests of the participant.
Using
Technology
to Stay
Connected
Throughout our development, volunteers have made it possible for
thousands of people to connect to Northwood. NWBC is broadcast to
over 30,000 people in Nova Scotia, PEI and parts of New Brunswick
daily from 10:00 a.m. to 12:00 noon over Eastlink Community channel
10 (610 HD). Volunteers make social calls to people living alone in the
community through Get Connected and support programs in Reboom.
A network of volunteer service groups install and maintain our Intouch
service across Nova Scotia. Corporate volunteers help with events and
support projects like Bedford’s Community Garden.
Northwood is now looking at expanding opportunities for volunteers in
the community. Many seniors require help with non-medical services,
errands, shopping, providing
friendly visits, or light home
maintenance. Volunteers can
fill many of these roles, adding
value, building relationships and
contributing to the quality of life of
the client.
Volunteers can benefit from
knowing to have made a difference
in their community, gained valuable
job experience and learned more
about their neighbours.
While still in the development
phase, Northwood hopes to roll
out the program in 2017. If you
would like to become involved as
a community volunteer, contact us
at [email protected]
Families are an important part of Northwood’s “circle
of care.” Whether a loved one is a resident in our In
Care living program, a tenant in one of our apartments, a
customer of Intouch or a client in our Homecare service,
families depend on Northwood to provide compassionate
support when it’s needed.
For many, staying involved in the lives of their parents as
they age is a critical part of their commitment to family. They
visit often, participate in activities and include their family
member in their holiday celebrations and special occasions.
Families stay involved by monitoring the ongoing health of
loved ones, booking medical appointments and running
errands when needed.
Involving family in their loved one’s care is an ongoing
challenge, not only for Northwood, but for family members
as well. Work, distance and schedules can often create
barriers to communication for both sides. While Northwood
has traditionally relied on staff as the primary method of
communication, we also use the phone, email, newsletters
and information boards to get information out. Families also
struggle trying to arrange appointments, schedule visits or
ensure everyone has the same information.
Technology may be the answer. Northwood is currently
reviewing online tools that will bring together the client’s
network of caregivers. By connecting online, families could:
• Save time by sending updates to everyone at once.
• Stay organized by keeping track of Homecare
appointments, doctor visits, medication lists and
important information that is easily accessed.
• Reduce stress and share tasks so that everyone feels
involved and not overburdened.
• Share news, photos and opportunities to get involved.
• Have access to other Northwood programs that can
support them in their role as caregivers.
Providing better access to information and involving
families directly in the lives of their loved ones creates a
more focused approach to care in which everyone feels
they play a part.
Northwood at the Harbour
2615 Northwood Terrace
Halifax, NS B3K 3S5
Tel: 902 454-8311
Northwood Ivany Place
123 Gary Martin Drive
Bedford, NS B4B 0G7
Tel: 902 407-8500
Northwood Homecare &
Corporate Offices
130 Eileen Stubbs Avenue, Suite 1 South
Dartmouth, NS B3B 2C4
Tel: 902 425-2273
www.nwood.ns.ca
[email protected]
Northwood is a not-for-profit,
community-based organization.

2016 Community Report

Transcription

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