• Committee responds to long-term care reviews by recommending immediate $1.8 million for 35 new staff, critical equipment and technology upgrades

    Ottawa –Today, the Audit Committee and the Community and Protective Services Committee each received independent reviews of the City’s long-term care homes. At the Audit Committee, Auditor General Ken Hughes presented a review of the management of medications and an investigation into the reporting of a 2017 incident at a long-term care home. At the Community and Protective Services Committee, Greg Fougère, a consultant hired by the City to review its long-term care homes, presented his findings, which followed 240 interviews over several months.
     
    These reviews are the third and fourth independent reviews of the City’s long-term care services following the issuance of a Compliance Order to the City by the Ministry of Health and Long-Term Care. The other two reviews were the Compliance Plans approved by the Ministry and a comprehensive stakeholder engagement exercise. All four reviews took place over the same time, from late 2017 to early 2018. The results that came from each review were consistent, and complemented or built on the others. Each of the reviews and resulting work plans were shared with stakeholders, along with regular updates.  The constant feedback loop allowed staff to review and refine their work plans to reflect the findings and recommendations of the reviewers, and address the gaps identified.     
     
    The result is a consolidated work plan with 84 specific recommendations in the areas of staffing, quality improvements in policies and programs, investments in capital and technology infrastructure, communications, and resident care and service delivery improvements. Of the 84 recommendations, 18 have been completed, 43 are in progress and 23 have not yet been started.
     
    The Community and Protective Services Committee heard that additional staff are needed to ensure that residents receive more personal and nursing care than they do now. The Mayor and Chair Diane Deans moved that 35 additional support staff be hired as soon as possible in 2018, with an immediate, part-year investment of $800,000. This motion was approved by the Committee.                     
     
    This is in addition to the recommended $1-million capital investment for urgent equipment upgrades of items like beds and lifts, and for staff training and improved technology at the long-term care homes. The Finance and Economic Development Committee will consider this recommendation tomorrow.
     
    While many of the 84 recommendations do not have budget implications, staff will bring forward any additional funding needed to implement the work plan through the 2019 budget process.
     
    Quotes
     
    “I am pleased that we could bring forward this proposal to immediately hire 35 additional Personal Support Workers, which will help us address some of the most pressing challenges identified. I wish to thank City staff and Greg Fougère for their efforts on this file, and I look forward to working with them to ensure we provide better services to our seniors living in long-term care homes.”
    Jim Watson, Mayor, City of Ottawa
     
    “The Auditor General has done thorough, timely work with two audit reports involving the City’s long-term care homes. I thank the Auditor General and his team for work that will result in more support for our staff, stronger management and better service for the more than 700 residents of our long-term care homes.”
    Councillor Allan Hubley, Chair, Audit Committee
     
    “Our external expert, Greg Fougère, has produced valuable insights into the strengths and areas for improvement in the City’s long-term care. The city needs to address the concerns raised in a comprehensive and timely manner. I thank the staff who have worked so hard to maintain quality care in our homes through this period of examination. I thank our residents, their families and the hundreds of volunteers who help in the homes for their ongoing support through a challenging time. Our goal is to improve care and support staff to provide the best possible quality of life for residents.”
    Councillor Diane Deans, Chair, Community and Protective Services Committee
     
    The Committee’s recommendation for urgent investment in the front-line staff that provide direct care to residents, along with the capital funds being recommended tomorrow, will allow staff to move more quickly on the changes that are needed to close the gaps in our long-term care homes. If approved by Council, this will make a material difference to our residents, their families and our staff beginning this year.”
    Steve Kanellakos, City Manager
  • City Manager’s update on Long-Term Care

    The purpose of this memorandum is to provide an update to the Mayor and Members of Council of the work underway to address recent incidents in the City’s four Long-Term Care Homes. It will also provide an update on the appointment of the lead for the independent third-party review of Long-Term Care operations, the approval of the City’s compliance plans by the Ministry of Health and Long-Term Care (MOHLTC) and the stakeholder engagement activities that have been undertaken to date.

    Third-Party Review

    The City has engaged Mr. Greg Fougère to complete the third party, independent review. For over 30 years, Mr. Fougère has been involved in seniors’ initiatives at the local and provincial levels, working in areas such as long-term care policy, planning, funding and legislative compliance. During this time, he has earned numerous awards and honors for his accomplishments. Mr. Fougère has a Masters in Health Administration (MHA) from the University of Ottawa and is a Certified Health Executive (CHE) with the Canadian College of Health Leaders. Mr. Fougère was the CEO of the Perley and Rideau Veterans’ Health Centre for 17 years.  Mr. Fougère’s extensive knowledge of long-term care and his successful career in Ottawa will be invaluable to this review.

    The independent, third-party review will begin on November 1, 2017 with a final report completed no later than Q1 of 2018.

    The scope of the review includes a thorough review of data, documents and files associated with the operations of the homes and of the incidents, as well as interviews with key stakeholders; an analysis of factors contributing to recent incidents; and, the identification of actionable measures, in the form of recommendations aimed at preventing abuse (physical, verbal, emotional and sexual) or the failure to report going forward.

    Ministry of Health and Long-Term Care Compliance Plans

    Compliance plans were submitted to the MOHLTC on September 15th, 2017.  On October 26th, 2017, the Ministry of Health and Long-Term Care informed staff that the Compliance Plans (Attached) have been approved.

    The approved plans will be posted in the Homes and shared with stakeholders. The work is well underway with each of the four Homes having established inter-disciplinary workgroups to implement the actions in the compliance plans.

    Stakeholder Engagement

    A robust Stakeholder Engagement strategy led by the City is almost complete.  This engagement is intended to respond to questions, provide information on the work that is underway and to obtain feedback on what works well and where the Homes can improve in the areas of care, safety and services.  The stakeholder engagement included:

    • Thirteen (13) family, friend and volunteer sessions in the Homes during September and October, held during the day, evening and weekend. Over 220 participants attended the sessions across the four Homes with over 90% of participants having indicated they were satisfied or very satisfied with the sessions.
    • Engagement sessions for Long-Term Care Residents were held during the October Residents’ Council meetings at each Home.
    • Multiple facilitated sessions are underway with Long-Term Care staff at each Home.
    • Online and paper surveys for all stakeholders continue to be available until November 1st, to date, over 400 surveys have been shared.

    The analysis of the concerns, feedback and suggestions stemming from the stakeholder engagement strategies has begun and may result in the development of further actions. A communication strategy to keep stakeholders informed of ongoing work will be finalized by mid-November.

    Should you have any questions, please do not hesitate to contact Janice Burelle at extension 44239.

    Original signed by
    Steve Kanellakos
    City Manager

  • Mayor Watson’s statement on recent verbal abuse case in City Long Term Care home

    I am appalled and furious with this news about elder abuse in one of our long term care homes. This behavior will not be tolerated and I am fully supportive of the immediate dismissals of those involved in this outrageous and callous behavior.

    I have asked staff to bring in a third party to review all aspects of our long term care residences and report back with all concerns and recommendations in a timely fashion.

    Jim Watson
    Mayor, City of Ottawa