Complaint Investigation
Inspection Information
Facility Type
Residential Care - 400
Received Date
26-Aug-2022
Subject
["Staffing (Includes issues such as suitability, insufficient levels, etc.)"]
Contraventions: A summary of the new contraventions found during the inspections are listed below.
Code
Category/Description
A licensee must do all of the following: ensure that policies are implemented by employees.
Observation: Through the investigation process, Licensing determined that staff had not implemented the Dress Code, Personal Appearance, and Official Language policy.
Corrective action: Ensure that all policies are implemented by employees. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On September 20, 2022, the Licensee submitted a corrective action plan to Licensing. The corrective action plan included that the Dress Code, Personal Appearance and Official Language policy was to be reviewed by all staff by October 1, 2022, the policy was to be added to the onboarding package for new employees by October 10, 2022 and educational materials from the Positive Approach to Care resource was to be circulated to all active staff to reinforce the importance of communication within long term care by October 10, 2022. This corrective action plan was reviewed and accepted by Licensing. Licensing to review and monitor this corrective action plan. Follow Up Inspection required. On December 9, 2022, Licensing received a copy of Dementia educational posters which were posted as a staff resource, an Acknowledgement of policy review form for the Dress Code, Personal Appearance and Official Language policy which was added to the onboarding package for new staff and a confirmation email that 294 staff had completed a review of the Dress Code, Personal appearance and Official Language policy.