To assess the level of demand for a service, you need to take into account:

• size of the settlement, degree of urbanization of the region;
• mentality and solvency of the population;
• the presence of competitors and the state of infrastructure (hospitals, rehabilitation centers, nursing homes of various forms of ownership, specialized organizations providing medical services at home).

State and municipal nursing homes, as a rule, cannot compete with private institutions due to inadequate living conditions and patient care. There are exceptions. It happens that a government agency is taken under the guardianship of a charitable organization or a large business entity. If, at the expense of the sponsor, a state institution has created sufficient material resources and tolerable living conditions, potential clients will not overpay to a private owner.

Organizational aspects

It is desirable that the establishment is located outside the city in a picturesque area. There are many reasons for this:

• older people want peace, they benefit from walks in the air;
• distance from the city reduces labor costs (the claims of cooks, cleaners, janitors and security guards from the nearest village will be less than those of city residents);
• the relatives who have placed the elderly person in a private boarding house are wealthy enough to visit him by personal transport.

Selection of premises

The more the layout of the building (rooms for 1-2 people, a corridor system, the presence of a dining room, a sufficient number of showers and restrooms) corresponds to the profile of the future boarding house, the less will subsequently have to be invested in its arrangement.

Best option:

• recreation center;
• hospital;
• sanatorium;
• Kid `s camp.

Such organizations are departmental or municipally owned. In both cases, the conclusion of the lease agreement may be delayed. State property can be leased only on a competitive basis.

The business plan for a nursing home must contain an estimate for putting the selected premises in order. In most cases, cosmetic repairs are not enough. You will have to change the plumbing, wiring, windows, doors, and re-roof. In the worst case scenario, we need to install communications, install a heating system, and negotiate the allocation of an electrical line. If the business is planned on a large scale, it is better to start with one building (floor), and finish the remaining premises as financial receipts come in.

You need to be extremely careful when executing lease relationships. It is worth involving a lawyer in the transaction process. The contract must be long-term. Otherwise, there is no point in investing in the reconstruction of someone else's building.

It is worth insisting that all or at least part of the cost of repair work be included in the rent. Improvements to the property are inherent and remain the default of the landlord at the end of the lease without any compensation. Since the contract is long-term, it will need to be registered in the Unified State Register of Real Estate.

Registration and permissions

A business plan for a private nursing home must take into account the need to register the organization. Least burdensome. As of 2016, the minimum authorized capital is 10 thousand rubles, the state duty for entering into the Unified State Register of Legal Entities is 4 thousand rubles. Registration of a turnkey LLC in Moscow will cost 35 thousand rubles. If you delegate only the drafting of the charter to a law firm and deal with bureaucratic procedures yourself, you can get by with 1.5 thousand rubles.

– 87.90 “Other care activities with provision of accommodation.” It is worth immediately adding as additional codes of all potentially possible types of activity. It's free.

A business plan for organizing a home, boarding house or boarding school for the elderly must include the cost of obtaining a license. The state fee for issuing a document is 7.5 thousand rubles. But the main costs will be incurred in connection with the previous sanitary and hygienic examination, preparation of certified copies, and extracts from registers.

The licensing conditions are:

• premises that meet the requirements of SanPiN;
• availability of an agreement for water supply, sewerage, heating, lighting, ventilation, fire alarm;
• the presence of medical personnel employed at their main place of work.

It will take up to 3 months to obtain a license, since passing through the authorities (Ministry of Emergency Situations, State Sanitary Supervision Service, Roszdravnadzor) can only be done sequentially. Each government agency needs conclusions from the previous one.

In this material:

The most competitive business today is opening a boarding house. Let's figure out how to open a private nursing home, why a business plan must be competent and worked out to the smallest detail.

People get old, and there is no escape from it. At the same time, not everyone is lucky enough to have relatives with whom you can go through this period easily and simply. Many older people do not receive enough attention from loved ones. In such a situation, the best option would be to move to a specialized nursing home, where professionals can provide the proper care that is so necessary for older people.

Many people view the idea of ​​a nursing home extremely negatively. The stereotypes that are associated with establishments of this type do indeed negatively influence the decisions of most older people. However, nowadays there are more and more private homes for the elderly, where comfortable living conditions have been created. Experienced professionals provide the right care that a person does not receive from his relatives.

More and more people have recently complained about a constant lack of free time. Busy individuals do not have the opportunity to find an extra minute for themselves, and there is no question of elderly parents. In such cases, indeed, a specialized institution will be the best solution.

Given the current situation, many aspiring businessmen are thinking about opening their own nursing home. This can be a great option for making money, but it will require considerable investment.

Pros of running a nursing home business

This type of business is currently one of the most competitive in Russia. The fact is that private nursing homes can be considered a rarity today, but the demand for them is great. A special feature of this type of commerce is that such investments will generate income even during a crisis, and this is important, given the experience of recent years.

Before you decide to invest money in such a business, it is worth drawing up a detailed business plan. This will allow you to accurately calculate and calculate whether the available amount is enough to open a nursing home. It’s worth noting right away that organizing this enterprise will require serious investments, but they should quickly pay off.

First stage

First you need to decide on your competitors. If you plan to organize a business in a small town where there is already a nursing home, it is better to abandon this idea. In this case, competition will be too high, which will make the business unprofitable. If we are talking about a large city, here you can safely choose a similar direction. However, it is very important to approach the organization of your business correctly, since we are talking about working with people.

Many people still have the wrong opinion about nursing homes. Nowadays, these are not just shelters where older people live out their years, but comfortable institutions in which they feel better than at home. To provide the elderly with proper care, it is necessary not only to properly equip the premises, but also to recruit a team of professionals who will properly treat people who have lived a long life. It is very important that some of the staff have a medical education, which must be confirmed by diplomas.

Selecting a room

For a nursing home you will need a fairly large empty building. Here it is unlikely that you will be able to rent part of the house, since the surroundings should be as calm and comfortable as possible. Elderly people will definitely approve if there is a beautiful view from their window. A nursing home is not just a temporary hotel, and certainly not a shelter. People will live here for many years, so it is necessary to create comfort and silence for them. It is better if it is an environmentally friendly place far from roads and industrial production.

It is necessary to take into account that the building must be multi-room. It is better to provide each guest with his own separate room. Some budget options also offer double accommodation, but this is not convenient for everyone, so there should be few such rooms.

The dining room in a nursing home needs to be spacious. Elderly people need to be provided with quality meals three times a day. For many, you will have to create a special menu taking into account your diet.

If possible, it is worth organizing bathrooms for each room. In extreme cases, there is only one toilet and shower per floor. The latter option is most often used where the premises have been converted from a former dormitory.

Taking into account the specifics of the institution, it is necessary to equip a medical office. Older people get sick quite often, so they have to constantly seek medical help.

Older people have a lot of free time. Most take up his favorite hobby, while others simply do not know what to do with this watch. A creative solution from the organizers of a nursing home will help here. The boarding house should create a separate room for entertainment. Various events and competitions, dance classes can be held here. By the way, dance schools are very popular among older people. To have a pleasant time and receive visitors, it is worth equipping a calm living room.

Employees of a private nursing home

This is a very important part of the work that needs to be taken into account, because its rating depends on what kind of people will work in the boarding house. This will affect the desire of older people to live in this particular house. After all, no advertising tactics have yet been invented better than word of mouth.

There are special requirements for personnel who will work with the elderly. Important qualities here include honesty, patience, goodwill, friendliness, sensitivity, attentiveness and love for one’s work. An important criterion for selecting workers should be education. This applies primarily to doctors, but other positions should also be filled by qualified professionals. For example, cooks should be familiar with preparing dietary dishes, and it is better to choose some of the caregivers with psychological education.

Equipment for boarding house

Elderly people often have limited physical capabilities, so it is necessary to create not only comfortable, but also safe living conditions for them. To do this you will have to spend money on special equipment. For example, beds should be multifunctional, that is, they should be free to change position. It is worth purchasing special mattresses that can protect against bedsores.

In the bathroom, as in the rest of the house, you need to install handrails. They will help people who find it difficult to be physically active for a long time move around. Each room should have a panic button so that the guest can call for help if necessary.

It is worth purchasing sets of board games, chess, and checkers for the entertainment room. You also need to install a large TV here, since every old person will enjoy such a pastime.

Documents and advertising

It is very important to organize promotional events correctly. Without attracting the attention of customers, success will not be achieved. It is best to use the media and the World Wide Web for these purposes. You can create your own website where all visitors can learn about the advantages of your establishment.

People who will live in the boarding house must be properly registered. To do this, they must provide a passport, SNILS, a certificate of disability, if any, and a health insurance policy.

Many people are afraid of old age. In old age, people are afraid of being a burden. Old age requires peace, respect, and careful care. If previously the prospect of going to a nursing home frightened and even offended pensioners, now things are different. It's all about new and improved establishments.

A private nursing home is very different from a public institution. In it, people are provided with attention and do not have to worry about excellent food and convenience. In such a place, it becomes clear that this is a much better option than a cramped apartment. The advantages of a private institution are that here older people receive full care for health reasons, there is everything necessary for the disabled, a balanced menu is provided, and entertainment is organized.

It is not surprising that a private nursing home is a profitable business. Such institutions are highly valued, and at the same time there is a shortage of specialized organizations. Despite the need to have a fairly impressive start-up capital, the expenses quickly pay off, and there are practically no competitors in this area. That is why it is worth trying to open such a house, but for this you need a business plan and competent advice from experts.

Basic questions before starting a business

Any project requires the creation of a detailed and high-quality business plan. To compile it, it would be useful to turn to specialists, but you can do it on your own. To open a private nursing home, you first need to conduct competitor research. For example, if a small town or village already has such an institution, then opening another one is unprofitable. If we are talking about a large city, then checking within one district is sufficient.

The modern pace of life takes up more and more free time. Everyone has elderly relatives who need care, attention and medical attention. Therefore, organizing a nursing home as a business is a very profitable and promising idea. This business is also attractive because it has virtually no competition in Russia, which makes it profitable even in conditions of the economic crisis.

Opening a nursing home as a business - where to start?

In Russia, the attitude towards such institutions for older people is somewhat biased. It is believed that sending old people to such institutions is not humane. This is a deep misconception. Modern private nursing homes are distinguished by a high level of living comfort, interesting entertainment, as well as high-quality food and medical care. Qualified staff will always help disabled or elderly people receive proper attention and care.

Relevance of this business

Any elderly person in the Russian Federation can count on qualified medical care and attentive care. The relevance of this business is very high: firstly, there is low competition, and secondly, there is no specific connection to the area. You can open such an establishment in any city or region. Hence, a private nursing home as a business is a very promising project.

Nursing home business plan

To make a profitable investment and open such a service from scratch, you will need some market analysis and clear planning. This will help minimize financial costs, significantly reduce time costs and avoid problems with current legislation. To do this, you will need to develop a ready-made business plan for a nursing home with the following points:

1. The prospects of the project as a whole and demand in the services market.
2. Target audience analysis.
3. Specifics of the establishment.
4. Total number of residents.
5. Selection of rooms and places.
6. Services.

Also, a financial clause should be included in the business plan: starting investments, all kinds of risks and force majeure situations. A clear calculation will reduce cash expenses and significantly help in opening a nursing home. Next, you should start preparing the necessary documents.

Opening instructions

This institution will be under strict supervision of government authorities and will be taxed. Therefore, it is necessary to obtain the appropriate permission. An entrepreneur must register as a legal entity. You will also need to obtain a medical license. The next stage will be the hiring of personnel: a prerequisite is the presence of a medical education. Employees of the elderly care center must have the following qualities:

• goodwill,
• attentiveness,
• sensitivity and patience,
• honesty and friendliness.

The best option would be people with medical education, as well as psychologists. It's a good idea to ask for references from your previous job. The staff’s task is to make the elderly person’s stay in the institution comfortable.

Design issues

Next, you will need to resolve issues with the premises. His choice should be taken extremely seriously, because the number of potential residents will depend on the living conditions. The best option would be a former recreation center or sanatorium. It’s good if there is a beautiful view of the forest, river or field from the window of the building. It would be nice if there was a canteen with three or four meals a day. The presence of a medical office will only increase the rating of the establishment, because old people often get sick and they simply need care.

Now the room needs to be equipped with equipment. To ensure a comfortable pastime for the elderly, it is better to make everything as cozy as possible and create a homely atmosphere. You will need to purchase:

1. Beds with mattresses. A good choice would be beds with a position change function. When it comes to mattresses, it’s best to consider one with bedsore protection.
2. Bathrooms. The first rule is that they must be safe. This is an anti-slip floor, preferably insulated. No sharp corners and easy movement.
3. Handrails. The maximum number of handrails throughout the boarding house will ensure safety and ease of movement for elderly guests.
4. Personnel call systems. It is advisable to equip each room with similar devices. This will allow you to immediately call staff if the guest needs help.
5. Elevator. If the building is multi-story, it is required. After all, many old people are not particularly mobile, as are the disabled, who find it extremely difficult to move.

Interesting! A worthy analogue would be a multi-room apartment with all the amenities that can accommodate several guests. It also wouldn't hurt to have a 24-hour pharmacy nearby.

Positive aspects of business

Opening such an establishment has its advantages. These include:

• fairly quick payback of the project (from 1 year);
• minimal risks;
• low percentage of competition;
• high demand for these services.

It should be borne in mind that a commercial project of this kind requires significant start-up investments. This includes renting premises, purchasing and installing equipment, utility costs and staff salaries. However, this does not prevent you from receiving net profit in the first years of operation.

Possible pitfalls

The main thing in this business is the reputation of the establishment. No one would send their elderly parents or grandparents to an institution with a bad reputation. Therefore, it is worth making every effort to make the guests’ stay comfortable and safe. This will ensure positive reviews and, as a result, a greater influx of potential tenants. The qualifications of the staff are of great importance - a rude and indifferent employee will give bad publicity to such an establishment.

Finally

Nursing home business is a profitable business. Payback period with proper planning is from 1 year. The risks are minimal. It all depends on the cost of services, the qualifications of the staff, as well as the comfort of living of the elderly, their care and nutrition. An honest attitude towards guests and loyal prices will help make the business profitable and make a profit fairly quickly.

hospice Vladimir

In the Welcome section to the question of how hospice stands for, asked by the author Vladimir Teplov, the best answer is I don’t know how it stands for, but it is:

Hospice (from English.

hospice) is a medical institution in which patients with a predicted unfavorable outcome of the disease receive decent care and service. Hospice patients are surrounded by ordinary “home” things, with free access to them for relatives and friends. Medical staff provides palliative medical care: patients can receive oxygen, painkillers, tube feeding, etc.

The word “hospice” came into English from Old French (“hospice”). There it, in turn, was formed from the Latin words hospes and hospitium (“hospitality”). This term has been used since the 6th century AD. e. designated resting places for pilgrims. The first hospices were usually

The word “hospice” came into English from Old French (“hospice”). There it, in turn, was formed from the Latin words hospes and hospitium (“hospitality”). This term has been used since the 6th century AD. e. designated resting places for pilgrims. The first hospices were usually located along roads along the main routes of Christian pilgrims. These were, in a certain sense, houses of charity for tired, exhausted or sick travelers. However, hospices also helped local residents. From English the word came to other European languages ​​in the 19th century.

How to open a hospice

Hospice (from the English hospice) is a medical institution in which patients with a predictable unfavorable outcome of the disease receive decent care and service. Hospice patients are surrounded by ordinary “home” things, with free access to them for relatives and friends. Medical personnel provide palliative medical care: patients can receive oxygen, painkillers, tube feeding, etc. A minimum of doctors and a maximum of paramedical and junior medical personnel. The main purpose of staying in a hospice is to brighten up the last days of life and alleviate suffering. This is humane and, in addition, more cost-effective than treating terminal patients in an intensive care unit. In the post-Soviet space, this problem has not been solved, since it still requires significant investments, obtaining a license to work with controlled drugs, etc.

Word " hospice" came into English from Old French ( "hospice") There it, in turn, was formed from the Latin words hospes and hospitium (“hospitality”). This term has been used since the 6th century AD. designated resting places for pilgrims. From English the word came to other European languages ​​in the 19th century.

Basic principles of the hospice concept

The hospice provides care to terminally ill patients in the final stages of the disease. In the CIS countries, hospice care is provided mainly to cancer patients with severe pain in the last stage of the disease, confirmed by medical documents.

The primary object of medical, social and psychological care in a hospice is the patient and his family. Patient care is provided by specially trained medical and service personnel, as well as relatives of patients and volunteer assistants who have undergone preliminary training in hospices.

Hospice provides outpatient and inpatient care to patients. Outpatient care is provided at home by teams from the hospice field service (“hospice at home”). Inpatient care, depending on the needs of the patient and his family, is provided in a 24-hour, day or night hospital stay.

The principle of “diagnosis openness” can be implemented in a hospice. The issue of informing patients of their diagnosis is decided individually and only in cases where the patient insists on it.

The entire range of medical, social and psychological assistance to the patient should be aimed at eliminating or reducing pain and fear of death while preserving his consciousness and intellectual abilities to the maximum possible extent.

Each patient in a hospice should be provided with physical and psychological comfort. Physical comfort is achieved by creating conditions in the hospital that are as close to home as possible. Providing psychological comfort is carried out on the basis of the principle of an individual approach to each patient, taking into account his condition, spiritual, religious and social needs.

The sources of funding for hospices are budget funds, funds from charitable societies and voluntary donations from citizens and organizations.

Basic principles of hospice activities

Hospice services are free. You can't pay for death, just like you can't pay for birth.

Hospice is a house of life, not death.

Controlling symptoms allows you to qualitatively improve the patient’s life.

Death, like birth, is a natural process. It cannot be rushed or slowed down. Hospice is an alternative to euthanasia.

Hospice is a system of comprehensive medical, psychological and social care for patients.

Hospice - schools and support for relatives and loved ones of the patient.

Hospice is a worldview of humanism.

Prospects for the development of palliative care for cancer patients in Russia

The future development of palliative care is associated with the need to solve a number of problems of an organizational, scientific, medical, social and economic nature.

At the first stage, it is advisable to use the existing finite fund of urban oncology hospitals, which will make it possible to create a network of palliative care departments in a short time and without large financial costs to improve the quality of life of patients in need. At the second stage, along with the existing palliative care departments, the construction of hospices will be carried out. On the third stage - (as hospices are put into operation) - expand the functions of palliative care departments to multidisciplinary units of the palliative medicine system, in which patients with various forms of chronic diseases (neurological, endocrinological, pulmonological, etc.) in the terminal stage of development will receive the necessary care , i.e. patients whose specialized treatment has already exhausted its capabilities and/or is impossible due to the severity of the patient’s general somatic condition. As a result, the system of palliative care for cancer patients created in Russia can be used as a model of palliative medicine service, the basis of which is territorial centers of palliative medicine.

2.1. Opening of a hospice. Hospice Regulations

The hospice provides assistance to patients in the Central District of the city.

The organization of the work of the PMH is carried out in accordance with the Regulations on this institution, approved by the Moscow Department of Health and which is the fundamental document for the organization of the work of hospices in Moscow, including the First Moscow Hospice. Below is the full text of this provision.

1. General Provisions

1.2. The hospice is created in the manner prescribed by the regulatory legal acts of the city of Moscow.

1.3. Hospice officials and staff are guided in their activities by the legislation of the Russian Federation and these Regulations.

1.4. The hospice is a legal entity, has an independent balance sheet, current and other accounts in banks, a round seal with its name, a corner stamp with the name of the institution, and forms.

1.5. The hospice operates in accordance with the Charter and on the basis of a license obtained in the prescribed manner.

1.6. A hospice can be a clinical and educational base for medical educational institutions and research institutes.

1.7. The hospice acts as a plaintiff and defendant in court, arbitration, and arbitration courts in accordance with the legislation of the Russian Federation.

1.8. The hospice carries out state measures for mobilization preparation in accordance with current legislation and regulations of the Moscow Government.

1.9. In order to implement state, social, economic and tax policies, the hospice is responsible for the safety of documents (managerial, financial and economic, personnel, etc.); ensures the transfer of documents to state storage.

The hospice provides services to the population of the assigned area, numbering up to The capacity of the hospice is determined by the number of beds.

2.2. The selection of patients for hospice is carried out by hospice doctors based on:

– the presence of terminal cancer, confirmed by medical documents from the referring institution;

– presence of pain syndrome that cannot be relieved at home;

– the presence of socio-psychological indications (depression, reactive states, conflict situations at home, inability to care for the patient).

2.3. Hospice provides outpatient and inpatient care to patients, which, depending on the needs of the patient and his family, can be provided in the form of intermediate forms - day hospital, mobile service.

2.4. Providing psychological comfort is carried out on the basis of the principle of an individual approach to each patient, taking into account his condition, spiritual, religious and social needs.

2.5. Medical care and qualified care for patients in a hospice are provided free of charge. Subsidies (payment) from relatives or patients are prohibited.

2.6. The hospice does not engage in commercial or other activities that contradict its charitable nature and violate the principle of equal access to the institution and equal opportunities for medical and social care for all incurable patients.

2.7. The hospice provides medical, social and legal protection for patients registered with the hospice.

2.8. Hospice provides social protection for hospice staff.

2.9. The hospice carries out organizational and methodological work on the primary training of personnel: doctors, paramedics, junior medical staff, volunteers and training relatives in patient care skills.

2.10. The structure and staffing of the hospice is approved by the chief physician of the hospice, based on the number of the assigned contingent and the volume of medical and social care provided (within the limits of the wage fund).

2.11. The hospice provides organizational, methodological and practical assistance to institutions and specialists on palliative treatment issues, takes part in meetings and conferences on current issues of palliative treatment.

2.12. Hospice provides:

– emergency medical care;

– specialized medical care;

– selection and implementation of the necessary analgesic and symptomatic therapy;

– qualified medical and social assistance to patients, provision of psychotherapeutic assistance to the patient and his relatives;

– nutrition, including dietary, in accordance with medical recommendations and the wishes of the patient;

– organizing and conducting supportive palliative treatment of incurable patients;

– organizing the necessary advisory assistance;

– carries out the development and implementation of new methods of palliative treatment and patient care into practice;

– analyzes the effectiveness of the medical and social activities of the hospice;

– carries out mobilization preparation and civil defense activities;

– carries out operation and repair of hospice property;

– maintains statistical and accounting records and provides reports on the activities of the hospice in the prescribed manner.

3. Hospice objectives

– the formation of a new form of medical and social care, based on a compassionate and humane attitude of the public and the state towards the problems of incurable cancer patients;

– increasing the availability of inpatient medical care for terminally ill patients and improving medical care at home;

– providing socio-psychological assistance to patients and their relatives, training relatives in the skills of caring for seriously ill patients;

– ensuring the selection and implementation of the necessary analgesic therapy;

– organizing the necessary advisory assistance.

3.2. In accordance with these tasks, the hospice is entrusted with:

– creation of a service of volunteer assistants providing free care for patients at home and in hospitals, training them;

– communication with religious organizations of all faiths for the performance, if necessary, of religious rites during the period of stay in the hospital and at home;

– communication and active work with charitable organizations, both domestic and foreign;

– communication with other hospices, both domestic and foreign;

– communication with social protection authorities;

– communication with the media.

4. Hospice structure

1. Reception department.

2. Hospital beds.

3. Day hospital.

4. Field service.

5. Administrative and economic service.

6. Support services (sterilization room, pharmacy, disinfection unit, laundry, catering department).

5. Hospice property and finances

5.2. The source of formation of property and financial resources of the hospice are:

– city health care budget;

– other sources, in accordance with the legislation of the Russian Federation.

5.4. When exercising the right of operational management of property, the hospice is obliged to:

– use property effectively;

– ensure the safety and use of property strictly for its intended purpose;

– prevent deterioration of the technical condition of the property. This requirement does not apply to deterioration associated with standard wear and tear of property during operation;

– carry out major and current repairs of property;

– charge depreciation charges on the worn-out part of the property.

5.5. The property of the hospice, assigned to it under the right of operational management, may be seized either in whole or in part exclusively in the following cases:

– during liquidation or reorganization of a hospice;