Thursday, August 11

Nursing homes must not exceed 75 places in towns

The Minister of Health and Social Services of the Junta de Extremadura, José María Vergeles, has described as “proportionate and respectful” the agreement reached at the national level to improve the quality and accreditation of residences and the Dependency Care System , in such a way that the region will promote a model in which the person lives “where they want to be”, and if they have to do so in a residence, it will resemble a home as much as possible.

As reported TODAY, last week the Government managed to approve in a second attempt the new model of residences and dependency care in a Territorial Council with a tight vote, thanks to the fact that Extremadura voted in favor of the proposal. Yesterday, Vergeles explained that the Board “at no time” refused the aforementioned agreement but what it did in the previous plenary session of the Territorial Council “was request time to study it well.”

The aforementioned agreement “intends as a great objective that the person lives where they want to live with quality, and if they have to live in a residence that the residences resemble their home as much as possible,” Vergeles stressed yesterday at a press conference in Mérida to inform on said model.

For this purpose, and as has been done with the eight convalescence and continuing care centers that the Board is going to build, the mayors have been asked to locate them on urban land or to be in an area to facilitate life. , while they must have universal accessibility measures.

In addition, it is intended that residences are not so large, with a maximum of 75 places in rural areas, 90 places in intermediate cities, and 120 places in cities.

It is also required that new residential centers have 10% of the individual beds in rural areas, 20% in intermediate areas, and 25% in cities.

However, the autonomous community is competent so that centers in rural areas and with less than 35 places, being so small, can already be considered as coexistence units as such and are not required to have 10% of individual places. as an exception that must be justified.

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Likewise, 80% of the places in the residences must be configured in coexistence units, collects Europa Press.

In any case, Vergeles has pointed out that the trend, as aid and promotion measures are arbitrated, is that residences that are already built but have support measures are becoming centers with more residence units, sectorizing residences.

Likewise, by virtue of the national agreement, in 2029, in addition, residences must have a ratio of 0.50 of first and second level caregivers.

This agreement is also linked to the agreed level. “If any soulless government at any given time goes back to doing what was done in 2012 in Spain with the royal decree that disappeared the agreed level, let society know that what they have just done is to curtail the possibility of quality in the centers residences,” he asserted.

He highlighted the “importance” of the agreement, because the proposed model “has been worked on and analyzed” by the Autonomous Communities, and “it will undoubtedly provide quality services at a time in the life and family cycle of people who they need it the most.”

With this, the agreement determines the figures and professional profiles as well as their development in their exercise and establishes adequate personnel ratios.

Thus, the centers and services that do not want to be part of the Individualized Care Plan do not have to be subject to these criteria. Now, if the centers and services at any time want to pay attention to people who have been assessed in their degree of dependency and have been offered the possibility of agreeing with the Board to offer telecare or day center services, please example, “obviously they have to take advantage of this model”.

Specifically, the services are classified between those provided to people who retain a greater degree of autonomy and those provided to people who have a greater degree of dependency, “but always with the aim of respecting that the person lives where they want to live”. “And if for that they have to be given support services, they will be provided with quality support services,” said Vergeles, such as home help, telecare and day care.

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Home help

Regarding home help, by virtue of the agreement, as explained by the counselor, there must be a “clear” plan for personal care and the support that the person will have, with a care plan adapted to the home where they are going to provide and focused primarily on personal attention.

In addition, it must be coordinated with the rest of the caregivers. “The workers who work in the field of home help are not the only ones who care for dependent people, but there are usually other types of caregivers, and what the agreement establishes is that they coordinate so that the person cared for is in the best conditions”, he pointed out.

Regarding the ratio, Vergeles also recalled that there is an agreement that in 2023 there will be a ratio of 7.20 workers for every 1,000 effective hours of home help per month, in such a way that the development of professionals is “adequate”.


Likewise, Vergeles has stressed that Extremadura is going to bet -and the tender is already being drafted- on advanced teleassistance, which will include telemonitoring and classic emergency assistance services.

However, in the model telecare must be provided with equipment that complies with universal accessibility, by three figures such as the teleoperator, the coordinator and the supervisor; and it has to offer personalized and proactive attention.

At the same time, you must also take into account the person caring for the person in Dependency.

As for the day centers, apart from having a care plan and a series of supports and programs that rehabilitate the person, on December 31, 2023 they should comply with a ratio of first-class direct care personnel and a second level of 0.25 when care is provided in day centers for the elderly, and 0.30 if care is given to people with disabilities.

Position of the Junta de Extremadura

Finally, Vergeles has referred to the position of the Junta de Extremadura regarding the national agreement, and has stressed that said administration “has never refused this agreement”, but that the only thing it did in the previous plenary session was request that withdraw for the vote since “it was necessary to mature it”.

Thus, Extremadura asked to withdraw it in the previous plenary session and in the second plenary session it voted affirmatively “because of the quality it produces, because it will also be quality for employment, and because it has safeguard clauses that if at some point, as happened in 2012, some The Government comes up with the idea of ​​eliminating part of the financing of the Unit, the agreement could not be fulfilled».

Also, as Vergeles has defended, it is “respectful” of the powers of the CCAA, and “is focused on ensuring personalized services, defined in what they offer, services that are committed to continuous improvement of quality, adapted to life of people, and that ensure respect for the dignity of people, prioritizing it above all else”, with care “centered on the person”.

In this sense, he stressed that it is a model that allows effective coordination between health and social services, and of quality that allows the centers to be set up in proximity and with a vocation for community service that “so well they can seat a community with the degree of population dispersion and for the commitment to the rural world and for the demographic challenge that Extremadura has ».

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