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Purcell Place

535 18 Ave S Creston BC V0B 1G3 · Residential Care - Licensing

9 inspections

  1. Routine Inspection

    0 infractions

  2. Routine Inspection

    3 infractions

    • R7.2 - Is the environment maintained to prevent falls?
      • Observation(s): During the inspection of the physical facility it was noted that the laundry facilities did not have a slip resistant floor surface in place. The absence of slip-resistant flooring presents an increased risk of slips, trips, and falls, particularly for persons in care who may have reduced mobility, balance or cognitive awareness. Submit by May 19, 2025, a written plan outlining how the contravention related to slip-resistant flooring has been addressed. The plan must also detail the system and processes that will be implemented to support ongoing monitoring of Section 35(2)(a) of the Residential Care Regulation, thereby ensuring sustained compliance moving forward.
      • R7.2R - Laundry facilities must have a slip resistant floor surface if used by persons in care; 35( 2 )(a)
    • R8.1 - Is there an ongoing planned program of physical, social and recreational activities?
      • Observation(s): During the review of onsite documentation, it was identified that the licensee does not currently have an ongoing, planned program of physical, social and recreational activities in place. The absence of a structured, ongoing program of physical, social, and recreational activities poses a risk to the mental, emotional, and physical well-being of persons in care. Submit by May 19, 2025, a written plan outlining how the contravention related to planned recreation programming has been addressed. The plan must also detail the system and process that will be implemented to support the ongoing monitoring of Section 55(1)(a)(i) of the Residential Care Regulation, thereby ensuring sustained compliance moving forward.
      • R8.1A - Provide a program of activities, without charge, that is suitable to the needs of persons in care (Does not apply to Hospice); 55( 1 )(a)(i)
    • 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): R10.3E - During the review of care plans, it was identified that the care plan lacked specific guidance for staff regarding the nutritional needs of the persons in care. Instead of outlining the individualized dietary requirements or instructions, the care plan directed staff to read and review the nutritional assessments. The absence of specific nutritional guidance in the care plan may lead to inconsistent care, as staff may miss or misinterpret critical dietary needs. This increases the risk of unmet nutritional requirements, potentially affecting the health and well-being of persons in care. Submit by May 19, 2025, a written plan outlining how the contravention related to nutritional care plans has been addressed. The plan must also detail the system and process that will be implemented to support the ongoing monitoring of Section 81(3)(c)(i),(ii) of the Residential Care Regulation, thereby ensuring sustained compliance moving forward. R10.3F - During a review of care plans, it was identified that the care plan lacked a specific, documented recreation and leisure plan tailored to the needs, preferences, and abilities of the persons in care. The absence of a structured recreation and leisure plan may increase the risk of reduced resident participation in meaningful activities, leading to increased boredom, social withdrawal, and a decline in mental and emotional well-being. Submit by May 19, 2025, a written plan outlining how the contravention related to recreation and leisure care plans has been addressed. The plan must also detail the system and process that will be implemented to support the ongoing monitoring of Section 81(3)(d) of the Residential Care Regulation, thereby ensuring sustained compliance moving forward.
      • R10.3E - Ensure the care plan includes a nutrition plan that assesses nutrition status and specifies nutrition to be provided, including the requirement of any therapeutic diets; 81( 3 )(c)(i), (ii)
      • R10.3F - Care plans must include a recreation and leisure plan; 81( 3 )(d)
  3. Routine Inspection

    5 infractions

    • R4.3 - Is documentation concerning restraints adequate?
      • Observation(s): The system to ensure a record of the duration of a restraint, and the ongoing monitoring of the person in care during the restraint is ineffective. Restraint monitoring documents were noted to be inconsistently completed. There was no evidence of review, or follow up actions noted for the incomplete records.
      • 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)
    • R1.1 - Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?
      • Observation(s): The system to regularly monitor the physical environment and the care and services provided is ineffective. This is evidenced by the number of contraventions identified within this inspection report. This is an ongoing contravention from the May 2023 inspection.
      • R1.1W - Regularly monitor the physical environment and the care and services provided; 61
    • R4.1 - Are person in care records current, complete and kept confidential?
      • Observation(s): The system to ensure each person in care has a monthly weight recorded is ineffective. During a chart review it was noted that a person in care did not have any weights recorded following their admission.
      • 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): The system to ensure food is safely stored is ineffective. Fridge temperatures were noted to be inconsistently documented.
      • R6.3B - Ensure that food is safely prepared, stored, served and handled; 63 ( 1 )
    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): The system to ensure all rooms and common areas are in a good state of repair is ineffective. A closet door in the main hallway was noted to falling out of the upper track. The linoleum in the main hallway was noted to be curling up along the edges. The walls and doorway trim were noted to be in poor condition, with deep scratches, and marks from mobility aides. There was no evidence of monitoring to ensure the ongoing good state of repair, or corrective actions being taken.
      • R7.1I - Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
  4. Routine Inspection

    3 infractions

    • R1.1 - Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?
      • Observation(s): The system to ensure the physical environment and care services provided are monitored is ineffective.
      • R1.1W - Regularly monitor the physical environment and the care and services provided; 61
    • R2.1 - Are written policies and procedures in place to guide employees in all matters relating to the care and supervision of persons in care?
      • Observation(s): The system to ensure policies are implemented by employees is ineffective. It was noted during the inspection that the policy for documentation is inconsistently implemented by staff.
      • R2.1S - Ensure policies are implemented by employees; 85( 1 )(d)
    • 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): The system to ensure that the care and supervision of persons in care is consistent with the terms and conditions of the care plan is ineffective. Upon review of a care plan, and supporting documentation, it was identified that parts of the care plan are not consistently implemented as outlined. This is an ongoing contravention from the April 2022 routine inspection.
      • 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
  5. Routine Inspection

    3 infractions

    • R10.4 - Are restraint and fall prevention plans appropriate?
      • Observation(s): The system to ensure the type, and duration of a restraint is documented was ineffective. There was no evidence of documentation of the use of restraints. The system to ensure the use of restraints is documented was ineffective.
      • 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
    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): It was identified that the team leader currently monitors and checks to ensure water temperatures accessible to persons in care does not exceed 49 degrees Celsius. There was no evidence to support this practice as water temperatures are not currently documented. Team Leader informed Licensing that a monthly record will be implemented. It was noted that the concrete outdoor walkway, as well as the concrete underneath the covered outdoor activity area was uneven, cracked, and not in a good state of repair. This was also identified by team leader and manager, however, there is currently no plan in place to ensure this common area is in a good state of repair.
      • 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)
    • 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): A person in care was identified as being at risk of leaving the facility without notifying staff. The system to ensure the care plan included a plan to prevent the person in care from leaving, and a plan to locate the person in care was ineffective. The system to ensure that the care and supervision of persons in care is consistent with the terms and conditions of the care plan was ineffective. Upon review of a care plan, and in discussion with staff, it was identified that parts of the care plan were not consistently implemented as outlined.
      • R10.3G - Ensure the care plan for persons at risk of leaving the facility includes a plan to prevent the person in care from leaving and if the person leaves without notification, a plan to locate the person in care; 81( 3 )(f)(i)(ii)
      • 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
  6. Routine Inspection

    5 infractions

    • RB1.5 - Are persons in care informed on how to express concerns or make complaints to the medical health officer or to the Patient Care Quality Office prior to admission?
      • Observation(s): The number the facility had in the resident client handbook did not have information on how to contact licensing as per RCR 48(1)(c)(ii)
    • R1.1 - Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?
      • Observation(s): It was observed during the inspection that the locking system on the knife/sharp drawer and the cupboard below the knife drawer was ineffective as the locking mechanisms did not lock the drawer. The system failed.
      • R1.1W - Regularly monitor the physical environment and the care and services provided; 61
    • R2.1 - Are written policies and procedures in place to guide employees in all matters relating to the care and supervision of persons in care?
      • Observation(s): The number the facility had in the resident client handbook did not have information on how to contact licensing as per RCR 48(1)(c)(ii) Although the facility has a system in place to orientate staff to the Residential Care Regulations, the system has not been utilized since 2018.
      • R2.1C - Prior to admission, advise how the person, their parent or representative may express concerns or make complaints to licensing; 48( 1 )(c)(i)
      • R2.1S - Ensure policies are implemented by employees; 85( 1 )(d)
    • R3.1 - Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): The facility does not have a system in place to demonstrate that employee references have been verified during the hiring process, and kept on file during the term of their employment. The facility has a policy to conduct performance reviews at 3 and 6 months for new hires and on a yearly bases for long-term employees. It was noted that an employee who had been employed for more than 8 months did not have any performance evaluations on file.
      • R3.1C - Obtain character references for all employed persons; 37( 1 )(b)
      • 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)
    • R6.3 - Does the facility demonstrate appropriate outbreak prevention and control measures?
      • Observation(s): The facility does not have a system in place to ensure that food stored in fridges and freezers are stored properly. There is no system in place to track temperatures in order to ensure the food is stored safely.
      • R6.3B - Ensure that food is safely prepared, stored, served and handled; 63 ( 1 )
  7. Monitoring

    0 infractions

  8. Monitoring

    1 infraction

    • 3.1 Do the manager and employees meet the employment requirements and are they assessed regularly for performance?
      • Observation(s): Licensing observed the CDSCL area staffing spreadsheet shows a new staff who works in the facility, does not have a completed Criminal Record Check (CRC) in place. A health and safety plan was put in place to ensure this staff will not work in the home until this is completed. The health and safety plan was removed on Sept 27th upon the receipt of the documentation confirming the CRC was completed.
  9. Monitoring

    2 infractions

    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): Some of the panels in the fence have been replaced but others still require some attention. Some boards appear loose and one has fallen off. Please provide a plan to licensing by the above date which will explain how the fence will be addressed.
      • Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
    • 10.3 Do care plans include the required elements and are they developed with the participation of the person in care, parent or representative?
      • Observation(s): Although the PSPs were current for all residents, there were a few charts which had documents instructing how to provide care which did not indicate they had been reviewed in the past few years.
      • 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)