| Houston Health Centre - Inspection Report |
| Inspection Information | |
|---|---|
| Facility type | Residential Care - 100 |
| Service type | 103 Long Term Care |
| Inspection type | Routine |
| Inspection date | May 02, 2021 |
| Follow up required | Yes |
| Contraventions: A summary of the contraventions found during the inspection are listed below. | |
|---|---|
| Code | Category/Description |
| RCR Section 21(b) | 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. Observation: Insufficient equipment and furnishings. Corrective action: The licensee to submit a compliance plan by indicated date. To be corrected by: 6-25-2021 |
| RCR Section 22(2) | 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. Observation: Emergency exit obstructed. Corrective action: The licensee to submit a compliance plan by indicated date. To be corrected by: 6-25-2021 |
| RCR Section 42(1)(a) | 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. Observation: Inadequate staffing coverage. Corrective action: The licensee to submit a compliance plan by indicated date. To be corrected by: 6-25-2021 |
| RCR Section 42(1)(b) | 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. Observation: Inadequate staffing coverage. Corrective action: The licensee to submit a compliance plan by indicated date. To be corrected by: 6-25-2021 |
| RCR Section 42(2) | Staffing:A licensee must ensure that persons in care who require supervision when outside the community care facility are appropriately supervised. Observation: Inadequate staffing coverage. Corrective action: The licensee to submit a compliance plan by indicated date. To be corrected by: 6-25-2021 |
| RCR Section 47(1) | 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. Observation: Inappropriate admission screening. Corrective action: The licensee to submit a compliance plan by indicated date. To be corrected by: 6-25-2021 |
| RCR Section 47(2)(b) | 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. Observation: Insufficient design consideration. Corrective action: The licensee to submit a compliance plan by indicated date. To be corrected by: 6-25-2021 |
| RCR Section 73(1)(c) | 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. Observation: Inappropriate restraint use. Corrective action: The licensee to submit a compliance plan by indicated date. To be corrected by: 6-25-2021 |
| RCR Section 74(2)(b) | Care and Supervision: A licensee must ensure that a person in care is not restrained for the convenience of employees. Observation: Inappropriate restraint use. Corrective action: The licensee to submit a compliance plan by indicated date. To be corrected by: 6-25-2021 |
| RCR Section 75(1) | 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. Observation: Insufficient reassessment. Corrective action: The licensee to submit a compliance plan by indicated date. To be corrected by: 6-25-2021 |
| RCR Section 81(1) | 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. Observation: Insufficient records. Corrective action: The licensee to submit a compliance plan by indicated date. To be corrected by: 6-25-2021 |
| The following were still in contravention as of May 02, 2021 | ||
|---|---|---|
| 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.) | ||
| Actions Required by Licensee/Operator | |
|---|---|
| - Corrective action plan to be developed and submitted. |
| Action Required by Licensing Officer or Medical Health Officer | |
|---|---|
| - Review and monitor corrective action plan > Follow up inspection required. |