| George Derby Centre - Complaint Information |
| General Details | |
|---|---|
| Facility Type | Adult Residential Care - 100 |
| Investigation Completed | March 09, 2020 |
| Reason for Investigation | - Staffing - Care and supervision |
| Report of Findings |
|---|
| Licensing received a complaint on February 13, 2020, alleging concerns regarding care and supervision. The following information was provided: - Wound care and care plans are not being followed All areas of the complaint were fully investigated. Licensing determined the following contraventions: - Residential Care Regulation (RCR) s. 81(4)(a) - Care plan needed if more than 30 day stay - RCR s. 81(4)(b)(i) - Care plan needed if more than 30 day stay - RCR s. 82 - Implementation of care plans |
| Substantiated Contraventions: Evidence for this summary report is based on a combination of the Licensing Officer’s observations, a review of facility records and information provided by the facility staff at the time of the investigation. |
| Observed Violations/Contraventions: A summary of the violations found during the complaint investigation are listed below. |
| Code | Category/Description |
|---|---|
| 34740 - RCR s.81(4)(a) | A licensee must ensure that (a) the implementation of each care plan is monitored on a regular basis to ensure proper implementation. Observation: It was determined that the implementation of care plans were not being monitored appropriately and that staff were not following the skin care protocols. Corrective action: Corrective action plan in place. |
| 34750 - RCR s.81(4)(b)(i) | A licensee must ensure that (b) each care plan is reviewed and, if necessary, modified (i) if there is a substantial change in the circumstances of the person in care. Observation: It was observed that 1 care plan had not been updated to include wound care. Corrective action: Corrective action plan in place. |
| 34780 - RCR s.82 | A licensee must ensure that the care and supervision of a person in care is consistent with the terms and conditions of the person in care's care plan. Observation: It was determined that staff were not following the wound care protocols or care plans for 3 residents. Corrective action: Corrective action plan in place. |
| 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. |
| Status Update |
|---|
| No further action required. All contraventions have been addressed. |
| Updated on March 26, 2020. |
