01 - June 9, 2026 Homes Committee of Management Agenda PackageOZ5
ElgmCounty
Homes Committee of Management
Orders of the Day
Tuesday, June 9, 2026, 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 meeting livestream:
https://video.isilive.ca/elgincounty/live.html
Accessible formats available upon request.
1. Call to Order
2. Election of Chair and Vice Chair
3. Approval of Agenda
4. Adoption of Minutes
5. Disclosure of Pecuniary Interest and the General Nature Thereof
6. Delegations
7. Reports/Briefings
7.1 Director of Homes and Seniors Services - First Quarter Homes Review
8. Other Business
9. Correspondence
10. Closed Meeting Items
11. Motion to Rise and Report
12. Date of Next Meeting
13. Adjournment
Pages
2
67
Homes Committee of Management
Minutes
November 25, 2025, 1:30 p.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 Todd Noble
Councillor Mike Hentz
Councillor Richard Leatham
Members Absent: Councillor Andrew Sloan
Staff Present: Blaine Parkin, Chief Administrative Officer/Clerk
Michele Harris, Director of Homes and Seniors Services
Holly Hurley, Director of People & Culture
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 2.17 p.m. with Warden Jones in the chair.
2. Approval of Agenda
Resolution Number: HCM25-10
Moved by: Deputy Warden Ketchabaw
Seconded by: Councillor Hentz
RESOLVED THAT the agenda for the November 25, 2025 Homes Committee of
Management meeting be approved as presented.
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Motion Carried.
3. Adoption of Minutes
Resolution Number: HCM25-11
Moved by: Councillor Leatham
Seconded by: Councillor Giguere
RESOLVED THAT the minutes of the meeting held on August 12, 2025 be
adopted.
Motion Carried.
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 July 1, 2025 —
September 30, 2025
The Director of Homes and Seniors Services presented the report that
provides an overview of recent updates and Ontario Health, Ministry of
Health, and Ministry of Long -Term Care announcements which impact the
three (3) Elgin County Long -Term Care Homes services and operations for
the period of 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
The Director of Homes and Seniors Services presented the report that
provides an overview of the day to day operations of the three (3) Elgin
County Long -Term Care Homes along with pertinent departmental and
committee updates and inspections for the period of July 1, 2025 -
September 30, 2025.
Resolution Number: HCM25-11
Moved by: Deputy Warden Ketchabaw
Seconded by: Councillor Noble
RESOLVED 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,
2
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2025 be received and filed; and
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.
Motion Carried.
7. Other Business
I101rem
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: HCM25-12
Moved by: Councillor Widner
Seconded by: Councillor Leatham
RESOLVED THAT we do now adjourn at 2.34 p.m. to meet at the call of the
Chair.
Motion Carried.
Katherine Thompson,
County Clerk/Manager of
Administrative Services.
Chair.
3
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ElginCounty
Report to Homes Committee of Management
From: Joe Anne Holloway, Director of Homes and Senior Services
Date: May 5, 2026
Subject: First Quarter Homes Review
Recommendation(s):
THAT the report titled Homes First Quarter Review form the Director of Home and
Senior Services dated May 5, 2026, be received and filed.
Introduction:
This quarterly review highlights the continued strength and progress of the Elgin County
long-term care homes as we remain committed to delivering exceptional care and
service. Over the past quarter, our teams have demonstrated dedication, compassion,
and resilience while advancing operational goals and enhancing the quality of life for the
residents we are privileged to serve. The achievements outlined in this report reflect the
collaborative efforts of leadership and frontline staff working together to foster safe,
supportive, and thriving home communities.
The attached score cards for each of the homes will support the information in this
report.
Background and Discussion:
The first quarter of this year has been marked by strong organizational performance and
meaningful progress across the Elgin County long-term care homes. Through strategic
leadership, disciplined financial management, collaborative labour relations, and an
unwavering commitment to quality resident care, the homes have established a solid
foundation for continued success in the months ahead. Despite the ongoing
complexities within the long-term care sector, our homes have remained focused on
operational excellence, sustainability, and the delivery of compassionate, high -quality
care. The accomplishments achieved during this quarter reflect the dedication of our
leadership teams, frontline staff, and corporate supports, all working together toward
shared goals.
A key area of focus during the first quarter was maintaining strong financial stewardship
across all homes. Through careful budget monitoring, regular financial reviews, and
disciplined oversight of expenditures, the homes successfully kept finances on track
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while continuing to meet the operational needs of each home. Leadership teams worked
diligently to monitor labour costs, agency utilization, occupancy levels, and
departmental spending to ensure resources were allocated effectively and responsibly.
This level of financial vigilance allowed the homes to remain aligned with budget
expectations while continuing to invest in resident care, staffing stability, and essential
services. The ability to maintain fiscal responsibility while navigating rising costs and
sector pressures demonstrates the strength of the organization's financial planning
processes and its commitment to long-term sustainability.
In addition to budget management, a comprehensive review of existing service
contracts and vendor agreements was undertaken during the quarter to identify
opportunities for greater efficiency, improved service delivery, and cost savings. These
reviews ensured that contracted services continued to meet the needs of the homes
while providing value and accountability. Opportunities were identified to renegotiate
terms, improve service expectations, and align partnerships with the strategic priorities
of the organization. This proactive approach not only strengthened operational oversight
but also reinforced the organization's commitment to responsible resource
management. By carefully evaluating contractual relationships, the homes are better
positioned to maximize value while maintaining the high standards required to support
quality resident care.
Labour relations and workforce engagement also remained a central priority throughout
the first quarter. Recognizing that staff are the foundation of quality care, leadership
teams invested significant time in building positive relationships with employees and
union representatives. Through open communication, regular meetings, and
collaborative problem -solving, the homes worked to address concerns proactively,
resolve issues respectfully, and foster a culture of mutual trust and accountability. This
collaborative labour approach has supported workplace stability while strengthening
staff engagement. By maintaining productive union relationships and ensuring
transparency in decision -making, the organization is working to create an environment
where staff feel heard, valued, and empowered to contribute to the success of the
homes.
At the same time, efforts to support recruitment and retention continued to be a major
focus. Leadership teams reviewed staffing patterns, monitored vacancies, and
implemented strategies to support workforce stability while minimizing disruptions to
resident care. They then work with the People and Culture team to ensure vacancies
are filled in a timely manor. These efforts included optimizing scheduling practices,
supporting employee attendance initiatives, and promoting a workplace culture centered
on teamwork and recognition. The homes understand that a stable and engaged
workforce is critical to maintaining high -quality care, and the progress achieved in this
area during the first quarter has strengthened operational consistency and team
performance across the homes.
Above all, the homes remained deeply committed to providing excellent care and
service to residents. Throughout the quarter, teams across all three homes continued to
demonstrate professionalism, compassion, and dedication in delivering resident -
centered care that promotes dignity, safety, and quality of life. Quality indicators were
closely monitored, and leadership teams remained focused on achieving positive
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outcomes in areas such as clinical care, infection prevention and control, resident
satisfaction, and regulatory compliance. Staff worked diligently to maintain care
standards, support resident well-being, and respond effectively to the evolving needs of
those living within our homes. This commitment to excellence was reflected in the
quality of care delivered each day and in the positive experiences of residents and
families.
Quality improvement initiatives also continued to advance during the quarter, supporting
the organization's goal of ongoing enhancement in all aspects of care and service
delivery. Leadership teams reviewed performance indicators, analyzed trends, and
implemented action plans where opportunities for improvement were identified. These
efforts supported evidence -based decision -making and promoted accountability
supported by being a Best Practice Spotlight Organization. By maintaining a strong
focus on continuous quality improvement, the homes are not only meeting required
BPSO standards but actively striving to exceed expectations in the care and services
they provide.
The homes also maintained strong and positive relationships with ministry
representatives and regulatory partners throughout the first quarter. Open
communication, timely responsiveness, and consistent compliance efforts reinforced the
organization's reputation as a credible and reliable provider within the sector. This is
reinforced by the outcomes of the ministry compliance reports. Leadership teams
worked collaboratively with ministry contacts to address requirements, provide updates,
and ensure alignment with provincial expectations and evolving sector priorities. These
positive relationships are essential in supporting operational success and ensuring that
the homes remain informed, prepared, and responsive to regulatory changes. The trust
and credibility built through these relationships reflect the organization's commitment to
transparency, accountability, and excellence.
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Item
Bobier Villa
I Elgin Manor
Terrace Lodge
Cl Reviews
38 Ci's - 75.5% Abuse or Neglect; 13.5% Improper/ Incomplete Care; 8% Outbreaks; 3% Serious Injury
MOLTC Updates
Ontario announced province -wide funding to support the training and upskilling of nearly 3,000 long-term care staff
$26 million investment to
through the Supporting Professional Growth Fund and Living Classrooms programs. The initiative impacts staffing
train frontline LTC staff
recruitment, retention, and education opportunities across the sector.
Ontario launched the Improving Dementia Care Program (IDCP), with plans to expand participation to nearly 50 homes
Expansion of dementia care
by 2027-28. The announcement also included funding for additional Behavioural Specialized Unit (BSU) beds and
supports in LTC homes
dementia -care staff training initiatives that will influence care practices across the LTC sector.
The ministry confirmed that all long-term care homes must transition to the new interRAl Long -Term Care Facility
Continued implementation of
resident assessment system by April 1, 2026. The update affects assessment processes, documentation standards,
interRAl LTCF assessment
reporting, funding accuracy, and administrative operations in every LTC home in Ontario
transition
LTC Budget Updates
Funding Envelope
2025-2026 Per Diem Rate
Purpose / What It Covers
Nursing & Personal Care (NPC)
$112.63
Nursing staff, PSWs, direct resident
care, medical and clinical supplies,
wound care, continence products,
equipment used in resident care
Programs & Support Services (PSS)
$13.16
Activation staff, therapy services,
recreation programs, social work,
restorative care, program supplies
Nutritional Support (NS / Raw Food)
$13.44
Raw food costs, supplements,
nutritional products, therapeutic
diets, condiments
Other Accommodation (OA)
$65.36
Housekeeping, laundry,
administration, maintenance, utilities,
dietary staffing, building operations
Global Per Diem
$7.94
Additional operational funding
support applied across home
operations
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Total Per Diem Funding
$212.53 per resident/day
Combined provincial operational
funding
We are moving the policies to an on line platform. The platform will ensure the policies are easily accessible to staff and
Homes departmental policy
link them to education as well as the website. The policies were reviewed and revised during the last quarter of 2025.
updates
Contract Updates
Agreements:
LSAA:
LSAA Schedule E - Annual Attestation was signed March 9, 2026 for all 3 homes. No outstanding items.
IVISAA:
MSAA For the County of Elgin was signed March 10, 2026. No outstanding items.
Service Providers:
The homes continue to work with a number of schools to support educational opportunities for students. This includes
Students:
but is not limited to: RN's, RPN's, PSW, business office, dietary management, physiotherapy and many more.
Departmental highlights
Administration:
With the start of the new year the Homes worked diligently to evaluate all mandatory programs and to set out goals for
the coming year, this includes the completion of our annual QIP
The Homes focused on supporting Mental Health and wellness for staff and residents. For staff - A special group of staff
from across all 3 homes continued and completed their work on Mental Health in the workplace — collaborating with
the HR team to help develop a plan to support mental health and wellness for all Homes staff —TL held a "let kindness
grow" week on Feb 23 — 27. For residents - Staff from all 3 homes were selected to participate in the Silver Meridian —
Mental Health Recovery Care Certificate program running from Jan — May the program trained staff to be able to
provide advanced care planning and support for residents in our homes living with complex mental health disorders.
Nursing:
TENA continent product switch over
Skin and Wound -Designated skin care
TENA continent product switch over
was successfully completed. Overall
leads to ensure consistency of wound
was successfully completed. Overall
satisfaction of staff and residents.
assessments. Working through
satisfaction of staff and residents.
intermittent issues with the app.
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Programs:
Annual (proactive) compliance review
was completed the report was
delivered with no findings.
RSV outbreak over. This resulted in a
MOIL inspection and there were no
findings related to IPAC management
of the outbreak.
Resident Council held a silent auction
at the end of 2025 and raised over
$900; they have started to use the
proceeds to enhance the Home. They
have just donated Artwork to each
Home unit.
Continence -Switched to TENA and
transition went very well. Functional
Continence and Bowel management
program with Monthly audits by team
members of Continence team and
monthly team meetings.
Elgin Manor completed a New
Horizons for Seniors Grant which
resulted in the completion of a New
Multi Sensory Room
Registered staff participated in
education from the clinical pharmacist
and skin and would from medline.
Working on RNAO best practice. We
successfully increased the number of
champions on our team.
The Recreation Department of
Terrace Lodge spent Q1 strategic
planning for the major holidays and
special events of 2026. This was a
time of reflection, analysis and in-
depth discussion on what worked and
did not work in 2025. Planning for this
Q included Valentin's Day, St. Patrick's
Day and Easter/Spring as well as all
the therapeutic programs in-between.
Departmental goals were also set, as a
team, and outlined in the 2026
program evaluation.
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Support Services:
Bobier Villa is now paired with three
local partners to provide
intergenerational programs. Programs
include children as young as 3 months
old to young adults in their teens.
Introduction of the MealSuite parent
account and implementation of online
meal ordering
Family Council is growing through the
use of increased communication and
participant engagement
The standardized menu was roled out
in February across all 3 homes. This
helped with food costs and
production. Residents are pleased
with the menu change.
Behind the scenes we have also been
working on re -vamping the volunteer
recruitment process at Terrace Lodge
and increasing the onboarding of
volunteers to directly support
programs with the home. We have
seen an increase in volunteer
presence and will continue to work at
this. We are also supporting a high-
school Co-op student who has been a
great addition to the recreation team.
Looking forward to Q2 we are
planning for our annual car show,
spring/summer market, and our fist
ever Spring Music Recital in
conjunction with June Elley Music
Services
We celebrated many special occasions
here at Terrace Lodge during the first
quarter and invited Residents to
choose menu items they would enjoy
for these events. One popular
selection was Lobster Ravioli. We also
sold tickets to family members so they
could share a special meal with their
loved ones.
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Development of a shared master
menu for all three homes
Positive impact on the food budget
resulting from the new menus
The housekeeping departement
worked on strong IPAC practices. The
team is looking forward to bringing in
summer students to help with staffing
needs that increase over the summer
months.
The Dietary Department also received
a wonderful monetary donation from
the Auxiliary Ladies. This generous
donation was used to purchase new
equipment, including brand-new food
scoops. These scoops are extremely
important to meal service, as they
help ensure all Residents receive the
correct portion sizes.
During the first quarter, the
department introduced new laundry
racks as well as a new microfiber wet
mop process to improve efficiency
and workflow.
Project Updates
Administration: Standardization job routines are being done across the departments. This will help the homes deliver consistent quality
work throughout the homes. In addition, we are investigating the opportunity for master schedules.
Nursing: The nursing team is working on the Pain and Palliative care clinical pathway implementation. This will improve resident
care and ensure the homes are meeting best practice standards of care for our residents.
The homes are working on removing bedrails as part of their RNAO best practices. They have made significant
improvements in this area and will continue to work to become bedrail free homes.
Programs: The homes are working on providing a wide variety of special events to bring in spring. They are actively seeking new
innovative programs to meet the diverse needs of our residents. Engaging special events for residents and family will be
planned throughout the coming months.
The Day programs continue to work on maintaining their clients level of care while supporting families with time to care
for themselves.
Support Services: The homes are launching a new spring and summer menu. We are working with our dietary team to standardize
practices and ensure mealsuite is utilized to it's full capacity. This will enhance our pleasurable dining program at the
homes.
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Terrace Lodge is bringing linen services in house. This will improve service and IPAC practices. Once this is completed
we will consider the opportunity to expand this to the other 2 homes.
Challenges & Emerging
PCC has
Opportunities
Resident Council highlights
Council reviewed both the Quality
Residents Council continues to serve
At the beginning on the year, Council
Improvement Plan as well as the
as a strong voice in determining
promptly noted a dormant wasp nest
Resident and Family Survey, allowing
programs and services, actively
in the main courtyard and with the
for Resident Input and understanding.
reviewing the program calendars.
assistance of the Maintenance
Program suggestions include: A talk
Department the nest was removed
on the Elgin County Rail System, choir
within a day.
engagements, basketball, trips to
Mackie's and the St. Thomas Bingo
Hall.
The Council organized a Silent Auction
Council stays informed about the
Through Council's brainstorming
at the of 2025, all the proceeds were
Homes goals and priorities by
regarding improving communication
collected and the Council raised over
reviewing and providing input to both
opportunities between staff and
$900. Council then organized thank
the Quality Improvement Plan and the
residents, staff directories specifically
you letters to be sent out to all
Resident Family Satisfaction Survey
made for residents were created and
individuals who donated an auction
distributed at Council, with additional
item. Out of the proceeds from the
copies being made available in the
auction Council donated new artwork
Residents' Council binder and posted
for each wing.
on the Council board.
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Council, through constructive
suggestions, assisted with the
implementation of the new meal suite
program. Pointing out areas that they
were finding challenging, for example
not knowing what was in a specific
casserole by the picture.
Recommending a more descriptive
ingredient list.
Continued program input allowing
Residents to lead their own leisure
pursuits. Program suggestions include
Movies and Treats, Bingo twice a
week and continued live musical
Events.
Resident focused inquires are
promptly addressed through a close
working relationship with Nursing,
Recreation, IPAC (Infection Prevention
and Control) and Dietary team. For
example, "Door Knockers" being
audited and replaced where needed
and requested, information and
questions regarding outbreaks and
masking requirement and concern
regarding serving rotation in the
Dining Room.
Council reviewed the 2025 Resident
and Family Satisfaction Survey results
and were given the opportunity to
give their feedback and suggestions
towards the Quality Improvement
Plan.
Council reviewed and were given the I Council brainstormed the spiritual
opportunity to view the New
Multisensory Room.
care offerings within the home with
discussions including their feedback
on Sunday morning devotionals and
ideas for Pastoral leaders who may be
able to visit the home on a monthly
basis.
Council sent a thank you card to a
local school music class for their
February performance.
Page 14 of 54
Family Council highlights
The Family Council was re-established
following interest from a family
member, and an initial meeting was
successfully held, subsequent
meetings have had no participants
Meetings continue to be clearly
advertised on the monthly calendar,
and invitations are sent out monthly
via email to all POAs who have
provided their address. The Manager
of Programs and Therapy also verbally
informs family members during casual
interactions.
The goal of Family Council meetings is
to support collaboration and
communication. The Manager of
Programs and Therapy will continue
to encourage attendance.
Council reviewed the 2025 Resident
and Family Survey, many expressing
the importance of filling out this
survey. Council understands that this
assists the Home in setting prioritises
specifically identified by Residents
and their families.
Family Council brought a concern
forward regarding the floor drain
system, this was inspected and
promptly repaired.
Increased communication was a
concern identified early in the year;
Family communications are now sent
monthly and Family Council
invitations are sent one week prior
the meeting.
Council utilises meetings to stay
informed about IPAC measure and the
reasoning behind them, changes in
staffing, Home projects that are in the
plans for 2026(new phone system,
fence repair and new blind for
common areas)
Family Council reviewed the 2025
Resident and Family Satisfaction
Survey Results and were given the
opportunity for discussion and
feedback. This included suggestions
around increased utilization and
communication of/to volunteers.
Council also suggested that there be
an option added to next year's survey
asking, "would you like to be
contacted to discuss your survey."
After a suggestion from Family
Council, the Terrace Lodge Tuck Shop
added milk and sugar free cookies to
their offerings.
After advocacy for the return of meal
show plates in the Dining Rooms
Family Council have been assured
they are "coming soon."
Council provided input for the
Valentine's Day programming
evaluations that included morning
Flower Arranging and Valentine's Day
Tea with Keven Gorman. All feedback
was noted on the evaluation for
future programming.
Page 15 of 54
Review of programs and services,
including Physiotherapy and
Hairdressing.
Council brought forward multiple
work order related items resulting in
repairs of running toilets, heating,
water pressure, and flag replacement.
Financial Performance
Indicator (Units)
YTD
Remaining
Year End
Target (Budget)
Actual
Target (Budget)
Forecast
Target (Budget)
Forecast
Operating Revenue
$7,832,942.00
$7,799,244.00
$31,331,768.00
$31,354,890.00
39164710
39154134
Wages/Benefits
$6,624,066.00
$6,036,938.00
$28,988,056.00
$27,770,712.00
35612122
33807650
Operating Expense
$1,005,892.00
$1,034,389.00
$4,023,471.00
$4,018,843.00
5029363
5053232
Capital Revenue
0
0
0
0
0
0
Capital Expense
254236
42482
1016977
1026325
1271213
1068807
Variance Discussion:
The homes are working on recovering
outstadning AR's. This process will take
a period of time and significant effort.
First Quarter the budget spending is
controled to help create a cushion for
the homes for the year. We have
worked on reducing overtime giving us a
faverable outcome.
Wages and Benefits are coming in under
due to work on reduction of over time.
People Performance
Indicator (Units)
YTD
Remaining
Year End
Target Actual
Target
Forecast
Target
Forecast
# of Lieu hours
837.5 648.3
2572.5
2325
3430
3100
Turnover Rate
28.33% 7%
28.33%
28%
28%
28
# of Sick hours in the
quarter
4666.67 16767.94
4666.67
5833.33
9333.33
22601.27
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# of Overtime hours
paid
733.33
3570.26
733.33
1000.00
1466.67
4570.26
# of wsib claims
20.00
21
60.00
75.00
80.00
100.00
# of Short term leave
of absence
20.00
24
60.00
75.00
80.00
100.00
# of Grievances
20.00
22
60.00
66.00
80.00
88.00
Variance Discussion:
Currently Overtime is excessive in the
Grievances are high. We have had some
wsib claims are high due to outbreaks in
homes. We are working on routines and
issues with the call out platform
the homes
adaquate staffing plans to improve this
resulting in staff not receiveing shifts
area.
they should have been awarded. This is
being worked on.
Internal Process
Performance
Indicator (Units)
YTD
Remaining
Year End
Target
Actual
Target
Forecast
Target
Forecast
# of MOL Infraction
1
2
1
1
1
3
# of Public Health
Infraction
1
0
1
1
1
1
# of Fire Infractions
1
0
1
1
1
1
# of MOLTC Inspections
3
4
3
2
3
6
# of MOLTC Orders
0
0
0
0
0
0
# of CI's
35
39
35
39
35
78
Occupancy Rate
98.00%
99.17%
98.00%
99.00%
98.00%
198.17%
Preferred
Accommodation
60.00%
53.98%
60.00%
55.00%
60.00%
108.98%
Basic Accommodation
40.00%
44.86%
40.00%
45.00%
40.00%
89.86%
# of People on Waiting
List
60
646
600
675
600
675
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Variance Discussion:
The homes waitlist and occupancy is
strong. The area of improvement is the
60/40 split. We are working on this to
maximize the funding for the homes.
The issue occurred during COVID and
the homes are working on fixing it now.
Customer
Performance
Indicator (Units)
YTD
Remaining
Year End
Target
Actual
Target
Forecast
Target
Forecast
# of outbreaks
3
4
3
6
3
6
# of res who have a
pressure ulcer -
recently worse
30
38
30
38
30
38
# of res who were
transferred to the
Emergency Dept
30
39
30
39
30
39
# of res on
antipsychotics without
diagnosis
15
16
15
16
15
16
Total of Arrears over
30 Days
-$125,000
$-136,780.82
-$125,000
-$125,000
-$125,000
-$120,000
Variance Discussion:
The homes are working on improving
quality of care in the above areas. The
quality teams review each resident
outcome to identify opportunities for
improvements.
Page 18 of 54
Homes Successes:
Bobier Villa
Bobier Villa celebrated St Patrick's day by letting our creative side free. Laughter and
fun were had by all as we created wreathes to decorate our hallways. Later that day we
boarded our armchairs and traveled over the ocean to the Emerald Isle.
Fitness is an important part of life at Bobier Villa we enjoy a variety of activities that
keep us moving and feeling energized. In March we added some Latin flare and added
Latin Chair dancing. New music and new moves got our
heart rates up as we enjoyed this new activity.
Pet Therapy can lower blood pressure, improve mood and provide a sense of comfort
and we are fortunate at Bobier Villa to have one of the best furry staff members around.
Duke our resident Pet Therapy dog is loved by all as he greets people with his wagging
tail and cuddle demeanor.
Page 19 of 54
Elgin Manor
Winter has been a busy time at Elgin Manor, a variety of Activities have captivated both
Resident and Family alike.
Little Hobby Farms brought Joy and comfort to Elgin Manor through the calming
presence of their friendly animals. Interacting with animals can spark happy memories,
encourage conversation and increase the feeling of well-being. Little Hobby Farms
always creates an uplifting experience that adds excitement to our day here at Elgin
Manor.
March 12t" our brand new Multi Sensory Room opened. This was made possible by a
grant from the New Horizons for Seniors Program. The Multi Sensory Program utilizes
sight, smell, sound and touch to create a calming environment that can be used to
create a sence of calm or stimulat the sensens.
Ireland came to Elgin Manor and we celebrated with fun Irish pictures and some
beautiful Irish dancing. Residents and staff alike donned there green and enjoyed being
Irish for a day.
Page 20 of 54
Terrace Lodge
The Residents of Terrace Lodge enjoyed an afternoon of Valentine's Day cookie
decorating. Whether they came to tap into their creative side and practice the art of
cookie decorating or just for the treat and conversation, all in attendance enjoyed. This
is a program we offer seasonally that helps to get Residents in the holiday spirit and
provides an opportunity for reminiscing about some of their own homemade treats and
tradiations.
St Patrick's Day Celebrations drew a crowd at Terrace Lodge and didn't disappoint.
Residents dressed in all shades of green gathered in the Event Space to sing along to
their favorite Irish Tunes with The Finlay's.
Page 21 of 54
By Resident request we offered an Easter Bonnet program where Residents could
create their very own. Each bonnet was uniquely beautiful in its own way and could be
seen worn throughout the week. This program has already been requested to repeat,
next year!
Financial Implications:
N/A
Advancement of the Strategic Plan:
This initiative supports the efficient operation of Elgin County's three long-term care
homes by strengthening service delivery, enhancing resident outcomes, and promoting
continuous quality improvement. It aligns with requirements of the Fixing Long -Term
Care Act, ensuring the provision of safe, person -centred, and accountable care while
maintaining compliance with all applicable legislative and regulatory standards.
Local Municipal Partner Impact:
N/A
Communication Requirements:
The Elgin County long-term care homes maintain strong communication with all
stakeholders by fostering open, consistent, and transparent channels of information
sharing among residents, families, staff, physicians, community partners, and governing
bodies. Regular meetings, resident and family councils, staff updates, surveys, and
timely reporting processes ensure that all parties are informed, engaged, and able to
provide feedback. This commitment to effective communication strengthens trust,
supports collaboration, and helps create a responsive environment focused on quality
care and positive outcomes for residents.
Conclusion:
Overall, the first quarter of the year has been highly productive and successful for the
Elgin County long-term care homes. Strong financial performance, proactive contract
Page 22 of 54
management, collaborative labour relations, excellent resident care, positive ministry
engagement, and focused leadership have all contributed to a solid and encouraging
start to the year. These accomplishments reflect the resilience, expertise, and
dedication of teams across Elgin County, all working together to achieve excellence in
care and operations. As the organization moves into the next quarter, it does so from a
position of strength, with clear momentum and confidence in its ability to continue
delivering exceptional outcomes for residents, staff, and stakeholders. The progress
made in the first quarter provides a strong platform for continued growth, innovation,
and success throughout the remainder of the year.
All of which is Respectfully Submitted Approved for Submission
Joe Anne Holloway Blaine Parkin
Director of Homes and Seniors Services Chief Administrative Officer
Page 23 of 54
�'Ju_IIU° 1 ey
Bobier Villa
CQI Initiative Annual Report
Page 24 of 54
MEMBERSHIP:
DESIGNATED LEAD(S):
Terri Benwell - Administrator
Leezanne Young - Quality Improvement Coordinator
Administrator
Medical Director
Manager of Resident Care
Manager of Support Services
Infection Prevention and Control
Manager of Program Therapy
Dietitian
Pharmacist
Physiotherapist
Quality Improvement lead
Personal Support Worker
Nurses
Resident Council Member
Family Council Member
QUALITY COMMITTEE PLANNING MEASURES:
Our Continuous Quality Improvement meetings are combined with our Professional Advisory Committee
(PAC) meetings. Meetings occur quarterly on the third Thursday of the month. Attendance in person is
preferred, however, in the event that members cannot attend in person, a virtual option is available.
In between quarterly CQI meetings Bobier Villa hosts monthly CQI subcommittee meetings. Information
provided by (quarterly) CQI-PAC members is incorporated into discussions at the monthly meetings and
to our program evaluations allowing the subcommittee meetings to build upon the discussion from the
quarterly meetings. Our meetings are built upon our vision, mission and value statements:
Mission: The County of Elgin Homes and Seniors Services are committed to creating a caring
environment where residents and staff feel safe, respected and valued.
Vision: Through Continuous Quality Improvement, using best practice initiatives, we will be
influential leaders in the provision of person -centered care within the long-term care sector.
When initiating change ideas Bobier Villa strives to meet the Residents rights by placing `Residents First'
as per our Values. This is the highest priority at Bobier Villa and this acronym identifies the organizational
values:
Nurturi
Teams
Safety
Page 25 of 54
PLANNING CYCLE AND PRIORITY SETTING
To identify preliminary priorities an evaluation of the following occurs:
• Inspection reports: Ministry of Long -Term Care, Ministry of Labour, Public Health, Fire Marshall,
Joint Health and Safety
• Complaints, Requests, Concerns and Input: Concern/Request forms, Resident Council input,
Family Council input, Written complaints, Critical Incident reports.
• Operational Analysis: Program Evaluations, Policy Review recommendations
• Time Studies/Focused and Routine Audits
• Public website reporting
• Resident Quality Indicator review
• Departmental Audits
• Ongoing analysis of performance data over time available through CIHI; with areas indicating a
decline in performance over time and/or where benchmarking against self identified peer
organizations suggests improvement required
• Mandated provincial improvement priorities
Preliminary priorities are presented and discussed at various forums to validate priorities and to identify
additional priorities that may have been missed. These forums include weekly leadership team meetings,
monthly project management meetings, Resident Council, Family Council, Joint Health and Safety
Committee, PAC-CQI team, CQI subcommittee meetings, staff meetings and Committee of Management.
The process used is one of building, refining, and improving a project or initiative. Teams create and
revise the process until they're satisfied with the end result. This process is a trial -and -error methodology
that brings the project closer to its end goal but requires engagement and communication with various
stakeholders along the way.
Final review of the QIP is completed by the CQI team, approved by resident council then reported to the
Committee of Management. The final QIP is submitted to Health Quality Ontario.
APPROACH TO CQI (POLICIES, PROCEDURES AND PROTOCOLS)
County of Elgin Homes policies, combined with practice standards, provide a baseline for staff in
providing quality care and seances. We have an interdisciplinary CQI team, which includes resident and
family advisors, that meet monthly, with subcommittees that report to the CQI team, as they work through
the phases of the model to:
1. Diagnose/Analyze the Problem
Teams use various QI methodologies to understand some of the root causes of the problem and
identify opportunities for improvement. This work can include process mapping or value stream
mapping, 5 Whys, fishbone. Also included in this work, is an analysis of relevant data and the
completion of a gap analysis of the relevant RNAO Best Practice Guidelines.
2. Set Improvement Goals
An improvement aim is identified once the teams have a grounded understanding of what is most
important to the Resident. This aim will be used to evaluate the impact of the change ideas through
implementation and sustainability.
Page 26 of 54
At Bobier Villa improvement teams develop goals that are SMART goals: Specific, Measurable,
Attainable, Relevant, Time -Bound.
3. Develop and Test Change Ideas
With a better understanding of the current system, improvement teams identify various change ideas
that progress towards meeting the goal. During this phase, teams will prioritize alignment with best
practices when designing preliminary change ideas for testing.
Plan -Do -Study -Act (PDSA) cycles are sometimes used to test change ideas through small tests of
change.
PDSA's provide an opportunity for teams to iteratively refine their change ideas and build confidence
in the solution prior to implementation. Change ideas typically undergo several PDSA cycles before
implementation. These changes are reflected in the project management minutes, team meeting
minutes and communicated to staff via communication boards and huddles.
4. Implement and Sustain
Improvement teams consider the following factors when developing a strong
implementation/change management plan:
• Outstanding work to be completed prior to implementation (e.g. final revisions to change ideas
based on PDSA's, embedding changes into existing workflow, updating relevant policies and
procedures, etc.)
• Education required to support implementation, including key staff resources i.e. team leaders
• Communication required to various stakeholders, before, during and after
implementation which includes resident and family council, staff, committee of management
At this stage, teams will also identify key project measures to determine if the changes implemented
resulted in improvement. This includes the following types of measures:
Outcome
Process
Balancing
Measures what the team is
Measures key activities, tasks,
Measures other parts of the
trying to achieve (the goal)
processes implemented to
system that could be
achieve goal
unintentionally impacted by
changes
5. Process to communicate outcomes
Communication strategies are tailored to the specific improvement initiative. These include, but are
not limited to:
• Posting on unit quality boards, in common areas and in staff lounges
• Publishing stories and results on the website, on social media or via the newsletter
• Direct email to staff and families and other stakeholders
• Handouts and 1:1 communication with residents
• Presentations at staff meetings, Resident Council, Family Council
• Huddles at change of shift
• SURGE Learning
• Use of Champions to communicate directly with peers
• RNAO BPSO Knowledge Exchange and engagement sessions
The team ensures that regular reviews of the changes to ensure sustainability remains viable. This is
typically conducted at the monthly CQI meetings and the project management meetings.
Page 27 of 54
MODERATE ACTION: PROGRAM EVALUATIONS
These are reviewed and updated quarterly at PAC-CQI.
Medication Program: Goal to improve overall satisfaction with physician seances provided,
maintain evidence -based practices and support the on -going education and development of
clinical staff members.
2. Skin and Wound: Identify Residents at risk for skin breakdown & and promote early identification
of wounds, assessment, and implementation of treatments to promote healing. This program
ensures that staff have been provided with education and resources that support a skin friendly
home and enables program members to develop action plans and specify audit needs for the
annual program cycle.
3. Restraints & PASDS: Monitoring and auditing the application all PASD in the home; care plan the
use of PASD& ensure the task/intervention is discontinued when no longer is needed; and
continue education efforts to ensure all staff registered and PSW staff are appropriately informed
of PASD use, definitions and best practices.
4. Continence: Provide education to staff regarding products and appropriate use; maintain auditing
process for use and product assignment; provide training and knowledge regarding the
continence program during initial orientation of new staff; and reduce the overall waste of
incontinence products.
5. Falls: To ensure individualized toileting routines are implemented according to continence
assessments; develop system so PSWs are aware of any medication changes as this factor does
influence risk of falls and coincide with conditions that may increase injury with a fall; and Ensure
Head Injury Routine being completed post unwitnessed fall or fall resulting in hitting head to
ensure assessment being done for injury.
6. Responsive Behaviors: To ensure the needs of residents with responsive behaviors are met
through use of BSO referrals upon admission where appropriate, implementation of the
Snoezelen room following grant approval, and the on -going recruitment and support of new BSO
staff members.
7. Restorative Care: To maintain and improve the overall independence of residents in the program,
maintain audit completion to ensure all staff charting and documentation is being completed
accurately and within a timely manner; and increase education and resources available to staff
regarding restorative care.
The Manager of Program and Therapy is the lead for the annual review, revisions, and distribution of the
resident and family satisfaction surveys, serving as a liaison between the Continuous Quality
Improvement (CQI) committee and the Resident and Family Council. Residents are provided an
opportunity to review the survey and provide feedback on the questions prior to its formal distribution.
The annual satisfaction survey is based on a calendar year rather than a fiscal year. This means the 2025
action plan was informed by 2024 data, while the current 2026 action plan is being developed using the
results from the 2025 survey. The annual Resident and Family Satisfaction survey was completed from
October 1st, 2025 to December 31st, 2025 via verbal, written and virtual channels.
The 2025 Resident and Family Satisfaction survey saw participation from 13 respondents, expanding
slightly from 9 respondents in 2024. Unlike the previous year where residents made up most respondents
(66.67%), the 2025 survey saw a more balanced mix, with 46.15% completed by residents, 38.46% by
family members, and 15.38% completed jointly. In a resounding perfect score for the home's reputation,
100% of respondents in both 2024 and 2025 stated they would recommend Bobier Villa to others.
Page 28 of 54
The leadership team aims to provide blended learning opportunities for staff to engage with evidence -
based research and further their skills, knowledge and confidence. These micro -modules will be
presented by leadership members to the frontline teams via visual resources, electronic modules and
communications, as well as verbal dictation from leadership or designates. Resident and Family Council
will support the monitoring and implementation of our staff learning initiatives by providing their
experience and knowledge of current practice, culture and outcomes of care via verbal or written
discussion at regular Resident Council and Family Council Meetings. These insights will be transferred to
the CQI-PAC Meetings and used to develop SMART goals and change frameworks as needed.
KEY SATISFACTION HIGHLIGHTS INCLUDE:
Nursing & Personal Care: Overall satisfaction with nursing and personal care services achieved a 100%
positive rating, with 69.23% evaluating it as "Excellent" and 30.77% as "Satisfied".
Home Cleanliness & Odour Control: The home achieved flawless marks in environmental maintenance,
with 100% of respondents rating both resident room cleanliness and odour control as positive (84.62%
Excellent; 15.38% Satisfied).
Food & Nutrition Services: General satisfaction with food and nutrition sat at 100%, with 53.85% rating
it "Excellent" and 46.15% "Satisfied".
Staff Interaction: Residents felt highly respected, with 100% stating that dignity and privacy are
respected (61.54% Excellent; 38.46% Satisfied) and 100% noting that staff address them by their
preferred name.
COMMUNICATION AND ACTION PLANNING
The Manager of Programs and Therapy presented these 2025 results to the Resident Council at the
February 26th, 2026 meeting, initiating the development of the formal action plan in March 2026. While
discussion regarding priority areas and possible actions for improvement were minimal, their discussion
did highlight improvement opportunities for staff regarding their approach to care and orientation for
frontline staff.
Results were also shared with the Family Council during their March 13th, 2026 meeting to gather input
for the 2026 Quality Improvement Plan. Additionally, the management team reviewed the survey data
during the CQI February 11th committee meeting and PAC-CQI March 12th, 2026. Department -specific
information has been disseminated to individual leads to ensure targeted improvements are integrated
into daily operations.
ACTION TAKEN TO IMPROVE RESULTS:
In Q3 and Q4 the CQI team reviewed the areas of focus and formatted a plan to address the areas for
improvement that were identified in the previous year's satisfaction survey and in alignment with the
proposed 2026 survey goals. Opportunities for improvement were incorporated into the annual program
implementation plans as well as the Health Quality Ontario, Quality Improvement Plan, where applicable.
The Manager of Program and Therapy or the delegate(s) continue to provide updates at the council
meetings.
Survey Focus
2024 Survey
2025 Survey
Implementation Actions & Feedback
Outcomes
Outcomes
Notes
How well staff
88.89%
100% Yes /
2024 Feedback: Comment noted that staff
listen to you /
Satisfied/Excellent
Positive (38.46%
"look at me but don't hear."
Having a
(11.11%
Excellent; 61.54%
voice
Dissatisfied)
Satisfied)
Page 29 of 54
2025 Status: Greatly improved to 100%
positive perception. One respondent noted
staff are occasionally too busy but promise
to return shortly.
100%
61.54%
2025 Status: Shift in metrics due to a high
Call bell
Satisfied/Excellent
Satisfied/Excellent
volume of "Unsure" responses. Multiple
response
(0% Dissatisfied /
(38.46% Unsure;
comments indicated they "don't really use
time
Unsure)
°
0 /o Dissatisfied)
it," though one caregiver noted it
"sometimes
takes too long."
Nametags: 100%
100% across all
Positive (76.92%
Exc)
fields
2024 Feedback: Discrepancies noted with
understanding new staff arrival
Staff wear a
(Nametags
announcements.
name tag,
Introduction:
introduce
11.11 % Exc /
92.31 % Positive
themselves
88.89% Sat;
(69.23% Exc;
7.69%
2025 Status: Performance remains
and explain
roles
Introduction/Role:
Dissatisfied)
incredibly high. Daily leadership walk -
rounds will continue to monitor visual
33.33% Exc /
identification and introduction compliance.
66.67% Sat)
Explain Role:
100% Positive
61.54% Exc
Care Planning
Satisfaction:
2024 Feedback: Qualitative comments
69.23% Input
mentioned input is only utilized
Participation
Utilized (30.77%
"sometimes."
Unsure)
in plan of
100% Input
care / input
Important
2025 Status: Zero dissatisfaction reported
utilized
Planning
across both years. "Unsure" marks
Satisfaction:
highlight an opportunity to better clarify
76.92% (23.08%
care conference structures to families.
Unsure)
Food Temp:
88.88% Positive
Food Temp:
84.61% Positive
2024 Feedback: Noted concerns that
potatoes tasted "from a box" and choice
Pleasurable
was tough.
Dining:Presentation:
88.88% Positive
Presentation:
Temperature,
84.61% Positive
presentation
& overall
2025 Status: Overall satisfaction with food
satisfaction
Overall Diet:
rose to a perfect 100%. Positive feedback
Overall Diet:
100% Positive
highlighted a good variety of meals
77.77% Positive
(53.85% Exc;
accommodating picky eaters.
(22.22%
46.15% Sat)
Dissatisfied)
FRONTLINE SAFETY AND CLINICAL CAPACITY BUILDING
Bobier Villa successfully prioritized occupational safety and advanced clinical training during this
performance cycle by introducing a dedicated Education Coordinator role in July 2025 to oversee
professional growth. Under this expanded leadership framework, the home executed facility -wide Arjo Lift
Training for its frontline clinical teams. This specialized training was completely facilitated in -person, a
Page 30 of 54
method that substantially enhanced staff confidence and minimized mechanical workplace risks during
resident transfers. Concurrently, the home launched a comprehensive InterRAI education initiative
tailored specifically for Personal Support Workers (PSWs), registered nursing staff, and the recreation
department to improve accurate internal data capture. To further alleviate frontline administrative fiction
during demanding operational periods, the home streamlined its PPE storage systems and introduced
specialized electronic auditing tools to reduce documentation burdens during infectious outbreaks. These
technical improvements were balanced with community -building initiatives like "Infection Control Week"
celebrations, which blended interactive educational games with direct staff appreciation rewards to keep
morale high.
EQUITY, DIVERSITY, AND INCLUSION WORKFORCE EDUCATION
To cultivate a deeply inclusive environment, Bobier Villa undertook an expansive workforce development
initiative focused on equity, diversity, inclusion (EDI), and anti -racism education across the 2025-2026
fiscal cycle. In September 2025, specialized 2SLGBTQI+ seniors' education modules were systematically
assigned to all staff members within the facility. To ensure comprehensive coverage, mandatory training
on workplace harassment, discrimination, civility, and respect was paired with targeted mental health and
wellness sessions provided in partnership with the Canadian Mental Health Association. Following this
localized push, mandatory LGBTQ+ education was formalized for the entire staff in late 2025 to solidify a
safe, welcoming home culture for both residents and team members. This workforce initiative was
reinforced by upgrading the facility's orientation and onboarding workflows through the integration of the
CLRI preceptor program. These parallel efforts successfully culminated in a 100% staff completion rate
for relevant EDI and anti -racism modules heading into the upcoming operational period.
CLINICAL PATHWAYS ASSESSMENT IMPLEMENTATION
The Clinical Pathways for Falls and Pain assessments officially went live on November 27th, marking a
significant shift in our clinical framework. The initial rollout presented several implementation challenges,
as staff worked to navigate changes in the admission process and adapt to more rigorous documentation
standards. Despite these early hurdles, the initiative gained steady momentum, resulting in high levels of
consistency and compliance throughout the final quarter of the report (January 2026 — March 31, 2026).
This standardized approach has already begun to improve the reliability of resident data and ensure more
responsive care planning.
The Bobier Villa CQI committee develops and submits a Quality Improvement Plan (QIP) to Health
Quality Ontario annually. The QIP includes a progress report which captures the progress/lessons
learned while the narrative summarizes the CQI journey in the prior year's QIP. The workplan outlines the
aims, measures and change ideas for the 2026/2027 QIP.
FOCUSED ACTION:
1. Access and Flow
• Reduce the rate of potentially avoidable emergency departments visits to or below the
provincial benchmark of 21.9 through:
o Utilization of the standard RNAO Nursing Advantage Canada, Clinical Pathways
assessments (Admission, Fall Prevention, Pain assessment, Palliative)
o Continue our partnerships with local hospital, Facilities Operator Group (FOG)
and pharmacy to continue work on "Transitions in Care" between hospital and
long-term care
o Development of processes to support the utilization of Nurse Led Outreach Team
(NLOT), which will facilitate the application of nursing knowledge, skills and
judgement in resident care to decrease avoidable ED visits.
Page 31 of 54
o Maintain use of Comfort Care Rounds for residents identified as being high risk
for falls or having a precarious health condition
o Audit the completion of medication reconciliation within 24 hours of admission
and upon return from hospital to further support ED visit reduction and
application of RNAO Transitions in Care guidelines.
2. Equitable
• Achieve 100 percentage of staff (all levels) who have completed relevant equity, diversity,
inclusion and anti -racism education through:
o Development and implementation of a DEI policy specific to long-term care home
resident care and seances utilizing the CLRI diversity tool kit
o Maintain the enhanced orientation and onboarding process utilizing CLRI
preceptor program; ensuring the process and resources remain up to date.
o Develop and implement blended learning modules and micro -modules to
increase staff engagement and optimize knowledge retention.
In April of 2026 these improvements and applicable measures will be reviewed with resident and family
councils, at which time their feedback and participation in upcoming efforts will be recorded and applied to
our efforts. Further application of RNAO's best practice guidelines as they pertain to Transitions in Care
will enhance our person & family centered care practices will contributing to the reduction of ED visits.
Bobier Villa will further the impact of their quality initiatives by using blended learning formats and the
application of adult learning models to enhance the cultural awareness and knowledge of our staff. This
action in collaboration with the implementation of Clinical Pathways — Palliative & End of Life tools will
further contribute to the quality of life and care service provision within our home.
Page 32 of 54
CONTACT & ARCHIVE LINK
For further information please refer to the Bobier Villa QIP progress report, narrative and workplan. The
QIP is available on the County of Elgin Homes website https://www.elaincounty.ca/elain-county-lona-
term-care-homes/ and documents posted on the QIP board located within the Home. The progress report
details the action taken and the outcomes of the actions for the 2026/2027 QIP.
X Joe Anne Hollowa
............................................................................................................................................................................................................
2026
Director of Senior Services, Elgin County
X Terri Benwell
.........................................................................................................................................................................
May 22 2026
Home Administrator — Bobier Villa, Elgin County
X Leezanne Young
...........................................................................................................................................................................................
222026
Quality Improvement Coordinator, Elgin County
Mav 22
Date of Review/ Approval
Date of Review/ Approval
May
Date of Review/ Approval
Page 33 of 54
�'Ju_IIU° 1 ey
Elgin Manor
CQI Initiative Annual Report
Page 34 of 54
MEMBERSHIP:
DESIGNATED LEAD(S):
Terri Benwell - Administrator
Leezanne Young - Quality Improvement Coordinator
Administrator
Medical Director
Manager of Resident Care
Resident Care Coordinator
Manager of Support Services
Infection Prevention and Control
Manager of Program Therapy
Dietitian
Pharmacist
Physiotherapist
Quality Improvement lead
Personal Support Worker
Nurses
Resident Council Member
Family Council Member
QUALITY COMMITTEE PLANNING MEASURES:
Our Continuous Quality Improvement meetings are combined with our Professional Advisory Committee
(PAC) meetings. Meetings occur quarterly on the third Thursday of the month. Attendance in person is
preferred, however, in the event that members cannot attend in person, a virtual option is available. In
between quarterly CQI meetings Elgin Manor hosts monthly CQI subcommittee meetings. Information
provided by (quarterly) CQI-PAC members is incorporated into discussions at the monthly meetings and
to our program evaluations allowing the subcommittee meetings to build upon the discussion from the
quarterly meetings. Our meetings are built upon our vision, mission and value statements:
Mission: The County of Elgin Homes and Seniors Services are committed to creating a caring
environment where residents and staff feel safe, respected and valued.
Vision: Through Continuous Quality Improvement, using best practice initiatives, we will be
influential leaders in the provision of person -centered care within the long-term care sector.
When initiating change ideas Elgin Manor strives to meet the Residents rights by placing `Residents First'
as per our Values. This is the highest priority at Elgin Manor and this acronym identifies the
organizational values:
Page 35 of 54
PLANNING CYCLE AND PRIORITY SETTING
To identify preliminary priorities an evaluation of the following occurs:
• Inspection reports: Ministry of Long -Term Care, Ministry of Labour, Public Health, Fire Marshall,
Joint Health and Safety
• Complaints, Requests, Concerns and Input: Concern/Request forms, Resident Council input,
Family Council input, Written complaints, Critical Incident reports.
• Operational Analysis: Program Evaluations, Policy Review recommendations
• Time Studies/Focused and Routine Audits
• Public website reporting
• Resident Quality Indicator review
• Departmental Audits
• Ongoing analysis of performance data over time available through CIHI; with areas indicating a
decline in performance over time and/or where benchmarking against self identified peer
organizations suggests improvement required
• Mandated provincial improvement priorities
Preliminary priorities are presented and discussed at various forums to validate priorities and to identify
additional priorities that may have been missed. These forums include weekly leadership team meetings,
monthly project management meetings, Resident Council, Family Council, Joint Health and Safety
Committee, PAC-CQI team, CQI subcommittee meetings, staff meetings and Committee of Management.
The process used is one of building, refining, and improving a project or initiative. Teams create and
revise the process until they're satisfied with the end result. This process is a trial -and -error methodology
that brings the project closer to its end goal but requires engagement and communication with various
stakeholders along the way. Final review of the QIP is completed by the CQI team, approved by resident
council then reported to the Committee of Management. The final QIP is submitted to Health Quality
Ontario.
APPROACH TO CQI (POLICIES, PROCEDURES AND PROTOCOLS)
County of Elgin Homes policies, combined with practice standards, provide a baseline for staff in
providing quality care and services. We have an interdisciplinary CQI team, which includes resident and
family advisors, that meet monthly, with subcommittees that report to the CQI team, as they work through
the phases of the model to:
1. Diagnose/Analyze the Problem
Teams use various QI methodologies to understand some of the root causes of the problem and
identify opportunities for improvement. This work can include process mapping or value stream
mapping, 5 Whys, fishbone. Also included in this work, is an analysis of relevant data and the
completion of a gap analysis of the relevant RNAO Best Practice Guidelines.
2. Set Improvement Goals
An improvement aim is identified once the teams have a grounded understanding of what is most
important to the Resident. This aim will be used to evaluate the impact of the change ideas through
implementation and sustainability. At Elgin Manor improvement teams develop goals that are SMART
goals: Specific, Measurable, Attainable, Relevant, Time -Bound.
Page 36 of 54
3. Develop and Test Change Ideas
With a better understanding of the current system, improvement teams identify various change ideas
that progress towards meeting the goal. During this phase, teams will prioritize alignment with best
practices when designing preliminary change ideas for testing. Plan -Do -Study -Act (PDSA) cycles are
sometimes used to test change ideas through small tests of change.PDSA's provide an opportunity
for teams to iteratively refine their change ideas and build confidence in the solution prior to
implementation. Change ideas typically undergo several PDSA cycles before implementation. These
changes are reflected in the project management minutes, team meeting minutes and communicated
to staff via communication boards and huddles.
4. Implement and Sustain
Improvement teams consider the following factors when developing a strong implementation/change
management plan:
• Outstanding work to be completed prior to implementation (e.g. final revisions to change ideas
based on PDSA's, embedding changes into existing workflow, updating relevant policies and
procedures, etc.)
• Education required to support implementation, including key staff resources i.e. team leaders
• Communication required to various stakeholders, before, during and after
implementation which includes resident and family council, staff, committee of management
At this stage, teams will also identify key project measures to determine if the changes implemented
resulted in improvement. This includes the following types of measures:
Outcome
Process
Balancing
Measures what the team is
Measures key activities, tasks,
Measures other parts of the
trying to achieve (the goal)
processes implemented to
system that could be
achieve goal
unintentionally impacted by
changes
5. Process to communicate outcomes
Communication strategies are tailored to the specific improvement initiative. These include, but are
not limited to:
• Posting on unit quality boards, in common areas and in staff lounges
• Publishing stories and results on the website, on social media or via the newsletter
• Direct email to staff and families and other stakeholders
• Handouts and 1:1 communication with residents
• Presentations at staff meetings, Resident Council, Family Council
• Huddles at change of shift
• SURGE Learning
• Use of Champions to communicate directly with peers
• RNAO BPSO Knowledge Exchange and engagement sessions
• Continuous Quality Improvement Subcommittee Meetings & Professional Advisory Committee
Meetings
The team ensures that regular reviews of the changes to ensure sustainability remains viable. This is
typically conducted at the monthly CQI meetings and the project management meetings.
Page 37 of 54
MODERATE ACTION: PROGRAM EVALUATIONS
These are reviewed and updated quarterly at PAC-CQI.
1. Medication Program: Goal to improve overall satisfaction with physician seances provided,
maintain evidence -based practices and support the on -going education and development of
clinical staff members.
2. Skin and Wound: Identify Residents at risk for skin breakdown & and promote early identification
of wounds, assessment, and implementation of treatments to promote healing. This program
ensures that staff have been provided with education and resources that support a skin friendly
home and enables program members to develop action plans and specify audit needs for the
annual program cycle.
3. Restraints & PASDS: Monitoring and auditing the application all PASD in the home; care plan
the use of PASD& ensure the task/intervention is discontinued when no longer is needed; and
continue education efforts to ensure all staff registered and PSW staff are appropriately informed
of PASD use, definitions and best practices.
4. Continence: Provide education to staff regarding products and appropriate use; maintain
auditing process for use and product assignment; provide training and knowledge regarding the
continence program during initial orientation of new staff; and reduce the overall waste of
incontinence products.
5. Falls: To ensure individualized toileting routines are implemented according to continence
assessments; develop system so PSWs are aware of any medication changes as this factor does
influence risk of falls and coincide with conditions that may increase injury with a fall; and Ensure
Head Injury Routine being completed post unwitnessed fall or fall resulting in hitting head to
ensure assessment being done for injury.
6. Responsive Behaviors: To ensure the needs of residents with responsive behaviors are met
through use of BSO referrals upon admission where appropriate, implementation of the
Snoezelen room following grant approval, and the on -going recruitment and support of new BSO
staff members.
7. Restorative Care: To maintain and improve the overall independence of residents in the
program, maintain audit completion to ensure all staff charting and documentation is being
completed accurately and within a timely manner; and increase education and resources
available to staff regarding restorative care.
The Manager of Program and Therapy is the lead of the annual review, revisions, and distribution of the
resident and family satisfaction surveys, serving as a liaison between the Continuous Quality
Improvement (CQI) committee and the Resident and Family Council. Residents are provided an
opportunity to review the survey and provide feedback on the questions prior to its formal distribution.
The annual satisfaction survey is based on a calendar year rather than a fiscal year. This means the 2025
action plan was informed by 2024 data, while the current 2026 action plan is being developed using the
results from the 2025 survey. The annual Resident and Family Satisfaction survey was completed from
October 1st, 2025 to December 31st, 2025 via verbal, written and virtual channels and saw participation
from 29 respondents, the vast majority of whom (93.10%) were family members or loved ones. In a
resounding perfect score for the home's reputation, 100% of respondents stated they would recommend
Elgin Manor to others. These results were shared with staff leads at a CQI-PAC monthly meeting on
February — 2026. Results were also reviewed by department leadership to share verbally with frontline
teams.
The Manager of Programs and Therapy presented these 2025 results to the Resident Council at the
February 26th 2026 meeting, initiating the development of the formal action plan in March 2026. While
Page 38 of 54
discussion regarding priority areas and possible actions for improvement were minimal, their discussion
did highlight improvement opportunities for staff regarding their approach to care and orientation for
frontline staff. The leadership team aims to provide blended learning opportunities for staff to engage with
evidence -based research and further their skills, knowledge and confidence. These micro -modules will be
presented by leadership members to the frontline teams via visual resources, electronic modules and
communications, as well as verbal dictation from leadership or designates. Resident and Family Council
will support the monitoring and implementation of our staff learning initiatives by providing their
experience and knowledge of current practice, culture and outcomes of care via verbal or written
discussion at regular Resident Council and Family Council Meetings. These insights will be transferred to
the CQI-PAC Meetings and used to develop SMART goals and change frameworks as needed. Results
were also shared with the Family Council during their March 2026 meeting to gather input for the 2026
Quality Improvement Plan. Department -specific information has been disseminated to individual leads to
ensure targeted improvements are integrated into daily operations.
KEY SATISFACTION HIGHLIGHTS INCLUDE:
1. Nursing & Personal Care: Achieved a 100% satisfaction rating, with 58.62% of respondents
rating services as "Excellent" and 41.38% as "Satisfied".
2. Cleanliness: 100% of respondents were satisfied with the cleanliness of the home and
resident rooms (58.62% Excellent; 41.38% Satisfied).
3. Recreation Services: Earned a 96.55% satisfaction rating regarding overall recreation
programming.
4. Food & Nutrition: Maintained a 93.11% satisfaction rating, with 48.28% rating the service as
"Excellent".
5. Communication: 96.56% of respondents felt they had a voice and were listened to by staff.
COMMUNICATION AND ACTION PLANNING
The Manager of Programs and Therapy presented these 2025 results to the Resident Council at the
February 26th 2026 meeting, initiating the development of the formal action plan in March 2026. Results
were also shared with the Family Council during their March 13th 2026 meeting to gather input for the
2026 Quality Improvement Plan. Additionally, the management team reviewed the survey data during CQI
February 11th committee meeting and PAC-CQI March 12th 2026. Department -specific information has
been disseminated to individual leads to ensure targeted improvements are integrated into daily
operations.
ACTION TAKEN TO IMPROVE RESULTS:
In Q3 and Q4 the CQI team reviewed the areas of focus and formatted a plan to address the areas for
improvement that were identified in the previous year's satisfaction survey and in alignment with the
proposed 2026 survey goals. Opportunities for improvement were incorporated into the annual program
implementation plans as well as the Health Quality Ontario, Quality Improvement Plan, where applicable.
The Manager of Program and Therapy or the delegate(s) continue to provide updates at the council
meetings.
2024
2025
Implementation Actions
Survey focus
Survey
Survey
Outcomes
Outcomes
How well staff
92%
57.69%
January -December 2025: Incorporated
listen to you
Very Satisfied /
this into the redevelopment training: ensure
Yes
that resident rights to choose are respected
and documented appropriately.
Page 39 of 54
42.31% Unsure
January - March 2026: With support of
RNAO BPSO Lead, the home completed an
opportunity analysis for Palliative, End of
Life and Transitions in Care. All discussions
were able to identify needs and provide
potential change actions to improve
resident choice and agency in care.
- Efforts in this area will continue for
the 2026 year by leveraging RNAO
best practice guidelines,
Champions Training and new
approaches to knowledge sharing
and staff training (blended
learning).
Annual education completed for all staff in
our home via Surge Learning platform.
Call bell
71%
51.86%
Ongoing challenges such as the
response time
-Excellent/
implementation of Clinical Pathways has
Satisfied
increased staff workload, especially on
days with new admissions, and thus further
impacted team culture.
- Engagement with staff and
44.44%
management level leadership will
be a continued focus in 2026 with
-Unsure
particular focus on education and
training.
Ongoing audits of call bells when concerns
identified and follow up as appropriate.
Staff wear a
89.65%
93.1 %
Ongoing: Managers conducted name tag
name tag,
96.56%
(Nametags)
audits through the year during morning and
introduce
afternoon rounds on the floor through 1:1
themselves
100%
verbal reminders. Managers also
and explain
Separated into 3
86.2%
communicated need for nametag and
their roles
proper introductions from staff at
questions on the
(Introduce)
departmental meetings and huddles as
2024 survey
well. Micro -modules are being developed to
89.66%
provide further training on the floor with
staff.
(Explain role /
action)
Participation in
80.77%
61.54%
April2025: the home continued the
plan of care
Very Satisfied/
implementation of InterRAI to provide better
Satisfied
data and evaluate/ meet specific resident
needs more accurately. Family Council
meetings also increased care planning
38.46%
participation with a notable inquiry
regarding staff education and training for
Unsure
lifts; led to administrative audit and review
of lift trainer capacity in the home.
- With the upcoming 2026 cycle this
should increase as we implement
RNAO best practice guidelines for
Page 40 of 54
palliative, EoL, and transitional
care.
Pleasurable
60%
48.28%
The home completed a major flooring
Dining
Excellent/
project in the dining room in April 2025,
Temperature
Satisfied
coordinating the work to minimize disruption
for residents.
(Note: 0%
Attractive meal
dissatisfied, most
Following resident feedback via the
presentation
responses were
Council, the home explored the installation
NA or `Unsure')
of sheer curtains in common areas and
rooms to improve lighting and atmosphere
Overall
while maintaining privacy.
Satisfaction
In the fall of 2025, the home planned the
with program
62 08%
implementation of "MealSuite" digital menu
seances
boards and production software to better
communicate daily meal choices to
62.07%
residents and families while improving the
accuracy and management of services.
Themed Meals & Menus for 2025:
April: An 80s-themed meal featuring
traditional comfort foods like meatloaf and
chicken pot pie.
Overall:
May: A Cinco de Mayo celebration with a
93.11 %
taco casserole menu.
June: A special Father's Day lunch was
hosted for residents and 25 guests,
alongside resident and staff appreciation
BBQs.
Fall Themes: Later in the year, the home
hosted "Talk Like a Pirate Day' with a
seafood-themed menu, "Ukrainian Day,"
and a "Country Hoedown
NEW HORIZONS FOR SENIORS PROGRAM: MULTISENSORY ROOM
The Programs & Therapy department lead an exciting project to eenhance existing recreational and
therapeutic services/spaces within our home for residents that may be exhibiting responsive behaviors,
and co -residents that may be impacted by another resident's responsive behaviors. In collaboration with
the internal Behavioral Support of Ontario (BSO) team, it has been identified that having a "space/multi-
sensory room" situated in a central and accessible location of the Home benefits all residents and seniors
living with dementia as a non -pharmacological intervention and, as part of a person -centered plan of care.
This was initiated in April of 2025 and saw significant progress in August of 2025. On August 8th, the
project planning team at Elgin Manor noted the camera and call bell had been installed with final touches
such as painting being completed. This was accompanied by various other `house cleaning' items to
improve our residents home environment such as blind replacements, courtyard landscaping, and the
initiation of Ballard replacement. Leading into the end of our reporting period, the multisensory room was
completed in March of 2026. It has since become a favorite for many residents, their families and our staff
as they support improved quality of life.
Page 41 of 54
BSO- EDUCATIONAL DEVELOPMENT OPPORTUNITIES
Throughout the year, the home offered several educational opportunities to enhance staff competency,
including training on Comfort Rounding and specialized webinars such as "Supporting the Sexual Health
of People with Dementia" via BrainXchange. Intensive clinical sessions were also scheduled, featuring
BSO Foundations, Gentle Persuasive Approaches (GPA), and U-First training. While these resources
were consistently made available, participation rates remained varied, with some programs seeing limited
completion. This highlights an ongoing objective to better align staff scheduling with available professional
development sessions.
CLINICAL PATHWAYS: SCREENING ASSESSMENT IMPLEMENTATION
The Clinical Pathways for Falls and Pain assessments officially went live on November 27th, marking a
significant shift in our clinical framework. The initial rollout presented several implementation challenges,
as staff worked to navigate changes in the admission process and adapt to more rigorous documentation
standards. Despite these early hurdles, the initiative gained steady momentum, resulting in high levels of
consistency and compliance throughout the final quarter of the report (January 2026 — March 31, 2026).
This standardized approach has already begun to improve the reliability of resident data and ensure more
responsive care planning.
The Elgin Manor CQI committee develops and submits a Quality Improvement Plan (QIP) to Health
Quality Ontario annually. The QIP includes a progress report which captures the progress/lessons
learned while the narrative summarizes the CQI journey in the prior year's QIP. The workplan outlines the
aims, measures and change ideas for the 2026/2027 QIP.
FOCUSED ACTION:
1. Access and Flow
• Reduce the rate of potentially avoidable emergency departments visits to or below the
provincial benchmark of 21.9 through:
o Utilization of the standard RNAO Nursing Advantage Canada, Clinical Pathways
assessments (Admission, Fall Prevention, Pain assessment, Palliative)
o Continue our partnerships with local hospital, Facilities Operator Group (FOG)
and pharmacy to continue work on "Transitions in Care" between hospital and
long-term care
o Development of processes to support the utilization of Nurse Led Outreach Team
(NLOT), which will facilitate the application of nursing knowledge, skills and
judgement in resident care to decrease avoidable ED visits.
o Maintain use of Comfort Care Rounds for residents identified as being high risk
for falls or having a precarious health condition
o Audit the completion of medication reconciliation within 24 hours of admission
and upon return from hospital to further support ED visit reduction and
application of RNAO Transitions in Care guidelines.
2. Equitable
Achieve 100 percentage of staff (all levels) who have completed relevant equity, diversity,
inclusion and anti -racism education through:
o Development and implementation of a DEI policy specific to long-term care home
resident care and seances utilizing the CLRI diversity tool kit
Page 42 of 54
o Maintain the enhanced orientation and onboarding process utilizing CLRI preceptor program;
ensuring the process and resources remain up to date.
o Develop and implement blended learning modules and micro -modules to increase staff
engagement and optimize knowledge retention.
In April of 2026 these improvements and applicable measures will be reviewed with resident and family
councils, at which time their feedback and participation in upcoming efforts will be recorded and applied to
our efforts. Further application of RNAO's best practice guidelines as they pertain to Transitions in Care
will enhance our person & family centered care practices will contributing to the reduction of ED visits.
Elgin Manor will further the impact of their quality initiatives by using blended learning formats and the
application of adult learning models to enhance the cultural awareness and knowledge of our staff. This
action in collaboration with the implementation of Clinical Pathways — Palliative & End of Life tools will
further contribute to the quality of life and care service provision within our home.
CONTACT & ARCHIVE LINK
For further information please refer to the Elgin Manor QIP progress report, narrative and workplan. The
QIP is available on the County of Elgin Homes website https://www.elaincounty.ca/elain-county-lona-
term-care-homes/ and documents posted on the QIP board located within the Home. The progress report
details the action taken and the outcomes of the actions for the 2026/2027 QIP.
X Joe Anne Holloway
.......................................................................................................................................................................................................................................................................................
2026
Director of Senior Services, Elgin County
X Terri Benwell
.........................................................................................................................................................................
May 22 2026
Home Administrator — Elgin Manor, Elgin County
X Leezanne Young
...........................................................................................................................................................................................
222026
May 22
.......................................................................................................................................................................................
Date of Review/ Approval
Date of Review/ Approval
May
Page 43 of 54
Quality Improvement Coordinator, Elgin County Date of Review/ Approval
Page 44 of 54
Terrace Lodge
CQI Initiative Annual Report
Page 45 of 54
MEMBERSHIP:
DESIGNATED LEAD(S):
Ashley Temple - Administrator
Leezanne Young - Quality Improvement Coordinator
Administrator
Medical Director
Manager of Resident Care
Resident Care Coordinator
Manager of Support Services
Infection Prevention and Control
Manager of Program Therapy
Dietitian
Pharmacist
Physiotherapist
Quality Improvement lead
Personal Support Worker
Nurses
Resident Council Member
Family Council Member
QUALITY COMMITTEE PLANNING MEASURES:
Our Continuous Quality Improvement meetings are combined with our Professional Advisory Committee
(PAC) meetings. Meetings occur quarterly on the third Thursday of the month.
Attendance in person is preferred, however, in the event that members cannot attend in person, a virtual
option is available. In between quarterly CQI meetings Terrace Lodge hosts monthly CQI subcommittee
meetings. Information provided by (quarterly) CQI-PAC members is incorporated into discussions at the
monthly meetings and to our program evaluations allowing the subcommittee meetings to build upon the
discussion from the quarterly meetings.
Our meetings are built upon our vision, mission and value statements:
Mission: The County of Elgin Homes and Seniors Services are committed to creating a caring
environment where residents and staff feel safe, respected and valued.
Vision: Through Continuous Quality Improvement, using best practice initiatives, we will be
influential leaders in the provision of person -centered care within the long-term care sector.
When initiating change ideas Terrace Ldoge strives to meet the Residents rights by placing `Residents
First' as per our Values. This is the highest priority at Terrace Lodge and this acronym identifies the
organizational values:
Page 46 of 54
PLANNING CYCLE AND PRIORITY SETTING
To identify preliminary priorities an evaluation of the following occurs:
• Inspection reports: Ministry of Long -Term Care, Ministry of Labour, Public Health, Fire Marshall,
Joint Health and Safety
• Complaints, Requests, Concerns and Input: Concern/Request forms, Resident Council input,
Family Council input, Written complaints, Critical Incident reports.
• Operational Analysis: Program Evaluations, Policy Review recommendations
• Time Studies/Focused and Routine Audits
• Public website reporting
• Resident Quality Indicator review
• Departmental Audits
• Ongoing analysis of performance data over time available through CIHI; with areas indicating a
decline in performance over time and/or where benchmarking against self identified peer
organizations suggests improvement required
• Mandated provincial improvement priorities
Preliminary priorities are presented and discussed at various forums to validate priorities and to identify
additional priorities that may have been missed. These forums include weekly leadership team meetings,
monthly project management meetings, Resident Council, Family Council, Joint Health and Safety
Committee, PAC-CQI team, CQI subcommittee meetings, staff meetings and Committee of Management.
The process used is one of building, refining, and improving a project or initiative. Teams create and
revise the process until they're satisfied with the end result. This process is a trial -and -error methodology
that brings the project closer to its end goal but requires engagement and communication with various
stakeholders along the way. Final review of the QIP is completed by the CQI team, approved by resident
council then reported to the Committee of Management. The final QIP is submitted to Health Quality
Ontario.
APPROACH TO CQI (POLICIES, PROCEDURES AND PROTOCOLS)
County of Elgin Homes policies, combined with practice standards, provide a baseline for staff in
providing quality care and services. We have an interdisciplinary CQI team, which includes resident and
family advisors, that meet monthly, with subcommittees that report to the CQI team, as they work through
the phases of the model to:
1. Diagnose/Analyze the Problem
Teams use various QI methodologies to understand some of the root causes of the problem and
identify opportunities for improvement. This work can include process mapping or value stream
mapping, 5 Whys, fishbone. Also included in this work, is an analysis of relevant data and the
completion of a gap analysis of the relevant RNAO Best Practice Guidelines.
2. Set Improvement Goals
An improvement aim is identified once the teams have a grounded understanding of what is most
important to the Resident. This aim will be used to evaluate the impact of the change ideas through
implementation and sustainability .At Terrace Lodge, improvement teams develop goals that are
SMART goals: Specific, Measurable, Attainable, Relevant, Time -Bound.
Page 47 of 54
3. Develop and Test Change Ideas
With a better understanding of the current system, improvement teams identify various change ideas
that progress towards meeting the goal. During this phase, teams will prioritize alignment with best
practices when designing preliminary change ideas for testing. Plan -Do -Study -Act (PDSA) cycles are
sometimes used to test change ideas through small tests of change.
PDSA's provide an opportunity for teams to iteratively refine their change ideas and build confidence
in the solution prior to implementation. Change ideas typically undergo several PDSA cycles before
implementation. These changes are reflected in the project management minutes, team meeting
minutes and communicated to staff via communication boards and huddles.
4. Implement and Sustain
Improvement teams consider the following factors when developing a strong implementation/change
management plan:
• Outstanding work to be completed prior to implementation (e.g. final revisions to change ideas
based on PDSA's, embedding changes into existing workflow, updating relevant policies and
procedures, etc.)
• Education required to support implementation, including key staff resources i.e. team leaders
• Communication required to various stakeholders, before, during and after
implementation which includes resident and family council, staff, committee of management
At this stage, teams will also identify key project measures to determine if the changes implemented
resulted in improvement. This includes the following types of measures:
Outcome
Process
Balancing
Measures what the team is
Measures key activities, tasks,
Measures other parts of the
trying to achieve (the goal)
processes implemented to
system that could be
achieve goal
unintentionally impacted by
changes
5. Process to communicate outcomes
Communication strategies are tailored to the specific improvement initiative. These include, but are
not limited to:
• Posting on unit quality boards, in common areas and in staff lounges
• Publishing stories and results on the website, on social media or via the newsletter
• Direct email to staff and families and other stakeholders
• Handouts and 1:1 communication with residents
• Presentations at staff meetings, Resident Council, Family Council
• Huddles at change of shift
• SURGE Learning
• Use of Champions to communicate directly with peers
• RNAO BPSO Knowledge Exchange and engagement sessions
• Continuous Quality Improvement Subcommittee Meetings & Professional Advisory Committee
Meetings
The team ensures that regular reviews of the changes to ensure sustainability remains viable. This is
typically conducted at the monthly CQI meetings and the project management meetings.
Page 48 of 54
MODERATE ACTION: PROGRAM EVALUATIONS
These are reviewed and updated quarterly at PAC-CQI.
1. Medication Program: In August 2025, reviews confirmed that all attending and on -call
physicians were in good standing with the College of Physicians and Surgeons of Ontario. The
committee monitored quarterly drug statistics and incident summaries throughout the year to
maintain evidence -based practices.
2. Skin and Wound: A new Skin and Wound application was launched in June 2025, moving
assessments from the previous UDA format to a dedicated platform. A subsequent upgrade was
completed on November 4, 2025, supported by ongoing staff education to ensure early
identification and assessment of wounds.
3. Restraints & PASDS: Terrace Lodge continued the proactive removal of bed rails for residents
where they were no longer clinically indicated. Education sessions were conducted for staff and
families regarding bed entrapment risks and the documentation of these conversations during the
admission process.
4. Continence: Monthly audits in 2025 identified opportunities to improve product assignment and
reduce overstocking in resident rooms. Specialized training with a First Quality representative
was conducted in November 2025 to optimize product use and staff knowledge.
5. Falls: Clinical Pathways for Falls and Pain officially went live on November 27, 2025, providing a
standardized framework for risk management. Additionally, comprehensive Arjo lift training was
completed for staff on November 17 and 18, 2025, to enhance resident safety during transfers.
6. Responsive Behaviors: Staff recruitment and support for the BSO program continued, with two
staff members attending Dementiability training in Q3 of 2025 to better meet the needs of
residents with responsive behaviors.
7. Restorative Care: Our goals aim to maintain and improve the overall independence of residents
in the program, maintain audit completion to ensure all staff charting and documentation is being
completed accurately and within a timely manner; and increase education and resources
available to staff regarding restorative care.
The Manager of Program and Therapy is the lead of the annual review, revisions, and distribution of the
resident and family satisfaction surveys, serving as a liaison between the Continuous Quality
Improvement (CQI) committee and the Resident and Family Council. Residents are provided an
opportunity to review the survey and provide feedback on the questions prior to its formal distribution. The
2025 Resident and Family Satisfaction Survey for Terrace Lodge reflected a high level of overall trust and
satisfaction with the quality of life provided at the home. While the clinical and environmental services are
rated exceptionally high, the data highlights clear trends regarding operational pressures and
infrastructure consistency. Participation included 34 survey results with contributors including both
residents and family members.
The annual satisfaction survey is based on a calendar year rather than a fiscal year. This means the 2025
action plan was informed by 2024 data, while the current 2026 action plan is being developed using the
results from the 2025 survey. The leadership team aims to provide blended learning opportunities for staff
to engage with evidence -based research and further their skills, knowledge and confidence. These micro -
modules will be presented by leadership members to the frontline teams via visual resources, electronic
modules and communications, as well as verbal dictation from leadership or designates. Resident and
Family Council will support the monitoring and implementation of our staff learning initiatives by providing
their experience and knowledge of current practice, culture and outcomes of care via verbal or written
discussion at regular Resident Council and Family Council Meetings. These insights will be transferred to
the CQI-PAC Meetings and used to develop SMART goals and change frameworks as needed. Results
were also shared with the Family Council during their March 2026 meeting to gather input for the 2026
Page 49 of 54
Quality Improvement Plan. Department -specific information has been disseminated to individual leads to
ensure targeted improvements are integrated into daily operations.
KEY SATISFACTION HIGHLIGHTS INCLUDE:
1. High Level of Overall Recommendation
• Recommendation Rate: 93.55% of respondents would recommend Terrace Lodge to others.
• Trust in Staff: Residents and families frequently described the staff as exceptional,
compassionate, and attentive.
• Respectful Care: 79.41 % of respondents rated the respect for resident dignity and privacy as
Excellent.
2. Key Strengths: Environmental and Clinical Quality
• Facility Upkeep: The physical environment is a major highlight, with 76.47% rating the upkeep of
the home (paint, decor) and 69.70% rating the grounds -keeping as Excellent.
• Nursing Services: Registered Nursing services, particularly medication dispensing, received a
high satisfaction rating, with 72.73% of respondents scoring it as Excellent.
• Safety & Independence: 87.88% of residents feel that staff allow them to be as independent as
possible.
3. Critical Opportunities for Improvement
• Call Bell Response & Staffing: Satisfaction with call bell response times is notably lower than
other categories, with only 18.18% rating it as Excellent. Qualitative comments point to a
perceived shortage of PSWs and staff "running down the halls" to manage workload.
• Temperature Consistency: 23.53% of respondents are Dissatisfied with the temperature in the
home. Comments indicate specific "cold blasts" in the Maple hallway and rooms being either too
hot or too cool.
• Laundry & Missing Items: 11.76% of respondents are Dissatisfied with laundry services.
Concerns center on missing personal items, specifically socks and bedspreads.
COMMUNICATION AND ACTION PLANNING
The Manager of Programs and Therapy presented these 2025 results to the Resident Council at the
Thursday January 22nd, 2026 meeting, initiating the development of the formal action plan in March
2026. Results were also shared with the Family Council during their April 2026 meeting to gather input
for the 2026 Quality Improvement Plan. Additionally, the management team reviewed the survey data
during PAC-CQI committee meeting on Wednesday, December 17th, 2025 and CQI committee meeting
on Wednesday, March 25th 2026. Department -specific information has been disseminated to individual
leads to ensure targeted improvements are integrated into daily operations.
ACTION TAKEN TO IMPROVE RESULTS:
In Q3 and Q4 the CQI team reviewed the areas of focus and formatted a plan to address the areas for
improvement that were identified in the previous year's satisfaction survey and in alignment with the
proposed 2026 survey goals. Opportunities for improvement were incorporated into the annual program
implementation plans as well as the Health Quality Ontario, Quality Improvement Plan, where applicable.
The Manager of Program and Therapy or the delegate(s) continue to provide updates at the council
meetings.
Survey Focus
2024 Survey
2025 Survey
Implementation Actions
Outcomes
Outcomes
September 2025 — March 2026: Continued
How well staff
92%
57.69% Very
collaboration with RNAO on Best Practice
listen to you
Satisfaction
Satisfied / Yes
Guidelines (BPG). While "Nursing Leadership"
work was paused to prioritize clinical
Page 50 of 54
pathways, the home hosted an RNAO tour in
September 2025 to review BPG initiatives and
frontline staff engagement.
51.86% Excellent /
April — October 2025: Residents' Council
Satisfied
repeatedly identified washroom wait times and
lift battery life as core operational concerns. In
response, management audited lift battery
Call bell
71%
charging stations and integrated these specific
response
Satisfaction
concerns into the Continuous Quality
time
(Note: 18.18%
Improvement (CQI) program evaluations for
rated response time
targeted resolution
as "Excellent" in the
broader survey
breakdown)
89.65%
September —October 2025: Following
Satisfaction
specific requests from the Family Council
regarding staff name tags, managers
(Note:
conducted structured floor audits and provided
Staff
Separated into
direct, 1:1 reminders to staff to ensure
individual
consistent identification and strict adherence to
identification
elements in
o
96.56/o Overall
the home's dress code policy.
(Name tags /
Satisfaction
Intro)
2024: 94% for
nametags,
96.56% for
introductions,
and 100% for
explaining role)
September 29, 2025: Successfully
transitioned the home to the interRAI LTCF
Participation
80 77%
system. This milestone included extensive staff
in plan of
Satisfaction
61.54% Satisfied
clinical education through the Surge Learning
care
and Relias platforms to ensure resident data
accuracy and more personalized, responsive
care planning.
June — October 2025: The Pleasurable Dining
Committee actively addressed service
workflows, specifically optimizing the breakfast
service on the Birch unit. In October 2025, staff
60%
received live demonstrations of the MealSuite
Satisfaction
ordering system, and residents participated in
(Meal
tours of the newly renovated kitchen space.
Temperatures)
April 2025: Completed a major dining room
Pleasurable
93.11% Overall
flooring renovation, carefully coordinated to
Dining
Satisfaction
minimize resident disruption while upgrading
the safety and aesthetic appeal of the shared
62.07%
space. Exploration of sheer curtains was also
Satisfaction
initiated to optimize natural light and resident
(Attractive
privacy.
Presentation)
2025 Themed Dining Calendar: Implemented
an array of social engagement meals,
including an 80s-themed comfort food night
(April), a Cinco de Mayo celebration (May), a
Father's Day lunch welcoming 25 guests
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(June), "Talk Like a Pirate Day" featuring a
seafood menu, and a "Country Hoedown"
theme night.
From March 31, 2025, to March 31, 2026, Terrace Lodge successfully implemented several key
infrastructure and clinical initiatives to enhance the resident experience. A major flooring renovation was
completed in the dining room in April 2025, coordinated to minimize disruption while improving the
aesthetic and safety of the communal space. To further improve the home's atmosphere, sheer curtains
were explored for installation in common areas and resident rooms to optimize natural lighting while
maintaining privacy. Clinical care was significantly advanced through the November 27, 2025, go -live of
Clinical Pathways for Pain and Falls, supported by intensive Arjo lift training for frontline staff on
November 17-18, 2025.
These efforts were complemented by a robust calendar of themed dining events designed to promote
social engagement and satisfaction. Highlights included an 80s-themed comfort food meal in April, a
Cinco de Mayo celebration in May, and a special Father's Day lunch in June that welcomed 25 guests.
Later in the year, residents enjoyed "Talk Like a Pirate Day" with a seafood menu and a "Country
Hoedown" theme, demonstrating the home's commitment to providing diverse and meaningful recreation
opportunities alongside clinical excellence.
INFRASTRUCTURE & ENVIRONMENT
With gratitude and appreciation, a donor grand reopening event for the Terrace Lodge redevelopment
was held on September 27, 2025. Further environmental improvements included hair salon renovations
beginning in April 2025 and administrative office renovations completed in November 2025. Following
resident feedback regarding the courtyard, dead tree limbs were pruned in the Birch courtyard to improve
safety and aesthetics. To maintain comfortable temperatures during HVAC/chiller maintenance, staff were
retrained on environmental controls (closing blinds/windows).
CLINICAL EXCELLENCE AND TRAINING
Clinical Pathways: The "Go -Live" for the Pain and Falls Clinical Pathways was established for November
27, 2025. This was supported by gap analyses and registered staff training throughout the fall.
Specialized care initiatives included a new Skin and Wound lead was appointed in August 2025,
coinciding with the implementation of a new tracking app to improve data accuracy for CQI meetings.
Additionally, the Behavioral Supports Ontario (BSO) team expanded, introducing unit -specific binders to
improve communication regarding resident -specific responsive behaviors. Looking to Emergency
Preparedness, the home maintained rigorous safety standards, conducting monthly fire drills and a full
annual evacuation drill on October 22, 2025. A comprehensive emergency planning meeting with first
responders was held on October 31, 2025, to review Code Purple (Severe Weather) and other protocols.
RESIDENT ENGGEMENT & INCLUSION
As part of the 2025 Quality Improvement Plan (QIP), a DEI Gap Analysis was completed, leading to
mandatory LGBTQ+ education for staff across all Elgin County homes in September 2025. This remains
an on -going focus of our educational programing for staff as we enter the 2026 term. To enhance the
spiritual and social supports available for our residents, Terrace Lodge also implemented new
programming based on resident interest, including a Bible Study group and a Thanksgiving service with
Communion. High -profile events such as Residents' Council Week and a Unique Vehicle Exhibit further
bolstered social engagement. Bingo remains the top request from our residents and will be cemented in
our activity programing for the upcoming year as well.
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The Terrace Lodge CQI committee develops and submits a Quality Improvement Plan (QIP) to Health
Quality Ontario annually. The QIP includes a progress report which captures the progress/lessons
learned while the narrative summarizes the CQI journey in the prior year's QIP. The workplan outlines the
aims, measures and change ideas for the 2026/2027 QIP.
FOCUSED ACTION:
1. Access and Flow
• Reduce the rate of potentially avoidable emergency departments visits to or below the
provincial benchmark of 21.9 through:
o Utilization of the standard RNAO Nursing Advantage Canada, Clinical Pathways
assessments (Admission, Fall Prevention, Pain assessment, Palliative)
o Continue our partnerships with local hospital, Facilities Operator Group (FOG)
and pharmacy to continue work on "Transitions in Care" between hospital and
long-term care
o Development of processes to support the utilization of Nurse Led Outreach Team
(NLOT), which will facilitate the application of nursing knowledge, skills and
judgement in resident care to decrease avoidable ED visits.
o Maintain use of Comfort Care Rounds for residents identified as being high risk
for falls or having a precarious health condition
o Audit the completion of medication reconciliation within 24 hours of admission
and upon return from hospital to further support ED visit reduction and
application of RNAO Transitions in Care guidelines.
2. Equitable
Achieve 100 percentage of staff (all levels) who have completed relevant equity, diversity,
inclusion and anti -racism education through:
o Development and implementation of a DEI policy specific to long-term care home
resident care and services utilizing the CLRI diversity tool kit
o Maintain the enhanced orientation and onboarding process utilizing CLRI
preceptor program; ensuring the process and resources remain up to date.
o Develop and implement blended learning modules and micro -modules to
increase staff engagement and optimize knowledge retention.
In April of 2026 these improvements and applicable measures will be reviewed with resident and family
councils, at which time their feedback and participation in upcoming efforts will be recorded and applied to
our efforts. Further application of RNAO's best practice guidelines as they pertain to Transitions in Care
will enhance our person & family centered care practices will contributing to the reduction of ED visits.
Terrace Lodge will further the impact of their quality initiatives by using blended learning formats and the
application of adult learning models to enhance the cultural awareness and knowledge of our staff. This
action in collaboration with the implementation of Clinical Pathways — Palliative & End of Life tools will
further contribute to the quality of life and care service provision within our home.
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CONTACT & ARCHIVE LINK
For further information please refer to the Terrace Lodge QIP progress report, narrative and workplan.
The QIP is available on the County of Elgin Homes website https://www.elgincounty.ca/elgin-county-long-
term-care-homes/ and documents posted on the QIP board located within the Home. The progress report
details the action taken and the outcomes of the actions for the 2026/2027 QIP.
x Joe Anne Holloway
May 22, 2026
Director of Senior Services, Elgin County
x Ashley Temple
May 22, 2026
Home Administrator — Terrace Lodge, Elgin County
x Leezanne Youn
2212026
Quality Improvement Coordinator, Elgin County
Date of Review/ Approval
Date of Review/ Approval
Date of Review/ Approval
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