| Peace Arch Hospital ECU - Complaint Information |
| General Details | |
|---|---|
| Facility Type | Residential Care (Hospital Act) - 400 |
| Investigation Completed | September 16, 2021 |
| Reason for Investigation | - Staffing - Care and supervision |
| Report of Findings |
|---|
| Licensing received a complaint on June 28, 2021, regarding staffing and care & supervision. The complainant provided the following concerns: - the person in care (PIC) suffered a heat related illness due to lack of supervision - staff failed to provide appropriate care, causing pain to the PIC - the PIC had unexplained injuries - staff failed to use and store PIC's devices proprerly - there was a delay in contacting emergency health services 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 19(1)(b) provide a signalling device to identify location of PIC to employees - RCR s. 81(4)(b)(i) care plan reviewed and modified if substantial change in circumstances - RCR s. 85(1)(a) policies and procedures to guide staff in matters related to care & supervision - RCR s. 82 care & supervision is consistent with the terms and conditions of the care plan |
| 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 |
|---|---|
| 31150 - RCR s.19(1)(b) | If a person in care requires monitoring, or a signalling device, to ensure that person's health and safety, a licensee must provide a monitoring system or signalling device that (b) will identify to employees the location of the person in care. Observation: The person in care (PIC) was not monitored in a manner that allowed employees to know the whereabouts of the PIC. Corrective action: Ensure the PIC's location is monitored by employees To be corrected by: Corrective action required. |
| 33220 - RCR s.85(1)(a) | A licensee must do all of the following: (a) have written policies and procedures for the purposes of guiding staff in all matters relating to the care and supervision of persons in care. Observation: Licensing determined policies and procedures were not available for certain matters related to providing care. Corrective action: Corrective action required. To be corrected by: Corrective action 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 a care plan was not modified despite a substantial change. Corrective action: Corrective action required. To be corrected by: Corrective action 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: Licensing determined a PIC's care plan was not always followed. Corrective action: Corrective action required. To be corrected by: Corrective action required. |
| Actions Required by Licensee/Operator | |
|---|---|
| - No further action required. All contraventions have been addressed. |
| Action Required by Licensing Officer or Medical Health Officer | |
|---|---|
| - No further action required. All contraventions have been addressed. - Review and monitor corrective action plan > Follow up inspection required. |
