PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31290 - RCR s.22(1)(b) - A licensee must ensure that all rooms and common areas are (b) maintained in a good state of repair.
Observation: When at the front door entrance there are railings leading up to the front door which appear discoloured.
Corrective Action(s): Please ensure all rooms and common areas are maintained in a good state of repair.
Date to be Corrected: Please provide a written response to this item by the timeline noted in this report.
CARE AND/OR SUPERVISION: 34760 - RCR s.81(4)(b)(ii) - A licensee must ensure that (b) each care plan is reviewed and, if necessary, modified (ii) if there is no substantial change in the circumstances of the person in care, at least once each year to ensure it continues to meet the needs and preferences, and is compatible with the abilities, of the person in care who is the subject of the care plan.
Observation: A random review of one person in care's chart indicated for example:
- The Choice/Leisure Guidelines review at the top of the first page from 2017 and then the 3rd page "to be reviewed" June 2019. The Manager stated these guidelines are in process of being reviewed.
- The Oral Health Care Plan with a date from 2017. The Manager stated the Oral Health Care Plans were reviewed and will follow-up with the Dental Hygienist to get copies of these plans for the persons in care.
- Health Care Plan date from 2017. The Manager stated the HSCL Nurse visits once a month and will review the health care plans with the HSCL Nurse at their next visit.
Corrective Action(s): Please ensure care plans are reviewed once a year if no substanial change or more often as needed.
Date to be Corrected: Please provide a written response to this item by the timeline noted in the report.
RECORDS AND REPORTING: 39210 - RCR s.78(3)(a) - A licensee must have, and keep with each person in care's record, consent in writing from the person in care or a parent or representative of the person in care (a) to call a medical practitioner, nurse practitioner or ambulance in case of accident or illness.
Observation: Written consents as per section 78 (3)(a) of the Residential Care Regulation not noted in the two charts for persons in care seen during the inspection. The Manager stated the charts were rearranged in terms of standardizing certain documents.
Corrective Action(s): Please ensure written consents as per section 78 (3)(a) of the Residential Care Regulation are in-place for all persons in care.
Date to be Corrected: Please provide a written response to this item by the timeline noted in this report.
RECORDS AND REPORTING: 39480 - RCR s.87(d) - A licensee must keep a record of the following matters respecting food services: (d) food services and nutrition care education and training programs attended by food services employees.
Observation: Discussion took place around meeting section 87 (d) of the Residential Care Regulation. The Manager will look at having this as a standing agenda item for staff meetings. In addition, the writer will email resources around meeting the intent of section 87 (d) of the Residential Care Regulation as well.
Corrective Action(s): Please ensure a record is kept for food services and nutrition care education and training programs attended by food services employees.
Date to be Corrected: Please provide a written response to this item by the timeline noted in this report.
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