Ontario long-term care home ordered to find new management after failing to comply with inspection notices

An Ontario long-term care home has been ordered to seek an outside administrator to temporarily oversee day-to-day operations after failing to comply with a series of inspection notices over a three-year period.

According to public recordsThe order was issued on July 20 by the director of inspections for the Ministry of Long-Term Care at Caressant Care, located on McLaughlin Road in Lindsay, Ontario.

The report found that between June 2019 and July 2022, several written notices and compliance orders were issued during inspections and the home had not taken the necessary steps to correct the problems.

The report outlined five “recurring and ongoing non-compliance” issues, including lack of personal protective equipment outside isolation rooms, lack of documentation of medication errors, lack of documentation of adverse medication incidents, the failure to bathe residents at least twice a week and the failure to provide mandatory training to staff within a week of their hire.

It also listed many other issues found during a June 17 inspection, which they say resulted in 18 written notices and three compliance orders.

Two of the largest areas of noncompliance related to wound care and control of infection symptoms. In June, an inspector found that a resident was “at risk for discomfort and wound deterioration when the resident’s wound infections were not monitored on each shift and medication efficacy was not evaluated.”

The ministry also found that designated cooling areas in the home did not maintain a “comfortable” temperature between May 15 and September 15.

It also found that in June there was no air conditioning in designated cooling areas or those areas were closed and not accessible to residents.

“The temperature in the room of unit three and the outside temperature was 27 degrees Celsius,” the report said. “Residents were at risk for heat-related illnesses.”

Provincial legislation passed last year required all long-term care homes to have air conditioning available in residents’ rooms by June 2022.

Carrasent Care said in a statement to CTV News Toronto on Thursday that they have since made sure all residents have access to air conditioning in their rooms.

“As always, our priority is to provide a high level of care for our residents,” said Stuart Oakley, Marketing and Communications Manager.

The report also indicates that there have been frequent changes in leadership. Between January 2021 and September 2021, the home had three executive directors and no care directors, and then in February 2022, three leadership-level staff members were laid off. According to the ministry, numerous employees were hired but then quit months and sometimes weeks later.

“These frequent vacancies and turnover in a short period represent instability within the household at the management level, who are tasked with leading and managing the operations of the household,” the report said.

As a result of these infractions, the Ministry of Attention to Dependency has ordered that the home seek a new third-party management.

“What this means is that Caressant Care will enter into a management contract for McLaughlin Road with a person or persons to oversee daily operations at the home on a temporary basis. The person(s) will work with Caressant Care staff to help manage the home and settle any pending orders, as well as help ensure the home is operating to ministry standards,” Oakley said.

“Caressant Care is working to ensure that a third party enters into a management contract that must be approved by the Ministry of Long Term Care. At this time it is not known who will be the third-party firm.”

A spokesman for the Ministry of Long-Term Care said the order will give the home an opportunity to address enforcement orders, as well as stabilize its leadership staff and ensure staff are up-to-date with their training.

“The ministry continues to monitor the house closely through regular follow-up inspections and ongoing contact with the operator to ensure the safety and well-being of the residents currently living in the house,” Mark Nesbitt said in a statement.

“The Director’s Order shall remain in effect until the Director of Inspections is satisfied that the licensee has complied with all conditions outlined in the Director’s Order, which includes the requirement to achieve compliance with all Compliance Orders issued by ministry inspectors.

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