Grey County Committee Meeting Transcript — January 15, 2026

00:00:00 Speaker 01: We're ready. Hey, good morning, everyone.

00:00:05 Speaker 01: Welcome to the first long-term care

00:00:07 Speaker 01: committee of management meeting for 2026.

00:00:10 Speaker 01: The first item of business today

00:00:13 Speaker 01: is the election of the chair

00:00:14 Speaker 01: and vice chair. So this position

00:00:17 Speaker 01: will run the rest of the

00:00:19 Speaker 01: 2026 council term. So to begin,

00:00:23 Speaker 01: we'll start with elections for chair

00:00:25 Speaker 01: of the committee. Are there any

00:00:27 Speaker 01: nominations to start off? and just

00:00:38 Speaker 01: confirming that the current chair is

00:00:40 Speaker 01: Councillor Scott Mackie. Councillor Coveney. Good

00:00:46 Speaker 01: morning, everyone, and I would nominate

00:00:49 Speaker 01: Councillor Scott Mackie to continue as

00:00:51 Speaker 01: chair of this committee. Thank you.

00:00:55 Speaker 01: Can I see a seconder? I

00:00:57 Speaker 01: believe. if I saw Councillor Nielsen,

00:00:59 Speaker 01: thank you. Are there any other

00:01:03 Speaker 01: nominations for chair of the committee

00:01:05 Speaker 01: of management? None. Is there a

00:01:10 Speaker 01: motion to close nominations? Councillor Nielsen,

00:01:16 Speaker 01: thank you. I can move that.

00:01:22 Speaker 01: Councillor Mackey, do you wish to

00:01:23 Speaker 01: have your name stand for chair

00:01:25 Speaker 01: of the committee? I appreciate the

00:01:32 Speaker 01: nominator and the seconder, and yes,

00:01:33 Speaker 01: I will let my name stand.

00:01:35 Speaker 01: Thank you. Thank you very much.

00:01:37 Speaker 01: You are so acclaimed. This time,

00:01:40 Speaker 01: I'll open the floor up to

00:01:42 Speaker 01: nominations for vice chair of the

00:01:44 Speaker 01: committee. Are there any nominations for

00:01:45 Speaker 01: vice chair, Councillor Mackey? Sorry, I

00:01:55 Speaker 01: missed that. I'm not sure if

00:01:56 Speaker 01: you're on mute or my volume's

00:01:57 Speaker 02: not working. Sorry, I was on

00:02:00 Speaker 02: mute, Tara. Your volume is working

00:02:02 Speaker 02: fine. I would nominate Councillor Patterson

00:02:03 Speaker 02: as vice chair. Thank you. And

00:02:07 Speaker 03: seconder, Councillor Hutchinson. Thank you. Are

00:02:10 Speaker 03: there any other nominations for vice

00:02:15 Speaker 03: chair? Seeing none. Motion to close

00:02:25 Speaker 03: nominations. Councillor Mackie, Councillor Carlton,

00:02:28 Speaker 03: take Councillor Carlton. Thank you,

00:02:32 Speaker 03: Councillor Patterson. Do you wish to

00:02:33 Speaker 03: have your name stand for vice

00:02:35 Speaker 03: chair? I would be pleased to

00:02:37 Speaker 03: have my name stand, and I

00:02:39 Speaker 03: thank the nominator and seconder. Right,

00:02:43 Speaker 03: thank you very much, and you

00:02:44 Speaker 03: are acclaimed vice chair of the

00:02:46 Speaker 03: committee for 2026. And at this

00:02:48 Speaker 03: time, I will pass it over

00:02:48 Speaker 03: to you, Chair Mackie, to continue

00:02:50 Speaker 03: the meeting. Thank you. Thank you,

00:02:55 Speaker 03: Tara. Good morning, everyone, and thanks

00:02:57 Speaker 03: once again for your confidence in

00:03:01 Speaker 02: my position as chair. Look forward

00:03:03 Speaker 02: to working with everyone over 2026,

00:03:06 Speaker 02: and this is, in my opinion,

00:03:08 Speaker 02: the most important committee that we

00:03:10 Speaker 02: have at Gray County, looking after

00:03:13 Speaker 02: our vulnerable seniors. So, with that

00:03:15 Speaker 02: being said, we will call the

00:03:17 Speaker 02: meeting to order for the Long

00:03:20 Speaker 02: Term Care Committee of Management. for

00:03:21 Speaker 02: January the fifteenth. Just remind members

00:03:25 Speaker 02: of the elected officials of your

00:03:27 Speaker 02: obligation to declare an interest. Seeing

00:03:31 Speaker 02: nothing, if anything should arise, you

00:03:32 Speaker 02: may declare it at that time.

00:03:36 Speaker 02: There is no delegations this morning,

00:03:41 Speaker 02: Tara. Correct. Thank you. Items for

00:03:45 Speaker 02: direction and discussion. We have the

00:03:48 Speaker 02: report, the LTC RRCM. The LTCRCM

00:03:51 Speaker 02: O one twenty six regarding the

00:03:53 Speaker 02: long term care director update be

00:03:56 Speaker 02: received for information. Can I have

00:03:58 Speaker 02: a mover, please? Moved by Councillor

00:04:00 Speaker 02: Patterson, second by Councillor Hutchinson. That

00:04:03 Speaker 02: is now on the floor, and

00:04:04 Speaker 02: I will turn it over to

00:04:06 Speaker 02: Jennifer Cornell. Good morning, Jen. Good

00:04:09 Speaker 02: morning. Good morning, committee. Congratulations, Chair

00:04:14 Speaker 04: and Vice Chair. I am giving

00:04:18 Speaker 04: a high level. A high-level update

00:04:21 Speaker 04: from the director's update report. I

00:04:23 Speaker 04: have moved some notes in front

00:04:24 Speaker 04: of me, so if there's questions,

00:04:30 Speaker 04: if someone could interrupt verbally, then

00:04:33 Speaker 04: because I won't notice a hand.

00:04:36 Speaker 04: So this report highlights the ministry

00:04:39 Speaker 04: updates for the period of November

00:04:42 Speaker 04: 1st to December 31st. A number

00:04:44 Speaker 04: of ministry updates over this time.

00:04:47 Speaker 04: November 12th, the November twelfth, the

00:04:49 Speaker 04: Minister of Long Term Care announced

00:04:53 Speaker 04: 180 million dollars in funding programs

00:04:54 Speaker 04: aimed at attracting and retaining nurses

00:04:57 Speaker 04: in long term care. And there's

00:04:59 Speaker 04: a series of different opportunities that

00:05:03 Speaker 04: are listed in the report. The

00:05:06 Speaker 04: Patient Budsmen's annual report for 2425

00:05:09 Speaker 04: was released on November thirteenth, and

00:05:11 Speaker 04: shows a 10% rise in complaints,

00:05:15 Speaker 04: which is just under 5,000 cases,

00:05:18 Speaker 04: and for committees' interest and information,

00:05:22 Speaker 04: some key long-term care themes included

00:05:26 Speaker 04: transitions of care, so related to

00:05:29 Speaker 04: hospital discharge, access to long-term care,

00:05:32 Speaker 04: hospital to long-term care placement. The

00:05:34 Speaker 04: top long-term care issues were around

00:05:37 Speaker 04: quality of care, communication, abuse and

00:05:41 Speaker 04: assault, discharge and transfers, safety, and

00:05:45 Speaker 04: persistent concerns around falls, wounds, and

00:05:48 Speaker 04: responsive behaviors. Future focus is

00:05:51 Speaker 04: around monitoring denied LTC admissions for

00:05:54 Speaker 04: dementia-related behaviors, falls, and skin

00:05:58 Speaker 04: integrity. And the report offered six

00:06:03 Speaker 04: recommendations around improvement around palliative care.

00:06:06 Speaker 04: And these these reports are really

00:06:08 Speaker 04: valuable and useful information for us

00:06:11 Speaker 04: to get a sense of what

00:06:14 Speaker 04: is happening more broadly. and what

00:06:17 Speaker 04: we can be planning for and

00:06:20 Speaker 04: thinking about, the the the monitoring

00:06:24 Speaker 04: of denied LTC admissions for dementia-related

00:06:28 Speaker 04: behaviors, is falls and skin integrity.

00:06:30 Speaker 04: It's this just speaks to the

00:06:31 Speaker 04: increasing level of acuity and complexity

00:06:33 Speaker 04: of the people that are moving

00:06:35 Speaker 04: into our long-term care homes or

00:06:39 Speaker 04: that are applying for long-term care

00:06:43 Speaker 04: homes, and as operators, for us

00:06:46 Speaker 04: to. balance providing placement and service

00:06:49 Speaker 04: that we feel we can safely

00:06:51 Speaker 04: accommodate, it's this balance of making

00:06:52 Speaker 04: sure that people are living in

00:06:53 Speaker 04: the place that they need to

00:06:56 Speaker 04: be living, and that we have

00:06:59 Speaker 04: the the resources to support that

00:07:02 Speaker 04: complexity. So it this is a

00:07:04 Speaker 04: it's an important matter. On November

00:07:06 Speaker 04: 18th, the Ministry of Long Term

00:07:08 Speaker 04: Care announced the continuation of free

00:07:11 Speaker 04: skin and wound care education. programs,

00:07:13 Speaker 04: including backfill to support staff to

00:07:17 Speaker 04: attend this training, and there's some

00:07:18 Speaker 04: specifics listed. Family Councils of Ontario

00:07:22 Speaker 04: has announced that they've received

00:07:24 Speaker 04: additional funding to support pilot projects

00:07:28 Speaker 04: focused on strengthening council resources across

00:07:31 Speaker 04: the province, and and this is

00:07:35 Speaker 04: important. It's we value the involvement

00:07:38 Speaker 04: of our family families in family

00:07:42 Speaker 04: council. and it's not always easy

00:07:44 Speaker 04: to have a broad number of

00:07:46 Speaker 04: families represented on family council. So,

00:07:50 Speaker 04: family councils of Ontario help support

00:07:53 Speaker 04: that work. On November 18th, the

00:07:55 Speaker 04: minister announced the consolidation of three

00:07:56 Speaker 04: nurse practitioner programs. So, it was

00:07:58 Speaker 04: three little programs that they've combined

00:08:01 Speaker 04: into one, just in an effort

00:08:06 Speaker 04: to support long-term care homes in

00:08:08 Speaker 04: recruiting nurse practitioners. into the into

00:08:10 Speaker 04: the field, and also as a

00:08:13 Speaker 04: part of the kind of cutting

00:08:14 Speaker 04: red tape. So, some of our

00:08:17 Speaker 04: concerns in long term care is

00:08:21 Speaker 04: around the reporting that's required for

00:08:23 Speaker 04: this little program, this little program,

00:08:24 Speaker 04: this little program, and so the

00:08:29 Speaker 04: ministry is making an effort to

00:08:32 Speaker 04: consolidate those programs. November twenty first,

00:08:35 Speaker 04: the ministry released a memo regarding

00:08:37 Speaker 04: annual annual emergency. management attestations, so

00:08:40 Speaker 04: part of the Fixing Long Term

00:08:41 Speaker 04: Care Act, homes must have an

00:08:44 Speaker 04: emergency plan in place, and they

00:08:48 Speaker 04: must submit an attestation confirming our

00:08:49 Speaker 04: compliance with our plan. And each

00:08:52 Speaker 04: of our three homes conducts an

00:08:54 Speaker 04: annual review and completes a very

00:08:57 Speaker 04: robust checklist to ensure compliance

00:09:01 Speaker 04: and identify any areas for improvement.

00:09:02 Speaker 04: December first, the ministry announced a

00:09:05 Speaker 04: one-time top up to. A one-time

00:09:07 Speaker 04: top-up to the supporting professional growth

00:09:10 Speaker 04: fund, an additional fourteen dollars and

00:09:13 Speaker 04: forty-two cents per bed per month,

00:09:16 Speaker 04: and so that's a welcome investment

00:09:20 Speaker 04: that helps us support professional growth,

00:09:22 Speaker 04: education, training. On December tenth, the

00:09:25 Speaker 04: long-term care homes received a memo

00:09:27 Speaker 04: announcing the expansion of the modified

00:09:30 Speaker 04: cultural placement model. This was

00:09:32 Speaker 04: originally piloted in twenty-nine long-term care

00:09:35 Speaker 04: homes, and this model prioritized. And

00:09:37 Speaker 04: this model prioritizes crisis applications based

00:09:39 Speaker 04: on urgency, and when urgency is

00:09:42 Speaker 04: equal, gives preference to those who

00:09:45 Speaker 04: share the home's cultural background. And

00:09:47 Speaker 04: Advantage Ontario played a really big

00:09:53 Speaker 04: role in advocating for this work,

00:09:56 Speaker 04: as there we were seeing across

00:10:00 Speaker 04: the province a decline in people

00:10:02 Speaker 04: that are seeking culturally specific care

00:10:06 Speaker 04: access to that cultural. Access to

00:10:10 Speaker 04: that culturally specific care, and that

00:10:13 Speaker 04: might be it. Might be religiously

00:10:16 Speaker 04: specific. It might be culturally specific.

00:10:19 Speaker 04: So this is a really welcome

00:10:22 Speaker 04: change, and I'm feeling very hopeful

00:10:24 Speaker 04: that this legislative change may also

00:10:27 Speaker 04: support some of the challenges we're

00:10:29 Speaker 04: facing with specialized care units. So,

00:10:32 Speaker 04: for example, our behavioral support transition

00:10:33 Speaker 04: unit. We have residents who are.

00:10:35 Speaker 04: ready to transition to traditional long-term

00:10:37 Speaker 04: care, but because of the way

00:10:39 Speaker 04: our the placement language is, they

00:10:41 Speaker 04: are not always first on the

00:10:43 Speaker 04: list to make that transition. And

00:10:45 Speaker 04: so then they're remaining in the

00:10:46 Speaker 04: BSTU when they're ready to not

00:10:50 Speaker 04: be there, and then people who

00:10:52 Speaker 04: are waiting on the list won't

00:10:56 Speaker 04: have that access. So hopeful that

00:11:00 Speaker 04: this change will lead to a

00:11:02 Speaker 04: broader approach to that. Additionally, on

00:11:06 Speaker 04: that same day. there was an

00:11:09 Speaker 04: announcement increasing the number of designated

00:11:11 Speaker 04: reunification priority access beds across long-term

00:11:13 Speaker 04: care across Ontario, and this is

00:11:17 Speaker 04: intended to better support spouses and

00:11:20 Speaker 04: partners who wish to live together

00:11:22 Speaker 04: in long-term care, particularly those in

00:11:25 Speaker 04: crisis. Family updates: In December, we

00:11:27 Speaker 04: released the recording of our fourth

00:11:29 Speaker 04: quarterly family meeting. This meeting provided

00:11:32 Speaker 04: an overview. of these updates, as

00:11:34 Speaker 04: well as a summary of the

00:11:38 Speaker 04: resident and family experience survey results.

00:11:41 Speaker 04: The link is there if you

00:11:44 Speaker 04: wish to to watch it. We

00:11:47 Speaker 04: have moved to pre-recording our update

00:11:50 Speaker 04: and then sending it out to

00:11:52 Speaker 04: families and friends and individuals who

00:11:54 Speaker 04: have signed up to receive that

00:11:57 Speaker 04: information. We were hosting them in

00:11:58 Speaker 04: the evening and not really getting.

00:12:01 Speaker 04: a huge volume of people attending

00:12:04 Speaker 04: the live update, but a lot

00:12:06 Speaker 04: of people watching it later at

00:12:07 Speaker 04: their convenience. So we are just

00:12:09 Speaker 04: trialing pre-recording. If there's an urgent

00:12:13 Speaker 04: issue or people are looking to

00:12:15 Speaker 04: have a live event, we will

00:12:19 Speaker 04: we will do that. Infection prevention

00:12:24 Speaker 04: and control. There were a

00:12:28 Speaker 04: number of there was some updates

00:12:32 Speaker 04: and memos around the respiratory season.

00:12:36 Speaker 04: Our responsibilities and some recommendations about

00:12:37 Speaker 04: best managing and providing care and

00:12:39 Speaker 04: service in really higher trend of

00:12:43 Speaker 04: respiratory outbreaks, and we saw that

00:12:45 Speaker 04: in our own homes and we

00:12:47 Speaker 04: saw it locally. There's a

00:12:50 Speaker 04: lot of information in this section,

00:12:53 Speaker 04: and I'll just highlight that in

00:12:55 Speaker 04: response to these various recommendations, our

00:12:58 Speaker 04: three homes implemented universal. masking at

00:13:02 Speaker 04: all three homes on December nineteenth

00:13:06 Speaker 04: as an added precaution. When we

00:13:08 Speaker 04: do that, we have a a

00:13:12 Speaker 04: very broad process that includes the

00:13:14 Speaker 04: IPAC managers, the leadership teams, the

00:13:17 Speaker 04: residents, family council engagement with staff,

00:13:18 Speaker 04: and we make a commitment to

00:13:21 Speaker 04: assess on a regular basis. And

00:13:24 Speaker 04: we are working through an assessment

00:13:28 Speaker 04: right now to determine. whether we

00:13:30 Speaker 04: will reduce the universal masking next

00:13:31 Speaker 04: week, based on trends of outbreaks

00:13:33 Speaker 04: and and the feelings of the

00:13:34 Speaker 04: residents and families, and that it's

00:13:35 Speaker 04: kind of like back in the

00:13:38 Speaker 04: COVID days, we would turn down

00:13:40 Speaker 04: the volume and turn up the

00:13:44 Speaker 04: volume depending on what's happening around

00:13:47 Speaker 04: us. And there really was a

00:13:49 Speaker 04: high number of influenza cases, and

00:13:51 Speaker 04: in our operation report, Dana will

00:13:56 Speaker 04: speak to some of this as

00:13:57 Speaker 04: well. A higher number of influenza

00:13:59 Speaker 04: cases than there has been historically.

00:14:02 Speaker 04: Staffing and training. You know, we

00:14:06 Speaker 04: continue to recruit, continue to work

00:14:09 Speaker 04: with our student placement partners and

00:14:11 Speaker 04: our and opportunities with colleges. And

00:14:13 Speaker 04: throughout November, we focused on Fall

00:14:15 Speaker 04: Prevention Month. The fourth quarter of

00:14:18 Speaker 04: our staff wellness newsletter was released

00:14:21 Speaker 04: at the end of December, and

00:14:25 Speaker 04: this newsletter promotes our employee assistance

00:14:28 Speaker 04: program, wellness tips and resources, colorit

00:14:31 Speaker 04: spirit photos, colorit stories, our the

00:14:33 Speaker 04: diversity and inclusion calendars, IPAC tips,

00:14:36 Speaker 04: all sorts of information, and it's

00:14:38 Speaker 04: a digital document that people can

00:14:41 Speaker 04: access and follow links. Accreditation as

00:14:44 Speaker 04: part of our ongoing accreditation

00:14:45 Speaker 04: journey, all three homes have completed

00:14:48 Speaker 04: the 2025 global workforce survey. These

00:14:50 Speaker 04: results, along with the the corporate

00:14:52 Speaker 04: employment With the the corporate employee

00:14:54 Speaker 04: survey experience survey will be analyzed

00:14:55 Speaker 04: to develop action plans for improvement,

00:14:58 Speaker 04: and we'll be conducting this annually.

00:15:00 Speaker 04: And so we're working in that

00:15:03 Speaker 04: assessment stage right now, and then

00:15:06 Speaker 04: looking at what action plans that

00:15:08 Speaker 04: we need to be implementing and

00:15:10 Speaker 04: working with our teams. Partnerships, lots

00:15:11 Speaker 04: of activity happening over this period.

00:15:13 Speaker 04: The rural healthcare symposium was

00:15:15 Speaker 04: held on November fourteenth, and I

00:15:17 Speaker 04: was pleased to have an invitation

00:15:22 Speaker 04: to be a part of that.

00:15:24 Speaker 04: Gray County. That Grey County representatives

00:15:26 Speaker 04: shared insights, successes, and addressed the

00:15:29 Speaker 04: unique challenges facing rural communities. The

00:15:32 Speaker 04: Prep LTC Student Placement Program for

00:15:34 Speaker 04: Grey County was featured in the

00:15:37 Speaker 04: Ontario Centers for Learning Research and

00:15:41 Speaker 04: Innovation (CLRI) annual report. It's linked

00:15:43 Speaker 04: here. Its success continues to grow.

00:15:46 Speaker 04: With our coordinator presenting strategies at

00:15:47 Speaker 04: Advantage Ontario's Health Human Resources Senior

00:15:51 Speaker 04: Care session in Toronto, and Session

00:15:52 Speaker 04: in Toronto on November 4th. So

00:15:55 Speaker 04: really excited that Stephanie had the

00:15:58 Speaker 04: invitation and was able to go

00:16:00 Speaker 04: in and make that presentation to

00:16:02 Speaker 04: celebrate teamwork across all three homes.

00:16:05 Speaker 04: There's a short video linked here

00:16:08 Speaker 04: highlighting our achievements that was showcased

00:16:10 Speaker 04: at our long-term care leadership day

00:16:13 Speaker 04: on November 19th. I had a

00:16:15 Speaker 04: chance to participate in Queens Park

00:16:17 Speaker 04: Lobby Day or Advocacy Day on

00:16:19 Speaker 04: November 24th. It's a key advocacy

00:16:23 Speaker 04: event focused on seniors' care

00:16:25 Speaker 04: had a chance to have meetings

00:16:26 Speaker 04: with ministers, opposition leaders, political staff

00:16:29 Speaker 04: to discuss sector priorities such as

00:16:31 Speaker 04: staffing, funding, mental health supports, and

00:16:34 Speaker 04: expanded housing options. These conversations highlighted

00:16:38 Speaker 04: the growing pressures on long-term care

00:16:40 Speaker 04: due to an aging population and

00:16:42 Speaker 04: rising resident acuity. And it was

00:16:45 Speaker 04: it was a really great day

00:16:47 Speaker 04: and a and I was Advantage

00:16:50 Speaker 04: Ontario hosts. a reception at the

00:16:52 Speaker 04: end of the day that was

00:16:55 Speaker 04: very well attended, and there were

00:16:58 Speaker 04: speakers from all three of the

00:17:00 Speaker 04: parties, ending with Minister Kusendova, Basha,

00:17:02 Speaker 04: who is the Minister of Long

00:17:06 Speaker 04: Term Care. And one thing that

00:17:08 Speaker 04: I just was so feeling so

00:17:09 Speaker 04: pleased about was the alignment of

00:17:11 Speaker 04: the speaking of the speakers across

00:17:14 Speaker 04: all three parties, united in the

00:17:16 Speaker 04: goal of improving the experience. of

00:17:19 Speaker 04: the lives of the people that

00:17:22 Speaker 04: live and work in long-term care,

00:17:24 Speaker 04: and that was heard across all

00:17:25 Speaker 02: three. It was across all three

00:17:28 Speaker 02: parties, and it was really, it

00:17:31 Speaker 02: was really heartwarming and really feeling

00:17:33 Speaker 02: very hopeful. And that's my report.

00:17:34 Speaker 02: And happy to answer any questions

00:17:37 Speaker 02: if there are any. Thanks very

00:17:38 Speaker 02: much, Jen. It's very uncommon to

00:17:43 Speaker 02: have alignment of three provincial parties,

00:17:46 Speaker 05: so that's great to see that

00:17:49 Speaker 05: they're all advocating in the same.

00:17:52 Speaker 05: direction. Are there questions from members

00:17:56 Speaker 05: of the committee? Vice Chair Patterson,

00:17:59 Speaker 05: go ahead, please. Thank you, Chair

00:18:00 Speaker 05: Mackey. Through you, thanks for the

00:18:03 Speaker 05: detailed report, Jen. My question is

00:18:05 Speaker 05: the patient ombudsman annual report. It

00:18:09 Speaker 04: spoke to stronger discharge planning. Can

00:18:13 Speaker 04: you expand on that? And that

00:18:16 Speaker 04: is that discharge to other homes

00:18:19 Speaker 04: and their own home. Their own

00:18:25 Speaker 04: homes, residents' homes. Can you just

00:18:29 Speaker 04: expand a bit, please? My take

00:18:32 Speaker 04: on it is discharge planning to

00:18:36 Speaker 04: be this very successful kind of

00:18:39 Speaker 04: warm handoff and a transition from

00:18:41 Speaker 04: one one organization to another, and

00:18:43 Speaker 04: particularly hospital or in crisis in

00:18:47 Speaker 04: the community to long term care,

00:18:51 Speaker 04: so that. we have. It's really

00:18:55 Speaker 04: important that all the parties have

00:18:58 Speaker 04: all the information, all of the

00:19:01 Speaker 04: tools, all of the resources to

00:19:03 Speaker 04: make that move successful for the

00:19:07 Speaker 04: resident and their family. And it's

00:19:09 Speaker 04: very easy for for some things

00:19:12 Speaker 04: to go wrong in that transition

00:19:15 Speaker 04: and those first weeks of. of

00:19:18 Speaker 04: moving in; those first days are

00:19:21 Speaker 04: very overwhelming for everyone, and that

00:19:25 Speaker 04: can set the tone of the

00:19:26 Speaker 04: experience for a long period of

00:19:28 Speaker 04: time. So it's it's really about

00:19:30 Speaker 04: making sure that all of the

00:19:32 Speaker 04: background information is shared across all

00:19:35 Speaker 04: of the parties. And I

00:19:37 Speaker 04: don't know. I saw Denne. I

00:19:40 Speaker 04: don't know if you had anything

00:19:42 Speaker 04: to add, Denne. No, I. think

00:19:44 Speaker 04: I was just echoing about that

00:19:46 Speaker 04: very critical period in transitions and

00:19:47 Speaker 04: care, where the communication, the accurate

00:19:53 Speaker 04: documentation, particularly when folks may not

00:19:59 Speaker 04: have regular care providers or primary

00:20:01 Speaker 04: care providers, and may have been

00:20:03 Speaker 02: receiving care from a variety of

00:20:07 Speaker 02: sources. So, I think that is

00:20:10 Speaker 02: a pretty significant timeframe. Thank you.

00:20:14 Speaker 02: Any other questions from members? The

00:20:16 Speaker 02: chair does have a question, Jen.

00:20:18 Speaker 02: Just and again, it's part of

00:20:21 Speaker 02: the Amisburn report, but the monitoring

00:20:23 Speaker 04: denied LTC admissions. Can you speak

00:20:25 Speaker 04: more about who gets denied? And

00:20:27 Speaker 04: I, I wasn't aware people were

00:20:34 Speaker 04: denied access. Sure. And through you,

00:20:37 Speaker 04: Mr. Chair, kind of forgot the

00:20:39 Speaker 04: rules of the day a minute

00:20:42 Speaker 04: ago. So through you, Mr. Chair,

00:20:45 Speaker 04: that's a great. It's a good

00:20:48 Speaker 04: question. and it is. So, it

00:20:49 Speaker 04: is. Operators and homes are. To,

00:20:51 Speaker 04: it's really important that when application

00:20:53 Speaker 04: the application process happens, part of

00:20:56 Speaker 04: our work is to review the

00:20:59 Speaker 04: application and feel confident that we

00:21:01 Speaker 04: have the resources and the skills

00:21:06 Speaker 04: to be able to support the

00:21:11 Speaker 04: care needs of the resident that's

00:21:14 Speaker 04: made application to our home. There

00:21:17 Speaker 04: are. at times, there can be

00:21:19 Speaker 04: situations where we feel we may

00:21:23 Speaker 04: not be able to support the

00:21:26 Speaker 04: resident care that that that has

00:21:28 Speaker 04: made application. For example, if the

00:21:32 Speaker 04: home is already supporting some very

00:21:35 Speaker 04: clinically complex or or high levels

00:21:38 Speaker 04: of cognitive impairment with some responsive

00:21:41 Speaker 04: behaviors on one home area and.

00:21:43 Speaker 04: the the room that's available is

00:21:48 Speaker 04: also on that home area, and

00:21:50 Speaker 04: there's some concern that adding another

00:21:52 Speaker 04: resident with very high clinical complexity

00:21:56 Speaker 04: may make it may stretch the

00:22:00 Speaker 04: resources too thin. We or we

00:22:04 Speaker 04: we don't have the skills and

00:22:06 Speaker 04: ability under those circumstances, so we

00:22:09 Speaker 04: can we can deny an application.

00:22:11 Speaker 04: It is there is a very

00:22:13 Speaker 04: strict process for denying an application.

00:22:15 Speaker 04: We have to have very clearly

00:22:18 Speaker 04: articulated reasons, and there's a great

00:22:22 Speaker 04: effort between Ontario Health at Home,

00:22:24 Speaker 04: which is formerly CCAC, the the

00:22:27 Speaker 04: if the person's living in hospital,

00:22:30 Speaker 04: for example, the hospital team and

00:22:33 Speaker 04: the long term care team will

00:22:38 Speaker 04: have coordinated care conferences to see

00:22:41 Speaker 04: if there's opportunities to make. changes

00:22:43 Speaker 04: to the interventions. Can one

00:22:46 Speaker 04: can the hospital provide some support,

00:22:47 Speaker 04: for example? Is there other strategies

00:22:49 Speaker 04: that that we might take? Toline

00:22:52 Speaker 04: just shared me some information in

00:22:55 Speaker 04: a in the chat around the

00:22:58 Speaker 04: legislation. So there are three main

00:23:01 Speaker 04: areas that we can legislatively consider

00:23:03 Speaker 04: denying the application, and that's that

00:23:06 Speaker 04: the home lacks the physical facilities

00:23:08 Speaker 04: necessary to. meet the the needs

00:23:13 Speaker 04: that we lack the nat the

00:23:15 Speaker 04: nursing expertise to to meet that

00:23:18 Speaker 04: specific applicant's care requirements, or that

00:23:21 Speaker 04: circumstances exist which are provided for

00:23:26 Speaker 04: in the regulations as being grounds

00:23:28 Speaker 04: for withholding approval. So that relates

00:23:31 Speaker 04: to some other items, and so

00:23:34 Speaker 04: it isn't common, but when it

00:23:39 Speaker 04: happens, we have to be the

00:23:41 Speaker 04: expert. The expectation is that we

00:23:44 Speaker 04: that we work with our our

00:23:46 Speaker 04: partners to resolve the issues. What

00:23:51 Speaker 04: the ombudsman will be focusing on

00:23:53 Speaker 04: is a trend the the the

00:23:56 Speaker 04: worry of a trend of homes

00:23:59 Speaker 04: making denying applications and a patient

00:24:02 Speaker 04: perhaps living in a hospital where

00:24:03 Speaker 04: they are seemingly not being accepted

00:24:05 Speaker 04: to any long term care home

00:24:07 Speaker 04: in. Long-term care home in within

00:24:12 Speaker 04: their geographic area, and then what?

00:24:14 Speaker 04: How do we? How does the

00:24:15 Speaker 04: system support that individual? And so

00:24:18 Speaker 04: we we can't just be denying

00:24:20 Speaker 04: because we feel like it's too

00:24:23 Speaker 04: difficult. We need to really be

00:24:26 Speaker 04: putting resources in, and that'll be

00:24:27 Speaker 04: the focus of the of the

00:24:31 Speaker 04: ombudsman report. So happy to hear

00:24:34 Speaker 04: that it rarely occurs in

00:24:38 Speaker 04: our homes. Is that? Do I

00:24:43 Speaker 04: hear you correctly? We, I would,

00:24:46 Speaker 04: I would say, rarely. We, we

00:24:47 Speaker 04: have a process that I

00:24:50 Speaker 04: am looped in if we are

00:24:53 Speaker 04: denying an application or for declining

00:24:56 Speaker 04: an application, and so it does

00:24:58 Speaker 04: happen. And what happens subsequently is

00:25:02 Speaker 04: those conferences, those discussions. Dena offers

00:25:05 Speaker 04: support in helping to find resources.

00:25:07 Speaker 04: So. we may initially decline, and

00:25:09 Speaker 04: then over a period of time,

00:25:10 Speaker 04: meetings, conversations, conversations with Ontario Health.

00:25:14 Speaker 04: So we say, if we had

00:25:15 Speaker 04: some funding to support these specific

00:25:17 Speaker 04: care requirements, we would be more

00:25:19 Speaker 04: easily able to to support. Then

00:25:21 Speaker 04: there's some work to Ontario Health

00:25:24 Speaker 04: will provide us that funding, or

00:25:27 Speaker 04: we make application to the Ministry

00:25:30 Speaker 04: of Long Term Care for high

00:25:34 Speaker 04: intensity needs. because perhaps that individual

00:25:37 Speaker 04: needs to live in a private

00:25:39 Speaker 04: room, but the only space we

00:25:42 Speaker 04: have available is a shared accommodation.

00:25:45 Speaker 04: So over a period of time,

00:25:50 Speaker 04: often we will be able to

00:25:52 Speaker 02: resolve and and then update the

00:25:54 Speaker 02: application to approve. On the rare

00:25:57 Speaker 02: occasion, we will continue to decline

00:26:02 Speaker 02: the application if we are concerned

00:26:05 Speaker 04: about any of those three areas,

00:26:08 Speaker 04: and particularly. other resident safety, staff

00:26:09 Speaker 04: safety, and that individuals applicant safety.

00:26:11 Speaker 04: Okay, thank you, Jen. My only

00:26:12 Speaker 04: other question was: What are we

00:26:14 Speaker 04: the the fourteen forty two per

00:26:16 Speaker 04: month per bed is for staffing

00:26:21 Speaker 04: growth and new bed development? Can

00:26:24 Speaker 04: you just yeah on how we're

00:26:28 Speaker 04: planning to use those funds? Marcus

00:26:30 Speaker 04: is is. Marcus is has joined

00:26:34 Speaker 04: the meeting, and I believe it

00:26:36 Speaker 04: that adds up to about fifty

00:26:37 Speaker 06: five thousand dollars across the three

00:26:39 Speaker 06: homes, and so we just had

00:26:41 Speaker 06: initial some initial discussions yesterday actually

00:26:49 Speaker 06: about how we may use those

00:26:54 Speaker 06: funds. The intention is for staff

00:26:57 Speaker 06: development, education, and training, and so

00:27:00 Speaker 06: we're just working through what that

00:27:02 Speaker 06: looks like. Okay, thank you. All

00:27:07 Speaker 06: right, all in favor? If there

00:27:09 Speaker 06: are no other questions, I'm not

00:27:12 Speaker 06: seeing any. All in favor of

00:27:14 Speaker 06: receiving the director's update? That is

00:27:16 Speaker 06: carried. Thank you. Next, we have

00:27:19 Speaker 06: report LTCRCM 0226 regarding the long-term

00:27:22 Speaker 06: care operational report dated October 15

00:27:23 Speaker 06: to December 14. Be received for

00:27:26 Speaker 06: information. Kind of a mover, please.

00:27:28 Speaker 06: Move. Moved by Councillor Hutchison, seconded

00:27:30 Speaker 07: by Councillor Carleton, is now on

00:27:32 Speaker 07: the floor. And Jen, you were

00:27:34 Speaker 07: so kind, kind to send, anticipating

00:27:36 Speaker 07: that I might be chair again.

00:27:38 Speaker 07: You sent me a list of

00:27:40 Speaker 07: individuals that are going to provide

00:27:42 Speaker 07: this report for us. So we

00:27:44 Speaker 07: start off with Dana, who is

00:27:46 Speaker 07: doing the clinical update. Dana, we'll

00:27:48 Speaker 07: turn it over to you. Good

00:27:50 Speaker 07: morning, and through you, Mr. Chair.

00:27:52 Speaker 08: I want to provide a brief

00:27:55 Speaker 08: update. on the clinical and quality

00:27:58 Speaker 08: review section of our operational report.

00:28:01 Speaker 08: Good news that all of our

00:28:04 Speaker 08: Gray County homes are now fully

00:28:08 Speaker 08: transitioned to the new InterI assessment

00:28:11 Speaker 08: system. We've been talking about that

00:28:15 Speaker 08: for a bit, with Lee Manor

00:28:17 Speaker 08: going live in July and Gray

00:28:19 Speaker 08: Gables and Rockwood Terrace following in

00:28:21 Speaker 08: December. So the shift of this

00:28:22 Speaker 08: new assessment structure brings modernized clinical

00:28:26 Speaker 08: tools. It has updated our clinical

00:28:27 Speaker 08: pathways. in terms of updating the

00:28:29 Speaker 08: the structure, we have enhanced assessment

00:28:31 Speaker 08: resources and reflecting a more timely

00:28:33 Speaker 08: turnaround. With all homes now aligned

00:28:35 Speaker 08: to this new system, we will

00:28:38 Speaker 08: be presenting some of the publicly

00:28:40 Speaker 08: reported quarterly indicators that you have

00:28:42 Speaker 08: been used to seeing on the

00:28:45 Speaker 08: report. We, however, there will be

00:28:47 Speaker 08: a bit of a bit of

00:28:49 Speaker 08: a caveat here. We do need

00:28:51 Speaker 08: two sets of data with the

00:28:55 Speaker 08: new system. So Lee Manor will

00:28:56 Speaker 08: have some preliminary data to share

00:29:00 Speaker 08: in our March committee, given that

00:29:01 Speaker 08: they were the early adopters. But

00:29:03 Speaker 08: the others will be following shortly

00:29:06 Speaker 08: thereafter. Again, reflecting on the need

00:29:07 Speaker 08: to analyze the two data sets.

00:29:09 Speaker 08: You'll also see in the report

00:29:12 Speaker 08: that we are making progress on

00:29:14 Speaker 08: our IPAC champion program, and it's

00:29:17 Speaker 08: being well embraced through our team

00:29:19 Speaker 08: members. We also completed training. on

00:29:22 Speaker 08: the skin and wound care, which

00:29:25 Speaker 08: speaks to the complexity of care

00:29:28 Speaker 08: we're receiving or working with with

00:29:30 Speaker 08: some of our residents and trying

00:29:32 Speaker 08: to ensure that we have the

00:29:34 Speaker 08: best practice for our residents. We've

00:29:35 Speaker 08: also reached the halfway milestone in

00:29:38 Speaker 08: the clinical pathways initiative, getting ready

00:29:41 Speaker 08: to roll out in the spring

00:29:44 Speaker 08: another pathway. But I wanted to

00:29:45 Speaker 08: highlight for sure our vaccination efforts

00:29:47 Speaker 08: of influenza and COVID, given the

00:29:50 Speaker 08: strong recommendations made by the Chief

00:29:53 Speaker 08: Medical Officer of Health, so the

00:29:55 Speaker 08: vaccines were rolled out across our

00:29:57 Speaker 08: homes as soon as our vaccines

00:30:00 Speaker 08: were received. Staff were supported and

00:30:03 Speaker 08: encouraged through a variety of

00:30:06 Speaker 08: approaches to receive their vaccinations and

00:30:08 Speaker 08: meeting them where they were at,

00:30:12 Speaker 08: and doing all a number of

00:30:15 Speaker 08: initiatives, including a wellness draw initiative

00:30:17 Speaker 08: aimed at improving the uptake the

00:30:20 Speaker 08: uptake of vaccines, in particular, combating

00:30:23 Speaker 08: some of that vaccine the Some

00:30:25 Speaker 08: of that vaccine fatigue that we

00:30:26 Speaker 08: have experienced provincially and perhaps nationally,

00:30:29 Speaker 08: but this approach did strengthen participation

00:30:30 Speaker 08: and reinforced our shared commitment to

00:30:33 Speaker 08: resident safety and well-being. And certainly,

00:30:35 Speaker 08: it paid off in terms of

00:30:37 Speaker 08: being ready for the respiratory season

00:30:39 Speaker 08: that we've had to date. We

00:30:41 Speaker 08: continued to emphasize staying current with

00:30:42 Speaker 08: vaccinations as one of the most

00:30:45 Speaker 08: effective ways to protect protect. Ways

00:30:48 Speaker 08: to protect both our residents and

00:30:50 Speaker 08: team members, and I'd be remiss

00:30:53 Speaker 08: if I didn't put a plug

00:30:54 Speaker 08: there too. If if you haven't

00:30:58 Speaker 08: got your vaccines for flu or

00:31:01 Speaker 08: COVID, it's not too late. We

00:31:03 Speaker 08: are on the downward trend, but

00:31:05 Speaker 08: we peaked. But certainly, there's still

00:31:08 Speaker 02: activity out there. But as Jen

00:31:12 Speaker 02: said, we are monitoring the national

00:31:14 Speaker 02: flu trends. We are looking what's

00:31:18 Speaker 02: happening provincially as well as well

00:31:21 Speaker 08: as what's happening regionally, and we

00:31:23 Speaker 08: are getting ready to. turn down

00:31:24 Speaker 08: the dial with our ideas, ethical

00:31:27 Speaker 08: framework for IPAC, but also prepared

00:31:29 Speaker 08: if we need to to tune

00:31:31 Speaker 08: it up, always keeping the resident

00:31:34 Speaker 08: quality of life in mind. So

00:31:36 Speaker 08: that is my report. Thank you,

00:31:39 Speaker 08: Dana. What percentage of our staff

00:31:41 Speaker 08: received the the vaccinations? In terms

00:31:43 Speaker 08: of the actual final report, we

00:31:45 Speaker 08: are just collating that because we.

00:31:47 Speaker 08: are we have to present that

00:31:49 Speaker 08: report to public health. It it

00:31:52 Speaker 08: would vary across the three homes,

00:31:54 Speaker 08: and I would say that it

00:31:57 Speaker 08: also varies across whether they received

00:32:00 Speaker 08: flu or COVID. And I can

00:32:03 Speaker 02: get those reports for you, that

00:32:05 Speaker 02: data for you next time because

00:32:07 Speaker 02: it is part of our our

00:32:12 Speaker 02: going report. What I can say

00:32:15 Speaker 02: is that the trend was as

00:32:16 Speaker 09: a result of a number of

00:32:19 Speaker 09: initiatives, a lot of support. to

00:32:21 Speaker 09: our team members, it has been

00:32:24 Speaker 09: higher than previous than the last

00:32:26 Speaker 09: two years. Good, thank you. And

00:32:29 Speaker 09: certainly, our resident rates are very

00:32:31 Speaker 09: high. Great, in the high nineties.

00:32:34 Speaker 09: Thank you. Any questions for Adena's

00:32:36 Speaker 09: part of the report from committee

00:32:38 Speaker 09: members? Councilor Kibany, go ahead. Thank

00:32:40 Speaker 09: you, Chair Mackey. And I'm just

00:32:42 Speaker 09: wondering about the RSV shots and

00:32:44 Speaker 08: recognizing the cost that's involved. for

00:32:47 Speaker 08: people, you know, who haven't reached

00:32:50 Speaker 08: a senior's age, and I don't

00:32:52 Speaker 08: know if there's any opportunity for

00:32:54 Speaker 08: us to consider how we might

00:32:56 Speaker 08: get staff vaccinated with the RSV.

00:33:00 Speaker 08: And I assume most of our

00:33:02 Speaker 08: residents are vaccinated with RSV, but

00:33:05 Speaker 08: just wondered, Janet, what your thoughts

00:33:07 Speaker 08: are on that for staffing? Yeah,

00:33:09 Speaker 08: and and through you, Mr. Chair.

00:33:12 Speaker 08: Thank you for the question. In

00:33:14 Speaker 08: terms of our, there are. criteria

00:33:17 Speaker 08: that public health sets out, so

00:33:19 Speaker 08: even if some of our residents

00:33:23 Speaker 08: don't hit the age criteria, there

00:33:24 Speaker 08: are other criteria which support receiving

00:33:27 Speaker 08: the free funding. So we're we're

00:33:29 Speaker 08: lucky there, but there is, in

00:33:32 Speaker 08: terms of our staff, there are

00:33:36 Speaker 08: a variety of conditions that need

00:33:38 Speaker 08: to exist with provincially funded vaccine,

00:33:40 Speaker 08: as well as within that staff

00:33:42 Speaker 08: member and their care provider to

00:33:44 Speaker 08: identify if they meet. the risk

00:33:47 Speaker 08: criteria to receive RSV. The transmission,

00:33:49 Speaker 08: when we look, and this is

00:33:51 Speaker 08: sort of off the cuff, but

00:33:54 Speaker 08: in terms of the outbreaks and

00:34:01 Speaker 08: the staff to resident transmission, that

00:34:03 Speaker 04: has not been as much of

00:34:05 Speaker 04: a identified factor from the province

00:34:07 Speaker 04: that we need to be providing

00:34:09 Speaker 04: that vaccine. So it is something

00:34:13 Speaker 04: that we are watching the trends

00:34:16 Speaker 04: of RSV, but at this point.

00:34:20 Speaker 04: there are no provincial guidance for

00:34:22 Speaker 04: our staff members. Certainly, they can

00:34:25 Speaker 04: explore with their primary care provider

00:34:27 Speaker 04: and and weigh those those those

00:34:28 Speaker 04: options. Anything else for Donna? All

00:34:32 Speaker 04: right, we'll move on to the

00:34:37 Speaker 04: resident and family survey, and that

00:34:39 Speaker 04: is Jen again. Great, thank you,

00:34:42 Speaker 04: Mr. Chair. And so, as I

00:34:43 Speaker 04: mentioned in the director's update, the

00:34:47 Speaker 04: annual resident and family experience survey

00:34:49 Speaker 04: results were received in November, and

00:34:52 Speaker 04: if you are interested in more

00:34:56 Speaker 04: information, there's links here. But also

00:34:59 Speaker 04: that video, we have a slide

00:35:02 Speaker 04: deck and go through the slide

00:35:06 Speaker 04: deck for families more specifically around

00:35:09 Speaker 04: the results. Really positive results. 93%

00:35:11 Speaker 04: of residents are satisfied with the

00:35:15 Speaker 04: overall quality of service. 94. of

00:35:17 Speaker 04: residents would recommend the home to

00:35:20 Speaker 04: others. 96% of families are satisfied,

00:35:21 Speaker 04: and 97% of families would recommend

00:35:25 Speaker 04: the homes to others. The top

00:35:27 Speaker 04: words are caring, good, friendly, comfortable,

00:35:29 Speaker 04: and pleasant. The top domain areas

00:35:30 Speaker 04: for resident satisfaction were around quality

00:35:34 Speaker 04: of life, communication, and custom, which

00:35:36 Speaker 04: is really around additional services like

00:35:39 Speaker 04: foot care services. that they're listened

00:35:43 Speaker 04: to, that they are receiving helpful

00:35:45 Speaker 04: assistance, that they feel safe in

00:35:48 Speaker 04: expressing their opinions, that there's good

00:35:52 Speaker 04: hand hygiene, and that they have

00:35:56 Speaker 04: opportunities to communicate. The top areas

00:35:58 Speaker 04: for improvement, which I don't put,

00:36:00 Speaker 04: I didn't include the numbers here,

00:36:04 Speaker 04: but and off the top of

00:36:06 Speaker 04: my head, there's still around 80%

00:36:08 Speaker 04: of respondents are very satisfied or

00:36:11 Speaker 04: satisfied. So it's still a very

00:36:13 Speaker 04: small number in terms of dissatisfaction,

00:36:16 Speaker 04: but it's still an opportunity, an

00:36:19 Speaker 04: area to improve, is around care

00:36:23 Speaker 04: responsiveness and dining experience. And dining

00:36:25 Speaker 04: experiences is not new. Congregate dining

00:36:28 Speaker 04: is not something we do every

00:36:30 Speaker 04: day in our traditional life, and

00:36:34 Speaker 04: so it can be a challenge

00:36:37 Speaker 04: to meet all of the expectations

00:36:39 Speaker 04: of everyone's varying. opinions about what

00:36:42 Speaker 04: pleasurable dining is, but we're willing

00:36:44 Speaker 04: to give it a shot. And

00:36:46 Speaker 04: so that's an area that across

00:36:47 Speaker 04: the the division we're doing some

00:36:49 Speaker 04: focused work on pleasurable dining. And

00:36:52 Speaker 04: so the teams at the homes

00:36:53 Speaker 04: are reviewing their data specific to

00:36:58 Speaker 04: their home and working with the

00:37:00 Speaker 04: residents, families, teams to put together

00:37:03 Speaker 02: action plans and. change ideas of

00:37:09 Speaker 02: what they're working on for the

00:37:12 Speaker 02: 2026 year, and those results are

00:37:14 Speaker 02: there. And I'll just pause. I'm

00:37:15 Speaker 04: doing the next section as well,

00:37:18 Speaker 04: but I'll pause to see if

00:37:20 Speaker 04: there's any questions about the satisfaction

00:37:22 Speaker 04: surveys, which we do annually. It's

00:37:26 Speaker 04: legislated, but it's also a good

00:37:28 Speaker 04: idea. Well, congratulations to everyone! You

00:37:31 Speaker 04: know, those 97 of families would

00:37:34 Speaker 04: recommend our homes. That's that's amazing.

00:37:37 Speaker 04: Questions from committee members? Not seeing

00:37:40 Speaker 04: any, Jen. So okay, carry on.

00:37:42 Speaker 04: All right, thank you. And so

00:37:44 Speaker 04: a little bit of a different

00:37:48 Speaker 04: approach today, committee, in terms of

00:37:51 Speaker 04: how we're presenting some of the

00:37:54 Speaker 04: rest of the information in the

00:37:56 Speaker 04: report. So the ministry inspectors were

00:38:00 Speaker 04: on site at all three homes

00:38:04 Speaker 04: during this reporting period, and so

00:38:07 Speaker 04: each home is. going to speak

00:38:10 Speaker 04: to their ministry inspections individually, and

00:38:14 Speaker 04: then we'll go through the remainder

00:38:17 Speaker 04: of the report after that. And

00:38:19 Speaker 04: so, I'm speaking to the Gray

00:38:24 Speaker 04: Gables ministry inspection. And so, during

00:38:27 Speaker 04: this reporting period, the inspectors were

00:38:29 Speaker 04: on site October 27th to 30th,

00:38:33 Speaker 04: and then again November 3rd to

00:38:35 Speaker 04: November 6th. Their inspection resulted in

00:38:38 Speaker 04: six areas of. non-compliance in the

00:38:40 Speaker 04: legislation, in the level of written

00:38:44 Speaker 04: notification, and these six written notifications

00:38:47 Speaker 04: were related to two separate incidents.

00:38:50 Speaker 04: So three were linked with one

00:38:53 Speaker 04: incident, and three were linked with

00:38:55 Speaker 04: another incident. The high level is

00:38:57 Speaker 04: around following policies and procedures, making

00:38:59 Speaker 04: sure care plans are up to

00:39:02 Speaker 04: date and follow. Up to date

00:39:04 Speaker 04: and followed timeliness of reporting incidents

00:39:06 Speaker 04: to the Ministry of Long Term

00:39:08 Speaker 04: Care, and so the public report

00:39:10 Speaker 04: is linked in the document for

00:39:13 Speaker 04: you to review. And I can

00:39:16 Speaker 04: assure you that the team at

00:39:18 Speaker 04: the home has a very robust

00:39:21 Speaker 04: compliance action plan. So back in

00:39:26 Speaker 04: the day, the Ministry used to

00:39:27 Speaker 04: require us to do a compliance

00:39:31 Speaker 04: action plan. and submit it. With

00:39:35 Speaker 04: the evolution of changes to the

00:39:38 Speaker 04: legislation, that's no longer a requirement

00:39:42 Speaker 04: to submit to the ministry. But

00:39:44 Speaker 04: we continue to do that practice

00:39:48 Speaker 04: because it is a good practice

00:39:50 Speaker 04: to have a document that outlines

00:39:54 Speaker 04: the areas of concern, and then

00:39:57 Speaker 04: we approach it: what's the immediate

00:39:59 Speaker 04: action, what's the short-term action, what's

00:40:02 Speaker 04: the long-term action, who's responsible, dates

00:40:04 Speaker 04: that they'll be. done, and then

00:40:06 Speaker 04: notes to confirm that that these

00:40:07 Speaker 04: action items have been followed. If

00:40:10 Speaker 04: committee is looking to speak more

00:40:11 Speaker 02: specifically, then I would ask committee

00:40:14 Speaker 02: to consider going into closed session

00:40:16 Speaker 02: because it's two situations. If we

00:40:19 Speaker 02: get into the nitty gritty, it

00:40:21 Speaker 02: becomes identifiable information. So that's a

00:40:23 Speaker 02: high level. A high-level overview of

00:40:27 Speaker 03: of Gray Gables. Happy to answer

00:40:28 Speaker 03: any questions. And then Talline is

00:40:30 Speaker 03: going to do a similar overview

00:40:32 Speaker 03: for the Lee Manor inspection, and

00:40:34 Speaker 03: Terry is going to do a

00:40:36 Speaker 03: similar overview for the Rockwood Terrace

00:40:37 Speaker 03: inspection. So, Jen, we do have

00:40:40 Speaker 03: a closed session today, so committee

00:40:43 Speaker 03: members can, if there was any

00:40:45 Speaker 03: questions, can think about those when

00:40:47 Speaker 03: we're in closed. Is that that

00:40:49 Speaker 03: fair, Tara? I see the clerk.

00:40:54 Speaker 02: So perhaps. I. Thank you, just

00:40:59 Speaker 02: for clarification and confirmation. We do

00:41:01 Speaker 02: have closed session on today's agenda,

00:41:05 Speaker 02: but it's for us a different

00:41:08 Speaker 10: matter. So we would to speak

00:41:09 Speaker 10: about another topic. We would have

00:41:11 Speaker 10: to do a formal amendment to

00:41:12 Speaker 10: the agenda to add that on.

00:41:14 Speaker 10: Though the the exception would still

00:41:16 Speaker 10: be the same, but or we

00:41:19 Speaker 10: could add it to a future

00:41:23 Speaker 10: agenda if if committee does need

00:41:24 Speaker 10: to delve into it further. Maybe

00:41:25 Speaker 10: I'll look to our deputy CAO.

00:41:27 Speaker 10: There was going to be an

00:41:30 Speaker 10: update for committee members today. Now,

00:41:31 Speaker 10: so through you, Chair Mackie, thank

00:41:33 Speaker 10: you for that. There is going

00:41:35 Speaker 10: to be an update to members

00:41:38 Speaker 10: of committee today. Just to clarify,

00:41:40 Speaker 10: it's got nothing to do with

00:41:43 Speaker 10: the nothing directly to do with

00:41:46 Speaker 10: the the two incidents that Director

00:41:48 Speaker 10: Cunell has outlined for you today.

00:41:52 Speaker 10: so so these are two separate

00:41:53 Speaker 10: things. If you did want to

00:41:55 Speaker 10: go into more details, and Director

00:41:57 Speaker 10: Cannell and I have both reviewed

00:41:59 Speaker 10: these. Whilst it's never great to

00:42:00 Speaker 10: hear from the from the Ministry

00:42:04 Speaker 10: and have these inspections and these

00:42:05 Speaker 10: written notices, as I'm sure you'll

00:42:10 Speaker 10: you'll have perceived as you've gone

00:42:11 Speaker 10: through the the public report, the

00:42:14 Speaker 10: two incidents are are you know

00:42:15 Speaker 10: within the context of long term

00:42:18 Speaker 10: care. I'm sure the committee members.

00:42:23 Speaker 10: have some familiarity around some of

00:42:29 Speaker 10: the situations around that, and so.

00:42:30 Speaker 10: But if there are questions, as

00:42:34 Speaker 10: Director Connell says, just for the

00:42:37 Speaker 11: for the protection of the residents,

00:42:41 Speaker 11: it would probably be worth taking

00:42:43 Speaker 11: those into into closed. Do member

00:42:45 Speaker 11: any members of the committee have

00:42:46 Speaker 11: any specific questions? I'm not seeing

00:42:47 Speaker 11: anything. I think we're good then.

00:42:48 Speaker 11: Okay. Thank you. And so, through

00:42:51 Speaker 11: you, Mr. Chair, I'll pass it

00:42:53 Speaker 11: over to Taline. Tolene. Okay. Good

00:42:55 Speaker 11: morning, Tolene. Tolene, you're on mute.

00:42:59 Speaker 11: Find the button. Sorry about that.

00:43:04 Speaker 11: Thank you. Through you, Chair Mackey.

00:43:05 Speaker 11: Thanks, Jen. So Lee Manor did

00:43:07 Speaker 11: have a visit from the ministry

00:43:09 Speaker 11: November 26th through till December 10th.

00:43:11 Speaker 11: Part of their visit during that

00:43:13 Speaker 11: time period was off-site, where they

00:43:15 Speaker 11: do documentation review. There was a

00:43:18 Speaker 11: bit of a weather issue, as

00:43:19 Speaker 11: you can imagine, up here in

00:43:21 Speaker 11: Graybears. So, and through that inspection,

00:43:23 Speaker 11: they they came in to follow

00:43:26 Speaker 11: up on a number of critical

00:43:28 Speaker 11: incidents, as well as some IPAC

00:43:30 Speaker 11: critical incidents. And so, when they

00:43:32 Speaker 11: were here, they looked at the

00:43:35 Speaker 11: IPAC protocols. They looked at the

00:43:36 Speaker 11: falls protocol. They looked at skin

00:43:39 Speaker 11: and wound, and they looked at

00:43:43 Speaker 11: abuse neglect. So, there's several protocols

00:43:46 Speaker 11: within the standards and the act.

00:43:49 Speaker 11: that sort of frame all the

00:43:51 Speaker 11: work that we do in long-term

00:43:55 Speaker 11: care. So those are the particular

00:43:59 Speaker 11: specific protocols that they looked at.

00:44:03 Speaker 11: They did leave us with five

00:44:05 Speaker 11: written notifications. Again, I highlight that

00:44:07 Speaker 11: that's a lower level than an

00:44:09 Speaker 11: order or referral, and it's sort

00:44:12 Speaker 11: of there's an escalation of ways

00:44:16 Speaker 11: that they can issue areas of

00:44:17 Speaker 11: non-compliance. I also like to talk

00:44:22 Speaker 11: about the regulations. There's hundreds. and

00:44:24 Speaker 11: hundreds of regulations that they could

00:44:28 Speaker 11: leave us areas of noncompliance about.

00:44:33 Speaker 11: So we received five written notifications

00:44:35 Speaker 11: related to two incidents, actually, again

00:44:37 Speaker 11: similar to the Great Great Gables

00:44:39 Speaker 11: report. So five WNs related to

00:44:40 Speaker 11: two specific incidents. Again, to get

00:44:41 Speaker 11: into the details, it really could

00:44:43 Speaker 11: highlight a resident. So unless people

00:44:44 Speaker 11: have specific questions, we'll have to.

00:44:46 Speaker 11: cross that bridge, but continence care,

00:44:48 Speaker 11: which is about following a care

00:44:49 Speaker 11: plan for residents' toileting needs,

00:44:53 Speaker 11: nutrition, which was specifically around our

00:44:55 Speaker 11: tray service process, so we're working

00:44:57 Speaker 11: on action plan around that. Again,

00:44:59 Speaker 11: reporting. So there was a thing

00:45:04 Speaker 11: where we didn't write down the

00:45:05 Speaker 11: date that we knew about the

00:45:10 Speaker 11: problem. We just didn't write it

00:45:12 Speaker 11: down. and so we have an

00:45:17 Speaker 11: unmet for that. And also related

00:45:19 Speaker 11: to the same thing that it

00:45:22 Speaker 11: was reported a day late to

00:45:24 Speaker 11: the ministry. So, trying to make

00:45:27 Speaker 11: sure that we don't have those

00:45:29 Speaker 11: late reporting incidents happen. And medication

00:45:31 Speaker 11: administration, which was all sort of

00:45:33 Speaker 11: tied to the nutritional program. So

00:45:36 Speaker 11: that's the the five unmet that

00:45:38 Speaker 11: we had at Lee Manor. And

00:45:40 Speaker 12: happy to answer questions that I'm

00:45:43 Speaker 12: able to publicly. Okay. Thank you,

00:45:45 Speaker 12: Toline. Any questions for Toline from

00:45:47 Speaker 12: members of the committee? I think

00:45:49 Speaker 12: everyone's satisfied, so we'll move on

00:45:52 Speaker 12: to Terry at Rockwood. Good morning,

00:45:54 Speaker 12: and through you, Mr. Chair. A

00:45:56 Speaker 12: Ministry of Long Term Care inspector

00:45:59 Speaker 12: attended Rockwood Terrace from November 25th

00:46:00 Speaker 12: to 28th, and on December 1st

00:46:03 Speaker 12: as well, to conduct a follow-up

00:46:05 Speaker 12: related to a critical incident. During

00:46:07 Speaker 12: this inspection, a compliance order. concerning

00:46:10 Speaker 12: the plan of care was issued.

00:46:12 Speaker 12: The inspector outlined the following action

00:46:15 Speaker 12: plan to bring us back into

00:46:16 Speaker 12: compliance. So, as directed, we were

00:46:19 Speaker 12: to audit a specific staff member

00:46:22 Speaker 12: three times per week over a

00:46:25 Speaker 12: three-week period to ensure care plan

00:46:27 Speaker 12: interventions are in place for residents

00:46:28 Speaker 12: under that person's care, as outlined

00:46:30 Speaker 12: in each care plan. So,

00:46:33 Speaker 12: we were to document the following

00:46:34 Speaker 12: for each audit: resident's name, care

00:46:36 Speaker 12: plan intervention, date. time of the

00:46:41 Speaker 12: audit and any corrective actions taken

00:46:43 Speaker 12: to address actions or inactions by

00:46:47 Speaker 12: this particular staff member. The compliance

00:46:49 Speaker 12: order was issued because one staff

00:46:51 Speaker 12: member failed to follow the care

00:46:54 Speaker 12: plan, resulting in adverse health consequences

00:46:56 Speaker 12: for a particular residence, a resident.

00:46:58 Speaker 12: And we're confident to be back

00:47:00 Speaker 12: in compliance when the ministry returns

00:47:01 Speaker 12: for their follow up visit. And

00:47:04 Speaker 12: the deadline for compliance was actually

00:47:06 Speaker 12: yesterday, January fourteenth, twenty twenty six.

00:47:08 Speaker 12: and we did complete all the

00:47:10 Speaker 12: audits as outlined by the the

00:47:12 Speaker 12: inspector. Thank you, Terry. Any questions

00:47:14 Speaker 12: for Terry on on that piece?

00:47:17 Speaker 12: Not seeing any, Terry. Go ahead.

00:47:19 Speaker 12: Okay, so moving on to projects.

00:47:21 Speaker 12: So during this reporting period, numerous

00:47:23 Speaker 12: projects did take place across all

00:47:24 Speaker 12: three care communities. One event I

00:47:26 Speaker 12: would like to highlight is the

00:47:29 Speaker 12: annual Christmas market, and this was

00:47:31 Speaker 12: held at both Gray Gables and

00:47:34 Speaker 12: Rockwood. Terrace. These markets are always

00:47:37 Speaker 12: well attended by residents and family

00:47:41 Speaker 02: members, providing an opportunity for residents

00:47:42 Speaker 02: to enjoy some Christmas shopping and

00:47:45 Speaker 02: embrace the festive spirit. The events

00:47:46 Speaker 02: feature a wonderful selection of holiday

00:47:51 Speaker 02: treasures from various vendors, exciting draws,

00:47:56 Speaker 04: and a hot chocolate bar that

00:47:58 Speaker 04: encourages socialization and community connection. So

00:48:01 Speaker 04: these events are always enjoyed, and

00:48:04 Speaker 04: and it's a great opportunity for

00:48:06 Speaker 04: families to come in and and

00:48:08 Speaker 04: friends, and it it really makes

00:48:10 Speaker 04: residents feel you know part. of

00:48:12 Speaker 04: the Christmas festivities, so always well

00:48:14 Speaker 04: attended. And and that's the end

00:48:16 Speaker 04: of my report. All right. Well,

00:48:19 Speaker 04: that sounds like a great opportunity

00:48:22 Speaker 04: for our residents to do some

00:48:24 Speaker 13: Christmas shopping. So thank you for

00:48:27 Speaker 13: that. And Tuline, you're going to

00:48:29 Speaker 13: go over the colorit stories. Sorry,

00:48:32 Speaker 13: Jen. Sorry, Mr. Chair. I think

00:48:35 Speaker 13: Karen. and maybe I—it's quite possible

00:48:37 Speaker 13: I gave you incorrect information this

00:48:38 Speaker 13: morning. So Karen is going to

00:48:42 Speaker 13: give a quick verbal update on

00:48:44 Speaker 13: operational readiness, if that's okay with

00:48:46 Speaker 13: committee. Just to be clear, Jen,

00:48:48 Speaker 13: you did not give improper information.

00:48:51 Speaker 13: That falls on the chair who

00:48:54 Speaker 13: missed Karen and the operational readiness

00:48:56 Speaker 13: update for redevelopment. So we'll go

00:48:58 Speaker 13: to Karen. Good morning, Karen. Good

00:49:00 Speaker 13: morning, through you, Mr. Chair. I

00:49:01 Speaker 13: just wanted to provide. a brief

00:49:05 Speaker 13: update on progress of operational readiness,

00:49:07 Speaker 13: and I believe on a go

00:49:11 Speaker 13: forward, this will be part of

00:49:13 Speaker 13: included as part of the report

00:49:15 Speaker 13: as well. The building, and this

00:49:18 Speaker 13: is Karen's number, is approximately forty

00:49:20 Speaker 13: five percent complete. We haven't received

00:49:21 Speaker 13: a report for the end of

00:49:23 Speaker 13: December as of yet, so that's

00:49:26 Speaker 13: my best guess, given the fact

00:49:27 Speaker 13: that the holiday season was included.

00:49:29 Speaker 13: Wasn't included in the month of

00:49:32 Speaker 13: December too. There was some some

00:49:35 Speaker 13: days when there was no work

00:49:38 Speaker 13: being completed. Sealing of the remaining

00:49:41 Speaker 13: part of the roof is is

00:49:43 Speaker 13: causing some delays. The west wing

00:49:47 Speaker 13: is is watertight, and they are

00:49:51 Speaker 13: working on drywall. In fact, had

00:49:54 Speaker 13: a significant amount of drywall up

00:49:58 Speaker 13: in that area. But moving around

00:50:01 Speaker 13: to the east wing is where

00:50:04 Speaker 13: they're still working on the roof

00:50:07 Speaker 13: and are looking for some dry.

00:50:08 Speaker 13: days with no snow or rain,

00:50:13 Speaker 13: and as we all know, those

00:50:16 Speaker 13: are few and far between these

00:50:18 Speaker 13: days. So, having some trouble with

00:50:21 Speaker 13: weather and allowing work to continue.

00:50:25 Speaker 13: A significant number of windows, for

00:50:31 Speaker 13: in particular resident rooms, arrived on

00:50:33 Speaker 13: site just before Christmas and are

00:50:35 Speaker 13: being installed. Drywalling, as I mentioned,

00:50:38 Speaker 13: is significantly underway in the west

00:50:39 Speaker 13: wing. We, as a group here

00:50:42 Speaker 13: at Rockwood Terrace, along with our

00:50:44 Speaker 13: project leaders at Colliers, are currently

00:50:45 Speaker 13: finalizing the first report, the first

00:50:49 Speaker 13: preoccupancy report for the ministry, and

00:50:51 Speaker 13: we hope to send that into

00:50:57 Speaker 13: them here in February. We have

00:50:59 Speaker 13: started meeting preliminary with some key

00:51:00 Speaker 13: stakeholders and partners, such as Ontario

00:51:04 Speaker 13: Health West, Ontario Health at Home,

00:51:06 Speaker 13: our pharmacy, our oxygen provider, etc.

00:51:11 Speaker 13: The move for current residents will

00:51:13 Speaker 13: occur in one day, so we

00:51:15 Speaker 13: hope to move approximately half the

00:51:18 Speaker 13: residents in the morning, and the

00:51:20 Speaker 13: other remaining residents in the afternoon.

00:51:22 Speaker 13: So everyone will have breakfast in

00:51:24 Speaker 13: the current Rockwood Terrace, and everyone

00:51:27 Speaker 13: will be in the new building

00:51:28 Speaker 13: for supper time, and that's tentatively

00:51:30 Speaker 13: scheduled for January. 27th next year,

00:51:32 Speaker 13: subject to building completion. New admissions

00:51:36 Speaker 13: will follow that once we've made

00:51:38 Speaker 13: the move of the current residents.

00:51:41 Speaker 13: And some of you will know

00:51:43 Speaker 13: we have some concerns about the

00:51:46 Speaker 13: scheduling for admissions because, as per

00:51:48 Speaker 13: the regulations, the expectation is that

00:51:51 Speaker 13: we would admit 14 new residents

00:51:53 Speaker 13: per week until we've reached our

00:51:55 Speaker 13: 100 percent. We've reached our 100%

00:51:57 Speaker 13: occupancy. So for us, that would

00:51:59 Speaker 13: be occur in two to three

00:52:03 Speaker 13: weeks. But we we have some

00:52:04 Speaker 13: concerns with that, and I know

00:52:09 Speaker 13: some of you are going to

00:52:11 Speaker 13: be involved with the delegation at

00:52:13 Speaker 13: Roma regarding this. We are requesting

00:52:15 Speaker 13: that that be decreased to

00:52:17 Speaker 13: seven admissions per week, which is

00:52:19 Speaker 13: still pretty lofty, considering currently we

00:52:21 Speaker 13: try and limit it to maybe

00:52:23 Speaker 13: two. But we just have concerns

00:52:26 Speaker 13: about. that that process for the

00:52:29 Speaker 13: residents in particular. Of course, there

00:52:31 Speaker 13: is a huge staff work component

00:52:33 Speaker 13: to it. But if we focus

00:52:35 Speaker 13: just on the residents, it's an

00:52:36 Speaker 13: important step for them. It's very

00:52:40 Speaker 13: traumatic, and when you're doing two

00:52:42 Speaker 13: or three a day, it's it's

00:52:44 Speaker 13: not the quality that we would

00:52:46 Speaker 13: like to present. So we are

00:52:47 Speaker 13: taking that forward. And I did

00:52:50 Speaker 13: mention it when we were on

00:52:52 Speaker 13: teleconference. When we were on teleconferences

00:52:54 Speaker 13: with Ontario Health West and Ontario

00:52:56 Speaker 13: Health at Home, so there won't

00:52:58 Speaker 13: be a surprise there that we

00:53:01 Speaker 13: are we have this concern. We

00:53:02 Speaker 13: are ramping up meetings related to

00:53:04 Speaker 13: furniture and equipment procurement again now

00:53:06 Speaker 13: that the new year has started.

00:53:08 Speaker 13: And I also just wanted to

00:53:10 Speaker 13: mention that currently the West Grey

00:53:13 Speaker 13: Lions Club, their Chase the Ace

00:53:16 Speaker 13: fundraising proceeds this time are going

00:53:19 Speaker 13: towards the new Rockwood Terrace. Actually,

00:53:21 Speaker 13: this is. the second time they've

00:53:24 Speaker 13: did it for us, but the

00:53:27 Speaker 13: first time it the ace was

00:53:28 Speaker 13: caught or won or however that

00:53:30 Speaker 13: happens, very quickly. So the proceeds

00:53:33 Speaker 13: weren't that great. So they are

00:53:38 Speaker 02: doing the current one, which has

00:53:40 Speaker 02: been going on now for for

00:53:45 Speaker 02: several weeks, and they have indicated

00:53:47 Speaker 02: to us that they would like

00:53:49 Speaker 02: to purchase a soft serve ice

00:53:50 Speaker 02: cream machine for the new building.

00:53:53 Speaker 02: So that'll provide some some tasty

00:53:56 Speaker 02: treats for the residents, and they're

00:53:58 Speaker 02: also interested. in providing volunteer time

00:54:01 Speaker 02: at the new building and possibly

00:54:03 Speaker 02: sponsoring some entertainment as well. So,

00:54:04 Speaker 02: looking to get more involved as

00:54:06 Speaker 02: a club when we make the

00:54:09 Speaker 02: move. And that is my update

00:54:11 Speaker 02: for today. But would be happy

00:54:15 Speaker 04: to answer any questions. Thank you,

00:54:17 Speaker 04: Karen. Questions from committee members? I'm

00:54:20 Speaker 04: just wondering, Jen. You know, when

00:54:25 Speaker 04: Karen talked about the that's a

00:54:27 Speaker 04: ministry requirement that is fourteen resident

00:54:30 Speaker 04: that we you know fill up

00:54:33 Speaker 04: our beds within a two two

00:54:36 Speaker 04: to three week period. Is that

00:54:39 Speaker 04: a standard across the province? Is

00:54:40 Speaker 04: Advantage Ontario having any discussions with

00:54:46 Speaker 04: the ministry in regards to that?

00:54:48 Speaker 04: Because you know, as was indicated

00:54:50 Speaker 04: earlier today, you know that first

00:54:53 Speaker 04: the few weeks or first couple

00:54:56 Speaker 04: days is so important in the

00:54:59 Speaker 04: transition of a of a client.

00:55:02 Speaker 04: it just doesn't seem reasonable. So,

00:55:05 Speaker 04: yes, through you, Mr. Chair, that's

00:55:07 Speaker 04: exactly it. It is a ministry

00:55:10 Speaker 04: requirement for all new new builds

00:55:16 Speaker 04: and redevelopments, and we it is

00:55:20 Speaker 04: part of our Roma delegation and

00:55:22 Speaker 04: have shared that with Advantage. They

00:55:24 Speaker 04: have. It has been something they've

00:55:26 Speaker 04: advocated for. It's a little bit

00:55:27 Speaker 04: a quieter advocate. A quieter advocacy.

00:55:30 Speaker 04: It doesn't affect all of

00:55:33 Speaker 04: the members for advantage, and I'm

00:55:36 Speaker 04: confident that we can appeal to

00:55:38 Speaker 04: the minister and her team in

00:55:40 Speaker 04: their vision of quality care. That

00:55:44 Speaker 04: that this government's made a significant

00:55:46 Speaker 04: investment to improve quality care has

00:55:49 Speaker 04: a particular focus right now on

00:55:52 Speaker 04: dementia care, and we know the

00:55:54 Speaker 04: trends in terms of residents moving

00:55:56 Speaker 04: in with. dementia or or some

00:55:58 Speaker 04: sort of dementia-related diagnosis is high,

00:56:00 Speaker 04: and that even further complicates a

00:56:03 Speaker 04: move, particularly into a new building.

00:56:07 Speaker 04: That staff are also trying to

00:56:09 Speaker 04: figure out. So staff are trying

00:56:09 Speaker 04: to figure it out. Families are

00:56:15 Speaker 04: trying to figure it out. Moving

00:56:19 Speaker 04: into a well-established building like the

00:56:21 Speaker 04: current Rockwood Terrace is traumatic enough.

00:56:25 Speaker 04: of a change, but when you

00:56:28 Speaker 04: move in, you feel the warmth

00:56:29 Speaker 04: and stability of everyone feeling very

00:56:30 Speaker 04: rooted in a building that's been

00:56:33 Speaker 04: there for forty plus years. It

00:56:36 Speaker 04: will feel different moving in within

00:56:41 Speaker 04: two weeks of of a brand

00:56:46 Speaker 04: new building opening, where everyone's trying

00:56:49 Speaker 04: to figure out where everything is

00:56:50 Speaker 04: and and how to follow the

00:56:53 Speaker 04: new routines, et cetera. And as

00:56:55 Speaker 04: we spoke this morning earlier. about

00:56:58 Speaker 04: just the move. At some point,

00:56:59 Speaker 04: we we should do a little

00:57:02 Speaker 04: bit of a education overview about

00:57:05 Speaker 04: about the move-in process because it

00:57:06 Speaker 04: is very overwhelming. There is reams

00:57:08 Speaker 04: and reams and reams of paperwork,

00:57:10 Speaker 04: administration type paperwork, clinical paperwork. We

00:57:11 Speaker 04: do our best to try to

00:57:15 Speaker 04: do some of that ahead of

00:57:21 Speaker 04: time if we can. The resident

00:57:25 Speaker 04: family services. managers take great pride

00:57:27 Speaker 04: in in having a move in

00:57:29 Speaker 04: process that is as as easy

00:57:33 Speaker 04: as possible. When it's super complicated

00:57:34 Speaker 04: and and rushed, and and trying

00:57:35 Speaker 04: to do two of those in

00:57:38 Speaker 04: a good way a day is

00:57:43 Speaker 04: really not sustainable and not a

00:57:46 Speaker 04: reasonable expectation, and doesn't align at

00:57:48 Speaker 04: all with the vision of person

00:57:50 Speaker 04: centered. Of person-centered care that we

00:57:51 Speaker 04: believe in and have for decades,

00:57:53 Speaker 04: and that the province has been

00:57:56 Speaker 04: talking about. You know, this government's

00:58:00 Speaker 04: really been talking about person-centered care.

00:58:04 Speaker 04: So I'm hoping that we can

00:58:07 Speaker 04: appeal to the minister from that

00:58:09 Speaker 04: perspective. And historically, this this ministry

00:58:12 Speaker 04: has made changes. So I'm hopeful

00:58:16 Speaker 04: that that there will be a

00:58:18 Speaker 04: consideration. There is a piece of

00:58:21 Speaker 04: the legislation that. allows us to

00:58:24 Speaker 04: apply for, and Karen, you might

00:58:25 Speaker 04: have to help me with the

00:58:27 Speaker 04: words, but apply for. So, if

00:58:28 Speaker 04: we, for example, don't admit do