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Waddington Group Home

141 Waddington Dr Kamloops BC V2E 1P7 · Residential Care - Licensing

10 inspections

  1. Routine Inspection

    3 infractions

    • RB1.23 - Do care plans take into account the person in care's unique abilities, physical, social and emotional needs, and cultural and spiritual preferences?
      • Observation(s): A care plan was reviewed during this inspection that did not give specifics for a PIC who may leave the facility independently, including what steps are to be taken if they do not return at the identified time. If care plans do not describe the actions to take if PIC does not return as scheduled, it may delay the process of locating them. Submit an action plan by May 23, 2025, which indicates how all PIC's who leave the facility independently will have a care plan which details the processes in place for the independent leave, as well as the actions to take if the PIC does not return as planned.
      • RB1.23A - Ensure the person in care's unique abilities, physical, social and emotional needs, and cultural and spiritual preferences are taken into account in their care plan.
    • 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): Facility emergency procedures include emergency kits, which contain food and other provisions for persons in care (PIC). Some emergency kits observed during this inspection had not been audited recently, and some food was observed as expired. Expired food was removed during inspection. Emergency kits must be audited on a regular basis to ensure all items are suitable to meet the needs of PIC's in an emergency situation. Submit a corrective action plan by May 23, 2025, that describes what auditing procedures will be put in place to ensure emergency kits are always able to meet the needs of PIC's. Some staff have not received an orientation to the Residential Care Regulation (RCR) or Community Care and Assisted Living Act (CCALA). All staff must receive an orientation to the RCR and CCALA to ensure they are aware of the legislation that governs the facility. Submit a corrective action plan by May 23, 2025, indicating how all staff will receive an orientation to the RCR and CCALA.
      • R2.1F - Emergency plans must set out procedures to prepare for, mitigate, respond to and recover from any emergency including evacuation procedures; 51( 1 )(a)
      • R2.1T - Ensure there are written policies and procedures for orientation of new managers and employees, including all policies and procedures of the facility, the regulations and the Act; 85( 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): This is an ongoing contravention - It was noted during the last routine inspection and found unresolved during this inspection. A care plan was reviewed during this inspection that did not give specifics for a PIC who may leave the facility independently, including what steps are to be taken if they do not return at the identified time. If care plans do not describe the actions to take if PIC does not return as scheduled, it may delay the process of locating them. Submit an action plan by May 23, 2025, which indicates how all PIC's who leave the facility independently will have a care plan which details the processes in place for the independent leave, as well as the actions to take if the PIC does not return as planned.
      • R10.3A - Develop a care plan with the participation of the person in care to the extent reasonable practical or the parent or representative and takes into account the unique abilities, physical, social and emotional needs, cultural and spiritual preferences of the person in care; 81( 2 )(a)(i)(ii)(b) (Show More)
  2. 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 facility manager completes monthly audits on any expenditures made by staff on behalf of the persons in care, please inform on what systems are in place to have the monthly manager audits reviewed by a representative from the Licensee Western Human Resource.
      • 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): The downstairs washroom in the house has several person in care items stored in the bathtub/shower, please ensure there is appropriate storage available for person in care items.
      • R7.1J - Maintain all rooms and common areas in a safe and clean condition; 22( 1 )(c)
    • 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): Ensure care plans for any persons in care (PIC) who can leave the facility independently include guidelines to support the activity. (How long is PIC able to leave? Do they have/need ID? Do they have a cell phone, if so what is the number? What are staff to do if they do not return at the specified time? etc.).
      • R10.3A - Develop a care plan with the participation of the person in care to the extent reasonable practical or the parent or representative and takes into account the unique abilities, physical, social and emotional needs, cultural and spiritual preferences of the person in care; 81( 2 )(a)(i)(ii)(b) (Show More)
  3. Routine Inspection

    3 infractions

    • R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
      • Observation(s): The effectiveness of PRN medications was noted as inconsistently charted in the MAR's reviewed during this inspection.
      • R4.2D - Keep a medication administration record showing the date, amount, and time at which the medication was administered; 78( 2 )(b)
    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): Caulking missing around the tub in the upstairs washroom, a black substance observed in some of the area between the tub and the wall. It was advised that the caulking had been reapplied within the last 6 months and has come off again. A piece of trim beside the tub is coming loose and appears to be rotting due to moisture. Please submit a plan on how the issues noted in the bathroom will be followed up on by the facility.
      • 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): The care plan of a PIC indicates some safety concerns regarding interaction with another PIC, however the plan does not give specifics on how staff are to deal with the concern, specifically if there is only one staff present. The care plan of one PIC reviewed did not include a recreation plan.
      • R10.3C - Care plans must include a plan to address behavioural intervention, if applicable; 81( 3 )(a)(ii)
      • R10.3F - Care plans must include a recreation and leisure plan; 81( 3 )(d)
  4. Substantiated complaint

    2 infractions

    • R7.1 - Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): A portion of the complaint received indicated concerns with the state of repair of the tub/tile and baseboard trim in the upstairs washroom. During a Licensing site visit, it was observed the tub/tile had grout missing, and the baseboard near the tub was coming apart from the wall and appeared to be breaking apart. Since the site visit, the facility has followed up with Licensing on the beginning of a plan to repair the area.
      • 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): The care plan mentioned in the complaint was reviewed and did give specific behavioural information, however, it did not give information on how staff were to manage the identified behaviour.
      • R10.3C - Care plans must include a plan to address behavioural intervention, if applicable; 81( 3 )(a)(ii)
  5. Routine Inspection

    2 infractions

    • R7.2 - Is the environment maintained to prevent falls?
      • Observation(s): One cabinet door in the kitchen is missing, several others are in a poor state of repair, inform licensing on what steps will be taken to address this issue. Ensure the area of the laundry room floor near the washer & dryer has slip resistant surfacing if used by a person in care.
      • R7.2N - Ensure furniture and equipment for use by persons in care are maintained in a good state of repair; 21(c)
      • R7.2R - Laundry facilities must have a slip resistant floor surface if used by persons in care; 35( 2 )(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): Some care processes specific to the care of one PIC were discussed during this inspection that were not included in the care plan, ensure the care plan is updated.
      • R10.3A - Develop a care plan with the participation of the person in care to the extent reasonable practical or the parent or representative and takes into account the unique abilities, physical, social and emotional needs, cultural and spiritual preferences of the person in care; 81( 2 )(a)(i)(ii)(b) (Show More)
  6. Routine Inspection

    1 infraction

    • 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 Individual Support Plans for some of the Persons in Care have not been updated for just over a year.
      • 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)
  7. Monitoring

    3 infractions

    • R2.2 - Are written policies and procedures in place to guide staff in fall prevention?
      • Observation(s): The current restraint care plan in place for one PIC does not include written agreement from the PIC's medical practitioner and representative. inform Licensing that the agreements are in place and on what processes will be put in place to ensure any changes to or new restraints will include written agreements
      • 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)
    • R10.4 - Are restraint and fall prevention plans appropriate?
      • Observation(s): Ensure the restraint in use at the facility has a defined care plan which includes the use of the restraint, how often staff are to monitor, its type and the duration for which it is used.
      • 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
    • R9.1 - Are medications stored, handled, and administered appropriately?
      • Observation(s): The MSAC is overdue for its annual meeting. Inform Licensing on when the meeting is scheduled and what systems are in place to ensure meetings occur on a regular basis.
      • 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)
  8. Monitoring

    3 infractions

    • R4.2 - Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
      • Observation(s): The results of PRN medications are not consistently being charted. Ensure PRN's are charted for reason and result of the medication, also include in your response how this is audited by the facility.
      • R4.2C - Keep a medication administration record showing all medications administered to the person in care; 78( 2 )(a)
    • R1.1 - Does the Licensee operate in accordance with their license and inform Licensing of any significant changes?
      • Observation(s): Facility physical environment self monitoring procedures reviewed, ensure procedures are updated to include the review of items or areas which may need updating/maintenance. A cabinet in one PIC washroom had a lot of chipped paint and is in need of maintenance, this has not been noted on facility self monitoring checks.
      • 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): Bathroom cabinet in one PIC washroom is in a poor state of repair (chipping paint), ensure the cabinet is repaired or replaced.
      • R7.1I - Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
  9. Monitoring

    2 infractions

    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): One countertop in the kitchen area has duct tape along the edges where the trim has broken, ensure this area is repaired or replaced. Staff purses and back packs stored on the fireplace mantle, ensure all bags which may potentially contain hazardous materials (medications, lighters) are stored in an area which is inaccessible to residents.
      • Maintain all rooms and common areas in a good state of repair; 22( 1 )(b)
      • Provide appropriately furnished and equipped areas for secure, safe and adequate storage of cleaning agents, chemical products and other hazardous materials; 35( 1 )(c)
    • 10.2 Do care and supervision practices ensure health, safety and dignity of persons in care?
      • Observation(s): There is one PIC who potentially may leave the facility without notifying an employee, ensure they have a bracelet or other means that cannot be easily removed, indicating the person in care's name, facility and emergency contact information.
      • Ensure that persons in care who may leave the facility without notifying an employee and may not be capable of identify themselves be fitted with a bracelet or other means that cannot be easily removed, indicating the person's name, facility, and emergency contact information; 56( 3 )(a)(b)
  10. Monitoring

    3 infractions

    • 4.2 Are Medication Administration Records accurate, kept on site and are adverse events documented and reported?
      • Observation(s): Ensure all PRN medication charting includes the reason and the result of the medication.
      • Keep a medication administration record showing all medications administered to the person in care; 78(2)(a)
    • 5.1 Does the facility provide food services which meet nutritional needs and preferences for persons in care?
      • Observation(s): Meal substitutions currently not documented, ensure staff document when posted menu is not followed.
      • Follow the menu or, in unforeseen circumstances, document appropriate substitutions that meet the nutritional requirements of section 62(2); 62 (19)
    • 7.1 Are the physical facility, equipment and furnishings maintained, sanitary, accessible and appropriate for persons in care?
      • Observation(s): Handrail on stairs from backyard deck has chipped paint and some raised wood sections which may cause injury to PIC, ensure handrails are fixed to prevent injury.
      • Maintain all rooms and common areas in a good state of repair; 22(1)(b)