The following was observed to be corrected;
- house temperature heating/cooling system will be checked this summer. Staff have been coached to leave temperature regulator between 21-25 degrees celsius. This was reviewed in staff meeting and communication book and there is a note beside the thermostat.
-the backyard swing is not in use at present and may be discarded when backyard is renovated after ALRT construction is completed. The manager states the noise levels in the house are not observed to be bothersome to the residents
-the debris noted by the LO at routine inspection was not observed today.
-the storage shed has been moved by ALRT and is unusable at present. The remaining storage space is maximized and edited regularly. Emergency supplies are currently stored in an alcove at the front door. There is a system in place for regular checks.
-the peeling paint has been repaired in all areas
-the broken window blind in the bedroom has been repaired, a living room blind will be attended this week.
-the PRN medications have been reviewed and have been signed with results of the medication identified
-review of the Policy and Procedures, the manager demonstrated an introduction page on the front of the hard copy of P&P and the computer copy as well, which states that all policies are reviewed yearly, only policies requiring revision are revised. This meets the intention of the Regulations and is accepted as response to this contravention.
-nutrition audits were observed for the winter menu, resident survey/satisfaction audits were observed.
-the manager states that all care plans are reviewed each July. There will be a review this July and each section will be dated to demonstrate their review.
-there has been coaching with regard to the importance of regularly recording weights. Weight records were observed to be complete for March and April.
-freezer and fridge items were observed to be labelled appropriately.
- the pharmacy label observed to be missing from cough syrup was later found to be present on the bottle inside the box. This meets the regulation intent.
-the substitution list was observed to be completed for several times each month. Discussion with the manager included appropriate inclusions for the substitution list such as celebration meals and meals out as well as the usual substitutions for menu items. The issue of over-cooking and using left-overs was reviewed. When this happens the leftovers must be recorded to ensure that the PICs receive enough variety of nutrients.
The Team Leader was not present at the time of this inspection but was contacted by phone. There are two outstanding performance reviews at this time. The Team Leader will email the plan for completion to licensing later today.
All items have been addressed at this time. thank you for assistance with this inspection.
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