02 - August 13, 2024 Homes Committee of Management Agenda PackageElginCounty
Homes Committee of Management
Orders of the Day
Tuesday, August 13, 2024, 11:00 a.m.
Council Chambers
450 Sunset Drive
St. Thomas ON
Note for Members of the Public:
Please click the link below to watch the Committee Meeting:
https://www.facebook.com/ElginCountyAdmin/
Accessible formats available upon request.
1. Call to Order
2. Approval of Agenda
3. Adoption of Minutes
4. Disclosure of Pecuniary Interest and the General Nature Thereof
5. Delegations
6. Reports/Briefings
6.1 Director of Homes and Seniors Services - Homes — Committee of
Management — Long -Term Care Director's Update April 1, 2024 — June
30, 2024
6.2 Director of Homes and Seniors Services - Homes — Committee of
Management — Long -Term Care Operational Report
7. Other Business
8. Correspondence
9. Closed Meeting Items
10. Motion to Rise and Report
11. Date of Next Meeting
12. Adjournment
Pages
2
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16
uoi
Homes Committee of Management
Minutes
June 25, 2024, 10:00 a.m.
Council Chambers
450 Sunset Drive
St. Thomas ON
Members Present: Warden Ed Ketchabaw
Deputy Warden Grant Jones
Councillor Dominique Giguere
Councillor Mark Widner
Councillor Jack Couckuyt
Councillor Andrew Sloan
Councillor Todd Noble
Councillor Mike Hentz
Councillor Richard Leatham
Staff Present: Blaine Parkin, Chief Administrative Officer/Clerk
Michele Harris, Director of Homes and Seniors Services
Nicholas Loeb, Director of Legal Services
Katherine Thompson, Manager of Administrative
Services/Deputy Clerk
Jenna Fentie, Legislative Services Coordinator
Stefanie Heide, Legislative Services Coordinator
1. Call to Order
The meeting was called to order at 10.49 a.m. with Warden Ketchabaw in the
chair.
2. Approval of Agenda
Moved by: Deputy Warden Jones
Seconded by: Councillor Sloan
RESOLVED THAT the agenda for the June 25, 2024 Homes Committee of
Management meeting be approved as presented.
Motion Carried.
1
Page 2 of 37
3. Adoption of Minutes
None.
4. Disclosure of Pecuniary Interest and the General Nature Thereof
None.
5. Delegations
None.
6. Reports/Briefings
6.1 Director of Homes and Seniors Services - Homes — Committee of
Management — Long -Term Care Director's Update January 1 — March
31, 2024
The Director of Homes and Seniors Services presented the report that
provides an overview of recent updates and the Ontario Health and
Ministry of Long -Term Care announcements that impact the three (3) Elgin
County Long -Term Care Homes. The report also provides an overview of
projects and services for the residents and staff of the Homes to support
quality services and care.
Moved by: Councillor Noble
Seconded by: Councillor Couckuyt
RESOLVED THAT the report titled "Homes — Committee of Management
— Long -Term Care Director's Update January 1 — March 31, 2024" from
the Director of Homes and Seniors Services dated June 25, 2024 be
received and filed; and
THAT the Committee of Management authorize staff to sign and submit
Schedule F — Form of Compliance Declaration for the MSAA for the period
of April 1, 2023 to March 31, 2024 indicating one exception related to
training/work plan requirements.
Motion Carried.
6.2 Director of Homes and Seniors Services - Homes — Committee of
Management — Policy and Procedure Manuals — Review and Revision
The Director of Homes and Seniors Services presented the report that
details revisions to the Elgin County Long -Term Care Homes
administration, dietary, housekeeping and laundry, infection prevention
and control, maintenance, nursing, and program and therapy policy
manuals.
Moved by: Deputy Warden Jones
Seconded by: Councillor Giguere
2
Page 3of37
RESOLVED THAT the report titled "Homes — Committee of Management
— Policy and Procedure Manuals — Review and Revision" from the Director
of Homes and Seniors Services dated June 25, 2024 be received and
filed.
Motion Carried.
6.3 Director of Homes and Seniors Services - Homes — Committee of
Management — Long Term Care Operational Report
The Director of Homes and Seniors Services presented the report that
provides an overview of day-to-day operations of the three (3) Elgin
County Long -Term Care Homes and details departmental and committee
updates and inspections for the period of January 1 - March 31, 2024.
Moved by: Councillor Leatham
Seconded by: Councillor Widner
RESOLVED THAT the report titled "Homes — Committee of Management
— Long -Term Care Operational Report" from the Director of Homes and
Seniors Services dated June 25, 2024 be received and filed.
Motion Carried
7. Other Business
None.
8.
Correspondence
None.
9.
Closed Meeting Items
None.
10.
Motion to Rise and Report
None.
11.
Date of Next Meeting
The next Homes Committee of Management meeting will be held on August 13,
2024 following the County Council meeting.
12. Adjournment
Moved by: Deputy Warden Jones
Seconded by: Councillor Widner
RESOLVED THAT we do now adjourn at 11.49 a.m. to meet again on August 13,
2024 following the County Council meeting.
3
Page 4 of 37
Blaine Parkin,
Chief Administrative Officer/Clerk.
Warden Ed Ketchabaw,
Chair.
Page 5of37
ElginCounty
Report to Homes Committee of Management
From: Michele Harris, Director of Homes and Seniors Services
Date: August 13, 2024
Subject: Homes — Committee of Management — Long -Term Care Director's Update
April 1, 2024 — June 30, 2024
Recommendation(s):
THAT the report titled "Homes — Committee of Management — Long -Term Care
Director's Update April 1, 2024 — June 30, 2024" dated August 13, 2024 be received
and filed.
Introduction:
This report provides an overview of recent updates, and, Ontario Health and Ministry of
Long -Term Care announcements which impact the three (3) County of Elgin Long -Term
Care Homes services and operations.
Additionally, an overview of projects and services for the residents and staff of the
Homes to support quality services and care is included in the report.
Background and Discussion:
Ministry Updates
On April 19, 2024, the Ministry of Long -Term Care released a memo outlining the
COVID-19 vaccine campaign for the spring. Due to waning immunity, the National
Advisory Committee on Immunization (NACI) recommended a spring 2024 COVID-19
vaccine, targeting individuals who are at a higher risk for severe illness and
hospitalization due to COVID-19, which includes residents living in long-term care
homes (LTCHs).
The Spring vaccine campaign was put into place at each of our three LTCHs and the
infection prevention and control (IPAC) managers worked with Southwestern Public
Health to order and prepare to administer vaccines to eligible residents in a timely
manner.
Page 6 of 37
This memo also provided an update related to the COVID-19 response measures
directive and guidance documents which were revoked on April 19, 2024. This change
streamlines and integrates the number of IPAC and outbreak management related
requirements and guidance documents for LTCHs.
A "Fact Sheet (from the Ministry of Long -Term Care) for LTCH Residents Regarding
Vaccinations and Therapeutics Spring 2024" was communicated to residents and
families to provide additional information to support the campaign.
On April 26, 2024, the Ministry of Long -Term Care released a memo and fact sheet
regarding the Ontario Regulation 246/22 that came into effect on May 1 and July 1,
2024.
Summary of updates effective May 1, 2024 include:
• Staffing qualifications were amended for some roles to ensure qualification
requirements are proportionate to the responsibilities and accountabilities of the
role for the following:
o Administrator
o Therapy Services Staff
o Designated Lead for the Restorative Care Program
o Designated Lead for the Volunteer Program
Enabling regulated health professionals who are authorized under the Regulated
Health Professions Act, 1991, or otherwise acting within their scope of practice,
to conduct skin assessments for residents at risk of altered skin integrity.
Clarifying amendments related to air conditioning, including:
o The limited circumstances in which a licensee would not have to install a
portable or window air conditioning unit;
o The circumstances when a licensee must implement the heat -related
illness prevention and management plan; and,
o Consistency in language between the air conditioning and air temperature
requirements.
Summary of updates effective July 1, 2024 include:
• Amendments to enable nursing students working in LTCHs as nursing student
externs to carry out certain responsibilities that are restricted to certain roles such
as admininstering drugs and conducting skin assessments;
• Permitting registered practical nurses (RPN) to complete assessments of
applicants for personal care for the purpose of placement coordinators'
determinations of eligibility for LTCH admissions;
• Clarity to licensees on ensuring access to essential visitors during emergency
situations;
• Revoking certain pandemic provisions that are no longer relevant and used by
system stakeholders;
• Technical amendments to provide greater flexibility to support the designation of
"imminent home closure" to facilitate resident relocation.
On May 1, 2024, the Ministry of Long -Term Care released a follow-up memo regarding
the extension of staffing qualifications flexibility provision for Personal Support Workers
Page 7 of 37
(PSW) and consultation on Ontario's Regulatory Registry. Effective May 1, 2024, the
ministry extended the transitional staffing qualifications for PSWs and staff providing
personal supports for an additional 12 months until July 1, 2025. This will continue to
allow staff (that is, PSW or staff providing personal support services) without the
requisite training to continue providing personal supports to low -risk residents if the
licensee is of the reasonable opinion that the individual has the adequate skills, training,
and knowledge to perform the job.
The ministry posted an approach for consultation on the provincial Regulatory Registry
from May 1, 2024 to June 15, 2024. Based on feedback received, the ministry stated it
may propose a full suite of amendments to the Regulation in the fall to support the
implementation of this approach.
The Ministry of Health announced the new regulations under the Health and Supportive
Care Providers Oversight Authortiy Act (HSCPOA), 2021 are now final. A press release
from the Ministry of Health was released on June 4, 2024, that beginning December 1,
2024, more than 100,000 personal support workers in Ontario will have the option to
register with the new HSCPOA. The HSCPOA will ensure consistent education and
training for PSWs, regardless of where they work and if they are part-time or full-time, to
support their career growth and give patients confidence that they are receiving high -
quality care. Those registered with the authority will also be listed on an online public
register and be easily identified with the HSCPOA's quality mark on their identification
badge or paperwork in order to show proof of registration. Informational webinars are
being hosted in July and August for employers to learn about the HSCPOA and an
opportunity to ask questions. Information will be shared with front line staff when
available.
On June 6, 2024, a Government of Ontario press release was received announcing the
new Minister of Long -Term Care, Natalia Kusendova-Bashta. Minister Kusendova-
Bashta is a registered nurse and worked in the LTC sector during the height of the
COVID-19 pandemic.
The Canadian Association for Long -Term Care advocated for a national day to be
established to recognize long-term care in Canada. National Long -Term Care Day was
recognized on June 13, 2024. This day acknowledges the collective contributions and
achievements for the LTC sector. Importantly, we also take this time to celebrate the
residents and the dedicated and hard-working staff who provide care to Canadians
residing in LTCHs.
On June 18, 2024, due to the unseasonalby high temperatures in June, the Ministry of
Long -Term Care released a memo reminding LTCHs of air conditioning requirements
and heat related illness prevention and management plan requirements.
The cooling, air conditioning, air temperature and heat -related illness prevention and
management plan requirements are set out in LTC legislation and apply to the period of
May 15 to September 15 each year; and, on any day on which the outside temperature
forecasted by Environment and Climate Change Canada for the area in which the home
is located is 26 degrees Celsius or above at any point during the day; and any time the
Page 8of37
temperature in an area in the home measured by the licensee reaches 26 degrees
Celsius or above.
In addition to the installation of air conditioning in resident rooms, operators are to
undertake interventions to reduce heat and humidity indoors that may include:
• Installing and using window coverings that block the sun and heat.
• Keeping windows closed if heat and humidity are higher outside (over 26
degrees Celsius and 50 % humidity).
• Readily available cooling supplies and equipment that staff are familiar with
using.
• Having heating, ventilation and air conditioning systems inspected by certified
technicians twice per year and ensuring LTCH maintenance staff are familiar with
the manufacturer's required routine maintenance checks.
• All portable cooling and air-conditioning equipment are installed, cleaned and
maintained in accordance with manufacturer's instructions.
• Reschedule the time that heat generating equipment such as dryers and
dishwashers are used.
On June 24, 2024, as part of the new Your Health: A plan for Connected and
Convenient Care launch and the Convenient Care at Home Act, 2023, it was
announced by Deputer Minister Melissa Thomson, that the 14 Local Health Integration
Networks, operating as Home and Community Care Support Services had
amalgamated into a new service organization called Ontario Health atHome as of June
28, 2024.
The amalgamation and new designation does not result in changes to the LTCH
placement process for applicants, their families/caregivers or LTCHs. Placement
services will continue to operate pursuant to the same geographic areas; applicants will
continue to access placement coordination services in the same way and through the
same contacts through the transition period.
Looking forward, the Ministry of Long -Term Care will continue to work with the Ministry
of Health, Ontario Health, Ontario Health atHome and the LTC sector to consider how
placement services can be managed over the longer -term. This will include
considering the role of Ontario Health Teams in providing integrated service delivery for
Ontarians.
Ministry of Long -Term Care/Ontario Health West Reporting
Long -Term Care homes continue to have weekly, quarterly, annual and other time -
sensitive reporting and document execution/submission obligations and requirements
which are completed within the authority of the delegation bylaw.
Reporting and documents submitted for the three County of Elgin Homes during the
timeframe of April 1 — June 30, 2024, within the delegation of authority bylaw include the
following:
• Each home continues to complete the LTCH data submission (L9 Form) weekly
to provide details regarding bed vacancies, bed rate changes, etc.
Page 9of37
• Each home continues to submit, in consultation with finance and human resource
department staff, quarterly staffing reports to the Ministry.
• 2023-2024 Schedule F, Declaration of Compliance for the Multi -Sector Service
Accountability Agreement (M-SAA) were signed and submitted to Ontario Health
West along with the certificates of insurance on June 26, 2024 for both the
Bobier Villa and the Terrace Lodge Adult Day programs.
• 2024-25 Level of Care Funding Increases to LTCHs Effective April 1, 2024
signed and submitted to Ontario Health West on May 27, 2024.
• 2023-24 and 2024-25 Base Funding for Community Services signed and
submitted to Ontario Health West on April 12, 2024.
• CCA s. 22 Notice and Amendment of LTCH Service Accountability Agreement
Amendment Letter signed and submitted to Ontario Health West on May 8, 2024
(1 for each Bobier Villa, Elgin Manor and Terrace Lodge).
• Service Accountability Agreement — French Language Services Survey
completed for all three Homes and Adult Day Programs before the due date of
June 28, 2024.
• Service Accountability Agreement — Advance Indigenous Health Strategies and
Outcomes Plan and Health Equity Plan completed for all three Homes and Adult
Day Programs before the due date of June 30, 2024.
Agreements Executed
The following agreements have been developed and executed in consultation with legal
services, the procurement team, and, as required, the CAO, and align with the authority
of the delegation bylaw.
Elgin Manor & Bobier Villa extension and amending agreement with Dawn
Peddie for Hair Salon services.
o Agreement signed June 14, 2024 for the term of May 1, 2024 to April 30,
2025 with modest price increases. Residents and families continue to
express satisfaction with hair care services.
o Residents and families pay for individual hair care services.
Social Worker Services
o Agreement signed June 17, 2024 with Age -wise Solutions Inc. for the term
of July 2, 2024 to July 1, 2025.
o Social Worker services are funded through ministry Resident Health and
Well-being funding and Allied Health Professional Funding.
o Social worker services will be available 2 days/week at both Elgin Manor
and Terrace Lodge; and, 1 day/week at Bobier Villa.
Preventative Maintenance Program for mobility devices
o Agreement signed May 10, 2024 with Wellness & Mobility Inc. for the term
of June 1, 2024 to May 31, 2027.
Eastlink Business - Cable Services for Terrace Lodge and Elgin Manor
o Agreement signed May 3, 2024 for 3 year term
o No price increase for residents
o Additional, new channels provided
Project Updates
Page 10 of 37
• E-connect
o Training, ONEID registration and implementation underway.
o Regulated health professionals will be provided access to personal health
information via Point Click Care for residents that visit/admitted to hospital.
o Regulated health professionals complete training for e-connect,
privacy/PHIPA, complete the ONEID registration process and then are
approved by one of the LRA's — Admininstrators of the Homes, Director of
Homes and Seniors Services.
Staff Schedule Care (SSC)
o Mass messaging has been implemented across the 3 homes and is
supporting future call ins for administrative clerks.
o After hours, same day call -ins have been determined to be better
managed through the use of the "wizard" by registered staff.
o Project sign off by the Director of Homes and Seniors Services and
Director of Finance was completed on June 17, 2024.
o New and/or returning managers and administrative clerk training will be
supported by current team members, resources within SSC and remaining
blocks of time with SSC previously purchased.
Policv and Procedure Uadates
The following policies were reviewed and revised by the Director of Homes and Seniors
Services in collaboration with the respective departmental managers to align with the
Fixing Long -Term Care Act (FLTCA), 2021 and Ontario Regulation 246/22.
Policy
Policy
Revision
Revisions
Manual
#/Name
Date
Administrat
3.15.12 Code
May 2024
Policy name update to include "Or
ion —
Silver —
Threat".
Section 3
Person with
Updated with a checklist and
a Weapon or
directions in regards to a "threat"
Threat
versus an actual onsite Code
Silver
Nursing —
Medication —
April
Updated to align with legislation.
Section M
Self
2024
Incorporated Appendix 1 —
Administratio
evaluation of self -administration of
n by a
medications into policy.
Resident
Pharmacy, physician, manager,
front line staff review to support
Ministry of Long -Term Care
Proactive Compliance Inspection
finding.
Infection
Medical
May 2024
Updated to align with current
Control
Directive —
guidance in relation to COVID-19
(IC)
COVID- 19
vaccine administration for
Section 2
Vaccine
residents.
Administratio
n2.4d)
Page 11 of 37
Financial Implications:
The Homes are appreciative of the following announcements to support the provision of
care and services in our three Homes.
On May 6, 2024, LTCHs received the Case Mix Index (CMI) Funding Methodology for
2024 -2025. The ministry also provided the master report which provides an overview
for all LTCHs in Ontario and a Case Mix Index Frequently Asked Questions document.
The provincial average CMI is 1.0218. The three County of Elgin Homes funded CMI
for 2024-2025 is above the provincial average:
• Bobier Villa — 1.2064
• Elgin Manor — 1.0832
• Terrace Lodge— 1.1210
Home
2023-2024
Funded CMI
2024-2025
Funded CMI
Change
Budgetary
Impact
Bobier Villa
1.1884
1.2064
0.0180
$27,077
Elgin Manor
1.1051
1.0832
(0.0219)
($52,017)
Terrace Lodge
1.1250
1.1210
(0.0040)
$5,014
Total
($19,925)
Note:
Unfavourable () - Actual increase received less than budgeted.
The Level of Care Funding Summary was also received on May 6, 2024 announcing a
6.6% Funding increase. Staff are working through the details of the funding
announcements and will provide a future fulsome report with recommendations.
On May 3, 2024, LTCHs received a memo from the Ministry regarding the regulated
annual increase to the accommodation rates that came into effect on July 1, 2024.
Annual co -payment rate increases are based on the rate of inflation measured by the
change in the prior year Canadian Consumer Price Index (CPI) and are capped at
2.5%. Given the change in the prior year CPI was 3.9%, an inflationary increase of 2.5
% has been applied, effective July 1, 2024.
Residents electing a Basic room rate are eligible for application for rate reduction and
are required to re -apply for a reduction beginning on July 1, 2024.
Accommodation Rates as of July 1, 2024
Type of
Accommodation
Daily Rate
Monthly Rate
Basic
$66.95
$2,036.40
Semi -Private
$80.72
$2,455.24
Private
$95.65
$2,909.36
Page 12 of 37
LTCHs are required to provide 30 days notice to rate changes, and communications
were posted in the Homes, sent to resident council, family council and within the billing
notice.
On May 14, 2024, the Ministry of Long -Term Care released a memo announcing
Preceptor Resource and Education Program for LTC (PREP LTC) Year 4 Enrollment
and Registration. This announcement aligns with the January 31, 2024 announcement
to extend the program for an additional three years to 2026-2027 to support homes in
boosting the quality and quantity of clinical placements in their homes and across the
sector. All three of our Homes have enrolled/registered for the 2024/25 PREP LTC
initiative.
On May 17, 2024, the Ministry of Long -Term Care released a memo to all long-term
care homes that the Ministry received information regarding fraudulent police record
checks and Tuberculosis (TB) screening documents related to security and resident
support staff working in homes through a contracted agency. The ministry contacted all
the homes that have used this agency. Our three homes currently does not utilize
agency staff; has not utilized agency for security or resident support staff, and, as such
were not contacted by the Ministry. The management of the Homes work closely with
Human Resources to ensure that all staff onboarding to the Homes meet the legislative
requirements for screening.
On May 23, 2024, the Ministry of Long -Term Care released a memo advising LTCHs of
a mandatory survey to obtain information from homes on how minor capital funds have
been used in previous fiscal years and planned minor capital projects in future years.
The survey was completed by senior LTCH management and the Director of Homes
and Seniors Services in collaboration with the finance and facilities department within
the required timelines.
On June 3, 2024, the Ministry of Long -Term Care released a memo announcing a top -
up in addition to the maximum eligible costs outlined in the Laboratory Services Funding
Guidelines. Reimbursements are retroactive to April 1, 2024 and shall be based on the
actual cost for services received from April 1, 2024 through March 31, 2025, to a
maximum of the amounts specified.
On June 18, 2024, the Ministry of Long -Term Care released a memo related to the
2024-25 and 2025-26 one-time funding for the Integrated Technology Solution (ITS)
Program to support homes in continuing to enhance medication safety and meeting the
unique technological and digital solutions needs. This program replaces and combines
the Medication Safety Technology (MST) and the Clinical Support Tools (CST)
programs and funding. The Ministry will provide funding based on a calculation of
$1.13 in per diem funding or $30,000 whichever is greater. The funding for our three
Homes is demonstrated in the table below outlining the funding change.
Page 13 of 37
Integrated Tech noLoLPv Fuuundiun
Greater of
Home Sleds FerlDierrn Amount Fuuundiun
EM 90 $37,120.50 $30,000 $37,121
TL 100 $41,245.00 $30,000 $41,245
BV 57 $23,509.65 $30,000 $30,000
P�rio�r F�uundiun
MSTP" GMT T rtal Funding Change
29,014 $10,000 $39,014 Decrease
32„226 $10,000 $42,228 ; Decrease
16,373 $10,000 $28,373 $1,6271Increase
On June 24, 2024, the Ministry of Long -Term Care released a memo announcing
updates to funding for LTC Infection Prevention and Control (IPAC) Personnel including
an IPAC Lead, training and education.
An analysis of the funding announcement was conducted and the funding change is
demonstrated in the table below.
2024 IPAC F'unndinn
Home
2024--25 Funndinn�
Budgeted
Funding Change
EM
$01,430
$102,560
t l 9 21 Decrease
TIL
$81,439
$105,023
'c ,,,`, 4 IDecreese
BV
$54,273
$67,616
.;y 9 r^i,:h Decrease
Flexibility within the Allied Health Professional funding will be utilized to adjust for any
IPAC funding decreases.
Alignment with Strategic Priorities:
Serving Elgin
Growing Elgin
Investing in Elgin
® Ensuring alignment of
❑ Planning for and
® Ensuring we have the
current programs and
facilitating commercial,
necessary tools,
services with community
industrial, residential, and
resources, and
need.
agricultural growth.
infrastructure to deliver
programs and services
® Exploring different ways
® Fostering a healthy
now and in the future.
of addressing community
environment.
need.
® Delivering mandated
® Enhancing quality of
programs and services
® Engaging with our
place.
efficiently and effectively.
community and other
stakeholders.
Local Municipal Partner Impact:
The announcements from the Ministry of Long -Term Care and Ontario Health support
the quality of care and support positive outcomes for the three County of Elgin LTCHs
Page 14 of 37
as we continue to provide care and services to the residents of our homes and
community clients.
Communication Requirements:
Information has been communicated to the appropriate departments, resident council,
family council, residents, staff and visitors as required.
Conclusion:
The long-term care homes management team continues to be thankful for the support
from Council, the Chief Administrative Officer, the Senior Management Team, and the
staff in all departments as we work collaboratively to maintain and improve the quality of
services and care for our residents, families, staff and communities.
All of which is Respectfully Submitted
Michele Harris
Director of Homes and Seniors Services
Approved for Submission
Blaine Parkin
Chief Administrative Officer/Clerk
Page 15 of 37
ElginCounty
Report to Homes Committee of Management
From: Michele Harris, Director of Homes and Seniors Services
Date: August 13, 2024
Subject: Homes — Committee of Management — Long -Term Care Operational Report
Recommendation(s):
THAT, the report titled "Homes — Committee of Management — Long -Term Care
Operational Report" dated August 13, 2024 be received and filed.
Introduction:
This report provides an overview of day-to-day operations of the three (3) County of
Elgin Long -Term Care Homes (LTCH) along with pertinent departmental and committee
updates and inspections for the period of April 1, 2024 to June 30, 2024.
Background and Discussion:
Ministry of Long -Term Care (MLTC) Compliance Inspection Visit Reports Summary
Ministry of Long -Term Care Inspections are unannounced and last from 1 day to 2
weeks depending on the purpose of the inspection. There are several types of
inspections of long-term care homes as follows:
• Reactive Inspections which are done in response to complaints or critical incident
submissions and generally focus on the substance of the complaint or incident ;
and, follow-up inspections conducted to ensure that any compliance orders have
been addressed.
• Proactive Inspections are broad -based inspections carried out on a regular basis
to ensure a home is in ongoing compliance with the Act and Regulation.
• Other types of inspections include pre -occupancy and post -occupancy
inspections visits to a home undergoing the development/redevelopment of beds.
Bobier Villa
MLTC inspectors visited the Home on April 3, 4, 8, 9,and 10, 2024 to conduct a critical
inicident inspection related to an allegation of resident abuse. During the course of this
inspection the inspector made relevant observations, reviewed records and conducted
Page 16 of 37
interviews. Inspection protocols utilised during the inspection included skin and wound
prevention and management, infection prevention and control, responsive behaviours,
reporting and complaints, and falls prevention and management. There were no
findings related to resident abuse. There was one written notification issued related to
falls prevention and management and skin and wound care in relation to resident
assessment.
0 �uIus . .,Iu .I ...............V..............................,...V........J...1...............6...........°...a
...................................[,:,.!,...,,,il,...........
Elgin Manor
MLTC inspectors visited the Home on June 3, 4, 7, 10, 11, 12, and 13, 2024 to conduct
a critical incident inspection regarding 6 critical incidents submitted by the Home related
to allegations of resident abuse and the fall of a resident with injury. Inspection
protocols utilized during the inspection included Infection Prevention and Control,
Prevention of Abuse and Neglect, Responsive Behaviours, and Falls prevention and
Management.
There was one compliance order in regards to duty to protect with a timeframe of July
26, 2024 to provide retraining to all staff in post falls procedures; keeping a documented
record of the training and contents of the training; providing retraining to all staff
regarding the documentation and process to follow when a resident's status changes
and keeping a documented record of the training, who attended, who provided the
training and the contents of the training. The management team immediately met to
develop a plan of correction to meet all compliance order requirements within the
required timeframe to ensure compliance.
¢ i'ii in II\lll a ir: g Il n spl gQ � n` a o in II � ep g� ,-t j «, a n e 2024
Terrace Lodge
Terrace Lodge moved into Phase 2 of the Redevelopment Project in May 2024. The
Ministry of Long -Term Care Pre -occupancy inspection was conducted on April 16, 2024.
There were seven deficiencies identified, all minor in nature, with some required to be
completed on move day. All deficiencies were corrected as required to support the
Terrace Lodge Phase 2 move day on May 15, 2024.
See Attachment #1 — Terrace Lodge Pre -Occupancy Inspection Report April 2024
MLTC inspectors visited the Home on May 28 and 29, 2024 to conduct a critical incident
inspection regarding 2 critical incidents submitted by the Home in regards to an
outbreak and a resident fall. Inspection protocols utilized during the inspection included
Infection Prevention and Control and Falls Prevention and Management.
During the course of the inspection the inspector made relevant observations, reviewed
records and conducted interviews. There were no findings of non-compliance.
apa e ::::o g "....Ili��u°� pl M'J` n II''���li �u:�5` II\llla:�'....�'�6��'�a:�
up.
Page 17 of 37
MLTC inspectors visited the Home on May 28 and 29, 2024 to conduct a post -
occupancy inspection following Phase 2 move in day at Terrace Lodge. Inspection
protocols utilized during the inspection included Infection Prevention and Control; Food,
Nutrition and Hydration; and Safe and Secure Home.
During the course of the inspection the inspector made relevant observations, reviewed
records and conducted interviews. There were no findings of non-compliance
a
Critical Incident Systems Report Summary for all Three Homes
Types of Critical Incidents —April 1 — June 30, 2024
Total
Number
— Three
Homes
Abuse & Neglect — Any alleged, suspected or witnessed abuse of a
28
resident by anyone or neglect of a resident by the licensee or staff that
resulted in harm or risk of harm to the resident, misue or misappropriation
of residents' money, misuse or misappropriation of funds provided to
licensee.
Unlawful or Improper or Incompetent Treatment or Care — Includes care of
1
a resident that resulted in harm or risk of harm to resident.
Unexpected Death — Including a death resulting from an accident or
0
suicide.
Medication Incident — Includes a medication incident or adverse drug
0
reaction in respect of which a resident is taken to hospital.
Environmental Hazard — Includes breakdown or failure of the security
1
system or major equipment or a system in the Home that affects the
provision of care or the safety, security, or well-being of residents for a
period greater than six hours
Disease Outbreak
5
Contamination of Drinking Water Supply
0
Incident that Causes Injury and Transfer to Hospital — Includes injury in
3
respect of which a person is taken to hospital resulting in a significant
change in status
Controlled Substance Missing/Unaccounted — Includes missing or
0
unaccounted for controlled substance
Written complaint
3
The above noted critical incidents have been reviewed and internally investigated. It is
important to note that the abuse and neglect critical incident reporting includes "harm or
risk of harm". Each of the three Homes have a memory care resident home area
supporting mild to severe cognitively impaired residents that may, at times, and despite
interventions, exhibit responsive behaviours resulting in "risk of harm". The Homes are
diligent in reporting responsive behaviours in the "risk of harm" category with 25 of the
28 reports falling into this category. Follow up to each incident is conducted by the
Page 18 of 37
management team in collaboration with both the internal and external Behavioural
Support Ontario (BSO) teams and is ongoing to develop interventions and update plans
of care to support all residents on the memory care resident home areas and throughout
the Homes.
Three written complaints were received in this quarter in relation to entry to the home,
temperature control, and communications related to dietary intake; and, appropriate
follow up was completed.
The management team and continuous quality improvement team have developed and
implemented a plan of action to address all of the critical incident related and written
complaint areas, including, but not limited to, providing additional training and education
as required.
Outbreaks
Home
Number of
Timeframe of
# of Residents
Outbreaks and
Outbreak
Impacted
Agent
Bobier Villa
0
N/A
N/A
Elgin Manor
4outbreaks
#1 —April 26 — May
#1 — 2
#1 — enteric &
10, 2024
#2 — 3
COVID-19
#2 — May 10 — May
#3 — 4
#2 — Human
17, 2024
#4 — 22
Metapneumovirus
#3 — May 30 — June
#3 — Parainfluenza
10, 2024
#4 — COVID-19
#4 - June 29 — July
18, 2024
Terrace Lodge
1 outbreak
May 2 — May 27,
24
COVID-19
2024
The Infection Prevention and Control (IPAC) managers continue to participate in the
IPAC Hub and community of practice meetings. Ongoing collaboration with
Southwestern Public Health continues to support accuracy in decision -making and
planning regarding updated circulating pathogens, guidance documents and policy and
procedures.
The IPAC teams across the Homes have been providing education to residents and
families and promoting the Spring COVID vaccine campaign. Some residents were
ineligible for the Spring COVID vaccine based on recent COVID infections which
impacted vaccination rates for residents across the Homes.
The updated guidance documents provided for changes to support impacted staff
members earlier return to work provided that the staff member has an improvement in
symptoms and is fever -free. Staff returning to work must follow masking and distancing
protocols.
Occupancy Data
Page 19 of 37
A 97 % occupancy rate is required to support full ministry funding. All 3 Homes continue
to work diligently to support >97% occupancy rates.
,TelOT VIIIR
Occupancy Data excluding
respite bed
April 1 — June 30, 2024
Occupancy
99 %
Admissions (Move -Ins)
2
Discharges
3
Elgin Manor
Occupancy Data excluding
respite bed
April 1 — June 30, 2024
Occupancy
98 %
Admissions (Move -Ins)
13
Discharges
15
Terrace Lodge
Occupancy Data excluding
respite bed
April 1 — June 30, 2024
Occupancy
99 %
Admissions (Move -Ins)
11
Discharges
9
Health System Partners (i.e. Fire, Public Health, Ministry of Labour)
• Monthly fire drills are conducted each month on all shifts at all three Homes.
• Monthy health and safety inspections are completed at all three Homes.
• Terrace Lodge had a public health pre -occupancy inspection of the Phase 2
Home Kitchens, Serveries and Dining Areas on April 9, 2024. There were no
findings of non-compliance.
• Elgin Manor received a field/site visit from the Ministry of Labour, Immigration,
Training and Skills Development on April 25, 2024. The inspector was onsite in
relation to a complaint regarding a verbal threat of violence. During the course of
the field visit, the inspector reviewed policy and procedures, training records and
conducted interviews.
Two orders were issued in relation to a minor policy update, failure to complete a
risk assessment immediately following the verbal threat, and training in relation to
the policy update. The requirements related to the orders were complied with
within the agreed to timelines.
See Attachment #2 — Elgin Manor Ministry of Labour Notice of Compliance April 2024.
Page 20 of 37
Dietary and Housekeeping/Laundry Departmental Updates
Department
Bobier Villa
Elgin Manor
Terrace Lodge
Dietary
A huge shout out to
The residents are
Terrace Lodge
dietary staff and
enjoying barbeque
main kitchen
their dedication to
season and local
remains "under
the home — there
harvest produce
renovation".
has been 0 unfilled
including
Staff should be
shifts for the past
strawberries,
commended for
few months.
asparagus and
having adjusted to
Ongoing
blueberries.
reduced work
interdisciplinary
spaces and
meal service
Residents were
revised job
meetings (nursing
provided the
routines in the
and dietary) to
opportunity to
main kitchen to
support meal
enjoy the social
accommodate
service delivery in
program of hulling
renovations.
follow up to the
quarts and quarts
proactive
of strawberries
Air conditioning
compliance
this season.
has been installed
inspection continue
in the home
with table side
Theme days have
kitchens in Phase
beverage service
kept the kitchen
2 of the project.
being the focus this
busy with
quarter.
traditional
Resident choice
"Stamppot" meals
meals are being
from the
offered twice
Netherlands;
monthly.
creation of 1970s
"TV dinners" and
Local fresh fruit
Pork Goulash
and vegetables
inspired by
have been added
Croatia.
to the menu during
the summer
months —
residents are
enjoying many
options including
strawberries and
corn on the cob.
Food Committee
Resident Council
Food
Monthly
and Food
Committee met to
encouragement
Committee voted to
review and
for residents to
donate $400 to
approve the
recommend meal
support the
Spring Summer
items for
purchase of a new
2024 Menu and
"Resident choice
barbeque for the
agreed to continue
meal day" twice
Home. Residents
with Elgin Manor
per month and
Page 21 of 37
are now enjoying
meal times
hamburger &
weekly barbequed
at 830, 1200 noon
hotdog days have
meals.
and 5pm.
been implemented
as per food
A "Build your own
committee request
Burger" event with
every Thursday
all the toppings
during the BBQ
was hosted and
season.
thoroughly enjoyed
by all.
Theme meal
planning continues
with April focusing
on Italian culinary
adventure featuring
an omelette style
pasta bar where
residents could
select their own
toppings and
sauces to create a
unique pasta dish.
This event created
such a "positive
buzz" and aromas
throughout the
home that it was
offered again in
June.
Housekeeping/laundry
Acknowledgement
The housekeeping
Housekeeping
to the
team has been
staff continue to
housekeeping
kept busy with
work through the
team —their
outbreak
changes in job
exceptional,
management.
routines as the
diligent cleaning
Their diligent
Home works
and IPAC practices
efforts were
through the
has supported 0
effective in
redevelopment
outbreaks this
preventing
project and should
quarter.
extensive spread
be commended for
during 3
their ability to
outbreaks.
adjust and
accommodate the
operational needs
and needs of the
residents.
Joint Health & Safety
Code Drills -
Code Drills —Code
Monthly Code
Silver policy
Drills with team
Page 22 of 37
Code Silver policy
reviewed, revised
members creating
reviewed and
and approved.
poster boards to
approved
increase staff
Code Silver policy
awareness.
education and
Regular
awareness
Code Silver policy
inspections and fire
training
reviewed and
drills
conducted.
approved
Workplace
Regular
Violence Risk
inspections and
Assessment
fire drills.
conducted and the
team is working on
potential updates
based on results.
Regular
inspections and
fire drills
Resident & Family Council Updates
Resident Council
Bobier Villa
Elgin Manor
Terrace Lodge
April
April 18
April 18
April 5
Discussion topics:
Discussions
Low attendance due
Treasurers Report
included:
to outbreak
Review of
Silent Auction
Residents Bill of
planning
Sharing and
Rights
Use of fob for
discussing updates —
Review of Quality
residents
redevelopment
Improvement Plan
Review of
project updates and
(QIP)
Residents Bill of
memo distribution
Donation of $400
Rights and Homes
QIP review
to support the
Mission Statement
Action plan for
purchase of a new
Eulogy Memories
resident survey
BBQ
Admission and
improvements
Discharges
Financial
Program Calendar
statement/information
Review and
regarding funding
suggestions for
Preparation for total
future programs
solar eclipse
Treasurers Report
April 25
Review of Resident
rights #10, 11, 12
Page 23 of 37
Religious and
Spiritual Care
discussion
Environmental
Services update
Volunteer services
update
Library outreach
program
Craft program and
pianist
Recreation and
social program
updates
Solar eclipse recap
Nutrition and
hydration care
IPAC update
Health Quality
Ontario website,
features and
relationship to the
UP
May
May 23
May 16
May 2
Discussion topics:
Discussion topics:
Terrace Lodge
Treasurer Report
Silent Auction
Redevelopment —
Resident Bill of
planning
May 15 move plan
Rights
Residents Bill of
discussion and
Review of Home
Rights
review with
Accommodation
Eulogy Memories
Administrator
Charges
Admission and
Discharges
Wellness & Mobility
Program Calendar
Inc. information
Review and
circulated
suggestions for
future programs
Regular May meeting
Treasurers Report
cancelled due to
Administrator
outbreak
Report
June
June 15
June 20
June 27
Discussion topics:
Discussion topics:
Discussion topics
Resident Bill of
Resident Bill of
Resident Bill of
Rights
Rights
Rights
Treasurers Report
Eulogy memories
Spritival and religious
care
Page 24 of 37
Updated
Admissions and
Recreation and
hairdressing
Discharges
Social Programs
services fees
Program Calendar
Menu cycle review
Suggestions:
Review
Meal and snack time
Bingo 2x/week
Treasurer Report
review
Reduction of
Suggested future
Inspection report
movies to
programs
from May 30
once/month
Administrator
CQI team overview
Request for more
report
and review of
summer bbqs
monthly meeting
June 28
Review of
documents:
Social worker
services memo
Tub room
renovations memo
Hair services pricing
update memo
Visitor/guest meal
pricing update memo
Regulation changes
update from MLTC
LTCH
Accommodation Rate
changes from MLTC
Family Council
Bobier Villa
Elgin Manor
Terrace Lodge
April
April 17
April 12
April 4
No members able
Discussion topics:
Meeting information
to attend;
Ministry inspection
communciated but
information
report review (Feb.
members unable to
circulated
2024)
attend April meeting
electronically as
Monthly Billing
virtually/inperson
required
Monthly CQI report
QIP review
Recruitment efforts
Care conferences
ongoing (posted in
Location of
the Home, sent via
meeting minutes
email/newsletter)
Family council
related to decreased
letter to families
membership; options
Development of a
to communicate via
resource guide
meetings available in
Front Door access
person/phone/zoom
after hours
to support
Cable services
attendance.
Page 25 of 37
Snack cart service
Calendars and
newsletter review
Side tables front
lobby
Terrace Lodge
Redevelopment
Update and Core
Area Renovations
sent to members
electronically and
posted in the Home
May
May 22
May 22
May 2 and May 9
Meeting information
No members able
Discussion topics:
communciated but
to attend;
Home updates
members unable to
information
Responses to prior
attend
circulated
month concerns
electronically as
Cable notice and
required
channel updates
Information sent
Regulation
electronically to
changes
members
Introduction of
Resident Care
Resident and Family
Coordinator
Move Day letter
returning from
Phase 2
leave
Accommodation
Charges
Wellness and
Mobility Inc.
introduction letter
CQI report
Info re: new
government dental
plan
June
June 18
June 14
June 13 & 28
No members able
Discussion topics:
Meeting information
to attend;
communciated but
information
New menu
members unable to
circulated
Visitor meals and
attend
electronically as
location for same
required
IPAC updates
Wellness & Mobility
Hairdressing fee
Inc. memo
update
Copayment
CQI reports
Accommodation
New Community
Bulletin sent
Legal Education
electronically
Ontario (CLEO)
booklet distribution
Program and Therapy Department Updates
Page 26 of 37
Item
Bobier Villa
Elgin Manor
Terrace Lodge
Special Programs &
Pet Therapy
Pet Therapy
Solar Eclipse was
Event Highlights
enjoyed April 2024
Country of Discover
Country of Discover
(Italy— Italian pasta
(Netherlands —red,
Elegant Mother's
luncheon and
blue and white
Day Tea
cooking
colours dress -
demonstration)
up -and Chemed
McDonalds Take
meal)
Out enjoyed by 40
Country of Discover
residents
(Mexico — Mexican
Country of Discover
Chemed lunch)
(Croatia — themed
Terrace Lodge
meal and
Move Day- May 15
Strawberry Social
travelogue)
Chinese food Take
Solar Eclipse event
History Talk with
out enjoyed by 40
Guest Speaker
residents
History Talk with
(Pete Sheridan)
Guest Speaker
Father's Day
(Pete Sheridan —
Bus outings
Celebration with
solar eclipse, Crime
Suzie Q
Talk, Joh Kenneth
Weekly tuck shop
Galbraith)
with the Auxiiliary
Canada Day
Celebration June
Mother's Day
70's Theme Day —
30 with Traci
Treats and
groovy photo shot,
Kennedy
Programming
reminiscing
throughout the
program
week
Mother's Day
Sunday Tea with
Social
the Auxiliary
Auxiliary Bake Sale
and Tea Room
Father's Day
celebration and
sundae bar
New
Fun & Fitness
Inukshuk craft
Summer Reading
Initiatives/Enhanced
partnering with a
Club
Programming
physical trainer -
Evening Piano with
intergenerational
Fitness with Larry
Volunteer
Program
Partnership with
Animal Farm
Aylmer Library
Therapy by Little
Hobby Hill Farm
Page 27 of 37
Bus Outings to
Tai Chi
New Community
enjoy the seasonal
Outreach — Aylmer
weather
Breakfast Club
Imperial Market
Coffee Out Trip
Animal Farm
"Anna Mae's"
Therapy by Full
Art Therapy Project
Circle Ranch
— awaiting a plaque
— "Home is Where
the Heart is" (see
link below)
Education
Therapeutic
Therapeutic
Neurologic Music
Recreation Ontario
Recreation Ontario
Therapy BIARK
Conference
Conference — 1
Aqua Infused Yoga
attended
Specialty and
Certification
Program — 2 staff
near completion
Therapeutic
Recreation Ontario
Conference (3
attended)
Student Placements
None this quarter
None this quarter
Terrace Lodge
participated in the
East Elgin
Secondary School
Community
Volunteer Fair
Volunteer Services
14 registered active
16 registered active
Several tours of
volunteers; 2 new
volunteers; 2 new
redeveloped home
since last quarter
since last quarter
areas provided to
volunteers
Volunteer
Volunteer
19 new volunteers
appreciation
Appreciation
in process of formal
luncheon
Brunch
registration; 50
active volunteers; 5
new inquiries;
New volunteer
positions —
horticulture,
genealogy, gift
shop (coming
soon), recreation
program, portering
support
See Attachment #3 — Terrace Lodge Art Therapy Project 2024
Page 28 of 37
Nursing Department and Quality Improvement Updates
Department
Bobier Villa
Elgin Manor
Terrace Lodge
Mandatory
All mandatory teams
Implementation of
Implementation of
Programs &
and programs in place;
updated program
updated program
Committees
continue to build
evaluation
evaluation
membership with staff
template to
template to
changes.
support
support
Behavioural Supports
compliance and
compliance and
Ontario (BSO) team
legislative
legislative
onboarding 2 new
interpretation
interpretation
members.
Home specific
The Bobier Villa team is
Ongoing
Ongoing
nursing/quality
pleased that the
implementation of
increased
updates
Manager of Resident
initial coaching
frequency of team
Care vacancy has been
concepts to
huddles for day
filled with Bev
support
and afternoon
Drouillard (former
onboarding of new
shifts to enhance
Quality
employees.
communication,
Improvement/Education
decision making
Coordinator for all 3
and teamwork;
Homes and former
BSO team huddle
Registered Nurse for
frequency
Bobier Villa).
increased to
Bev will be a significant
support
asset to the team
knowledge
supporting the overall
sharing and
success of Bobier Villa.
embedded
processes;
implementation of
trial bath shifts to
support continuity
and quality of
care.
Student
Summer Students have
Summer students
Summer students
placements
onboarded.
have onboarded.
have onboarded.
8 PSW students
and 1 RPN
student
Additional
Three letters of
Diagnostic
Diagnostic
educational
understanding in place
equipment training
equipment training
opportunities
to support education
ongoing
ongoing
opportunity
Diagnostic equipment
training ongoing
Page 29 of 37
Management team
Management
Management
members across all
team members
team members
departments engaged
across all
across all
in Indigenous Cultural
departments
departments
Awareness Safety
engaged in
engaged in
Training and Equity,
Indigenous
Indigenous
Diverstity, Inclusion and
Cultural
Cultural
Anti -Racism training
Awareness Safety
Awareness Safety
Training and
Training and
Equity, Diverstity,
Equity, Diverstity,
Inclusion and Anti-
Inclusion and Anti -
Racism training
Racism training
Quality Indicators
Key Performance
Bobier Villa
Elgin Manor
Terrace Lodge
Indicator
Falls
Jan — March
15%
12.6%
18%
April — June
7%
9.6%
24.4%
Daily Physical
Restraints
Jan — March
2.1 %
0%
1.1 %
April — June
0%
0%
1.1 %
Worsening
Pressure Ulcer
(Stage 2-4)
Jan — March
3.4%
2.06%
8.7%
April — June
1 %
3.0%
8.6%
Antipsychotics
without a
supporting
Diagnosis
Jan — March
20%
26%
15%
April — June
3%
23.8%
3.8%
Administrative Department Updates
Item
Bobier Villa
Elgin Manor
Terrace Lodge
Staff Schedule
Wizard and Mass
Wizard and Mass
Wizard and Mass
Care (SSC) —
messaging
messaging
messaging
autofill, wizard,
implemented.
implemented.
implemented.
project sign off for
Final project sign
Final project sign
Final project sign
these requirements
off
off
off
Clinical
Training and
Training and
Training and
Connect/econnect
onboarding with
onboarding with
onboarding with
Page 30 of 37
ONEID across all 3
Homes continues
ONEID across all 3
Homes continues
ONEID across all 3
Homes continues
Staffing Updates
Letter of
No changes
One vacancy;
Understanding with
actively recruiting
SEIU to support
administrative clerk
temporary part time
position for
coverage
Education
April 17 — 19
April 17 — 19
April 17 — 19
2 managers
2 managers
3 managers
attended
attended
attended
AdvantAge Ontario
AdvantAge Ontario
AdvantAge Ontario
convention
convention
convention
participating in
participating in
participating in
several Long-term
several Long-term
several Long-term
care sector relevant
care sector relevant
care sector relevant
sessions
sessions
sessions
All Homes
All Homes
All Homes
managers
managers
managers
completed
completed
completed
Psychological
Psychological
Psychological
Health and Safety
Health and Safety
Health and Safety
Webinar Series
Webinar Series
Webinar Series
with CMHA —front
with CMHA— front
with CMHA— front
line staff scheduled
line staff scheduled
line staff scheduled
for July and
for July and
for July and
September
September
September
Several Managers
Several Managers
Several Managers
completed
completed
completed
"Manager as a
"Manager as a
"Manager as a
Coach Learning
Coach Learning
Coach Learning
Sessions April 1 —
Sessions April 1 —
Sessions April 1 —
June 26 across the
June 26 across the
June 26 across the
Homes and are
Homes and are
Homes and are
implementing small
implementing small
implementing small
work groups to
work groups to
work groups to
support ongoing
support ongoing
support ongoing
implementation of
implementation of
implementation of
concepts at the
concepts at the
concepts at the
Home level
Home level
Home level
June 27 — Severe
June 27 — Severe
June 27 — Severe
Weather: Reducing
Weather: Reducing
Weather: Reducing
Risks and
Risks and
Risks and
Safeguarding
Safeguarding
Safeguarding
Page 31 of 37
Communities —
Communities —
Communities —
Administrator and
Administrator and
Administrator and
Director
Director
Director
Terrace Lodge
Phase 2 of the
Redevelopment
Terrace Lodge
Redevelopment
Project completed;
Phase 3 underway
Financial Implications:
None
Alignment with Strategic Priorities:
Serving Elgin
Growing Elgin
Investing in Elgin
® Ensuring alignment of
❑ Planning for and
® Ensuring we have the
current programs and
facilitating commercial,
necessary tools,
services with community
industrial, residential, and
resources, and
need.
agricultural growth.
infrastructure to deliver
programs and services
® Exploring different ways
® Fostering a healthy
now and in the future.
of addressing community
environment.
need.
® Delivering mandated
® Enhancing quality of
programs and services
® Engaging with our
place.
efficiently and effectively.
community and other
stakeholders.
Local Municipal Partner Impact:
None
Communication Requirements:
Information has been communicated to the appropriate departments, resident council,
family council, residents, staff and visitors as required.
Conclusion:
The long-term care homes management team continues to be thankful for the support
from Council, the Chief Administrative Officer, the Senior Management Team, and the
Page 32 of 37
staff in all departments as we work collaboratively to maintain and improve the quality of
services and care for our residents, families, staff and communities.
All of which is Respectfully Submitted
Michele Harris
Director of Homes and Seniors Services
Approved for Submission
Blaine Parkin
Chief Administrative Officer/Clerk
Page 33 of 37
Ministry of Long -Term Care
Ministere de longue duree
Long -Term Care Capital
Development Division
8th Floor, 438 University Ave
Toronto, ON M5G 2K8
Tel.: (416) 327-7461
Fax: (416) 327-7603
Division du developpement du
capital de soins de longue duree
438, rue University, 8e etage
Toronto, ON M5G 2K8
Telephone: (416) 327-7461
Telecopieur: (416) 327-7603
• Q
Pre -Occupancy Review Summary Report
Inspection prealable a 1 `occupation des lieux
Project
Name of Long -Term Care Home/Etablissement de soins de longues duree
Date/Date
ID/ N°de
ro'et
Terrace Lodge — Phase 2
April 16,
2024
PROJ-078
Address/Adresse
City/Ville
Prov
Postal Code/Code
Phone #/ NO de
Postal
telephone
Michele Harris
475 Talbot St. E.
Aylmer
ON
N5H 3A5
519-631-1460 ext.
191
Name and title of Ministry representative/Nom et titre du (de la) representante)
Scott Meikleham — Technical Specialist — Capital Development Division
Peter Hannaberg — Inspector - Long -Term Care Inspections Branch
Project Summary/Resume du projet
The project involves improvements to the existing Terrace Lodge building. Terrace Lodge is currently
comprised of 4 Resident Home Areas (RHAs), each housing 25 residents in a combination of Private,
Semi -Private and 4 bed ward type rooms, for a total of 100 beds. The existing home will be renovated, and
an addition will be constructed in order to increase the number of private bedrooms, remove the 4 bed ward
type rooms, and improve the quality of resident spaces, resulting in a new building that maintains four 25-
bed RHAs, for a total of 100 residents.
Phase 2 includes: Renovations to existing 15t and 2"d floor North RHA's, completion of Tub Room
renovations located between the completed Phase 1 addition portion of the work and the renovated North
RHA's (Floor 1 and 2) associated with Phase 2
# Code/Code #
The following is a list of deficiencies that must be corrected
1. Operational Issue/Question
Ce qui suit est une liste d'infractions qui doivent etre rectifiees
operationnelle
2. Construction/ Construction
E
Inspection Results/Resultats de ('inspection
d
Date for Corrective Action/Date de
a;
o
la mesure corrective
—
U
Door to Therapy Room (N227) on second floor North RHA
Operator to confirm work has
1
requires a locking mechanism to be installed on the
2
been completed prior to
admittance of first resident, work
entrance door, to prevent unauthorized access by
to be verified at the post-
residents., when not in use
occu ncy inspection.
Operator to confirm work has
Doors to Point of Care areas (N134 and N234) adjacent to
been completed prior to
2
the Dining Rooms on both levels 1 and 2 require automatic
2
admittance of first resident, work
closers to be installed.
to be verified at the post -
occupancy inspection.
The temporary partitions that are currently in place between
Operator to confirm work has
the renovated portion of Phase 2 and the currently occupied
been completed prior to
3
expansion associated the Phase 1 of the project, on both
2
admittance of first resident, work
levels 1 and 2, are to be removed, patched and made good.
to be verified at the post -
occupancy inspection.
Individual towel bars, one for each resident, are to be
Operator to confirm work has
4
installed in the shared washroom associated with the semi-
2
been completed prior to
private Resident bedrooms on both floors 1 and 2
admittance of first resident, work
Page 34 of 37
to be verified at the post -
occupancy inspection.
The outdoor terrace area located off Dining Room (N133A)
on the 11 floor of the renovation associated with Phase 2 is
to be completed prior to providing access to any resident.
5
This includes the completion of the perimeter security
2
Work to be verified at the post -
fencing, and all landscaping. The door leading from the
occupancy inspection.
Dining Area to the outdoor terrace area is to remain locked
and secure, preventing unauthorized access, until all work
has been completed.
Operator to confirm work has
been completed (door in place
The secure access door on the first floor memory care RHA
and functioning) on the day of
6
to be relocated and installed in good working order to
1
resident move (via email) and
maintain the memory care residents within their temporary
Pine/Birch RHA during Phase 2.
work to be verified at the post -
occupancy inspection.
Resident beds and furnishings to be relocated to their
Work to be verified at the post-
7
rooms on the newly renovated first and second floors
1
occupancy inspection.
associated with Phase 2.
Page 35 of 37
Minlstry of Labour, Immigration,
Training and Skills Development
Safe At;Work
Operations Occupational
Division Health and Safety
OHS Case ID! 02821THTT014
Field Visit No: 02821 THVL015
Return To;
EMII,Y MRRPIRLD
INDUSTRIAL HEALTH AND SAFETY INSPECTOR
PROVINCIAL OFFENCES OFFICER
217 York Street, 51h Floor, London, ON N6A 5P9
Tel; (519) 671-9318
Faxl519-672.0260
Visit Data: 2024-APR•25
Notice of Compliolnoo
Workplace Idenflflcatlon, ELGIN MANOR Notice ID;
39262 FINGAL ROAD, ST THOMAS, ON, CANADA N5P 3S5 FINGAL
RDRR1
Page 1 of 1
Take Notice
orders were Issued under the auihorlly of the occupational Health and Safety Act or Regulations made there under. A notice of compliance shall be submitted
to the Ministry of LabourwIIhln three days after the constructor or Employer believes that compliance with the orders) / Regulremenl(s) have been achieved,
Orders) /Requirement(s) Issued;
To: Role
CORPORATION OF THP COUNTY OF ELGIN Primary Pmployor
Malilno Address;
450 SUNSET DR, ST, THOMAS, ON, CA N5R 5V1
Orders) / Requirement(s) Descrlptlon,
You are required to comply with the Order(s) / Requirement(s) by the Comply by Dates listed below,
No, Type ActReg Year Sec, Sub Clause
Code Sec,
1 Time OHSA 1990 32,0,3 4
ozsziTHVQo10
2 Time OHSA 1990 25 2
020217HVR019
compliance Detalls / JHSC Worker Member/comply by
Data Worker Representative bate!
NAgree j 024-MAY-24
Isagrea•
-- - `"(signature) -- - --
' t
d� Agree 2024-MAY-24
El Dlidgre.o
(Signature)
Form completed by: _ (� (� h � Joint Health and Safety Committee Member representing workers
(l or Worker Represenlallve agrees ordlsogrees Thal compliance
a2r (�y fry Qo,([ : rut !"e- S has been achieved with ail the orders) as Indicated above,
Title; a ( f) J
(Tor>nbehalf of j' e Name! 3 ;i a t 1)t_� i ,, f;
Signature:�ij Signature:. z
r l
0757
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