MAKING A DIFFERENCE

Small residential care homes are good for the elderly and for the bottom lines of investors, according to this insightful business study.

Some, a real estate broker and owner of residential care homes in the Seattle area, touts the residential care home model—featuring ordinary suburban houses with six to ten residents and round-the-clock professional staffing—as a more humane approach to elder care than large, institutionalized assisted living facilities and nursing homes. When done right, she argues, residential homes have a comfortable, familylike atmosphere and a high staff-to-resident ratio that permits individualized care for residents. Employees, she notes, can make home-cooked meals to residents’ specifications, served when they want them instead of at rigidly planned meal times; help residents practice their preferred hobbies and activities instead of relegating them to once-a-week bingo games; accompany residents to medical appointments; and spend time chatting and forging meaningful relationships. The author contends that her model of high-quality care makes for happier residents who are less prone to depression; in turn, residential care homes can charge higher rents with higher profits. Some’s primer often reads like a business plan, replete with hard-headed financial reasoning. (“Two vacancies would be a $14,000 shortage every month. Could you afford to keep a place running with that much of an income drop?…That’s why I have focused on avoiding those empty beds. By keeping employees motivated and well compensated, the home succeeds as a business.”) But she also pays attention to the softer side of elder care, writing of the wrenching psychological dislocations many elderly people endure in sensitive, nuanced prose: “When I was working at an assisted-living facility and a new resident would arrive, I would greet them and try to get to know them a little bit. One of the first things they would ask me would be ‘Does this mean I am never going back to my home? Will I be dying soon?’” Some’s expertise and passion for elder care makes her pitch all the more persuasive.

An informative and business-savvy proposal for small-scale, attentive elder care.