Care Home Facts

Get the facts about residential care homes.
Today, there’s a lot more to selecting the best elder care option than most people realize. An Adult Residential Care Home may be the best choice. Ask good questions and get the facts.

What is a residential care home?
Residential Care Homes are by definition built to be part of the neighborhood. From the street, they look just like family homes. Yet Care Homes – especially those with Expanded Care licenses – can offer people a full spectrum of care from minimal help with daily needs to end-of-life care.

What are the advantages of a residential care home?
Care Homes are intimate and include large private suites or semi-private rooms. Home cooked meals, housekeeping and laundry service are typically provided, and residents are free to have visitors, as well as to come and go as they please. Newer Care Homes are designed for residents who were accustomed to living independently, with all the comforts and privacy of their own home, along with the extra personal care they have come to require. If it is necessary for a loved one or parent to leave their own residence, adjusting to a Care Home can be easier than adjusting to a larger or more institutional setting.

What should I look for in a care home?
Look for residences that have live-in registered nurses on staff, as well as nurse aides. Low employee turnover is desirable because consistency in caregiving is an integral part of healthy aging and will greatly impact your parent’s happiness. Make sure the care home is licensed. An Expanded Care license, which will allow them to age in place without having to move to another facility, is always a plus.

Rate Your experience
To help you narrow down your choices when you visit different Residential Care Homes, rate the attributes on a scale of 1 (worst) to 5 (best) and compare the results.
1. Caregivers are awake and alert 24/7.
2. You will be kept apprised of changes.
3. You will feel comfortable asking questions of the caregivers.
4. The staff is kind, respectful and patient.
5. There are private bathrooms.
6. The rooms are safe, spacious and comfortable with pleasant views.
7. The premises are safe and secure.
8. The location is easy for family and friends to visit.
9. The home has outdoor areas (patio/lanai) for residents.
10. The home looks and smells clean and has good lighting and ventilation.
11. The neighborhood is quiet and calm.
12. The available activities suit your parent.
13. The food will appeal to your parent.
14. They will transport your loved one to medical and dental appointments.

Care for the Caregiver

In caring for an aging parent, don’t forget about yourself.
Are you feeling the stress in caring for your elderly mom or dad–or both? What can you do? Who can help you?

Make two lists.
Make a list of the tasks you perform in caring for your parents. Taking them to doctor’s appointments. Helping them bathe. Cleaning the house. Managing their medications. Make a second list of your other responsibilities. Raising your children. Running your home. Working. Be realistic about how your caregiving is affecting your other responsibilities. Are you overloaded?

Have a family discussion.
Show the list you made to your family. See if other family members can share some of the tasks. As a group, you may also decide to seek outside help.

Manoa Senior Care offers a wide variety of home care services. Our support will help relieve some of the responsibilities of care while letting you enjoy quality time with your loved ones.

Live at Home Longer

In the coming years, statistics show a dramatic increase of people over 85 years old in Hawaii. These statistics will affect many people on a personal level, as they make decisions about caring for elderly parents and family members.

Balancing independence with Peace of Mind.
If your parents want to live out their days in their own home, how do you support them but at the same time keep them safe? They don’t want to be a burden, yet you want to make sure they’re doing well on their own. If you have elderly parents who are living at home, here are a few tips:

Notice the small things.
When you visit them, you can really get a sense of how they are feeling both mentally and physically. Are the plants watered? Is their grooming up to par? Do they have bruises that could mean they’ve fallen?

Prepare a plan ahead of time.
Having a plan in place before a crisis arises provides peace of mind for everyone. Talk with your parents about their preferences. Do they want to live at home? What type of care would they prefer? Make sure to include siblings in the discussion. The next time your family gathers, talk about your options.

Get advice from an expert.
From the start, it helps to get support and understand options from a knowledgeable professional. You may think you can handle everything yourself, but it can be difficult. A great place to start is to contact Manoa Senior Care at (808) 440-0560 or As your health care advocate, we can offer a range of services, from in-home care to newly built care homes.

Driving Safety for Seniors

When is the right time for a conversation with your parents about driving?
By continuing to drive, are your parents putting their own safety at risk? The safety of others? Statistics reveal that most seniors are safe drivers, with few driving citations and high seat belt use. Therefore, giving up driving should be an individualized decision, based on skill, level of health and independence. Here are a few things to look for:

Five Common Warning Signs
• Other drivers honking
• Dents or scrapes on the car or garage
• Trouble navigating turns
• Driving at an inappropriate speed
• Confusing the gas and brake pedals

Before talking with older drivers about limiting or stopping driving, identify transportation alternatives:
• Are family and friends available to provide rides at required times?
• Can others provide the rides willingly or will they resent having to change their schedules?
• Is there something that the older driver can trade for a ride (paying for gas, taking the driver to lunch)?

Once you’ve assessed the situation, have a conversation with your parents. You may need follow-up talks. It will take time and patience to make what to most seniors will be a very big change.