1. Listen to family members: ensure that situations are reported and action is taken. (See below. The paper trail is extensive, the results horrible.)
2. Demand Healthcare Primary Care Performance:
- Have PSWs not only register, but demand upgrading, investigate their qualifications, demand college degrees.
- Force GPs to upgrade and be accountable: require they give dementia tests for at-risk patients, recommend driver testing, take information on Advance Care Directives.
- Pay geriatricians more. It is a complex speciality. Geriatricians are few and far between, seldom darken a door.
3. Violence in LTC: Swift, fair treatment of violent residents to protect potential victims. Create a protocol, and locked facilities for the severely mentally ill, with highly-trained caregivers.
4. Accountability: Ensure that poor PSWs, nurses, physicians are counselled and/or banned.
5. Demand Quality Care: Swift and effective correction of major defaults, not slaps on the wrist. Ensure that facilities are accountable. View Reports on Long-Term Care Homes / Locate a Home.
6. Communication: Include the family, not just patients. Demand family members attend meetings. Speak to them regularly, with regular case conferences.
7. Staffing: Increase the number of staff, more trained nurse practitioners, more staff on duty at night.
8. Nurse Practitioners: Every LTC should have one, at least part-time. They should be pain management specialists.
Complaints about long-term careIf a senior is in Long-Term Care the government has rules and regulations that abound. Long-Term Care homes in Ontario have a strict complaints process. If there are complaints, and there are enough, then they go on warning and are said to be non-compliant. As a Transfer Payment Agency, they must fulfill the obligations of their mandate.
Can you imagine being rated this way?
|The facility is clean and well maintained.||3.5/10|
|The facility feels 'home-like' (not institutional).||2.3/10|
|The facility is free of any offensive odours.||4/10|
|There are many activities for residents which cover a broad range of interests.||3.6/10|
|Rooms are spacious and comfortable (Bedrooms, Dining Room, Common Areas).||4.2/10|
|The building is safe, secured, and monitored for unwelcome guests.||3.2/10|
|The food is of good quality and appealing.||4.5/10|
|Medical care (i.e, physician) is accessible and treatment is provided in a timely fashion.||2.8/10|
|Staff respond to residents’ needs in a timely fashion.||2.8/10|
|Staff are friendly and approachable.||3.6/10|
|Staff treat residents with respect and dignity.||3.6/10|
|I would recommend this facility to others.||2.6/10|
|Staff are quick to update me on the condition of my loved one.||3.7/10|