Staffing:
- A discussion took place regarding long term staff with the contractor only having 1 reference on their personnel file prior to the Residential Care Regulation coming into force on October 1, 2009. The Director of Care will have a discussion with the contract company to ensure more than 1 character reference is documented on their personnel files. The Director of Care confirmed all staff hired by Langley Lodge have more than 1 character reference that is asked for.
Policies and Procedures:
- The Director of Care has a plan to review and/or revise the policies and procedures.
Medication Safety and Advisory Committee:
- A Medication Safety and Advisory Committee meeting took place on March 1, 2022.
Recreation Care Plans:
- All persons in care have a recreation care plan in-place.
Medication:
- A random review of one medication cart and narcotics appeared to indicate staff are initialing/signing off as required for counts of the narcotics.
Records and Reporting:
- The care staff are to ensure persons in care are weighed within first 7 days of the month. The Dietitian and Care Manager for the Care Aides review the monthly weights the 3rd week of the month to see which person in care needs to be re-weighed and this is communicated to the staff. There appears to be a significant improvement in documentation of monthly weights and the facility has a system to ensure any gaps are addressed.
Physical Plant:
- Floor 6 in the lounge area the walls have been addressed in that the chips near the window have been addressed. The facility is in the process of changing the wall paint colours (for example, floor 4 new paint colour noted in the wall in the lounge). The facility will be working with a designer in terms of what paint colours and so on to be used. There appears to be an on-going maintenance plan in-place for the building.
- The Director of Care confirmed new furniture has been ordered for the facility as well.
Due to the Covid-19 pandemic, the findings were reviewed and discussed with the Director of Care and Manager at the time of the inspection. This inspection report was written off-site and then emailed on March 28, 2022 to the Director of Care and Manager for review and to finalize the report once they were in agreement to the wording. As a result of the pandemic, signature for the Director of Care or Manager is not included. If there are further questions related to this inspection, please contact your Licensing Officer. |