Nursing Manager

CARE MANAGER | ผู้จัดการแผนกการดูแล

 The Care Manager is the clinical and operational heart of Homerly. 

They are directly responsible for the quality, safety, and dignity of care delivered to every resident every day.

Care Manager คือหัวใจด้านคลินิกและการปฏิบัติงานของโฮมเมอร์ลี่ รับผิดชอบโดยตรงต่อคุณภาพ ความปลอดภัย และศักดิ์ศรีของการดูแลที่มอบให้แก่ผู้พักอาศัยทุกคนในทุกวัน

1. Person-Centred Care Planning 

การวางแผนการดูแลที่เน้นบุคคลเป็นศูนย์กลาง

1.1 Holistic Assessment on Admission 

 การประเมินแบบองค์รวมเมื่อรับเข้าพัก

• Conduct comprehensive admission assessment within 48 hours: Physical, Mental, ADL, Nutrition, Fall Risk, Social, Spiritual needs

• Complete a Life History Profile for every resident — including preferences, hobbies, cultural background, dietary needs, and daily routines

• Classify residents by dependency level: Independent / Semi-Dependent / Dependent / Bedridden

• Involve the resident and family in co-creating the Care Plan

จัดทำโปรไฟล์ประวัติชีวิต (Life History Profile) สำหรับผู้พักอาศัยทุกคน รวมถึงความชอบ วัฒนธรรม อาหาร และกิจวัตรประจำวัน เพื่อให้การดูแลสอดคล้องกับตัวตนของแต่ละบุคคล

1.2 Individual Care Plan Management

  การบริหารแผนการดูแลรายบุคคล

• Create and maintain an Individual Care Plan (ICP) for every resident, updated minimum monthly or on condition change

• Ensure Care Plans are written in English and Thai for international communication

• Review ICPs with multidisciplinary team: Physiotherapist, Physician, Nutritionist, Wellness staff

• Present Care Plan updates to families during Monthly Family Meetings

2. Dignity & Emotional Wellbeing 

 ศักดิ์ศรีและสุขภาวะทางอารมณ์

This is a non-negotiable foundation of international premium care.

• Ensure every resident is addressed by their preferred name and communication style

• Train all caregivers on Dignity in Care — knocking before entering, privacy during personal care, respectful language

• Implement a weekly Wellbeing Check (emotional, social, psychological) for each resident,

• Use validated tools: GDS (Geriatric Depression Scale), PHQ-9, MMSE/MoCA for cognitive screening

• Document any changes in mood, behaviour, or social engagement and escalate appropriately

3. Clinical Quality & Safety 

   คุณภาพทางคลินิกและความปลอดภัย

3.1 Daily & Weekly Quality Audits 

  การตรวจสอบคุณภาพรายวันและรายสัปดาห์

• Conduct daily spot checks: hygiene, nutrition, pressure care, hydration, mobility

• Weekly room and environment audits with documented Audit Report

• Zero tolerance for avoidable pressure ulcers, falls without assessment, or missed medications

3.2 Medication Management

   การบริหารยา

• Oversee medication dispensing, recording, and storage to prevent errors and omissions

• Implement double-check protocol for high-risk medications

• Ensure Medication Administration Record (MAR) is completed accurately every shift

• Liaise with prescribing physician on any unusual reactions or changes in condition

• Medication Error Rate target: Zero tolerance policy

3.3 Infection Prevention & Control 

  การป้องกันและควบคุมการติดเชื้อ

• Implement and monitor Infection Control Protocol (hand hygiene, PPE, isolation if needed)

• Conduct monthly infection surveillance and report to General Manager

• Train all staff on updated infection control procedures annually

4. Dementia & Mental Health Care 

  การดูแลภาวะสมองเสื่อมและสุขภาพจิต

• Implement Dementia Care Protocol: environment design, behaviour management, activity therapy

• Train caregivers to recognise and respond to BPSD (Behavioural and Psychological Symptoms of Dementia)

• Conduct regular cognitive assessments (MMSE / MoCA) and document progression

• Ensure all residents with dementia have a personalised behaviour support plan

• Liaise with consulting psychiatrist / neurologist when required

• Monitor for depression, anxiety, and social isolation in all residents — not only those with dementia

5. Rehabilitation & Wellness Integration 

  การบูรณาการฟื้นฟูและสุขภาวะ

• Ensure each resident receives physiotherapy as per their prescribed package and Care Plan

• Track progress in Mobility, Strength, and Balance using standardised measures

• Coordinate with Wellness and Spa teams to integrate evidence-based activities (music therapy, reminiscence, gentle exercise)

• Monthly review of Activity Therapy effectiveness with occupational/activity therapist

6. End of Life Care 

 การดูแลในระยะสุดท้ายของชีวิต

This section is required for all premium international senior care facilities.

• Implement Advance Care Planning (ACP) — document each resident's wishes for end-of-life care within 3 months of admission

• Train staff in palliative and comfort-focused care principles

• Ensure family is fully informed and supported during the transition to end-of-life care

• Coordinate with palliative care physicians and chaplaincy / spiritual support when needed

• Review and debrief with the care team after each end-of-life case to support staff wellbeing

7. Family Communication & Partnership

   การสื่อสารและความร่วมมือกับครอบครัว

• Assign a named Care Liaison for each resident — a single point of contact for the family

• Send Weekly Written Update to family (via email or app): health status, mood, meals, activities

• Hold Monthly Family Meeting (in-person or online) to review Care Plan and address concerns

• Respond to any family concern or complaint within 24 hours

• Maintain strict confidentiality — share information only with authorised contacts

8. Team Leadership & Development :  ภาวะผู้นำและการพัฒนาทีม

8.1 Caregiver Team Management : การบริหารทีม Caregiver

• Plan staffing ratios appropriate to resident dependency levels (minimum 1:4 for dependent residents)

• Create and manage monthly shift schedules ensuring 24/7 qualified care coverage

• Conduct monthly performance reviews for all caregivers

• Lead daily handover meetings at each shift change to ensure continuity of care

8.2 Training & Competency :  การฝึกอบรมและสมรรถนะ

• Deliver mandatory training: Manual Handling, Infection Control, Dementia Awareness, Communication with International Residents, Safeguarding, Medication Safety

• Create and maintain Standard Operating Procedures (SOPs) for all care tasks

• Implement a Competency Assessment system — caregivers must demonstrate skills, not just attend training

• Develop staff with cultural competency for European and international residents (language, customs, food preferences)

9. Cultural Competency for International Residents

   สมรรถนะทางวัฒนธรรมสำหรับผู้พักอาศัยนานาชาติ

• Ensure care team has working English proficiency for direct resident communication (minimum B1 level)

• Maintain a language support system: translation services, multilingual written communications

• Respect dietary requirements: European, halal, kosher, vegetarian, religious fasting periods

• Understand and honour cultural practices, religious observances, and personal preferences for each nationality

• Customise the environment and social activities to be inclusive of all cultural backgrounds

10. Documentation & Reporting 

   การบันทึกและรายงาน

• Maintain daily care records, nursing notes, and incident reports for every resident

• Complete and submit weekly summary reports to General Manager

• Prepare monthly Care Quality Report including KPI performance, audit findings, and improvement actions

• Maintain all documentation in compliance with Thai PDPA and international data privacy standards.