I think it needs to be seen as an end situation. Long-term care needs to include a consideration of home and community supports as well, so its not an either-or option but an “and”.
I think we need to look at those standards and at a way in which there could be better integration between long-term care and home and community supports. By that, I mean not just assuming, when somebody ages and has complex care needs or advanced dementia, that long-term facilities are the default. We need to look at how there could potentially be a way to support through both sectors those individuals who need the enhanced care but can still be involved and connected to their communities.