Houston Health Centre - Inspection Report
Inspection Information
Facility typeResidential Care - 100
Service type103 Long Term Care
Inspection typeFollow-up
Inspection dateSeptember 13, 2021
Follow up requiredYes
Contraventions: A summary of the contraventions found during the inspection are listed below.
No contraventions were found during the inspection.
Outstanding contraventions that have been corrected.
Code RCR Section 35(1)(c) noted on Follow-up inspection # BRIS-BXMM42 of Jan-21-2021 Physical Facility, Equipment and Furnishings: A licensee must provide the following appropriately furnished and equipped areas: secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials. (Hazardous materials not secured.)

Code RCR Section 54(1) noted on Follow-up inspection # BRIS-BXMM42 of Jan-21-2021 Hygiene and Communicable Disease Control: A licensee must establish a program to instruct, if necessary, and assist persons in care in maintaining health and hygiene. (Hygiene program not established.)

Code RCR Section 21(b) noted on Routine inspection # THUL-C2XSGP of May-02-2021 Physical Facility, Equipment and Furnishings: A licensee must ensure that all furniture and equipment for use by persons in care are compatible with the health, safety and dignity of the persons in care. (Insufficient equipment and furnishings.)

Code RCR Section 22(2) noted on Routine inspection # THUL-C2XSGP of May-02-2021 Physical Facility, Equipment and Furnishings: A licensee must ensure that emergency exits are not obstructed or secured in a manner that may hinder exit in an emergency. (Emergency exit obstructed.)

Code RCR Section 42(1)(a) noted on Routine inspection # THUL-C2XSGP of May-02-2021 Staffing: A licensee must ensure that, at all times, the employees on duty are sufficient in numbers, training and experience, and organized in an appropriate staffing pattern, to meet the needs of the persons in care. (Inadequate staffing coverage.)

Code RCR Section 42(1)(b) noted on Routine inspection # THUL-C2XSGP of May-02-2021 Staffing: A licensee must ensure that, at all times, the employees on duty are sufficient in numbers, training and experience, and organized in an appropriate staffing pattern, to assist persons in care with the activities of daily living, including eating, moving about, dressing and grooming, bathing and other forms of personal hygiene, in a manner consistent with the health, safety and dignity of persons in care. (Inadequate staffing coverage.)

Code RCR Section 42(2) noted on Routine inspection # THUL-C2XSGP of May-02-2021 Staffing:A licensee must ensure that persons in care who require supervision when outside the community care facility are appropriately supervised. (Inadequate staffing coverage.)

Code RCR Section 47(1) noted on Routine inspection # THUL-C2XSGP of May-02-2021 Care and Supervison: Before admitting a person to a community care facility, a licensee must screen the person to ensure the person will receive both safe and adequate care if admitted to the community care facility. (Inappropriate admission screening.)

Code RCR Section 47(2)(b) noted on Routine inspection # THUL-C2XSGP of May-02-2021 Care and Supervison: A licensee must consider, as part of the screening process under subsection (1), all of the following: the design of the community care facility, its construction, and the facilities and equipment within the community care facility. (Insufficient design consideration.)

Code RCR Section 81(1) noted on Routine inspection # THUL-C2XSGP of May-02-2021 Records and Reporting: If a person in care is admitted to the community care facility for a period of more than 30 days, a licensee must ensure that a care plan for the person in care is made in accordance with this section within 30 days of admission. (Insufficient records.)
The following were still in contravention as of September 13, 2021
Code RCR Section 73(1)(c) noted on Routine inspection # THUL-C2XSGP of May-02-2021 Care and Supervision: A licensee must ensure that a restraint is not used unless the safety and physical and emotional dignity of the person in care is monitored throughout the use of the restraint, and assessed after the use of the restraint. (Inappropriate restraint use.)
CORRECTED LATER: 11-Mar-2022

Code RCR Section 74(2)(b) noted on Routine inspection # THUL-C2XSGP of May-02-2021 Care and Supervision: A licensee must ensure that a person in care is not restrained for the convenience of employees. (Inappropriate restraint use.)
CORRECTED LATER: 11-Mar-2022

Code RCR Section 75(1) noted on Routine inspection # THUL-C2XSGP of May-02-2021 Care and Supervision: If a person in care has been restrained, a licensee must reassess the need for the restraint at least once within 24 hours after the first use of the restraint. (Insufficient reassessment.)
CORRECTED LATER: 11-Mar-2022
Actions Required by Licensee/Operator
- Licensee has addressed some contraventions. Corrective action plan required to be submitted.
Action Required by Licensing Officer or Medical Health Officer
- Review and monitor corrective action plan > Follow up inspection required.