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Hardy View Lodge

7649 22 St Grand Forks BC V0H 1H0 · Residential Care - Licensing

7 inspections

  1. Routine Inspection

    1 infraction

    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): It was observed that in two PIC bathrooms, there were personal toiletries not secured and accessible to persons in care.
      • R7.1AK- Provide appropriately furnished and equipped areas for secure, safe and adequate storage of cleaning agents, chemical products and other hazardous materials; 35( 1 )(c)
  2. Routine Inspection

    5 infractions

    • R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
      • Observation(s): Medication Administration Records were observed during this inspection, PRN effectiveness was not consistently charted.
      • R4.2C - Keep a medication administration record showing all medications administered to the person in care; 78( 2 )(a)
    • RB1.13 - Is there a suitable ongoing planned program of physical, social and recreational activities that meets the objectives of the care plan?
      • Observation(s): While there are activities in place, the objectives of the care plan are not being met as the recreation care planning is not being completed.
      • RB1.13A - Ensure a suitable ongoing planned program of physical, social and recreational activities that meets the objectives of the care plan.
    • R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): Staff are not following MSAC policy regarding Treatment Administration Record Charting. TARs were not charted in any neighbourhood and staff were unaware that they were supposed to be completing them.
      • R3.1X - Ensure that all employees comply with the policies and procedures of the medication safety and advisory committee; 68 ( 4 )
    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): Hot water measured at 55 degrees Celsius in a person in care washrooms during this inspection. This has been an ongoing contravention at this site. A viable compliance plan has been requested, including a timeline for making the changes to physical infrastructure and ensuring that PIC's are not at risk in those neighbourhoods where the hot water taps are not regulated. Medicated creams were left out unsecured in a PIC bedroom. (This was corrected during the inspection)
      • R7.1C - Ensure water accessible to a person in care does not exceed 49 degrees Celsius; 17
      • R7.1AR - Ensure all medications are safely and securely stored; 69( 3 )(a)
    • R10.3 - Do care plans include the required elements and are they developed with the participation of the person in care, parent or representative?
      • Observation(s): Recreation and leisure plan is not consistently included in the care plan and is not being routinely developed or updated. This is a recurring contravention and staffing constraints have prevented the recreation manager from completing this work.
      • R10.3F - Care plans must include a recreation and leisure plan; 81( 3 )(d)
  3. Routine Inspection

    7 infractions

    • R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
      • Observation(s): Medication Administration Records were observed during this inspection, PRN effectiveness was noted to be sporadically charted.
      • R4.2C - Keep a medication administration record showing all medications administered to the person in care; 78( 2 )(a)
    • R4.3 - Is documentation concerning restraints adequate?
      • Observation(s): Restraint agreements and details were not recorded in care plans and LO was unable to find restraint agreements for some PICs who were being monitored for restraints.
      • R4.3A - Record the type or nature of the restraint used in the person's care plan; 84(a)
    • R8.2 - Does the program of activities support individualized care plan requirements?
      • Observation(s): The needs of PICs who do not engage in group activities is not being documented.
      • R8.2A - Provide without charge an ongoing planned program of activities designed to meet the objectives of the persons care plan (Does not apply to Hospice); 55( 1 )(a)(ii)
    • R10.4 - Are restraint and fall prevention plans appropriate?
      • Observation(s): It was observed that a care plan lacked any information regarding a PIC restraint, yet it was being sporadically monitored.
      • R10.4G - Document in the care plan the use of the restraint, its type and the duration for which it is used ; 73( 2 )c
    • R1.1 - Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?
      • Observation(s): During the routine inspection, several infractions observed indicate an ineffective process for self-monitoring.
      • R1.1W - Regularly monitor the physical environment and the care and services provided; 61
    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): Water temperature taken at separate cottages in PIC sinks; measurements 55 degrees C and degrees C. Wall surfaces in PIC rooms as well as common areas shows damage. Other areas have been repaired with spackle however not painted. Laundry facilities (clean and soiled areas) viewed in 2/2 cottages were unlocked open and accessible to PICs.
      • R7.1C - Ensure water accessible to a person in care does not exceed 49 degrees Celsius; 17
      • R7.1I - Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
      • R7.1AM - Ensure that laundry facilities if not used by persons in care, cannot be accessed by persons in care; 35( 2 )(b)
    • R10.3 - Do care plans include the required elements and are they developed with the participation of the person in care, parent or representative?
      • Observation(s): Recreation and leisure plan is not consistently included in the care plan and is not being routinely developed or updated. Restraint monitoring charting observed during this inspection was inconsistently completed.
      • R10.3F - Care plans must include a recreation and leisure plan; 81( 3 )(d)
      • R10.3M - Ensure that the care and supervision of a person in care is consistent with the terms and conditions of the person's care plan; 82
  4. Monitoring

    3 infractions

    • R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
      • Observation(s): In a random audit of TARs, LO noted that some residents did not have scheduled medications signed as given for the past month.
      • R4.2C - Keep a medication administration record showing all medications administered to the person in care; 78( 2 )(a)
    • R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): In discussion with the DOC, LO noted that performance reviews have not been conducted regularly.
      • R3.1K - Ensure that the performance of each employee is reviewed regularly to ensure that they continue to meet the requirements of this regulation, and demonstrate the competence required for the duties to which they are assigned; 40( 1 )(a)(b)
    • R10.3 - Do care plans include the required elements and are they developed with the participation of the person in care, parent or representative?
      • Observation(s): In a random review of the medication care plans, LO was unable to ascertain if some had been reviewed within the past year as they were not dated.
      • R10.3K - Review and, if necessary, modify each care plan if there is a substantial change in the circumstances of the person in care, or at least once a year, to ensure it continues to meet the needs, preferences, and is compatible with the abilities of the person in care; 81( 4 )(b)(i)(ii)
  5. Monitoring

    2 infractions

    • 6.3 Does the facility demonstrate appropriate outbreak prevention and control measures?
      • Observation(s): The system in place to monitor a resident's personal fridge is ineffective. The resident was noted to have outdated cold meats in their fridge and there was lack of dates on the contents within the fridge. In addition, an open jar of pickles was noted to be left out on the table. In discussion with the director of care, Licensing was informed that the spoiled food would be removed by October 21, 2016. Please update Licensing by the above date as to how this process has been addressed.
      • Ensure that food is safely prepared, stored, served and handled; 63 ( 1 )
    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): Areas identified by Licensing previously had been painted, however, new areas are in need of attention. The system currently in place to monitor the physical facility is broken. This is an outstanding contravention. LOs noted numerous rooms with large paint chips in the walls. One cottage had black marker scribbled on the wall in the hallway. In discussion with the director of care, LOs learned that the lift maintenance which was scheduled in April did not occur. Please inform Licensing of the system you will implement to monitor the facility. In the dining area of one cottage, water was leaking through the window. LOs learned that this has been an ongoing issue. Maintenance completed a temporary fix during the inspection. Licensing requests a plan be submitted outlining when this repair will be completed by the above date. One resident had a paring knife and a large pair of scissors left out at the bedside. This was to be corrected by October 21, 2016.
      • Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
      • Inspect and maintain on a regular basis all rooms and common areas, emergency exits, equipment, and monitoring and signalling devices; 22 ( 3 )
      • Provide appropriately furnished and equipped areas for secure, safe and adequate storage of cleaning agents, chemical products and other hazardous materials; 35( 1 )(c)
  6. Monitoring

    4 infractions

    • 6.2 Have all persons admitted to the facility complied with the Province’s immunization and tuberculosis control programs?
      • Observation(s): Numerous residents were noted to be missing their "immunization status" on their charts/care plans.
    • 7.2 Is the environment maintained to prevent falls?
      • Observation(s): One resident's window was still able to be opened all the way. This was an outstanding contravention.
    • 4.6 Are facility records current and complete?
      • Observation(s): There is a lack of food service audits on record.
      • Retain the results of monitoring of food services and nutrition care; 87(c)
    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): The medication fridge in one cottage was reading at 9.4 degrees Celsius. This is an outstanding contravention. The water temperature in one cottage was recorded at 57.8 degrees Celsius. This was corrected during the inspection.
      • Ensure water accessible to a person in care does not exceed 49 degrees Celsius; 17
      • Ensure all medications are safely and securely stored; 69( 3 )(a)
  7. Monitoring

    4 infractions

    • 4.2 Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
      • Observation(s): Upon a random audit of medication records, it was noted that the effectiveness of PRN medications is not consistently being documented.
      • Keep a medication administration record showing all medications administered to the person in care; 78( 2 )(a)
    • 7.2 Is the environment maintained to prevent falls?
      • Observation(s): In a resident's room the window was able to opened all the way. The DOC had taken steps during the inspection to have this corrected. In the outdoor courtyard, large rocks were being used as door stops. These rocks were left in the middle of the pathway posing a tripping hazard.
      • Windows must be secured to prevent falls from, or exiting through, the window; 15 ( 5 )
      • Ensure furniture and equipment for use by persons in care are compatible with health, safety and dignity of the persons in care; 21(b)
    • 4.1 Are person in care records current, complete and kept confidential?
      • Observation(s): Upon a random chart audit, one resident was noted to be missing their consent to call doctor or ambulance. This was an outstanding contravention.
      • Have and keep written consent from the person in care, or a parent or representative to call a medical or nurse practitioner or ambulance in case of accident or illness; 78( 3 )(a)
    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): A wall in a cottage lounge was noted to be quite scraped and missing paint in areas. Please submit a plan to licensing by June 30th. A wall in one of the cottage dining areas is in poor condition. Please submit a plan to licensing by June 30th. In one cottage, there were ants crawling inside by the doorway. In one cottage, a drawer containing sharp knives was found to be unlocked. Action was taken on this item by DOC during the inspection. The medication fridge in one cottage had a thermometer which was reading 50 degrees.
      • Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
      • Maintain all rooms and common areas in a safe and clean condition; 22( 1 )(c)
      • Provide appropriately furnished and equipped areas for secure, safe and adequate storage of cleaning agents, chemical products and other hazardous materials; 35( 1 )(c)
      • Ensure all medications are safely and securely stored; 69( 3 )(a)