Chapter 4 Institution-Base Services
Section 1 Residence Services
Article 91
Residence services include the followings:
1. Providing a tidy, hygienic, light-sufficient, and well-ventilated residence space.
2. Providing bedding, blanket, personal storage box, toilet and bathroom, water and electricity equipment, and other necessities.
3. Providing housekeeping service for the residence.
4. Providing emergency call system, home safety service and management, and other safety protection service.
Section 2 Institution-Base Medial Services
Article 92
Residence service providers shall handle the following matters:
1. Scales, spaces of room floor, facilities, equipment and personnel shall comply with Establishment Standards for Senior Citizens’ Welfare Institutions.
2. Establishing a procedure and a responding mechanism for emergency or safety matters.
3. Considering the convenience of senior citizens’ use and operation on installation of space, equipment and tools.
4. Emphasizing the maintenance of safety facilities in the residence, conducting necessary business of fire prevention pursuant to fire control protection plan regularly and safety checks and maintenance of water and electricity.
5. Considering the family ambience and having residents to participate in furnishings and decoration.
Article 93
Institution-base medical services include the followings:
1. Evaluating residents’ physical and mental conditions, drafting individual care plans according to various needs, and evaluating and modifying the plans regularly.
2. Providing direct and indirect care, and supervising caregivers to conduct the daily care plans.
3. Assisting residents to go to hospital, and notifying or referring relevant medical services to residents according to their needs.
4. Instructing residents to take medication correctly and conducing safety management on drugs.
5. Assisting residents to participate senior citizens’ health checkups and vaccinations.
6. Providing residents with information related to hygiene, health care, and development of healthy life.
7. Assisting in management and monitoring of care quality.
8. Establishing files for residents’ health conditions.
9. Providing physician patrol medical service regularly.
10. Other institution-base medical service.
Article 94
Institution-base medical service providers shall equip with necessary facilities, equipment, and relevant medical staffs pursuant to regulations under Establishment Standards for Senior Citizens’ Welfare Institutions.
Article 95
Institution-base medical service provides shall handle the following matters:
1. Setting the working contents and supervision procedures.
2. Making the case history records.
Section 3 Institution-base Rehabilitation Services
Article 96
Institution-base rehabilitation services include the followings:
1. Institution-base physical therapy:
(1) Affairs under Article 12 and Article 17 of Physical Therapist Act.
(2) Physical therapy with pains, assistive physical therapy with chronic wounds, education and consultation of caregivers and residents, and trainings and instructions for individual or group functional activities.
2. Institution-base occupational therapy:
(1) Affairs under Article 12 and Article 17 of Occupational Therapist Act.
(2) Facilitation and trainings of functions of daily activities and participation of community life, facilitation and trainings of arrangement abilities of daily activities, assessment, consultation and applicable examination of environmental improvement, education and consultation of caregivers and residents.
Article 97
Institution-base rehabilitation service providers shall place full-time or contract physical therapists (assistants) or occupational therapists (assistants), and may combine with medical care institutions, physical therapy institutions, or occupational therapy institutions to provide services; and shall equip with necessary facilities and equipment.
Physical therapist (assistant) or occupational therapist (assistant) set forth in the previous paragraph shall practice according to the diagnosis, notes, or advice issued by a physician.
Article 98
Institution-base rehabilitation service providers shall handle the following matters:
1. Setting the working contents and supervision procedures.
2. Making the rehabilitation records of residents.
Section 4 Life Care Services
Article 99
Life care services include the followings:
1. Assisting in dining.
2. Assisting in change of clothes, washing, and laundry of beddings and personal clothes.
3. Assisting in body cleaning, turning the body over, padding the back, and simple passive motions for limb joints.
4. Reminding of taking mediation, and cleaning of room and environment.
5. Sending to hospital during illness and accompanying to hospital.
6. Providing goods purchase, postage and fax service.
7. Assisting and improving senior citizens’ self-care ability.
8. Providing services for handling other necessary matters in daily life.
Article 100
Life care service providers shall equip with necessary facilities, equipment, and caregivers pursuant to regulations under Establishment Standards for Senior Citizens’ Welfare Institutions.
Article 101
Life care service providers shall handle the following matters:
1. Drafting an individual care plan according to individual’s needs.
2. Setting the working contents and supervision procedures.
3. Making the residents’ service records.
Section 5 Food Services
Article 102
Food services include the followings:
1. Providing screening and evaluation according to residents’ nutrient conditions and needs.
2. Designing and providing individual food according to residents’ individual conditions and needs.
3. Providing nutrient consultation and hygienic education about food.
4. Providing nutrient, hygienic and various dishes.
5. Providing aiding tools or assisting in dining for residents with poor eating ability.
Article 103
Food service providers shall equip with facilities and equipment complied with hygienic requirements, and may place a full-time or contract dietitian according to their operation needs.
Article 104
Food service providers shall handle the following matters:
1. Food preparation personnel shall possess food technician licenses, and receive health checkups regularly every year.
2. Conducting trainings of nutrient and hygienic education to food preparation personnel regularly.
3. Keeping at least 100 grams of sample for each kind of food in each meal, and storing the sample within the refrigerator at a temperature of 7 degree Celsius for 48 hours.
4. Irregularly conducting food satisfaction survey so as to provide a basis for improvement of food.
5. Cleaning the dining hall and kitchen daily and sterilizing regularly so as to comply with hygienic principles.
6. Installing food storage and freezers for keeping food in refrigeration at a temperature of 7 degrees Celsius or in freezer at a temperature of 18 degrees below zero Celsius.
7. Conducting food preparation hygienic checks on working environment and personnel regularly, including the hygiene of working personnel, hygiene in preparation environment, food preparation process, and storage of food and tableware. Kitchen staff members have to conduct at least one self-check daily, and supervisors have to conduct at least one check weekly.
Section 6 Emergency Care Services
Article 105
Emergency care services include the followings:
1. Inspection and necessary first aid measures before sending to hospital.
2. Emergently contacting with medical institutions and household members.
3. Transportation service for sending to hospital.
4. Assisting in attending to hospital.
Article 106
Emergency care service providers shall handle the following matters:
1. Establishing clear and accurate emergency procedure and emergent medical resource network.
2. Making the service records, and completing the advices given by physicians.
Section 7 Social Life Services
Article 107
Social life services include the followings:
1. Providing instructions of recreations and entertaining activities according to residents’ physical abilities and interests.
2. Holding cultural and entertaining activities or group projects to enhance social interactions between residents.
3. Assisting residents in actively participating community activities, to enhance interactions with community residents.
Article 108
Social life service providers shall handle the following matters:
1. Providing diverse social activities, including physical and non-physical activities.
2. Combing community resources and establishing relevant service network within the community.
3. Making the group activity records.
Section 8 Education Services for Household Members
Article 109
Education services for household members include the followings:
1. Providing support services to senior citizens and their household members.
2. Assisting household members in using social recourses.
3. Holding workshops or socialized activities for residents’ household members regularly.
4. Providing household members to participate in orientation during senior citizens’ move-in.
Article 110
Education service providers for household members shall conduct satisfaction survey regularly.
Section 9 Institution-Base Day-Care Services
Article 111
Institution-base day-care services include the followings:
1. Life care.
2. Life independent trainings.
3. Health facilitation.
4. Cultural and entertaining recreation activities.
5. Providing or connecting transportation service.
6. Education and consultation service for household members.
7. Nursing service.
8. Rehabilitation service.
9. Meal preparation service.
Article 112
Senior Citizens’ Welfare Institutions with day-care facilities should comply with the following rules:
1. Equipment shall comply with Establishment Standards for Senior Citizens’ Welfare Institutions.
2. Institutions with individually utilized areas and planning for fixed compartments and independent areas shall be established.
3. Full-time care workers and social workers or nursing personnel shall be set up.
Article 113
The service recipients for institution-based day-care services shall be principally less than 30 people during the same service time daily, and the service of which may not exceed business scale of institution.
Institution-based day-care services providers shall undertake the following tasks:
1. Setting the working contents and supervision procedures.
2. Making the case records.