The interaction between staff and residents is of a therapeutic nature; residents functioning will be maintained as far as possible by encouraging them to do things for themselves while considering all risk factors to their safety. Where possible formal structure in the home will be kept to a minimum so that their day-to-day experiences, such as eating, sleeping and other activities can take place on an individual and personalized basis, depending on the interest, likes and dislikes of each person. Also taking into consideration their right for privacy, residents should be in an environment where they feel able to be alone or in company of others. If they choose to be alone, they should do so in a place where they feel comfortable, safe and protected from public view.
Residents are encouraged to enjoy as much independence as their circumstances permit. It is important to acknowledge the risk which independence brings, especially to those already affected by illness, age and/or disability, whether physical or mental. The risk should be defined, but always kept in mind, as to avoid all risk would lead to a very unhealthy existence
Every effort will be made to ensure each resident maintains their status as an individual and valued citizen with continuity between their past, present and future. With the realisation of personal aspirations and abilities the person may have had. This will reflect their rights to personal choice, expression, freedom and privacy. They will be encouraged to maintain contact with family and friends. Promoting independence and quality of living as far as is realistically possible.
Relatives will be encouraged to remain actively involved in care, by including them in care planning and assessment processes as well as active participation in activities. Relatives will also be encouraged to remain actively involved with day to day needs if they so wish.
With regards to dignity and choice; the residents are encouraged to make decisions to the level of their ability and within reasonable constraints for matters that concern their health, day to day lives and personal care. However, personal choices and actions have consequences, which may affect other people. No one no matter where they are will have complete freedom to do as they please and as such everyone must consider the needs of others, a nursing home is no different in this respect. Rozelle promotes the delivery of safeguards to health, safety and well-being of residents by providing skilled nursing care and support whenever it is needed. People with dementia may have difficulty in making decisions, this can range from a minor to major problem for the individual. When decision making is practiced at any level, no matter how simple, in an unhurried atmosphere with a positive attitude the individual will gain confidence and self-respect to continue with the process.