The facility has previously been repeatedly contravened for continuing damage to the wallboard corner beads and the doors and frames. It is apparent that some progress has been achieved, in that there is new Kydex (?) hard wallboard protector surface and metal strips strategically installed to protect the larger vulnerable surfaces. There is a replacement door, the right hand door as one enters the tub room, that is hollow-core and there is a perforation to the skin caused by a resident lift device. The manager states this was to be a temporary door, but the replacement door has not been installed. Also, the door jam mouldings are excessively damaged to some of the bedroom openings, particularly the room of KY. Please provide licensing with a plan whereby the maintenance to the remaining vulnerable areas can be achieved on a regular basis. Response due Nov. 30, 2017.
The outside activity area was observed. The concrete patio area with seating and shelter from the elements. The grass area was observed to have significant disruptive damage to the surface caused by small animals that have rolled up the sod in many areas. The manager states that the grass area is all but unusable for the residents as the wheelchairs used by all residents cannot be taken onto the grass because it is too soft. Please provide a plan to ensure that appropriate maintenance occurs in the outside space.
There were 2 staff files reviewed. The first-aid/CPR qualifications for the staff were reviewed and were certified for Healthcare providers. Please review the Schedule C available at the back of the Residential Care Regulations to ensure the qualification activities meet with the description of requirements in this Schedule C. Response due Nov. 30, 2017.
Discussion occurred about the provision of ENSURE for one PIC who pays for the product themselves. It was unclear if the product was ordered by the physician or the dietitian. Review of the legislation occurred with the manager who will confirm the origin of the direction to provide the PIC with ENSURE and whether it is the licensee responsibility to pay, as per RCR 67(1)(a) for the product.
Documentation for Food Safe training was not observed for one staff. The staff was contacted and will either bring in their certificate, this was done during the inspection.
I would like to thank the staff who were present and/or assisted with the inspection.
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