Part 2 Care and Services

Question 1

Direct hours of care target - personal support workers, nurses

Answer 1

8 (1) This section establishes a target for the average number of hours of direct care to residents to be provided by individuals who are hired by or otherwise work for licensees in a long-term care home as personal support workers, registered nurses, or registered practical nurses.

Question 2

Target

Answer 2

(2) The target is for an average of four hours of direct care to be provided per resident per day.

Question 3

How average calculated

Answer 3

(7) The average is to be determined by taking the total number of hours of direct care actually worked by registered nurses, registered practical nurses and personal support workers in all long-term care homes, and dividing that number by the total number of resident days in all long-term care homes for the applicable calculation period provided for in the regulations.

Question 4

Direct hours of care target - allied health care professionals

Answer 4

9 (1) This section establishes a target for the average number of hours of direct care to residents to be provided by allied health care professionals.

Question 5

Target

Answer 5

(2) The target is for an average of 36 minutes of direct care to be provided per resident per day.

Question 6

Measuring progress

Answer 6

10 (1) The Minister shall assess, and publicly report, before the achievement date of the next target in subsection 8 (4), the progress that is being made or that has been made towards achieving the targets set out in sections 8 and 9 on an annual basis.

Question 7

Dates

Answer 7

3) For the purposes of subsection (1), the Minister shall annually assess the progress that is being made or has been made towards achieving the targets no later than six months after the end of every fiscal year of the Government of Ontario.

Question 8

Assessment

Answer 8

2) For the purposes of subsection (1), the Minister shall assess whether there are barriers or risks to achieving the targets and shall consider mitigations to the barriers and risks.

Question 9

Failure to achieve a target
(4) If a target set out in this Part or under the regulations is not achieved, the Minister shall,

Answer 9

(a) identify the reasons for the failure to achieve the targets, including any barriers and risks; and

(b) develop and include a plan that specifies the measures that were implemented to achieve the target and the reasons for the failure to do so, and that contains proposed strategies to assist in achieving the target, or proposed steps to be taken to assist in achieving the target.

Question 10

Nursing and personal support services
11 (1) Every licensee of a long-term care home shall ensure that there is,

Answer 10

(a) an organized program of nursing services for the home to meet the assessed needs of the residents; and

(b) an organized program of personal support services for the home to meet the assessed needs of the residents

Question 11

Personal support services
(2) In clause (1) (b),

Answer 11

“personal support services” means services to assist with the activities of daily living, including personal hygiene services, and includes supervision in carrying out those activities.

Question 12

24-hour nursing care

Answer 12

(3) Every licensee of a long-term care home shall ensure that at least one registered nurse who is both an employee of the licensee and a member of the regular nursing staff of the home is on duty and present in the home at all times, except as provided for in the regulations.

Question 13

Palliative care

Answer 13

12 (1) Every licensee of a long-term care home shall ensure that, subject to section 7, residents are provided with care or services that integrate a palliative care philosophy.

Question 14

Matters in regulations

Answer 14

(2) Without restricting the generality of subsection (1), every licensee shall comply with the regulations respecting palliative care and the palliative care philosophy.

Question 15

Restorative care:
13 (1) Every licensee of a long-term care home shall ensure that there is an organized interdisciplinary program with a restorative care philosophy that,

Answer 15

(a) promotes and maximizes independence; and

(b) where relevant to the resident’s assessed care needs, includes, but is not limited to, care or services that address psychosocial needs and physiotherapy and other therapy services, any of which may be either arranged or provided by the licensee.

Question 16

Certain cases

Answer 16

(2) Without restricting the generality of subsection (1), the program shall include services for residents with cognitive impairments and residents who are unable to leave their rooms.

Question 17

Recreational and social activities

Answer 17

14 (1) Every licensee of a long-term care home shall ensure that there is an organized program of recreational and social activities for the home to meet the interests of the residents.

Question 18

Dietary services and hydration
15 (1) Every licensee of a long-term care home shall ensure that there is,

Answer 18

(a) an organized program of nutritional care and dietary services for the home to meet the daily nutrition needs of the residents; and

(b) an organized program of hydration for the home to meet the hydration needs of residents.

Question 19

Same (In reference to Dietary Services)

Answer 19

(2) Without restricting the generality of subsection (1), every licensee shall ensure that residents are provided with food and fluids that are safe, adequate in quantity, nutritious and varied.

Question 20

Medical services

Answer 20

16 Every licensee of a long-term care home shall ensure that there is an organized program of medical services for the home.

Question 21

Information and referral assistance

Answer 21

17 (1) Every licensee of a long-term care home shall ensure that residents are provided with information and assistance in obtaining goods, services and equipment that are relevant to the residents’ health care needs but are not provided by the licensee.

Question 22

Clarification of extent of assistance

Answer 22

(2) The information and assistance required under subsection (1) does not include financial assistance.

Question 23

Religious and spiritual practices

Answer 23

18 Every licensee of a long-term care home shall ensure that there is an organized program for the home to ensure that residents are given reasonable opportunity to practice their religious and spiritual beliefs, and to observe the requirements of those beliefs.

Question 24

Accommodation services
19 (1) Every licensee of a long-term care home shall ensure that,

Answer 24

(a) there is an organized program of housekeeping for the home;

(b) there is an organized program of laundry services for the home to meet the linen and personal clothing needs of the residents; and

(c) there is an organized program of maintenance services for the home.

Question 25

Specific duties re cleanliness and repair
(2) Every licensee of a long-term care home shall ensure that,

Answer 25

(a) the home, furnishings and equipment are kept clean and sanitary;

(b) each resident’s linen and personal clothing is collected, sorted, cleaned and delivered; and

(c) the home, furnishings and equipment are maintained in a safe condition and in a good state of repair.

Question 26

Volunteer program

Answer 26

20 (1) Every licensee of a long-term care home shall ensure that there is an organized volunteer program for the home that encourages and supports the participation of volunteers in the lives and activities of residents.

Question 27

To be included in program

Answer 27

(2) The volunteer program must include measures to encourage and support the participation of volunteers as may be further provided for in the regulations.

Question 28

Staffing and care standards

Answer 28

21 Every licensee of a long-term care home shall ensure that the home meets the staffing and care standards provided for in the regulations.

Question 29

Standards for programs and services

Answer 29

22 (1) Every licensee shall ensure that the programs required under sections 11 to 20, the services provided under those programs and anything else required under those sections comply with any standards or requirements, including outcome measures, provided for in the regulations.

Question 30

Infection prevention and control program

Answer 30

23 (1) Every licensee of a long-term care home shall ensure that there is an infection prevention and control program for the home.

Question 31

Requirements of program
(2) The infection prevention and control program must include,

Answer 31

(a) evidence-based policies and procedures;

(b) an educational component in respect of infection prevention and control for staff, residents, volunteers and caregivers;

(c) daily monitoring to detect the presence of infection in residents of the long-term care home;

(d) measures to prevent the transmission of infections;

(e) a hand hygiene program; and

(f) any additional matters provided for in the regulations.

Question 32

Standards and requirements for Infection prevention and control program

Answer 32

(3) The licensee shall ensure that the infection prevention and control program and what is provided for under that program, including the matters required under subsection (2), comply with any standards and requirements, including required outcomes and accountability measures, provided for in the regulations.

Question 33

Infection prevention and control lead

Answer 33

(4) Except as provided for in the regulations, every licensee of a long-term care home shall ensure that the home has an infection prevention and control lead whose primary responsibility is the home’s infection prevention and control program.

Question 34

Qualifications

Answer 34

(5) Every licensee of a long-term care home shall ensure that the infection prevention and control lead possesses the qualifications provided for in the regulations.