In response to COVID-19, there are screening requirements and some restrictions when visiting residents in long-term care homes.
Carefree Lodge provides individualized care to each of its 127 residents within a safe and friendly environment. Guided by the CARE values – Compassion | Accountability | Respect | Excellence, we are committed to improving quality of life and support for healthy aging.
Opened in 1967 as a retirement home, the City of Toronto purchased the building from the Vint Foundation, renovated the site and opened Carefree Lodge in 1991, featuring:
Toronto’s Office of Emergency Management (OEM) leads and facilitates activities related to the City’s ability to mitigate, prepare for, respond to, and recover from major emergencies.
We have incorporated the City’s Business Continuity Management and Toronto’s Emergency Plan into an Emergency Management Plan for the City’s directly operated long-term care homes.
Carefree Lodge has a structured emergency management process of risk identification, mitigation, preparedness, response and recovery.
Beds for pandemic-related isolation purposes are available.
The scope of emergency management planning includes a variety of hazardous situations that may occur inside or outside of the long-term care home, such as:
All staff members are trained to respond to these universal codes for emergencies:
In addition, we follow the Incident Management System (ISM) and have a robust Crisis/Disaster Communication Protocol.
For further information, please contact Cornel Baptista, Manager Environmental Services
Quality Improvement Interim Report
Fiorinta Flammia, Administrator, Designated Quality Improvement Lead and Chair of Site Quality Improvement, Risk Management and Innovation Committee
Elizabeth Juraschka, Divisional Quality Improvement Advisor and Chair of Divisional Quality Improvement, Risk Management and Innovation Committee
Carefree Lodge is a City of Toronto directly-operated long-term care home dedicated to continuously improving care and service provision. The quality improvement plan for 2022-23 reflects our commitment to engage with all stakeholders – residents, families, staff and external partners to collaboratively advance innovative care and services leading to improved outcomes. The commitment to quality improvement is grounded in Seniors Services and Long-Term Care’s mission, vision and values.
Identified strategic priorities provide a roadmap to address the many challenges long-term care operators will continue to face over the next few years and guide our approach to respond to sector-wide staffing shortages, an aging demographic, and the high acuity care needs and multiple health co-morbidities and complexities of the resident population. All of our work encourages innovation, research, effective, efficient service pathways and emotion-centered resident care.
Our commitment to quality improvement has over 20 years of history and we have been able to foster a culture of improvement where staff are committed to continuously enhancing the quality of care and services for residents, caregivers and families. Quality improvement is everyone’s responsibility and it is more than a project or initiative, it is about how we provide care and services, how we pivot, reflect, adapt, adopt and abandon practices when they no longer meet or achieve the desired outcomes. It is aligned with the experience responses received from the annual experience survey, Residents’ Council, Family Council and Home Advisory Committee. Quality Improvement is about doing something when you hear that change is needed, when data illustrates an area for improvement is required, and when service and care pathways no longer achieve positive outcomes. Quality Improvement is fluid, and empowers all stakeholders to collaborate to achieve an ideal state.
Quality Improvement Priority Selection Process
The quality improvement priority selection process reflects the collaboration and analysis of statistical data trends, program evaluation outcomes, inspection protocol and audit results, Ministry of Long-Term Care reports, results from the Resident and Family experience survey “Your Opinion Counts”, Ontario Health system level priority areas, collaborations with healthcare partners and opportunities for improvement submitted to Site Quality Improvement, Risk Management and Innovation Committee. The selection process is a balance between the many opportunities, resources available to support quality improvement work and the significant impact on the quality of care and service that can be achieved.
Priority Areas for 2022-23
Carefree Lodge will focus on improving:
The long-term care home has diligently worked on improving healthcare outcomes over the year(s) and is below the provincial average in the following areas which will be monitored and were not included in the Quality Improvement Plan:
The opinions of Residents’ Council and Family Council were sought in the development of the Quality Improvement Plan and updates on the plan and projects will be provided throughout the year as requested by the chairs of these committees. Residents and families have been invited to participate in quality improvement work, including providing feedback through surveys.
Policies, Procedures and Protocols that Guide Continuous Quality Improvement:
Quality Improvement policy:
Quality Improvement Project Idea Submission Form:
Quality Improvement Project Selection Matrix:
Quality Improvement Reporting:
Quality Improvement Charters:
Problem-Solving Cycle Model – Plan-Do-Study- Act (QI Model for Improvement)®:
Site Quality Improvement, Risk Management and Innovation Committee and Divisional Committee Structures:
Seniors Service and Long-Term Care’s integrated quality management framework overseen by the divisional Quality Improvement Advisor considers and acts on opportunities to improve in areas related to strategic direction, quality improvement, risk management, safety culture, positive customer experience, resource allocation, just culture (including positive work life culture) and an ethical culture.
At a divisional level, the General Manager, with the leadership of Quality Improvement Advisor and support of the Divisional Quality Improvement, Risk Management and Innovation Council directs, co-ordinates and provides for the ongoing development of the division’s Integrated Quality Management framework.
Divisional Program leads and divisional committee members are accountable to support the long-term care homes’ achieve positive outcomes through quality improvement work, operational reviews, inspection protocols, audits, program evaluations, action plan development, risk management, innovation, education, and implementation of policies and procedures which reflect leading practices.
At a site level, the General Manager has delegated day-to-day operational accountability for quality improvement and risk management outcomes and innovation to the Administrator of each home under the direction of the Director, Long-Term Care Homes, and to the Manager, Seniors Services for Community Programs.
The terms of reference of each committee reflects legislative requirements of membership and accountability.
Communication of Quality Improvement work:
A comprehensive communication strategy supports quality improvement work within the long-term care home and at the division level. The actions enable the home to broadly communicate annual Quality Improvement Plans, the results of quality improvement activities to senior management, residents/clients, caregivers, families, staff and volunteers. A central part of the communication strategy is to seek advice if any from Residents’ Council and Family Council and make improvements as appropriate to care and services. Quality Improvement teams encourage and facilitate opportunities for input if any from Residents’ Council and Family Council into the annual Quality Improvement Plan and utilize feedback from residents/clients and families to improve the quality improvement system and communication methods.
Communication strategies are in place and include the following:
Families are an integral part in helping make the best decisions for their family member. We offer many opportunities for families to be involved:
For further information or to schedule a personal tour, please call 416-397-1500.