NIGEL HOUSE - Inspection Report
Inspection Information:
Facility TypeResidential Care - 400
Inspection TypeRoutine
Inspection DateNovember 01, 2021

Contraventions: A summary of the new contraventions found during the inspections are listed below.

Code Category/Description
3000 - RCR 22(1)(b)PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS
A licensee must ensure that all rooms and common areas are maintained in a good state of repair
Observation: Licensing toured the facility on this date. Licensing observed scrapes and scratches on the walls in the hallways and in person in care's bedrooms.
Corrective action: Ensure that all rooms and common areas are maintained in a good state of repair. Action/s Required by Licensing: Follow Up Inspection to be conducted.
To be corrected by: 01-Dec-2021
3010 - RCR 86(b)STAFFING
A licensee must keep the following records in respect of each employee: A licensee must keep the following records in respect of each employee: character reference
Observation: Licensing audited six employee files. One employee file had one reference.
Corrective action: Ensure that each employee has a record of character references. Action/s Required by Licensing: Follow Up Inspection to be conducted.
To be corrected by: 15-Nov-2021
3010 - RCR 86(c)STAFFING
A licensee must keep the following records in respect of each employee: compliance with the Province's immunization and tuberculosis control programs,
Observation: Licensing audited six employee files. Two employee files did not have a record of immunization.
Corrective action: Ensure that each employee has a record in compliance with the Province's immunization and tuberculosis control programs. Action/s Required by Licensing: Follow Up Inspection to be conducted.
To be corrected by: 15-Nov-2021
3060 - DOLSOP (Immunization records)HYGIENE & COMMUNICABLE DISEASE CONTROL
Clear and up to date records of immunization status kept for each person in care
Observation: Licensing audited three person in care's immunization records. One person in care did not have a record of tuberculosis.
Corrective action: Ensure that each person in care has clear and up to date records of immunization status. Action/s Required by Licensing: Follow Up Inspection to be conducted.
To be corrected by: 15-Nov-2021
3070 - RCR 83(4)(a)RECORDS & REPORTING
Subject to subsection (5), a licensee, other than a licensee who provides a type of care described as Hospice, must ensure that each person in care is weighed at least once each month,
Observation: Licensing audited three person in care's weight records. All three weight records were missing a June 2021 weight record.
Corrective action: Ensure that each person in care is weighed at least once each month. Action/s Required by Licensing: Follow Up Inspection to be conducted.
To be corrected by: 01-Feb-2022
3080 - RCR 11(1)(b)LICENSING
A licensee, other than a licensee who provides a type of care described as Child and Youth Residential or Community Living, must display in a prominent place in the community care facility the most recent routine inspection record made under section 9 (1) (d) of the Act.
Observation: Licensing toured the facility on this date. The most recent routine inspection record was not displayed in the facility.
Corrective action: Ensure that the most recent routine inspection record is displayed in a prominent place in the community care facility. Action/s Required by Licensing: Follow Up Inspection to be conducted.
To be corrected by: 01-Nov-2021
3080 - RCR 72(b)MEDICATION
A licensee must ensure that a person in care's medication is returned to the dispensing pharmacy if the expiry date on the medication has passed.
Observation: Licensing audited the medication cart on this date. There was one medication that had expired September 2021. The medication was taken out of the cart by the Manager to be returned to pharmacy.
Corrective action: Ensure that medications are returned to the dispensing pharmacy if the expiry date on the medication has passed. Action/s Required by Licensing: Follow Up Inspection to be conducted.
To be corrected by: 01-Nov-2021