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Advisory Committee on Long-Term Care Homes and Services


Meeting No. 29   Contact Colleen O'Neill, Committee Secretary
Meeting Date Thursday, January 21, 2010
  Phone 416-392-5227
Start Time 9:30 AM
  E-mail coneill1@toronto.ca
Location Meeting Room 310, Metro Hall
     


No quorum was present at the meeting time at 9:30 a.m. on January 21, 2010.  After calling for quorum, the Clerk called the roll at 9:45 a.m. and recorded the following members present:

 

Barbara Buckspan

Jack Harmer

Patricia Prentice

Margaret Smuk

 

As quorum was not present, the meeting was adjourned.

HA29.1

ACTION

No Action 

 

Ward: 2 

Feedback from Management Team Development for Kipling Acres and Request for Expenditure
Decision Advice and Other Information

Due to lack of quorum, this item will be considered at the next meeting of the Advisory Committee on Long-Term Care Homes and Services on February 12, 2010.

Origin
(December 14, 2009) Report from General Manager, Long-Term Care Homes and Services
Summary

The Long-Term Care Homes and Services Division has a variety of donation accounts, including a divisional Education Donations account.  Divisional practice is for any expenditure request from this account to have the support of the General Manager and the Advisory Committee on Long‑Term Care Homes and Services.

 

At its meeting on November 20, 2009, the Advisory Committee on Long-Term Care Homes and Services approved an expenditure of $4,500.00 plus GST and expenses from the divisional Education Donations Account for a Kipling Acres (KA) management retreat.  In the report, the General Manager noted that KA is undergoing a significant period of change at a time when the home is initiating redevelopment.  The division engaged Steve Mathew in facilitating a series of three one-day workshops in change management and team building.  Mr. Mathew has worked with the division on a number of occasions in the past, as a presenter in the successful "Managing Your Career" program, in facilitating a number of educational and planning events for management teams throughout the division.  Mr. Mathew is also a former Psychogeriatric Resource Consultant (PRC) working closely with homes’ staff.  The three one-day sessions were held on November 26, December 3 and 10, 2009.  This report provides feedback from the workshops and requests approval to utilize the divisional Education Donations Account to support one follow-up educational event in 2010.

Background Information
Feedback from Management Team Development for Kipling Acres and Request for Expenditure - Staff Report
(http://www.toronto.ca/legdocs/mmis/2010/ha/bgrd/backgroundfile-26272.pdf)


HA29.2

ACTION

No Action 

 

Ward: All 

Expenditure Request from Education Donations Account – 2010 Training, Managing Your Career
Decision Advice and Other Information
Due to lack of quorum, this item will be considered at the next meeting of the Advisory Committee on Long-Term Care Homes and Services on February 12, 2010.
Origin
(January 5, 2010) Report from General Manager, Long-Term Care Homes and Services
Summary

The Long-Term Care Homes and Services Division has a variety of donation accounts, including a divisional Education Donations account.  Divisional practice is for any expenditure request from the Education Donations account to have the support of the General Manager and the Advisory Committee on Long-Term Care Homes and Services.

 

The Long-Term Care Homes and Services Division strongly supports succession planning.  Current research shows that there is a shortage of qualified health care professionals and that the future shows no immediate improvement.

 

The Long-Term Care Homes and Services Division offers a career discovery program for staff who demonstrates the potential to move into a future management position.  Entitled "Managing Your Career", the program is offered every two years and the evaluations of the programs completed in 2004, 2006 and 2008 show that many staff participating in the program successfully alter their career path.

 

Participants attend a series of five one-day courses designed to facilitate learning and to stimulate thinking about their career path.  Each time the program is scheduled, "Managing Your Career" is offered to approximately 20 staff from the various homes and community-based services.

 

This report describes plans to schedule the program in 2010 and requests approval on the requisite costs from the division’s Education Donations Account.

Background Information
Expenditure Request from Education Donations Account - 2010 Training, Managing Your Career - Staff Report
(http://www.toronto.ca/legdocs/mmis/2010/ha/bgrd/backgroundfile-26273.pdf)


HA29.3

Information

No Action 

 

Ward: All 

Final Report – Accreditation Canada Survey of the Long-Term Care Homes and Services Division
Decision Advice and Other Information

Due to lack of quorum, this item will be considered at the next meeting of the Advisory Committee on Long-Term Care Homes and Services on February 12, 2010.

Origin
(December 29, 2009) Report from General Manager, Long-Term Care Homes and Services
Summary

Accreditation Canada is a not-for-profit, independent organization providing national and international healthcare organizations with voluntary, external peer reviews to assess the quality of each organization’s services based on pre-determined standards of excellence.  Accreditation Canada provides accreditation programs for all types of healthcare organizations, including regional health authorities, hospitals, long-term care homes, community care and specialized healthcare services, from both private and public sectors, in Canada and around the world.

 

Although the City of Toronto’s Long-Term Care Homes and Services Division has participated in the accreditation program since 1985, each long-term care home was surveyed as a single entity.  In 2009, the division applied to be accredited at the divisional level, with all ten long-term care homes, four adult day programs, supportive housing and homemakers and nurses services being surveyed as an integrated healthcare organization.  As a result, the division was able to plan and receive feedback related to operation as an integrated division, with relationships and linkages to other corporate divisions, community partners, individual homes and community programs.

 

The division was surveyed May 24 – 29, 2009 and received an exceptionally strong forecast report, with only three unmet criteria, out of a total of 619 criteria assessed during the survey.  Following survey visits, Accreditation Canada requires submission of evidence taken in relation to the forecast report, prior to issuing the final report.  The final report was issued on December 23, 2009, and verified compliance with 100% of the criteria and divisional results that exceeded national averages in relation to every criteria and every required organizational practice (ROP).  This report summarizes the final report received from Accreditation Canada.

 

Background Information
Final Report - Accreditation Canada Survey of the Long-Term Care Homes and Services Division - Staff Report
(http://www.toronto.ca/legdocs/mmis/2010/ha/bgrd/backgroundfile-26274.pdf)


HA29.4

Information

No Action 

 

Ward: All 

Update Regarding Campus of Care Model
Decision Advice and Other Information
Due to lack of quorum, this item will be considered at the next meeting of the Advisory Committee on Long-Term Care Homes and Services on February 12, 2010.
Origin
(December 31, 2009) Report from General Manager, Long-Term Care Homes and Services
Summary

At the December 18, 2009 meeting of the Advisory Committee on Long-Term Care Homes and Services, the Committee requested more information about the ‘campus of care’ model being proposed for the redevelopment of Kipling Acres and the potential redevelopment of other homes in the future.

 

The campus of care model generally envisions a single location with a range of housing, from independent housing to assisted living (supportive housing), long-term care and service options are provided.  The concept maximizes opportunities for persons to remain living in the same environment and neighbourhood despite changing functional and health status.  Campuses of care allow couples, family members and friends to live at the same location when their levels of care are different.  Foundational to the campus of care model is an emphasis on a social model of care and service and a sense of home.

 

The vision for the Kipling Acres redevelopment includes the creation of a community hub or campus of care that integrates service and expands co-located services to better serve the community.  The proposed redevelopment embeds the principles of age-friendly communities, relying on World Health Organization and International Federation of Ageing resources.  The proposed campus would include a number of components that respond to community need, with a primary focus on services for seniors, health promotion, integration and the provision of an effective continuum.  An important component of the envisioned campus is a seniors’ wellness centre.  This centre would not only meet the needs of persons living on the campus, but also act as a resource centre for seniors in the community-at-large.  Housing opportunities for seniors with varying levels of independence would also be an essential element of the campus.  For seniors who do not require the amount of care provided by a long-term care home, affordable supportive housing (assisted living) and independent living units would be valuable alternatives. Additionally, co-located City services and a range or community and/or retail services could be provided.

 

This report provides a summary of the campus of care concept and appends the prior report (December 15, 2008) to Community Development and Recreation Committee that introduced the campus of care model, along with several one-page documents being used currently to inform potential partners about the campus of care concept being proposed for Kipling Acres.

Background Information
Upgrade regarding Campus of Care Model - Staff Report
(http://www.toronto.ca/legdocs/mmis/2010/ha/bgrd/backgroundfile-26275.pdf)

Long-Term Care System Challenges and Opportunities for the City of Toronto
(http://www.toronto.ca/legdocs/mmis/2010/ha/bgrd/backgroundfile-26292.pdf)

Seniors Wellness Centre - Attachment 1
(http://www.toronto.ca/legdocs/mmis/2010/ha/bgrd/backgroundfile-26277.pdf)

Seniors Housing Opportunities - Attachment 2
(http://www.toronto.ca/legdocs/mmis/2010/ha/bgrd/backgroundfile-26278.pdf)


HA29.5

Information

No Action 

 

Ward: All 

Current Waiting List Data
Decision Advice and Other Information
Due to lack of quorum, this item will be considered at the next meeting of the Advisory Committee on Long-Term Care Homes and Services on February 12, 2010.
Origin
(January 6, 2010) Report from General Manager, Long-Term Care Homes and Services
Summary

At the December 18, 2009 meeting of the Advisory Committee on Long-Term Care Homes and Services, the Committee asked staff to report back on the extent of current wait lists for admission to each of the 10 long-term care homes, in order to augment the data available in the various Home Advisory Committee minutes and provide a division-wide perspective.

 

Further, the Committee asked staff to consider ways and means of providing periodic division‑wide updates about the extent of the wait lists.

 

This report provides data related to the current wait lists and suggests next steps.

Background Information
Current Waiting List Data - Staff Report
(http://www.toronto.ca/legdocs/mmis/2010/ha/bgrd/backgroundfile-26279.pdf)


HA29.6

Information

No Action 

 

Ward: All 

Your Opinion Counts – Revised Advocacy Questions
Decision Advice and Other Information
Due to lack of quorum, this item will be considered at the next meeting of the Advisory Committee on Long-Term Care Homes and Services on February 12, 2010.
Origin
(December 31, 2009) Report from General Manager, Long-Term Care Homes and Services
Summary

At the May 22, 2009 meeting of the Advisory Committee on Long-Term Care Homes and Services, the Committee received and reviewed the findings on resident and family satisfaction contained within the report entitled "Your Opinion Counts Survey - January 1 to December 31, 2008".  As a result of this review, members suggested that the questions related to advocacy contained in the Your Opinion Counts survey be re-worded to be more "user-friendly", as a means of soliciting more meaningful feedback.

 

The Resident-Client Advocate led work to review and enhance the questions in Your Opinion Counts related to advocacy, including the facilitation of three stakeholder focus groups (in total, 35 people participants in consultation through the focus group process).

 

At the October 23, 2009 meeting of the Advisory Committee on Long-Term Care Homes and Services, the Committee received a report and revised Your Opinion Counts survey that incorporated the suggested changes from the three focus groups.  At the October 23, 2009 meeting, the Committee offered additional insights and suggestions related to the advocacy section and suggested that additional work and refinement of the questions might yield more meaningful feedback and data for the division.

 

This report describes the additional work undertaken to refine the advocacy questions and provides a copy of the revised Your Opinion Counts survey.

Background Information
Your Opinion Counts - Revised Advocacy Questions - Staff Report
(http://www.toronto.ca/legdocs/mmis/2010/ha/bgrd/backgroundfile-26282.pdf)

Your Opinion Counts - Attachment 1
(http://www.toronto.ca/legdocs/mmis/2010/ha/bgrd/backgroundfile-26283.pdf)


HA29.7

Information

No Action 

 

Ward: All 

Community Programs Provided by the Long-Term Care Homes and Services Division
Decision Advice and Other Information

Due to lack of quorum, this item will be considered at the next meeting of the Advisory Committee on Long-Term Care Homes and Services on February 12, 2010. 

Origin
(December 29, 2009) Report from General Manager, Long-Term Care Homes and Services
Summary

While considering the report "Supportive Housing Services at Cliffwood Manor" at the October 23, 2009 meeting of the Advisory Committee on Long-Term Care Homes and Services, the committee requested information about the various community programs provided by the Long-Term Care Homes and Services Division, noting their higher level of familiarity with the long-term care homes, in comparison to their familiarity with the community programs.

 

There are three community programs, namely: Homemakers and Nurses Services (HMNS), Supportive Housing (SH), and Adult Day Programs (ADP).  These programs, along with the 10 long-term care homes, enable the division to provide individuals with both a variety of options and a continuum of care.  HMNS provides homemaking services such as cleaning, laundry, help with meal preparation and limited shopping to clients living in their own homes.  SH provides homemaking service plus personal care which includes help with bathing, medication reminders, and security checks for clients who live in their own apartments within designated buildings that contract with the City to host the SH program.  Services are scheduled, but staff are on site 24/7 to provide ad-hoc assistance as needed.  ADP provides wellness and activity programming along with nutritious meals for clients who come to the program site for a day of activities.  ADPs are located at Bendale Acres, Cummer Lodge, Kipling Acres and Wesburn Manor.

 

This report provides an overview of the programs provided along with information about demographics, the environment in which the community programs are delivered, and a summary of the scope of operations.

Background Information
Community Programs Provided by the Long-Term Care Homes and Services - Staff Report
(http://www.toronto.ca/legdocs/mmis/2010/ha/bgrd/backgroundfile-26286.pdf)


HA29.8

Information

No Action 

 

Ward: All 

Diversity Practice in the Long-Term Care Homes and Services Division’s Advisory Committee System
Decision Advice and Other Information

Due to lack of quorum, this item will be considered at the next meeting of the Advisory Committee on Long-Term Care Homes and Services on February 12, 2010.

Origin
(January 4, 2010) Report from General Manager, Long-Term Care Homes and Services
Summary

Diversity refers to the broad variety of differences and similarities among people.  Dimensions of diversity include race, ancestry, place of origin, colour, ethnic origin, disability, citizenship, creed, sex, sexual orientation, gender identity, same sex partnership, age, martial status, family status, immigration status, receipt of public assistance, political affiliation, religious affiliation and level of literacy.

 

The City's Vision Statement on Access, Equity and Diversity and Human Rights and Harassment Policy reflect this broad spectrum of diversity.

 

Currently, in addressing diversity issues, the City focuses on Aboriginal people; immigrants and refugees; lesbian, gay, bisexual, transgender, transsexual and two spirit people; people with disabilities; people with low literacy; racial minorities; seniors, women and youth.

 

One of the 2009 objectives for the Long-Term Care Homes and Services Division was to review the representation of all Home Advisory Committees and to report the findings to the Advisory Committee on Long-Term Care Homes and Services.  This report provides the required feedback.

Background Information
Diversity Practice in the Long-Term Care Homes and Services Division's Advisory Committee System - Staff Report
(http://www.toronto.ca/legdocs/mmis/2010/ha/bgrd/backgroundfile-26287.pdf)


HA29.9

Information

No Action 

 

Ward: All 

Volunteer Recognition Plaques
Decision Advice and Other Information

Due to lack of quorum, this item will be considered at the next meeting of the Advisory Committee on Long-Term Care Homes and Services on February 12, 2010.

Origin
(January 5, 2010) Report from General Manager, Long-Term Care Homes and Services
Summary

Formal recognition of Long-Term Care Homes and Services volunteers began in 1984 with recognition plaques, on display in each home, identifying and recognizing the service of volunteers in five-year intervals.  Each of the plaques holds 40 names.

Background Information
Volunteer Recognition Plaques - Staff Report
(http://www.toronto.ca/legdocs/mmis/2010/ha/bgrd/backgroundfile-26288.pdf)


HA29.10

Information

No Action 

 

 

Minutes of Home Advisory Committee
Decision Advice and Other Information

Due to lack of quorum, this item will be considered at the next meeting of the Advisory Committee on Long-Term Care Homes and Services on February 12, 2010.

Origin
(January 4, 2010) Report from General Manager, Long-Term Care Homes and Services
Summary

The purpose of the following reports is to provide members of the Long-Term Care Homes and Services Advisory Committee with copies of the Minutes of the following meetings for their information:

 

1.         (January 4, 2010) Minutes of Carefree Lodge Home Advisory Committee meeting on
November 24, 2009

 

2.         (January 4, 2010) Minutes of Cummer Lodge Home Advisory Committee meeting on
November 2, 2009

 

3.         (January 4, 2010) Minutes of Cummer Lodge Home Advisory Committee meeting on
December 7, 2009

Background Information
Carefree Lodge Minutes - November 24, 2009
(http://www.toronto.ca/legdocs/mmis/2010/ha/bgrd/backgroundfile-26289.pdf)

Cummer Lodge Minutes - November 2, 2009
(http://www.toronto.ca/legdocs/mmis/2010/ha/bgrd/backgroundfile-26290.pdf)

Cummer Lodge Minutes - December 7, 2009
(http://www.toronto.ca/legdocs/mmis/2010/ha/bgrd/backgroundfile-26291.pdf)


HA29.11

ACTION

No Action 

 

Ward: All 

2010 Volunteer Youth Summit
Decision Advice and Other Information
Due to lack of quorum, this item will be considered at the next meeting of the Advisory Committee on Long-Term Care Homes and Services on February 12, 2010.
Origin
(January 13, 2010) Report from General Manager, Long-Term Care Homes and Services
Summary

Youth are an important part of the volunteer team within Long-Term Care Homes and Services.  At present, one in three of our active volunteers are under the age of 18 years.

 

Community involvement is a high school requirement and volunteering with Toronto Long-Term Care Homes and Services is a rewarding way for students to earn community service hours.  We encourage young people to give their time and talents and will hold the third annual Volunteer Youth Summit on Friday, February 12, 2010.

Background Information
2010 Volunteer Youth Summit - Staff Report
(http://www.toronto.ca/legdocs/mmis/2010/ha/bgrd/backgroundfile-26440.pdf)


Thursday, January 21, 2010
Meeting Sessions
Session Date Session Type Start Time End Time Public or Closed Session
2010-01-21 Morning 9:45 AM 9:45 AM Public
Attendance
Members were present for some or all of the time period indicated.
Date and Time Quorum Members
2010-01-21
9:45 AM - 9:45 AM
(Public Session)
Lost Present: Buckspan, Harmer, Prentice, Smuk
Not Present: Davis, Gamble, Greengarten, Kerr, Legault, MacDonald, Nowakowski, Robertson, Rudy