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Sunday, January 26, 2025

A rebellion against aged care system takes hold in Canberra

A revolutionary aged care โ€˜home modelโ€™ in Canberra is radically transforming the sector โ€“ no uniforms, staff can bring their kids or pets, and the ratio of carers to residents with early onset dementia is 1:3.

The Royal Commission into Aged Care Quality and Safety demanded โ€œfundamental and systematic aged care reformโ€; well, Community Home Australia is fundamentally different. It is the only one of its kind in Australia.

So confident is the co-founder, Dr Rodney Jilek, that he gave $100,000 to the University of Canberra to fund a PhD student to study his model. He also spent $1.5 million of his own money on a house in Gordon to kickstart the not-for-profit venture. He leases two other houses in Monash and Nelligen, NSW.

Dr Jilek and co-founder Nicole Smith, both registered nurses, are starting a new โ€œit takes a villageโ€ movement.

โ€œThe old aged care sector is broken but itโ€™s still making money and people are hesitant to give up their old ways,โ€ Ms Smith says.

โ€œWe create a supportive village around peopleโ€™s dementia and we hold them close all the way to the end, all the way to palliative care. So, once youโ€™re in our fold, we donโ€™t let you go. We nurture you through that whole time.โ€

This is no reinvention of the wheel, it is simply giving those with dementia a life โ€“ going to the barbers for a haircut, even going to get a tattoo. The first house was full within five days, and two years on, all of our houses in the ACT are full.

โ€œWe want to change the way we think about caring for our elders,โ€ Ms Smith says. โ€œThe word โ€˜staffโ€™ doesnโ€™t exist, we all eat together. We break down that culture thatโ€™s been holding us back. We wrote this model as a rebellion to the aged care sector and as an alternative.โ€

For 65-year-old Canberran Hector Steele, who used to be a strapper for the Canberra Raiders and head mechanic for Transport Canberra, living with dementia made him realise โ€œIโ€™m not what I think I amโ€.

โ€œThat sort of became like a big fall-out in your life to be honest,โ€ he says. โ€œI had it in my head that โ€˜no, Iโ€™m fine, thereโ€™s nothing wrong with meโ€™.  Then a little bit down the track things were โ€ฆ. things just are not there, things that youโ€™ve done all your life, it doesnโ€™t work.โ€

Mr Steele loves the intergenerational programs run by Community Home Canberra and adores his โ€œadoptedโ€ grandkids. Dr Jilek is modest about his philanthropy, saying heโ€™s โ€œjust the enablerโ€.

โ€œItโ€™s not a welcome change to institutional aged care,โ€ he says.

โ€œWe offer something that they choose not to. We are not for profit. We have 28 staff and thereโ€™s one person in this organisation that doesnโ€™t get paid โ€“ thatโ€™s me.โ€

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