| Victoria Rest Home Ltd. - Complaint Information |
| General Details | |
|---|---|
| Facility Type | Adult Residential Care - 100 |
| Investigation Completed | June 10, 2020 |
| Reason for Investigation | - Physical facility, equipment & furnishings - Staffing - Care and supervision - Hygiene & communicable disease control - Nutrition and food services - Program |
| Report of Findings |
|---|
| Licensing received a complaint on February 7, 2020, regarding physical facility, staffing, care & supervision, hygiene, program, and nutrition & food services. The complainant provided the following concerns: - environmental risk - staff did not provide support in accessing necessary health services - food safety - limited planned programming - staff documentation practices - insufficient staff/staff training - emergency plan and supplies All areas of the complaint were fully investigated. Evidence was collected from interviews and records. Licensing determined the following contraventions: - Residential Care Regulation (RCR) s 54(2)(a) assistance provided to obtain health services - RCR s. 85(1)(d) policies implemented by employees - RCR s. 42(1)(a) sufficient number & pattern of trained & experienced staff at all times - to meet needs |
| 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 |
|---|---|
| 32170 - RCR s.42(1)(a) | A licensee must ensure that, at all times, the employees on duty are sufficient in numbers, training and experience, and organized in an appropriate staffing pattern, to (a) meet the needs of the persons in care. Observation: On several occasions, it was noted that when nursing shifts could not be filled, care staff were utilized to fill the shift. Corrective action: Corrective action required. |
| 33280 - RCR s.85(1)(d) | A licensee must do all of the following: (d) ensure that policies are implemented by employees. Observation: Documentation was not occurring as per nursing documentation policy. Corrective action: Corrective action required. |
| 34160 - RCR s.54(2)(a) | A licensee must (a) assist persons in care to obtain health services as required. Observation: It was observed that a person in care was not receiving the necessary supports to obtain health services as required. Corrective action: Corrective action 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 > Follow up inspection required. |
