1. Realtionship-based Elderly Health Care – Tubbemodellen

5. Tjörn
15 675 inhabitants summer residents Sweden's 7th largest island 168 km new homes 50 km to Gothenburg Part of the Västra Götaland region

7. Tubberödshus
Tubberödshus is a retirement housing for 31 older people in need of assisted living. 26 working members is working in the organization, day, evening and night also is the restaurant included.

8. What is an Intraprenad? A mode of operation within the municipality.
Staff still employed by the municipality.
Laws, policies apply as for municipal operations.
The operation funded by the municipality with its own budget
Deficit is regulated within its own budget.
Intraprenad är en driftsform inom kommunen. Personalen är fortfarande kommunalt anställda, driften bekostas av kommunen. Eventuellt överskott kan användas i verksamheten för att ytterligare höja kvaliteten. Om det uppstår underskott så ska det regleras inom den egna budgeten.   Intraprenaden är en resultatenhet med utökade befogenheter och större ansvar för verksamhet, ekonomi och personal, vilket regleras i avtalet. Socialförvaltningen har fortfarande det formella och övergripande ansvaret för intraprenaden. Genom kortare beslutsvägar kommer boende och personal ges stort inflytande över omsorgens innehåll.

9. Intraprenad – what was the purpose
Improved quality for residents
Participation, commitment, new ideas
Long-term economic thinking
Streamlined decision-making gives residents and staff
Great influence over the contents of the care

10. Tubbemodellen Inspired by the danish Tyra Franks
As long as you are in life, you should live.
Inspired by the danish Tyra Franks

11. Organizational model Board Management team Unit leader Pedagogical
Municipal Chief
Social Chief
Elderly Chief
Magement team
Elderly members
Pedagogical
Aktivity
Scheme/staff
Purchase
Budget

12. In our organizational model, our accommodations roles in various working groups.
This means the opportunity to influence and be involved.
The elderly is giving the organization knowledge and experience from there lives.
Every day there is activity – to be sitting together is making bounds thicker.

13. Our residents contribute in our business:
The host/hostess at study visits.
Support person at e.g. bingo.
Practical tasks: watering, set the table, feeding animals ...

14. The elderly have the opportunity to participate in the management/ board meeting if they wish.

15. What does that mean for our elderly
A dignified life
Involvement

16. Take advantage of the residents' knowledge and provide our organization value. Our residents feel that they are still needed and that their knowledge is requested.

17. The restaurant food councils every two months.
This creates meal menus with the residents
Every day the working members is sitting together whit the elderly at the meals

18. Tubbemodellen
Tubberödshus be developed from the residents' needs. Continue living as before To feel needed. Knowing the community and be a part of a context. Open house

19. Accommodation perspective
Not feeling of living in a workplace
No work clothes.
Tired when evening comes.
Encourage participation in everyday activities, interests

20. Tubbemodellen
Continue to live according to the tradition. Hen house, fish pond and cats. Own fruit, vegetable and berry bushes. Own kitchen with the residents involved - menus are common. Pub evening, readings, tours and entertainment. Animals, nature as a thread through operations

21. What does this mean for staff
Greater influence
Job content
Greater involvement
Increase
Responsibility
Har ni frågor runt intrapenade

22. Tubbemoddellen changes traditional hirarkiska organization where top-down tradition is ordinarie Using employees' knowledge and therefore all resources in the organization Tubbemodellen Tradition organization

23. Success factors
Homelike environment Relationship-based care for the elderly Clear visions, goals and values Structure Group organization Small adjustments and improvements Measurable activity Social gatherings Good food Budget in balance Create willingness throughout the organization
and accommodation
Traditional organization - Operations are controlled from above by management
Group organization - Self-governing groups with great responsibility and influence

24. Elderly Care on Tjörn Clear elderly focus
We work with structure and order
Smaller workgroups and more understanding
Trust Policy
Joy and pride in caring care
To turn organization's pyramid through learning organization
Many study visits at other municipalities
Less administration / in favor of the individual

25. Elderly perspective

26. It will be good to live!