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04 - November 25, 2025 Homes Committee of Management Agenda PackageHomes Committee of Management Orders of the Day Tuesday, November 25, 2025, 1:30 p.m. Council Chambers 450 Sunset Drive St. Thomas ON Note for Members of the Public: Please click the link below to watch the meeting: https://video.isilive.ca/elgincounty/live.html 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 July 1, 2025 — September 30, 2025 6.2 Director of Homes and Seniors Services - Homes — Committee of Management — Long -Term Care Operational Report July 1, 2025 — September 30, 2025 7. Other Business 8. Correspondence 9. Closed Meeting Items 10. Motion to Rise and Report 11. Date of Next Meeting 12. Adjournment Pages 2 5 11 Homes Committee of Management Minutes August 12, 2025, 11:00 a.m. Council Chambers 450 Sunset Drive St. Thomas ON Members Present: Warden Grant Jones Deputy Warden Ed Ketchabaw 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 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 2.35 p.m. with Warden Jones in the chair. 2. Approval of Agenda Resolution Number: HCM25-6 Moved by: Councillor Noble Seconded by: Deputy Warden Ketchabaw RESOLVED THAT the agenda for the August 12, 2025 Homes Committee of Management meeting be approved as presented. Motion Carried. 1 Page 2 of 20 3. Adoption of Minutes Resolution Number: HCM25-7 Moved by: Councillor Leatham Seconded by: Councillor Hentz RESOLVED THAT the minutes of the meeting held on June 10, 2025 be adopted. Motion Carried. 4. Disclosure of Pecuniary Interest and the General Nature Thereof None. 5. Delegations None. 6. Reports/Briefings 6.1 Homes — Committee of Management — Long -Term Care Operational Report April 1, 2025 — June 30, 2025 The Director of Homes and Seniors Services presented the report that provides an overview of the day to day operations of Elgin County's three (3) Long -Term Care Homes for the period of April 1, 2025 to June 30, 2025. 6.2 Homes — Committee of Management — Long -Term Care Director's Update April 1, 2025 — June 30, 2025 The Director of Homes and Seniors Services presented the report that provides an overview of recent updates and ministry announcements impacting the services and operations of Elgin County's three (3) Long - Term Care Homes for the period of April 1, 2025 - June 30, 2025. Resolution Number: HCM25-8 Moved by: Councillor Widner Seconded by: Councillor Leatham RESOLVED THAT the report titled "Homes — Committee of Management — Long -Term Care Operational Report April 1, 2025 — June 30, 2025" from the Director of Homes and Seniors Services dated August 12, 2025 be received and filed; and THAT the report titled "Homes - Committee of Management — Long -Term Care Director's Update April 1, 2025 — June 30, 2025" from the Director of Homes and Seniors Services dated August 12, 2025 be received and filed. 2 Page 3 of 20 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 at the call of the Chair. 12. Adjournment Resolution Number: HCM25-9 Moved by: Councillor Hentz Seconded by: Councillor Giguere RESOLVED THAT we do now adjourn at 2.53 p.m. to meet again at the call of the Chair. Motion Carried. Blaine Parkin, Warden Grant Jones, Chief Administrative Officer/Clerk. Chair. 3 Page 4 of 20 Report to Homes Committee of Management From: Michele Harris, Director of Homes and Seniors Services Date: November 25, 2025 Subject: Homes — Committee of Management — Long -Term Care Director's Update July 1, 2025 — September 30, 2025 Recommendation(s): THAT the report titled "Homes — Committee of Management — Long -Term Care Director's Update July 1, 2025 — September 30, 2025" from the Director of Homes and Seniors Services dated November 25, 2025 be received and filed. Introduction: This report provides an overview of recent updates, and Ontario Health, Ministry of Health, and Ministry of Long -Term Care announcements which impact the three (3) County of Elgin Long -Term Care Homes services and operations for the period of July 1, 2025 — September 30, 2025. Background and Discussion: Ministry Updates On July 22, and July 24, 2025, the Ministry of Long -Term Care (MLTC) released a memo introducing the 2025 Long -Term Care Home Capital Funding Program (CFP), part of the continued efforts at the MLTC to expand long-term care bed capacity and streamline development processes across the province. The CFP aims to more effectively address regional variation in construction costs, provide greater flexibility and responsive financial support and address the needs of the various operator types across the province. To introduce the sector to this new program and share additional details, the Ministry hosted two sector -wide information sessions on July 31, 2025. In August 2025, the Ministry of Long -Term Care (MLTC) released a memo regarding 2025/2026 Influenza and COVID-19 vaccine administration partnership with pharmacies in LTCH's and Retirement Homes allowing pharmacists to administer vaccines should the LTCH wish to partner with a community pharmacy for this purpose. The County of Elgin Homes vaccine is administered by the Infection Prevention and Control Managers and front line registered staff. Page 5 of 20 On September 9, 2025, the Ministry of Long -Term Care (MLTC) released a memo reminding LTCHs of the reporting requirements and the September 22, 2025 deadline for the Year 2 Supplementary Report as part of the Integrated Technology Solutions (ITS) Program. The 3 County of Elgin Homes submitted this report which included details on tools/technologies purchased for implementation, the amount of funding spent, and how the program has improved the quality of care provided in the Home(s). The Ministry of Long -Term Care hosted webinars during this quarter related to LTCH emergency preparedness and management requirements, and LTC compliance assistance (critical incident reports, procedures, written reports). These sessions were attended by management of the Homes. Ministry of Long -Term Care and Ontario Health Reporting Long -Term Care Homes continue to have weekly, quarterly, annual and other one-time sensitive reporting and document extension/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 July 1, 2205 — September 30, 2025 within the delegation 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. • Each home continues to submit, in consultation with finance and human resource department staff, quarterly staffing reports to the MLTC. • Each home submitted the ITS funding report within the required timelines. • Each Home completed and submitted the LTCH Medication Safety Self Assessment (MSSA) through the Institute for Safe Medication Practices before the September 30, 2025 deadline. Agreements and Documents Executed The following agreements and documents have been developed and executed in consultation with legal services, the procurement team, and, as required, the Chief Administrative Officer (CAO), and align with the authority of the delegation bylaw. • July 11, 2025, Sign -back Form - 2025-26 Level -of -Care Funding Increases to Long -Term Care Homes; one form per Home to MLTC. • July 30, 2025, executed the Meals on Wheels Extension Agreement for Elgin Manor and Terrace Lodge and Victorian Order of Nurses with an agreed upon increase to meals beginning October 1, 2025 from $8.00 to $9.00; and, for double portions from $4.00 to $4.50. • July 30, 2025, executed the Meals on Wheels Extension Agreement for Bobier Villa and West Elgin Communty Health Centre with an agreed upon increase to meals beginning October 1, 2025 from $8.00 to $9.00; and, for double portions from $4.00 to $4.50. • August 9, 2025 executed the Letter of Agreement with Southwestern Public Health for access to the Provincial COVID-19 Vaccine Solution-COVAXON. Page 6 of 20 • August 21, 2025, executed an agreement with HoliHealth School to support clinical placements for Personal Support Worker students. Project Updates Registered Nurses Association of Ontario (RNAO) o Clinical Pathways Year 2 work has begun in relation to Falls and Pain Assessments — gap analysis and Point Click Care updates with full implementation expected by the end of November 2025. o Policy and procedures reviewed to streamline processes, reduce duplication, standardize assessments and align with legislative requirements. o Training for front line staff provided prior to clinical pathway assessment implementation. o RNAO Best Practice Spotlight Organization (BPSO) site visit by RNAO team members to Bobier Villa on September 22, 2025 to meet with BPSO front line and management champions who shared their experiences of Best Practice Guideline implementation project work. InterRAI LTCF o Management of the Homes and MDS RAI coordinator staff attended and participated in webinars and educational opportunities to prepare for implementation. o Front line staff training during this quarter to support go live date of October 1, 2025. Terrace Lodge Adult Day Program Aquatic Therapy o Aquatic therapy program training provided for recreationist and personal support worker staff to support the resumption of the Adult Day Program Stroke aquatic therapy by year end. o Swim to Survive Observation as part of the YWCA/Elgin County agreement scheduled for October 2025. o Policy and procedures to support program resumption, in consultation with County of Elgin legal staff. Lift and Transfer Program o Policy and procedure review to align with best practices. o Training provided by mechanical lift vendor across all 3 Homes to ensure alignment with best practices and policy and procedure, and, to develop front line and manager "champions" for new hire, return to work, student placement, and annual training requirements. o Training scheduled for all applicable front line staff by year end. Preceptor Resouce and Education Program (PREP), LTC, through the Centres for Learning Reseach and Innovation (CLRI) and Coaching Program Revitalization/Development o Collaboration with PREP Mentor and other municipal Home(s) that successfully implemented preceptor program for students and coaching program for newly hired staff. o Work beginning to enhance preceptor training and engagement to support student clinical placements across the Homes. Page 7 of 20 o Development of slogan for revitalized Coaches Program and swag — "Coach with Passion. Lead with Purpose". o Work to continue throughout 2025 and into 2026 and to include surveys, increased affiliation agreements with post -secondary institutions, and increased number of preceptors and coaches. Terrace Lodge Donor Recognition and Grand Opening Event o Event successfully executed on Saturday, September 27, 2025 to celebrate the grand opending and recognize donors and staff involved in supporting the redevelopment of Terrace Lodge. Policy and Procedure Updates The following policies and procedures were reviewed and revised during this quarter with the support of the departmental managers, home administrators, and, where required the Infection Prevention and Control Managers, County of Elgin legal staff, and Medical Directors. Administration • 3.7 — Terrace Lodge Pool, Therapeutic Life After Stroke Program — new policy to support the resumption of aquatic therapy for adult day program stroke clients. Nursing • Transfers and Transfer Assessment (Independent, Supervised, One Person, Two Person, Mechanical Lifts) — minor updates following vendor champion training sessions Infection Prevention and Control • 4.39 Measles — new policy to support monitoring for measles, exposure and outbreak management Education for front line staff, residents and visitors is provided as required through the virtual education platform, memos, and departmental meetings and supported by the Education Coordinator. Financial Implications: On August 12, 2025, the Ministry of Long -Term Care (MLTC) released a memo announcing the allocation of up to $102.5 million in funding for the 2025-2026 fiscal year under the Comprehensive Minor Capital Fund. The funding is intended to support long- term care homes by: • Maintaining and extending the physical infrastructure of facilities • Supporting minor capital improvements that directly enhance Infection Prevention and Control practices • Reducing the incidence of falls and fall -related injuries • Promoting increased mobility and overall well-being for long-term care residents Page 8 of 20 The LTCH management team work collaboratively with facilities and finance staff to ensure that the funding received aligns with the requirements of the funding policy; and to report spending to the MLTC as required. On August 18, 2025, Ontario Health West released information regarding an opportunity to submit proposals for potential funding through the Local Priorities Fund (LPF). This funding stream is designed to support LTCHs by providing assistance for initiatives such as the acquisition of diagnostic equipment, staff training, specialized equipment and services that align with LPF criteria. The goal of LPF is to support the specialized needs of existing and incoming residents, prevent unnecessary hospitalizations, and enable better patient flow from hospitals to long-term care. The three County of Elgin homes submitted proposals for front line staff training to support the care and management of residents with mental health needs and is awaiting a decision in relation to the proposal(s). Bobier Villa submitted a proposal in September 2025 through the New Horizons for Seniors application process for equipment, training and minor renovations to support a sensory area for residents with dementia and is awaiting a decision in relation to the proposal. On September 26, 2025 the MLTC released information on "The Improving Dementia Care Program (IDCP)" which will provide funding for up to 15 long-term care homes to implement evidence informed emotion -based models of care and training supports. The Ministry of Long -Term Care is partnering with Ontario Health to deliver the IDCP. Ontario Health has issued a Call for Proposals to long-term care home partners with an opportunity to submit a proposal for potential funding through the IDCP for 2025-26. A second round of funding opportunities is anticipated to be offered in 2026 at which time Elgin County Homes plan to submit an application, allowing time in 2025 - 2026 for the review of emotion -based models of care and the requirements of the detailed application process. Advancement of the Strategic Plan: The long-term care director's update report aligns with the following Corporate Stategic Plan priorities: • Strategy 2: Organizational Culture and Workforce Development • Strategy 3: Service Excellence and Efficiency Local Municipal Partner Impact: The announcements from the Ministry of Long -Term Care and Ontario Health West support the quality of care and positive outcomes for the three (3) County of Elgin Long - Term Care Homes as staff and managers work collaboratively to provide care and services to the residents of our Homes and community clients. Page 9 of 20 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 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 10 of 20 Report to Homes Committee of Management From: Michele Harris, Director of Homes and Seniors Services Date: November 25, 2025 Subject: Homes — Committee of Management — Long -Term Care Operational Report July 1, 2025 — September 30, 2025 Recommendation(s): THAT the report titled "Homes - Committee of Management — Long -Term Care Operational Report July 1, 2025 — September 30, 2025" from the Director of Homes and Seniors Services dated November 25, 2025 be received and filed. Introduction: This report provides an overview of the day -to day operations of the three (3) County of Elgin Homes along with pertinent departmental and committee updates and inspections for the period of July 1, 2025 to September 30, 2025. Backaround and Discussion: Ministry of Long -Term Care (MLTC) Compliance Inspection Reports Summary MLTC 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 which are broad -based inspections carried out on a regular basis to ensure that a home is in ongoing compliance with the Act and Regulation. • Other types of inspections include pre -occupancy and post -occupancy inspection visits to a home undergoing the development/redevelopment of beds. Bobier Villa Page 11 of 20 There were no MLTC inspections at Bobier Villa during this quarter. Elgin Manor Ministry inspectors visited the Home on July 23 and July 24, 2025 to conduct a critical incident inspection. Inspection protocols utilized included Falls Prevention and Management. During the course of the inspection the inspectors made relevant observations, reviewed records and conducted interviews, as applicable. There were no findings on non-compliance. i � �p�r �� puo 1II �"r �p�,����E u Il �lL �'�������h. a a��ha:.�� a u '1 ,. Ministry inspectors visited the Home on September 23 and September 24, 2025 to conduct a critical incident inspection. Inspection protocols utilized included Falls Prevention and Management. During the course of this inspection, the inspectors made relevant observations, reviewed records and conducted interviews, as applicable. There were no findings of non-compliance. 11 \daa:.�:uC iauS o ii II Rr gip, 2 li '3,ppr 4urir li)r: r �'�'..025. Terrace Lodge Ministry inspectors visited the Home on September 22, 23, and 24, 2025 to conduct a critical incident inspection(s), a complaint related to care and a concern related to the breakdown of equipment/major system. Inspection protocols utilized included Resident Care and Support Services; Housekeeping, Laundry and Maintenance Services; and, Falls Prevention and Management. During the course of the inspection, the inspectors made relevant observations, reviewed records and conducted interviews, as applicable. There were no findings of non-compliance. 4 4 µ H (� ii r�����a�h���� II,�������aNppr�...iau���V��,�.p�pu�'�au IL:��°li2��"�:�11 k�'li2�;,r°uiti�l��r"..I �'���'������". Critical Incident Systems Report Summary for all Three (3) Homes Types of Critical Incidents — July 1, 2025 — September 30, 2025 Total Number —3 Homes Abuse & Neglect — Any alleged, suspected or witnessed abuse of a 14 resident by anyone or neglect of a resident by the licensee or staff that resulted in harm or risk of harm to the resident, misuse or misappropriation of residents' money, misuse or misappropriation of funds provided to licensee. Page 12 of 20 Unlawful or Improper or Incompetent Treatment or Care — Includes care of 3 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 2 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 3 Contamination of Drinking Water Supply 0 Incident that Causes Injury and Transfer to Hospital — includes injury in 5 respect of which a person is taken to hospital resulting in signficant 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 the majority of the reports falling into this category. Follow up to each incident is conducted by the 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. There were three written complaints received in this quarter across the Homes and were responded to as per legislative requirements. The management team and continuous quality improvement teams have developed and implemented a plan of action to address each of the critical incident related areas and written complaints, including, but not limited to, providing additional training and education as required. Outbreaks Home Number of Duration of Number of Outbreaks and Outbreak Resident Cases Agents Bobier Villa 0 n/a n/a Elgin Manor #1 — Rhinovirus #1 — 24 days #1 — 8 #2 - COVID-19 #2 - 8 days #2 - 2 Terrace Lodge #1 — Rhinovirus #1 — 24 days #1 - 7 Page 13 of 20 The IPAC teams across the Homes continue to provide education to residents and families and promoting recommended vaccinations (RSV, COVID, influenza, pneumococcal, etc.). Staff vaccination promotion continues across the Homes. Infection Prevention and Control (IPAC) managers continue to participate in the IPAC Hub and Community of Practice meetings/opportunities. 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. Each Homes IPAC team conducts biweekly IPAC audits and provides staff, residents and visitors with education to support IPAC measures including, but not limited to, hand hygiene, personal protective equipment, passive screening for symptoms, etc. IPAC audits are conducted weekly during suspect/confirmed disease outbreaks. Fit testing clinics are being offered at each of our homes to support compliance with mask fit testing requirements. With the reduced outbreak activity within the Homes and throughout the community, mandatory masking continued to be paused for staff, students and volunteers during this quarter. Mandatory masking will continue to be evaluated and adjusted based on local activity and guidance documents. A measles policy, IPAC policy 4.39 Measles was developed in consultation with the medical directors, Southwestern Public Health and the nursing managers to support monitoring for measles, exposure and outbreak management in long-term care homes. Education on the requirements of this policy has been implemented. Occupancy Data A 97% occupancy rate is required to support full ministry funding. All 3 Homes continue to work diligently to support >97% occupancy rates. Home Name Occupancy Rate (excluding respite bed) July 1 — September 30, 2025 Bobier Villa 99% Elgin Manor 99% Terrace Lodge 98% Health System Partners (i.e. Fire, Public Health, Ministry of Labour) • Monthly fire drills and health and safety inspections are conducted each month on all shifts at all three Homes. • The Ministry of Labour visited all three Homes this quarter to conduct a proactive compliance inspection related to workplace hazards associated with Legionella growth in water sources. There were no orders or findings at any of the three Homes. Page 14 of 20 • Ministry of Labour inspection visited Terrace Lodge following the Rhinovirus outbreak related to infection prevention and control. There were no orders or findings of non-compliance. • Elgin Manor received a "Certificate of Achievement" from Southwestern Public Health on September 18, 2025, for achieving a Health Care Worker Influenza Immunization Rate of >80% during the 2024-2025 Influenza Season. • Bobier Villa had a food safety inspection by Southwestern Public Health on September 23, 2025. There was one finding of non-compliance in relation to food handling (storage) and bulletin boards in the main kitchen which was corrected during the inspection. • Elgin Manor had a food safety inspection by Southwestern Public Health on August 7, 2025. There was two findings of non-compliance in relation to surfaces in need of repair for which work will be planned, and debris in corners/work area of serveries which was corrected immediately. • Bobier Villa evacuation exercise and annual fire inspection was completed in September 2025, there were no findings. • Each Home continues to prioritize monthly emergency "code drills" and are preparing for emergency sessions with community partners in October/November. Departmental Updates Department Bobier Villa Elgin Manor Terrace Lodge Administration No changes No changes September 27, 2025 — Grand Opening and Donor Recognition Event — Redevelopment Project Adult Day No changes n/a Aquatic therapy Program program training for Stroke Program Education 3 staff enrolled in 3 staff enrolled in the 3 staff enrolled in the the Mental Health Mental Health training Mental Health training training program program with CLRI (6 program with CLRI (6 with CLRI (6 months) months) months) Preceptor training Preceptor training Preceptor training 1 RN enrolled in Wound Care Canada certification program. RNAO BPSO Champion training Page 15 of 20 Dietary Mealsuite software Mealsuite software Mealsuite software upgrade upgrade upgrade implementation is implementation is implementation is beginning — food beginning — food beginning — food temperatures in temperatures in temperatures in September; September; ordering to September; ordering to ordering to come come in October. come in October. in October. We had our first Theme days and Hungarian/German fine dining meals included meal created by front experience. Each Ukraine, Country line staff member. home area was Hoedown and Talk treated to white Like a Pirate Day. Outdoor bbq's table cloth table continuing in the new service and outdoor courtyards. enjoyed a Prime Rib dinner with the trimmings. We celebrated Portugal. The Manager of Support Services prepared a recipe and was assisted by one of our residents. This was followed by an "arm chair travel to Portugal" with local tarts. Housekeeping No changes. New washing machine New washing machine Laundry and dryer installed. and laundry racks to support laundry services. Infection Hand hygiene and Hand hygiene and Hand hygiene and Prevention Personal Personal Protective Personal Protective and Control Protective Equipment (PPE) Equipment (PPE) Equipment (PPE) audits conducted in audits conducted in audits conducted preparation for preparation for in preparation for respiratory season. respiratory season. respiratory season. Policy and procedure Positive outcomes Added 2 more review and revisions. demonstrated through IPAC team the audit process. members. Measles policy Additional work on development and Training more audit audits being done. champions. Page 16 of 20 implementation across all 3 Homes. Nursing September - Registered Nurse and PICC Line and RNAO BPSO site Resident Care Comfort Rounds visit for a meeting Coordinator certified in Training with champions to health and safety share BPG training. Skin and Wound App implementation training ongoing project work. Skin and Wound App Summer students training ongoing successfully Summer students provided backfill Summer students successfully provided for vacation. successfully provided backfill for vacation. backfill for vacation. Skin and Wound Training and App training Training and preparations for ongoing preparations for implementation of implementation of InterRAI LTCF Oct. 1 Training and InterRAI LTCF Oct. 1 preparations for implementation of InterRAI LTCF Oct. 1 Continence care team worked diligently to improve budget for products. New palliative care team member — new honour guard quilt. Program and Canada Day Canada Day Party with Bus trips for ice cream, Therapy Celebration, Elgin the Finlays, Outing to the market, County Museum New Sarum Diner, Live Crafting, bracelet has started Music with Dean & making Coming for Tara, Exercise Pet Therapy visits monthly talks "the Class,Lunch outing to Music entertainment++ History of Sport in Boston Pizza Animal History Talks Elgin County", "An Aide Visit, Country Flower Arrangements Apple A Day talk Painting on the Patio and "Pigtails and Hoedown Day with Baking Inkwells",Two Bus animal visits from Hosted a Summer trips to Red Hobby Hill Farm, Car Night Market Lobster and Show & Live Music, St. Ordering from local PineCroft, Thomas Pipes & restaurants Page 17 of 20 Celebrated Drums performance, Implementation of Christmas in July, Outing to Shaw's Ice "Comforts of Home" Christmas Bingo, Cream, Outing to fundraising items — Pete Sheridan Springbank Park for Abby, sensory carts, gave us a walking the Parkinson's Walk, "nooks" and more! tour through St "Ode to Summer" Party Thomas, Shaw's with Ice cream truck & Ice Cream and GT's, Live Music Talk Like a Art Therapy Pirate Day, Wear worship Orange Day/ Truth & opportunities, Reconciliation Day Sparta Tea Room Presentation, Fish & and Red Lobster Chips Lunch Club, Resident Council Week Resident and Resident Council: Resident Council: Resident Council: Family Average of 8 Average of 8 members Average of 10 Council members in in attendance. members in attendance. Discussion Topics: attendance at Discussion Topics: Resident Bill of Rights, meetings. Resident Bill of Noise in the Home, Discussion Topics: Rights, Remembering Resident Bill of Rights, Mealsuite touch residents whom have Resident Council screens soft passed, welcoming Week planning, pool, launch, New new residents, wheelchair swing, steam table to calendar and program mechanical lifts, support quality events, satisfaction Christmas market meals, Treasurers survey — draft review, planning, measles Report, hairdressing services, memo, CQI meeting Renovations, Fine landscaping, overview, Satisfaction Dining, Program construction/renovation Survey — draft review, suggestions. projects, painting, students, spiritual change table in visitor services, air Family Council: washroom request, conditioning and Discussion Topics: measles, tick generator updates, awareness and outbreak IPAC updates, precautions, resident Resident council council week, Family Council: week, Satisfaction accommodation rates, Average of 5-7 survey draft hand sanitizer members in review attendance. Family Council: Discussion Topics: Average of 4 members Social Worker services in attendance. update, mobility, botox Discussion Topics: and physiotherapy services, smoking, Page 18 of 20 Sensory room update, dress code, name construction/renovation tags, summer bbqs, projects, landscaping, wheelchair swing front door access training, stained glass update, Walk for windows, optometry Parkinson's, IPAC services, update, Resident temperatures, code council week, red procedures, CQI Satisfaction survey meeting overview, draft review. Satisfaction Survey — draft review Food Breakfast meal Menu approved Requested a tour of Committee item discussion; the new kitchen, potential meal residents very pleased suggestions; fine with the project dining plan upgrades. Menu approved by dietitian and food committee and implementation beginning. Health & Bobier Villa Code purple and Code Fire plan and Safety evacuation Silver drills conducted procedures reviewed. exercise and New fire pull station annual fire and muster station inspection was signage installed. completed in September 2025, there were no findings. Student None during this Personal Support Personal Support Placements period Worker student Worker student placements — 23 placements - 8 Recreation student placement - 1 Quality — Key Performance Indicators Key Performane Indicator Bobier Villa Elgin Manor Terrace Lodge Falls — Provincial April — June 4.2% April — June 18.4% April — June 18% Average — 16.6 July -Sept. 8% July — Sept. 20.5% July -Sept. 19.4% Daily Physical Bobier Villa has April —June 1 % April — June 2% Restraints — maintained 0 % for July —Sept. 1.3% July —Sept. 1 % 21 months! Page 19 of 20 Provincial Average- 1.4 Worsening stage 2- April — June 1.7% April — June 3.9% April — June 0% 4 pressure ulcers — July — Sept. 4.4% July — Sept. 3.7% July — Sept. 6.7% Provincial average 2.3 Antipsychotics April — June 1.3% April — June 17.8% April — June 26% without a July — Sept. 2.1 % July —Sept. 19.6% July —Sept. 15.4% supporting diagnosis — Provincial Average -20.5 Financial Implications: None Advancement of the Strategic Plan: The long-term care director's update report aligns with the following Corporate Strategic Plan priorities: • Strategy 2: Organizational Culture and Workforce Development • Strategy 3: Service Excellence and Efficiancy 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 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 Approved for Submission Michele Harris Blaine Parkin Director of Homes and Seniors Services Chief Administrative Officer/Clerk Page 20 of 20