Oriole House
1080 Holt St Kamloops BC V2B 5H2 · Residential Care - Licensing
6 inspections
- Routine Inspection
3 infractions
- R4.3 - Is documentation concerning restraints adequate?
- Observation(s): A person in care’s care plan for restraints was reviewed and found there was not indication of the monitoring practices for while the restraint is in use. The site manager was not able to provide documentation regarding monitoring during the use of the restraint. When a person in care is in a restraint and there is not monitoring in place, this increases the risk of injury or death. Submit a written action plan detailing how the Licensee will ensure the employees are monitoring persons in care when restraints are in use and the system that will be used to show the monitoring practices, no later than February 27, 2026.
- R4.3D - Keep a record of the duration of the restraint and the monitoring of the person in care during the restraint in the persons care plan; 84(d)
- R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
- Observation(s): The medication cupboard was found during the inspection with the key in the lock, and the door unlocked, leaving medications accessible to persons in care. When medications are accessible to persons in care, this increases the risk for ingestion of medications which could be harmful to persons in care, possibly leading to poisoning or even death. Submit a written action plan detailing how the Licensee will ensure employees keep the medications not accessible to persons in care and to follow the Licensee’s policies, no later than February 27, 2026.
- R3.1AA - Ensure that all employees comply with the policies and procedures of the medication safety and advisory committee; 68 ( 4 )
- 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): Monthly weights were reviewed and found that one person in care’s monthly weights were not documented for two months. There was no documentation for reason the weights were not obtained. The absence of recorded monthly weights or the reason they are not obtained increases risk to persons in care's overall health and nutritional status. Submit a written action plan detailing how the Licensee will ensure all employees are documenting the monthly weights of persons in care and/or the reason for not obtaining the monthly weight, no later than February 27, 2026.
- R10.3S - Record in the nutrition plan the reason why a person in care has refused or is unable to be weighed and that immediate advice is sought of a health care provider when it appears that a person in care may have experienced a significant change in weight; 83( 5 )(a) (b)
- R4.3 - Is documentation concerning restraints adequate?
- Routine Inspection
3 infractions
- R10.4 - Are restraint and fall prevention plans appropriate?
- Observation(s): One person in care's care plan did not show evidence of the minimum annual reassessment of the restraint portion of the care plan and written agreement.
- R10.4N - Ensure if the use of a restraint continues either continuously or intermittently, for more than 24 hours, the need for the restraint is reassessed on the earlier of the time specified in the care plan, and the time specified by the persons who agreed, and, as part of the reassessment, consult, as reasonably practical, with the persons who agreed to the restraint use; 75( 3 )(a)(i)(ii)(b) (Show More)
- R4.1 - Are person in care records current, complete and kept confidential?
- Observation(s): A review of person in care records showed six monthly weights/or refusals were not documented over a one year period, for one person in care.
- R4.1U - Weigh each person in care monthly and record their weight in their nutritional plan (Does not apply to Hospice); 83( 4 )(a)(c)
- R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Observation(s): In a closet, several paper bags were being stored, which were identified as medications by the employees. The closet was not locked making the medications accessible to persons in care.
- R7.1AJ - Provide appropriately furnished and equipped areas for the safe and secure location of medications and the records of persons in care; 35( 1 )(b)
- R10.4 - Are restraint and fall prevention plans appropriate?
- Routine Inspection Follow-up
1 infraction
- R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
- Observation(s): A review of employee files showed no evidence of the following: -Evidence of Covid vaccinations was present in all files. There were no other vaccination screening measures found in the employee's files. -One of the employee files reviewed had evidence of tuberculosis control programs screening, while no evidence of tuberculosis screening was present in any other employee files reviewed. -Of the employee files reviewed, two files had first aid/CPR certificates which did not meet the requirements of Schedule C. The course taken did not include an "in person" portion, as it was an online program which does not meet Schedule C. Please be sure to fully review Schedule C when selecting a "preferred" first aid/CPR program for the organization.
- R3.1F - Obtain evidence that employed persons comply with the province's immunization and tuberculosis control programs; 37( 1 )(e)
- R3.1R - Ensure that persons in care have immediate access at all times to an employee who holds a valid first aid and CPR certificate from a course that meets requirements of Schedule C, is knowledgeable about each person in care's medical condition, and is capable of effectively communicating with emergency personnel; 43( 1 )(a)(b)(c) (Show More)
- R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
- Routine Inspection
4 infractions
- R2.2 - Are written policies and procedures in place to guide staff in fall prevention?
- Observation(s): One person in care's care plan did not include the use of restraints, nor a written agreement with the physician and representative. The facility does have a monitoring practice in place, but does not document each safety check of person in care.
- R2.2A - A restraint may be applied in an emergency or when there is written agreement to the use of a restraint by both the person in care or their representatives, medical practitioner or nurse practitioner; 74( 1 )(a)(b)(i)(ii)
- R5.1 - Does the facility provide food services which meet nutritional needs and preferences for persons in care?
- Observation(s): A review of the weekly menus for the facility showed there were only one food group being offered at each twice daily snack for the majority of the menus.
- R5.1D - Provide for each day, at least 2 nutritious snacks with at least 2 food groups described in Canada's Food Guide; 62( 2 )(b)
- R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Observation(s): There was one hole, approximately the size of the door handle, behind one door in the main area of the home. Additionally, there were four holes in the main bathroom on one wall, each measuring approximately 25 cm in diameter.
- R7.1I - Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
- R9.1 - Are medications stored, handled, and administered appropriately?
- Observation(s): The facility did not have evidence available of an Medication Advisory Committee meeting having taken place for the last three years.
- R9.1A - Appoint a medication safety and advisory committee consisting of the manager or person designated by the manager, the supervising pharmacist and, if employed by the licensee, the health care provider responsible for the immediate supervision of health care services provided in the facility; 68( 1 )(a)(b)(c) (Show More)
- R2.2 - Are written policies and procedures in place to guide staff in fall prevention?
- Routine Inspection
4 infractions
- R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
- Observation(s): Probationary staff performance evaluations are up to date, the regular annual staff review is currently overdue.
- 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)
- R4.1 - Are person in care records current, complete and kept confidential?
- Observation(s): Monthly PIC weight charting was observed as incomplete for Feb/Mar/Apr 2021 during this inspection. This contravention was also noted in the last licensing routine inspection.
- R4.1R - Weigh each person in care monthly and record their weight in their nutritional plan (Does not apply to Hospice); 83( 4 )(a)(c)
- R6.3 - Does the facility demonstrate appropriate outbreak prevention and control measures?
- Observation(s): Daily temperature audits are occurring for facility fridges and freezers, however the noted temperature of one of the freezers was out of the desired zone. No information on what steps were taken to follow-up on this issue.
- R6.3B - Ensure that food is safely prepared, stored, served and handled; 63 ( 1 )
- R9.1 - Are medications stored, handled, and administered appropriately?
- Observation(s): The facility has not held a Medication Safety and Advisory Committee meeting in over a year, at the time of this inspection a meeting had not been planned.
- R9.1B - Appoint a supervising pharmacist to serve on the medication safety and advisory committee and inspect medication storage areas; 68( 2 )(a)(b)
- R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
- Routine Inspection
3 infractions
- R4.1 - Are person in care records current, complete and kept confidential?
- Observation(s): Monthly PIC weight charting was observed as incomplete for August and September 2019.
- R4.1R - Weigh each person in care monthly and record their weight in their nutritional plan (Does not apply to Hospice); 83( 4 )(a)(c)
- R6.3 - Does the facility demonstrate appropriate outbreak prevention and control measures?
- Observation(s): Individual hand towels were not available in the downstairs washroom at the time of inspection.
- R6.3A - Establish a program to instruct, if necessary, and assist persons in care in maintaining health and hygiene; 54 ( 1 )
- R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
- Observation(s): The wheelchair ramp leading to the front door has some weak/soft areas in the plywood, inform licensing on what steps will be taken to ensure the ramp is safe and in a good state of repair.
- R7.1I - Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
- R4.1 - Are person in care records current, complete and kept confidential?