Wesburn Manor provides individualized care to each of its 192 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 2003 in south Etobicoke, the home features:
Wesburn Manor offers the following specialized services:
As recognized leaders in behavioural support programs, we have a long history of demonstrated knowledge of dementia, delirium and mental health in the delivery of care.
Staff and medical professionals are knowledgeable in the most prevalent types and related causes of behavioural issues, understand disease processes, stages and progression, diagnostic and assessment process, cognitive or neurological symptoms, treatment interventions, appropriate communication to address resident needs, strategies to promote optimal quality of life and experience of the behaviour(s) from the perspective of the resident, family members and other partners in care.
We provide an environment in which end of life residents will be cared for in a manner that supports their goals and choices to minimize discomfort and promote quality of life. Overnight accommodation can be provided, upon request, to support families traveling from out of town.
We ensure an approach to improving and maintaining residents’ optimal level of mobility related to transfers, independence and distance. Based on an individualized care plan that considers optimal physical, mental and psychological functioning and utilizing specialized therapy staff and interventions.
Toronto Emergency Management 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.
Wesburn Manor 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 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
Overview
Wesburn Manor is a City of Toronto directly-operated long-term care home dedicated to continuously improving care and service provision. The quality improvement plan for 2023-24 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 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 guidelines, 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 Continuous Quality Improvement 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. The Quality Improvement Plan is developed through consultation and approved by the Site Continuous Quality Improvement Committee.
Priority Areas for 2023-24
Wesburn Manor 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 several areas which will be monitored and were not included in the Quality Improvement Plan.
The full Quality Improvement Plan 2023/24 and Narrative are posted in the home, on the Quality Improvement board, provided to Residents’ Council and staff and can be accessed on Ontario Health – Health Quality Ontario website.
Resident and Family Survey
The advice of Residents’ Council was sought in developing and carrying out the annual Your Opinion Counts Survey which was administered in September 2022. The survey consists of 14 standard questions with additional 1-2 questions from Residents’ Council. The results of the survey are integrated into the QIP, as priority areas.
The results were presented to Residents’ Council in February 2023, and advice was received in the development of the Quality Improvement Plan. Updates on the plan and projects will be provided throughout the year as requested by the chairs of these committees and documented in the minutes. Residents and families have been invited to participate in quality improvement work, including providing feedback through surveys. Resident and family members are part of the home’s Site Continuous Quality Improvement Committee terms of reference and committee.
Partnerships and Achievements 2022/23
In 2022/23 Wesburn Manor re-engaged with community partners including external service providers after COVID-19 restrictions were lifted (e.g., speech-language pathologist, nurse specialized in wound, ostomy and continence, psychogeriatric resource consultant, geriatrician, psychiatrist), clinics (dental, audiology, optometry, chiropody, spasticity) and hairdressing services. Clinics that provided services virtually during the pandemic once again began to deliver on-site visits and consultations to residents. In addition, there was a return of programs and services that were on hiatus for the past two years, including those provided by faith groups and local churches. The home also saw a significant return of many volunteers leading to increased resident engagement, reduced isolation and enhanced quality of daily life.
The future of excellent care and services is linked to strong partnerships with many organizations and individuals such as researchers, hospitals, institutions of quality improvement, residents, families, and caregivers in order to build infrastructures, align resources, and create care models that reflect population healthcare needs, ensuring equitable access to care and services.
The team continues to foster a relationship of trust, collaboration and partnership with our residents, families and partners. These partnerships continue to support many quality improvement projects.
In 2022, Wesburn Manor successfully implemented Project AMPLIFI which enables data exchange using PointClickCare, between hospitals and long-term care creating a seamless communication exchange between physicians, nurses, and caregivers on both ends of the care continuum. The secure transfer of resident health information will reduce delays in care, inconsistencies in resident information, unnecessary diagnostic tests, and readmissions to the hospital.
The home also implemented BOOMR, Better Coordinated Cross-Sectoral Medication Reconciliation, an innovative approach to medication reconciliation to streamline the medication reconciliation process, optimize drug therapy and increase resident safety for newly admitted residents.
In collaboration with Healthcare Excellence Canada the team assess, test and implement processes that improved care planning. At Wesburn Manor, the team focused on falls prevention and the reduction of significant injuries. The team successfully achieved the goal of reducing falls with significant injuries by 10% by December 31, 2022. The home was invited to share their project at a national event held by Healthcare Excellence Canada.
The home’s commitment to quality improvement was acknowledged by Accreditation Canada, Institute for Safe Medication Practices and Healthcare Excellence Canada.
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)®:
Divisional Quality Improvement, Risk Management and Innovation Council Site Continuous Quality Improvement 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.
Accountability:
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 committee members are accountable to support the long-term care homes’ achieve positive outcomes through quality improvement work, audits, program evaluations, action plan development, risk management, innovation, education, and implementation of policies and procedures which reflect best 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.
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 416-394-3600.