Ministry Inspections

Ministry Inspections

At McCormick Home, we believe in the importance of organizational transparency. We are pleased to share with you information on our ministry inspection process and evaluations so that you can better understand our performance and have an informed opinion on the quality of our long-term care services.

As directed by the Ministry of Health and Long-Term Care, all long-term care facilities are subject to four different types of inspections:

  • Full inspection (also known as a “Resident Quality Inspection”) – where ministry inspectors conduct a thorough and unannounced review of all aspects of a facility’s operations and services
  • Critical incident inspection (also referred to as a “critical incident report”) – where ministry inspectors may choose to conduct a review of a formally reported incident
  • Complaint investigation – where ministry inspectors may choose to conduct a review of a formally reported complaint
  • Follow-up inspection – where ministry inspectors may choose to return to a facility to ensure that ministry recommendations have been implemented

We encourage you to review our results and feel free to contact us if you have any questions about the care, services or accommodations we provide.

This information is available on the Ministry of Health and Long-Term Care – Reports on Long-Term Care Homes website.

Inspection Results

According to the Ministry of Health, if an inspector finds non-compliance with requirements, the inspector must take at least one of the following actions:

  • Issue a Written Notification (WN)
  • Request a Plan of Correction, to be implemented voluntarily (VPC)
  • Make a Compliance Order or a Work and Activity Order
  • Refer the matter to the ministry’s Director of Performance Improvement and Compliance Branch for further action

Other powers of the Director under the Long-Term Care Homes Act, 2007 and its regulations include:

  • Directing the community care access centre to cease admissions to the Home
  • Revoking or refusing to renew the long-term care home’s license
  • Reducing or withholding funding
  • Requiring the long-term care home operator to retain someone to manage or assist in managing the home
  • Taking steps to operate or take control of a municipal long-term care home

Ministry of Health Inspection FAQs

Inspections at McCormick Home

We are committed to the highest standards of care at McCormick Home and welcome any ministry inspection. We fully support all the legislation set out by the Ministry of Health and Long-Term Care and cooperate fully with the inspection process to ensure ongoing quality improvement in the care we provide to our residents.

2016 Results for McCormick Home

November 28-December 2, 2016 – Resident Quality Inspection

Between November 28 to 30, 2016, and December 1 to 2, 2016, the ministry visited the home to conduct a Resident Quality Inspection. Our last RQI inspection took place in September 2015. Four Written Notifications reflecting four areas of non-compliance were received as a result of this review. Findings included an unlocked door to a cleaning closet, the use of an undocumented restraining device on a resident’s wheelchair, the use of two half-bed rails without a proper assessment, and treatment creams being stored outside of a locked area.

McCormick Home held re-education sessions for staff regarding the importance of properly securing chemicals and treatment creams, and the requirements involved when employing restraint devices.

Please visit the Ministry of Health and Long-Term Care Homes – Home Report for a copy of the ministry’s report on this investigation (dated December 30, 2016).

June 22-23, 2016 –Critical Incident Investigation

From June 22 to 23, 2016, the ministry visited the home to conduct a critical incident investigation. The investigation addressed an incident of verbal abuse by a nurse to a resident that took place in the fall of 2015.  The nurse was immediately suspended with pay pending an investigation. The ministry’s investigation found that there were no violations in regard to this incident.

Please visit the Ministry of Health and Long-Term Care Homes – Home Report for a copy of the ministry’s report on this investigation (dated July 11, 2016).

June 22-23, 2016 – Complaint Investigation

From June 22 to 23, 2016, the ministry visited the home to conduct a complaint investigation. The complaint involved concerns with the continence care of a resident.

The ministry’s investigation found that there were no violations in regard to this complaint.

Please visit the Ministry of Health and Long-Term Care Homes – Home Report for a copy of the ministry’s report on this investigation (dated July 11, 2016).

2015 Results for McCormick Home

September 21-29, 2015 – Resident Quality Inspection

Between September 21 and 29, 2015, the ministry visited the home to conduct a Resident Quality Inspection. Our last RQI inspection took place in October 2014. Two Written Notifications reflecting two areas of non-compliance as well as a Voluntary Plan of Correction were received as a result of this review. McCormick Home is working to quickly address these issues and has corrective measures in place as a result of the ministry’s findings.

  • Care Plan Accuracy – Five examples of a discrepancy between the resident care plan and its delivery were found, including the use of a personal assistive safety device, the use of sitting and repositioning devices, a two-way communication process for a resident, and a resident’s changed mobility and transfer status. In addition to other corrective measures, McCormick Home is in the process of auditing all resident care plans to provide clear directions to staff and others who provide direct resident care and revising these plans to enhance our section on communication concerns, goals and interventions. As well, the home has developed a new Restraint Checklist for our admissions package and updated our nursing policy on the use of restraint/personal assistance service devices.
  • Housekeeping – Two examples of housekeeping deficiencies include the cleanliness of dining room furniture and the management of challenging odours. In response, the cleaning of the dining room furniture, including the underside of table tops, legs, chair arms and legs was immediately undertaken and subsequently added to the four-hour weekly cleaning duty rotation. For the management of challenging odours, a thorough cleaning of the room and resident’s belongings took place immediately following the inspection, and an effective air purifier was installed. The home has also since developed an Odour Control Policy as part of its Occupational Health and Safety program.

Please visit the Ministry of Health and Long-Term Care Homes – Home Report for a copy of the ministry’s report on this investigation (dated October 28, 2015).

May 13, 2015 –Critical Incident Investigation

On May 13, 2015, the ministry visited the home to conduct a critical incident investigation. The investigation addressed two incidents – one involving a staff member was said to have spoken harshly to a resident and intentionally moved the resident’s wheelchair out of her reach, and the other involving a resident entering another resident’s room and attempting to pull him out of the bed.

The ministry’s investigation found that there were no violations in regard to these incidents.

Please visit the Ministry of Health and Long-Term Care Homes – Home Report for a copy of the ministry’s report on this investigation (dated May 13, 2015).

January 16, 2015 – Complaint Investigation

On January 16, 2015, the ministry visited the home to conduct a complaint investigation. The complaint involved concerns with a lack of staffing and supplies as well as an issue with the cleanliness of our facilities.
The ministry’s investigation found that there were no violations in regard to the complaint.
Please visit the Ministry of Health and Long-Term Care Homes – Home Report for a copy of the ministry’s report on this investigation (dated January 17, 2015).

January 16, 2015 – Critical Incident Inspection

On January 16, 2015, the ministry visited McCormick Home to follow up on a critical incident report filed by the home on December 22, 2014. The report involved an incident where a resident was in a chair with a seatbelt and was observed to have slid down in the chair while seated.

McCormick Home filed the report with the ministry as a critical incident to ensure that proper policies and procedures in the use of restraints were being followed.

The ministry’s investigation of this incident found that there were no violations of compliance with restraint policies and procedures. In the interests of added safety, the home has implemented further measures to prevent similar incidents from occurring. For example, the resident will be receiving a customized chair better suited to their needs and staff will be reviewing the home’s current restraining management program.

Please visit the Ministry of Health and Long-Term Care Homes – Home Report for a copy of the ministry’s report on this investigation (dated January 17, 2015).

2014 Results for McCormick Home

From January to September 2014, McCormick Home underwent three critical incident inspections. There were no violations found.

In March 2014, McCormick Home volunteered its facilities for four weeks to serve as a training location for new ministry inspectors. The home appreciated this opportunity to participate in assisting in the ministry’s education effort as well as to learn the feedback resulting from this exercise. No major violations of service, care and/or cleanliness standards were found as a result of this voluntary inspection and training effort.

October 2014 McCormick Home Resident Quality Inspection

Our last full inspection (Resident Quality Inspection) by the Ministry of Health took place in October 2014. Five written notifications were received as a result of this review. McCormick Home is working quickly to address these issues and has corrective measures in place as a result of the ministry’s findings.

The written notifications and related corrective steps identified in the October 2014 inspection are as follows:

  • Care plan accuracy – Inconsistencies were found in one resident’s fall assessment and another’s need for bed rails. In order to correct these errors, all care plans at McCormick Home are being verified and cross-checked for accuracy.
  • Infection prevention and control – Some violations were found, including an unmarked urine collection hat and catheter bag that were improperly stored, a missing IPC notice from a required posting location, and a hand hygiene violation during mealtime. Specific steps are immediately being taken to address these errors, including properly marking and storing urine collections, replacing missing signage and re-educating staff on proper hand hygiene during mealtimes.
  • Access to prohibited areas – Two servery doors were found unlocked, providing unintended resident access to a service elevator and kitchen facilities. In order to prevent a recurrence, a memo was circulated and signage was posted to remind staff to keep these doors locked.
  • Labelling of personal items – The inspection found some personal items were not labelled, including two toothbrushes and one tube of toothpaste. In order to maintain hygiene, a full audit of all resident rooms was conducted to ensure that all personal items are properly labelled. A designated staff person is being assigned to ensure that all items remain labelled going forward.
  • Resident weight records – A review of resident charts showed that some were missing a weight or height listing. From this point on, all residents will be weighed on the first week of each month and their height will be recorded upon admission and annually thereafter.

Please visit the Ministry of Health and Long-Term Care Homes – Home Report for a copy of the ministry’s report on this investigation (dated November 10, 2014).

Results for McCormick Home Prior to 2014

Since July 2010, McCormick Home has undergone 26 ministry inspections, including follow-ups for critical incidents and complaints and our recent full inspection. In all, a total of 15 written notifications were received, and corrective steps were immediately taken. No compliance orders were received as a result of any ministry inspection at McCormick Home over this period.
For a complete summary of all ministry inspections conducted since July 2010 at McCormick Home and their related findings, please visit the Ministry of Health and Long-Term Care Homes – Home Report website.

For more information, please feel free to contact Tanya Pol, McCormick Home Administrator, at tpol@mccormickcare.ca. or 519-432-2648 ext. 2321.

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