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  • A G E N D A DEARNESS HOME COMMITTEE OF MANAGEMENT Meeting to be held on Tuesday, September 4, 2018, commencing at 12:00 PM, at Dearness Home, 710 Southdale Road E, London N6E 1R8. Committee Members: Councillors H.L. Usher (Chair), A. Hopkins (Vice Chair), T. Park, V. Ridley, and J. Zaifman, and C. Saunders (Secretary). I. CALL TO ORDER

    1. Disclosures of pecuniary interest(s), if applicable. II. CONSENT ITEMS

    2. 3rd Report of the Dearness Home Committee of Management

    3. Administrator’s Report to the Committee of Management for the Period May 1, 2018 to July 31, 2018.

    III. SCHEDULED ITEMS IV. ITEMS FOR DIRECTION V. DEFERRED MATTERS/ADDITIONAL BUSINESS VI. CONFIDENTIAL VII. NEXT MEETING DATE

    November 14, 2018 at 12:00 p.m., Committee Room #4, City Hall. VIIl. ADJOURNMENT

  • MINUTES OF THE 3RD MEETING OF THE DEARNESS HOME COMMITTEE OF MANAGEMENT Meeting held on Wednesday, May 23, 2018, commencing at 12:01 PM in Committee Room #4, 2nd floor, City Hall. PRESENT: Councillors H.L. Usher (Chair), A. Hopkins, T. Park, V. Ridley, and J. Zaifman, and L. Rowe (Acting Secretary). ALSO PRESENT: S. Datars Bere, A. Hagan, B. Hall (Extendicare), E. Marion-Bellemare, L. Marshall and J. Westbrook. 1. Disclosures of Pecuniary Interest

    None were disclosed. 2. Minutes of the 2nd Meeting of the Dearness Home Committee of Management ZAIFMAN AND RIDLEY That the Minutes of the 2nd Meeting of the Dearness Home Committee of Management,

    from its meeting held on March 21, 2018, BE RECEIVED. CARRIED 3. Administrator’s Report to the Committee of Management for the Period March 1, 2018 to

    April 30, 2018 HOPKINS AND ZAIFMAN

    That, on the recommendation of the Administrator, Dearness Home, with the concurrence of the Managing Director, Housing, Social Services and Dearness Home, the report dated May 23, 2018, entitled “Administrator’s Report to the Committee of Management for the Period March 1, 2018 to April 30, 2018”, BE RECEIVED for information. CARRIED

    4. Next Meeting Date That it BE NOTED that the next meeting of the Dearness Home Committee of

    Management will be held September 19, 2018, 12:00 PM, at the Dearness Home. 5. Adjournment

    ZAIFMAN AND RIDLEY That the meeting of the Dearness Home Committee of Management BE ADJOURNED. CARRIED. The meeting adjourns at 12:30 PM. ___________________________________ H.L. Usher, Chair ___________________________________ L. Rowe, Acting Secretary

  • Agenda Item # Page #

    □ □ TO:

    CHAIR AND MEMBERS

    DEARNESS HOME COMMITTEE OF MANAGEMENT MEETING ON SEPTEMBER 4, 2018

    FROM: BRAD HALL

    ADMINISTRATOR, DEARNESS HOME

    SUBJECT:

    ADMINISTRATOR’S REPORT TO THE COMMITTEE OF MANAGEMENT FOR THE PERIOD MAY 1, 2018 TO JULY 31, 2018.

    RECOMMENDATION

    That, on the recommendation of Administrator, Dearness Home and with the concurrence of the Managing Director, Housing, Social Services and Dearness Home, this report related to the Dearness Home BE RECEIVED for information.

    PREVIOUS REPORTS PERTINENT TO THIS MATTER

    • March 21, 2018, Administrator’s Report November 16, 2017 to February 28, 2018 • May 23, 2018, Administrator’s Report March 1, 2018 to April 30, 2018

    BACKGROUND

    Service Provision Statistics:

    Occupancy Average January 1, 2018 to

    July 31, 2018

    Occupancy Average for

    Previous Year (2017)

    98.4% 98.34%

    Number of Individuals on Waiting List as of

    September 16, 2017

    Number of Individuals on Waiting List as of January 22, 2018

    Number of Individuals on Waiting List as of March

    21, 2018 Basic – 275 Private - 52

    Basic – 271 Private - 39

    Basic – 278 Private - 47

  • Agenda Item # Page #

    □ □ Compliance Report/Update: Critical Incidents – The Ministry of Health and Long Term Care (MOHLTC) has a Mandatory and Critical Incident Reporting process which requires reporting of all critical incidents in the Home. The following critical incidents were reported to the MOHLTC during the reporting period:

    Mandatory and Critical Incident Reporting

    Incident Type and Number (n) of Incidents

    Issues Status

    An injury that results in a resident transfer to hospital:

    • Falls with Fracture (3)

    Fractures include a right hip, a left hip and a pelvic fracture.

    All required documentation was completed. The residents affected had their plan of care reviewed by the Falls Committee and Management team to ensure improved processes are in place to mitigate further falls. Fall Statistics:

    • 22.2% of residents fell in May.

    • 23.4% of residents fell in June.

    • 19.7% of residents fell in July.

    • 42.6% of residents who fell were found on the floor (unwitnessed).

    • 82.3% had no injury.

    • 17.7% had temporary injury.

    • 1.6% were transferred to hospital.

    Abuse or neglect of a resident that resulted in harm or risk of harm: Suspected Abuse (2):

    • Staff to Resident (1) • Resident to Resident (1)

    Followed City of London/ Dearness Home process for Resident Abuse and Neglect Policy and Internal process. Organization to assess and provide interventions to mitigate further harm/risk.

    Investigations completed and all appropriate actions taken with staff and residents involved for all incidents.

    An Outbreak of a Reportable Disease:

    • Acute Respiratory (1)

    • Enteric (1)

    The acute respiratory outbreak on 4 West, Pine Grove was declared on May 2, 2018 and resolved on May 8, 2018. There was minimal resident impact. The enteric outbreak on 4 West, Pine Grove was declared on July 11, 2018 and resolved on July 16, 2018. There was minimal resident impact.

    Daily surveillance and infection control measures are in place to minimize a chance of outbreak and/or duration of outbreak.

    Missing Resident • Missing less than 3

    hours. (1)

    Resident returned to the home unharmed. Resident failed to notify staff of their outing.

    All required documentation was completed. Code Yellow policy was followed.

  • Agenda Item # Page #

    □ □ Infection Control The Dearness Home’s Public Health representative attended its Professional Advisory Committee meeting in June and provided comments around the Home’s infection control practices. Comments included that our early identification reporting of the initial suspected respiratory outbreak was very effective in preventing further transmission and reinforced the Home’s diligence with preparation for a possible influenza outbreak including reinforcement for unvaccinated staff to receive influenza vaccinations. Ministry Inspections/Visits: The Public report related to a visit by the Ministry of Health and Long Term Care on April 12, 13, 19, 20 and 23, 2018 attached as “Appendix A”. This report was not available for the May 23, 2018 Committee of Management meeting. The purpose of this inspection was to conduct a Critical Incident System Inspection related falls. There were no findings. The Public report related to a visit by the Ministry of Health and Long Term Care on April 19, 20, and 23, 2018 attached as “Appendix B”. This report was not available for the May 23, 2018 Committee of Management meeting. The purpose of this inspection was to conduct a Critical Incident System Inspection related to alleged abuse. There were three (3) written notifications (WNs) and two (2) voluntary plans of correction (VPCs) issued. The Home’s voluntary plan of correction attached as “Appendix C”. The Ministry of Health and Long Term Care visited the Dearness Home on July 19, 2018 to conduct a Critical Incident Review related to falls. The public report attached as “Appendix D”. There were no findings. The Middlesex-London Health Unit visited the Dearness Home on May 28, 2018 to conduct a Food Safety Inspection. There were no findings. The Ministry of Labour visited the Dearness Home on May 24, 2018 to conduct an Occupational Health and Safety Review regarding the Home’s respiratory outbreak on April 24, 2018. There were no findings. Health and Safety: The Occupational Health and Safety (OHS) Committee met monthly during the reporting period, and regular inspections were conducted. Health and Safety procedures continue to be reviewed annually and the committee remains on track with the annual review. Health and Safety workplace inspections were completed and timely responses to items have been addressed. The Supervisory Report of Injuries (SROIs) are also reviewed at the OHS Committee level and results are reviewed at the Continuous Quality Improvement Committee. An improved tracking of Workplace Violence Prevention has been developed and implemented. This allows for incidents related to a specific person to be recognized and the information shared with the Behavioural Supports Team. General Updates: Highlights in the Recreation Department include:

    • Dearness Home received its Year 3 seal of Accreditation through the Commission on Accreditation for Rehabilitation Facilities

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