CARE AND/OR SUPERVISION: 34360 - RCR s.63(3)(c)(iii) - A licensee must ensure that meals are provided (c) by ongoing room tray service, if (iii) approved by the person in care's medical practitioner or nurse practitioner.
Observation: Two persons in care receive on-going tray service, however there is no evidence of this being approved by the person in care's medical practitioner.
Corrective Action(s): Please ensure that for any person in your care who receives on-going tray services, it has been approved by the person in care's medical practitioner.
Date to be Corrected:
CARE AND/OR SUPERVISION: 34590 - RCR s.81(2)(b) - A care plan must be developed, to the extent reasonably practical, (b) in a manner that takes into account the unique abilities, physical, social and emotional needs, and cultural and spiritual preferences of the person in care.
Observation: In a review of care plans for three persons in care (PIC), the following was determined:
-Information available in a care plan and on a bedroom ADL poster was not consistent in the direction provided regarding the use of a mechanical lift and bed alarm for one PIC.
-A second PIC is sight impaired and has specific care requirements, however this information is not included in their care plan.
-Five PIC who have specific nutritional care needs either did not have this included in their care plan or the information that was included, contradicted information found in another record.
-One PIC who is at risk for falls, did not have a fall prevention plan.
-Three PIC who use restraints, do not have those restraints included in their care plan.
Corrective Action(s): Please ensure that each person in your care has a care plan developed that takes into account their unique abilities, needs and preferences.
Date to be Corrected:
HYGIENE AND COMMUNICABLE DISEASE: 35020 - RCR s.49(1) - A licensee must require all persons admitted to a community care facility to comply with the Province's immunization and tuberculosis control programs.
Observation: Of five charts for persons in care that were reviewed, three had no evidence of compliance with the Province's immunization and tuberculosis control programs.
Corrective Action(s): Please ensure that all persons admitted into your care comply with the Province's immunization and tuberculosis control programs.
Date to be Corrected: This was corrected by day two of the routine inspection.
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