| CareLife Fleetwood - Complaint Information |
| General Details | |
|---|---|
| Facility Type | Residential Care (Hospital Act) - 400 |
| Investigation Completed | June 02, 2021 |
| Reason for Investigation | - Policies and procedures - Care and supervision - Nutrition and food services |
| Report of Findings |
|---|
| On January 21, 2021, Licensing received a complaint alleging concerns regarding care and supervision and nutrition. The allegations included the following details: - A person in care sustained injuries while in care. - A person did not receive adequate nutrition. - The facility failed to notify the representative of an injury to a PIC. - The facility did not follow the care plan of the PIC. All areas of the complaint were fully investigated. Evidence was received and reviewed from records, policies and procedures, inspection, interviews, and emails. The following contraventions were determined: Residential Care Regulation (RCR) 76(1) Notification of illness or injury RCR 81(4) (a) and (b)(i) Care plan needed if more than 30 day stay RCR 82 Implementation of Care plan RCR 83 (4)(b) Nutrition plan RCR 85(1)(d) Policies and procedures |
| 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 |
|---|---|
| 33280 - RCR s.85(1)(d) | A licensee must do all of the following: (d) ensure that policies are implemented by employees. Observation: Facility policies regarding wound care audits were not followed. Corrective action: A corrective action plan is required. |
| 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: Licensing determined that a care plan was not monitored as required. Corrective action: Corrective action plan required. |
| 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: Licensing determined that a care plan was not updated as required. Corrective action: A corrective action plan is required. |
| 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: A care plan was not implemented as required. Corrective action: A corrective action plan is required. |
| 34890 - RCR s.83(4)(b) | Subject to subsection (5), a licensee, other than a licensee who provides a type of care described as Hospice, must (b) immediately seek the advice of a health care provider if the person in care has experienced, unintentionally, a significant change in weight, Observation: A health care provider was not contacted regarding weight change as required. Corrective action: A corrective action plan is required. |
| 39060 - RCR s.76(1) | If a person in care becomes ill or is injured while under the care or supervision of a licensee, the licensee must immediately notify the parent or representative, or contact person, of the person in care. Observation: The licensee failed to notify the representaive as required. Corrective action: A corrective action plan is required. |
| 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. |
| Status Update |
|---|
| No further action required. All contraventions have been addressed. |
| Updated on June 02, 2021. |
