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Advisory Committee on Long-Term Care Homes and Services


Meeting No. 28   Contact Colleen O'Neill, Committee Secretary
Meeting Date Friday, December 18, 2009
  Phone 416-392-5227
Start Time 11:00 AM
  E-mail coneill1@toronto.ca
Location Cummer Lodge, 205 Cummer Avenue
  Chair   Dr. Paul Gamble  

HA28.1

ACTION

Adopted 

 

Ward: 2 

LTCHS Division – Request for Expenditure from Education Donations Account, LGBT Education

Committee Decision

The Advisory Committee on Long-Term Care Homes and Services endorsed the requested expenditure for $7,100.00 from the Divisional Education Donations Account, to be allocated as follows:

 

1.         $1,500.00 for education at Carefree Lodge.

 

2.         $2,800.00 for education at Bendale Acres.
 

3.         $2,800.00 for education at Castleview Wychwood Towers.

Origin
(December 1, 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 Education Donations Account to have the support of the General Manager and the Advisory Committee on Long‑Term Care Homes and Services.

 

Over the last three years, the division has undertaken quality work to create LGBT-inclusiveness.  Working with a LGBT Steering Committee, the Division created and launched a “toolkit” to guide the provision of LGBT-positive care and service in long-term care.  In researching LGBT issues, the Division learned that a vast majority of LGBT persons over the age of 65 years lived most of their lives in an environment of discrimination, sometimes fearing for their own personal safety.  Most LGBT seniors were already adults prior to the gay liberation movement of the 1970s and for many, it was impossible to be openly gay and feel safe.  Staff also learned that there are limited LGBT-positive healthcare services available in Canada, resulting in many LGBT seniors feeling unsafe in disclosing their sexual identity or orientation to mainstream providers due to long-standing fear of discrimination.  This negatively impacted healthy aging and individuals’ sense of personal well-being.

 

During and following development of the “toolkit”, Fudger House, Kipling Acres and True Davidson Acres embraced LGBT‑inclusiveness, implementing education and strategies from the toolkit.  This report details the desire of the Division to further extend LGBT-inclusiveness awareness, education and care/service provision in three additional homes.  Carefree Lodge, Bendale Acres and Castleview Wychwood Towers have asked to be included in this work.  This report requests approval to utilize the divisional Education Donations Account to support this educational endeavour.

Background Information
LTCHS Division - Request for Expenditure from Education Donations Account, LGBT Education - Staff Report
(http://www.toronto.ca/legdocs/mmis/2009/ha/bgrd/backgroundfile-25582.pdf)

Motions
Motion to Adopt Item moved by Jack Harmer (Carried)

HA28.2

Information

Received 

 

Ward: All 

LGBT Inclusiveness Audit

Committee Decision

The Advisory Committee on Long-Term Care Homes and Services received the item for information.

Origin
(November 30, 2009) Report from General Manager, Long-Term Care Homes and Services
Summary

At the January 12, 2009 meeting of the LGBT Diversity Initiative Steering Committee, one of the final tasks of the committee was to discuss possible approaches in measuring the success of the initiative within participating homes.  Following significant discussion that was facilitated by the General Manager, the committee suggested measurement of results through a periodic qualitative audit of LGBT inclusiveness, as a first step.  It was recognized that the content of the audit should be grounded in and built on the contents of the LGBT Toolkit itself.

 

The committee, the General Manager and the Quality Improvement Adviser provided advice regarding the design and content of the audit.  In May 2009, the audit was forwarded to the three participating homes (namely Fudger House, Kipling Acres and True Davidson Acres) with a request that each home administer the audit, providing feedback to the Resident-Client Advocate for collation, review and analysis within the division.

 

This report provides a high-level overview of the findings, including strengths and opportunities arising from application of the LGBT Inclusiveness Audit across the Division.

Background Information
LGBT Inclusiveness Audit - Staff Report
(http://www.toronto.ca/legdocs/mmis/2009/ha/bgrd/backgroundfile-25585.pdf)

LGBT Inclusiveness Audit - Attachment
(http://www.toronto.ca/legdocs/mmis/2009/ha/bgrd/backgroundfile-25586.pdf)


HA28.3

ACTION

Adopted 

 

Ward: 3 

2010 Wesburn Manor Gala

Committee Decision

The Advisory Committee on Long-Term Care Homes and Services endorsed the event and budget for Wesburn Manor’s gala.

Origin
(December 2, 2009) Report from General Manager, Long-Term Care Homes and Services
Summary

Staff, volunteers and family members at Wesburn Manor are embarking on a project to enhance the dining rooms thereby making the meal time experience more enjoyable for residents.

 

Preliminary planning work has begun for a fund-raising evening to be held at Stage West on Wednesday, September 15, 2010.  The evening will include auctions, buffet dinner, and performance of “All Shook Up” inspired by and featuring the songs of Elvis Presley.

Background Information
2010 Wesburn Manor Gala - Staff Report
(http://www.toronto.ca/legdocs/mmis/2009/ha/bgrd/backgroundfile-25583.pdf)

Motions
Motion to Adopt Item moved by Catherine MacDonald (Carried)

HA28.4

Information

Received 

 

Ward: All 

H1N1 Update

Committee Decision

The Advisory Committee on Long-Term Care Homes and Services received the item for information.

Origin
(December 1, 2009) Report from General Manager, Long-Term Care Homes and Services
Summary

On November 3, 2009, the Long-Term Care Homes and Services Division began holding on-site H1N1 vaccination clinics for staff, in the ten homes and at Metro Hall.  In total, the Division held over 100 hours of staff vaccination clinics.  These clinics allowed homes’ and community programs’ staff to access their priority sequence to the H1N1 vaccine Arepanrix without the long line-ups encountered at many Toronto Public Health (TPH) clinics throughout the city.  The H1N1 staff vaccination clinics were staffed by paramedics from Toronto Emergency Medical Services (EMS) along with a St. Elizabeth’s Health Care nurse and the Infection Prevention and Control (IPAC) Nurse Manager in each home.  The final worksite clinic was held November 27, 2009.  At this time, the homes’ staff vaccination rate for pH1N1 is on average 60 percent.

 

Staff were reminded of the importance of receiving the H1N1 influenza vaccination.  Influenza remains one of the most serious illnesses that can affect seniors with compromised health conditions.  Infection control specialists are clear that the best way to offer protection from serious complications of the flu for individuals, their families and the division’s residents and clients is through immunization.  The H1N1 flu virus that has emerged this year is no different, in that those with compromised health conditions are more at risk of complications from the H1N1 flu.

 

On November 10th, the Province announced the release of H1N1 vaccine for seniors over 65 years of age living in long-term care homes.  Based on date of receipt of the vaccine in the various homes (November 23rd to 27th timeframe), resident vaccinations were staggered across the division.  All homes have started to vaccinate residents, and will continue to do so until all residents providing consent have received their vaccination.

Background Information
H1N1 Update - Staff Report
(http://www.toronto.ca/legdocs/mmis/2009/ha/bgrd/backgroundfile-25584.pdf)

Motions
Motion to Receive Item moved by Willis Rudy (Carried)
That the item be received for information.

HA28.5

Information

Received 

 

Ward: 21 

Night of Lights for Castleview Wychwood Towers

Committee Decision

The Advisory Committee on Long-Term Care Homes and Services received the item for information.

Origin
(December 1, 2009) Report from General Manager, Long-Term Care Homes and Services
Summary

On Thursday evening, October 22, 2009, a capacity crowd of 200 guests gathered at the new home of Famous People Players for dinner and a black-light theatrical performance.  The event, “Night of Lights”, was held to raise funds for a solarium at Castleview Wychwood Towers; to date, over $37,500 net has been raised by the gala for this project.

Background Information
Night of Lights for Castleview Wychwood Towers
(http://www.toronto.ca/legdocs/mmis/2009/ha/bgrd/backgroundfile-25587.pdf)

Motions
Motion to Receive Item moved by Margaret Smuk (Carried)
That the item be received for information.

HA28.6

Information

Received 

 

Ward: All 

Update Regarding Quality Improvement Work, 2009

Committee Decision

The Advisory Committee on Long-Term Care Homes and Services received the item for information.

Origin
(December 2, 2009) Report from General Manager, Long-Term Care Homes and Services
Summary

The Long-Term Care Homes and Services Division and the Advisory Committee on Long-Term Care Homes and Services jointly agreed to implement a revised process in quality management reporting, whereby the Quality Advisor would provide qualitative reports on quality work, in addition to the statistical reports received in relation to satisfaction.  This is the second such report submitted to the Advisory Committee on Long-Term Care Homes and Services in 2009.  This report will focus on the various collaboratives that the Division has been involved in to improve, expand and/or enhance the quality of care and service for residents, clients, families and/or staff and volunteers while improving the utilization of healthcare resources.  This is consistent with the Division’s integrated quality management framework which aligns mission, values, strategic planning, with the management of quality, risk, safety, ethics and utilization of resources.  The goals of the Division’s collaborative work are:

 

1.         To enhance community engagement, while responding to the City’s diversity and respecting the values and traditions of stakeholder groups.

 

2.         To create collaborative working environments with internal and external stakeholders.

 

3.         To enhance satisfaction of residents, clients, families, staff and volunteers, while achieving positive results related to quality and safety.

 

The benefits of collaboratives are many, including the ability to bring subject matter experts together to address opportunities for improvement.  This report highlights some key collaboratives that the Division has participated in, with a goal of improving healthcare outcomes and processes.

Background Information
Update Regarding Quality Improvement Work, 2009 - Staff Report
(http://www.toronto.ca/legdocs/mmis/2009/ha/bgrd/backgroundfile-25588.pdf)

Motions
Motion to Receive Item moved by Catherine MacDonald (Carried)
That the item be received for information.

HA28.7

Information

Received 

 

Ward: All 

Home Advisory Committee Minutes

Committee Decision

The Advisory Committee on Long-Term Care Homes and Services received the item for information.

Origin
(December 1, 2009) Report from General Manager, Long-Term Care Homes and Services
Summary

At past meetings of the Advisory Committee on Long-Term Care Homes and Services, members have questioned content, style and grammar of minutes of various Home Advisory Committees.  From time-to-time, there has been a lack of clarity in an issue that was discussed at a Home Advisory Committee.  It is recognized that the issue and decision may be clear to members of the specific Home Advisory Committee but unclear to a third party reader, such as members of the Advisory Committee on Long-Term Care Homes and Services.  From time-to-time, there have also been errors in interpretation, in context of the written minutes and/or in grammar.

 

At the November 25, 2009 meeting of the Inter-Home Advisory Committee (a networking group of the Chairs/designates of each of the Home Advisory Committees with the General Manager), the Chair of the Inter-Home Advisory Committee, Jan Nowakowski provided feedback from the Advisory Committee on Long-Term Care Homes and Services, noting that there are sometimes factual, spelling and/or grammatical errors in the minutes.  Encouragement was given to verify the accuracy of minutes prior to forwarding them to the General Manager for submission to the Advisory Committee on Long-Term Care Homes and Services.  Discussion focused on strategies to assist in ensuring timely and accurate minutes, prior to them being forwarded.  The General Manager will be discussing the suggested strategies with the Administrators of the various homes and will be revising processes for meeting management in early 2010.

 

This report provides a summary of the rationale(s) and ideas generated at the Inter-Home Advisory Committee, plus initial analysis by senior management.

Background Information
Home Advisory Committee Minutes - Staff Report
(http://www.toronto.ca/legdocs/mmis/2009/ha/bgrd/backgroundfile-25589.pdf)

Motions
Motion to Receive Item moved by Willis Rudy (Carried)
That the item be received for information.

HA28.8

Information

Received 

 

 

Minutes of Home Advisory Committees

Committee Decision

The Advisory Committee on Long-Term Care Homes and Services received the item for information. 

Origin
(December 4, 2009) 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 following meetings for their information:

 

1.         (November 25, 2009) Minutes of Carefree Lodge Home Advisory Committee
(October 27, 2009)

 

2.         (November 25, 2009) Minutes of Fudger House Home Advisory Committee
(October 14, 2009)

 

3.         (November 30, 2009) Minutes of Lakeshore Lodge Home Advisory Committee
(November 26, 2009)

 

4.         (December 2, 2009) Minutes of Seven Oaks Home Advisory Committee
(September 8, 2009)

 

5.         (December 2, 2009) Minutes of Seven Oaks Home Advisory Committee
(October 13, 2009)

 

6.         (November 27, 2009) Minutes of True Davidson Acres Home Advisory Committee
(November 19, 2009)

 

7.         (December 1, 2009) Minutes of Wesburn Manor Home Advisory Committee
            (September 29, 2009)

 

8.         (December 1, 2009) Minutes of Wesburn Manor Home Advisory Committee
            (October 27, 2009)

 

9.         (December 2, 2009) Minutes of Wesburn Manor Home Advisory Committee
            (November 24, 2009)

Background Information
Carefree Lodge Minutes - October 27, 2009
(http://www.toronto.ca/legdocs/mmis/2009/ha/bgrd/backgroundfile-25592.pdf)

Fudger House Minutes - October 14, 2009
(http://www.toronto.ca/legdocs/mmis/2009/ha/bgrd/backgroundfile-25593.pdf)

Lakeshore Lodge Minutes - November 26, 2009
(http://www.toronto.ca/legdocs/mmis/2009/ha/bgrd/backgroundfile-25594.pdf)

Seven Oaks Minutes - September 8, 2009
(http://www.toronto.ca/legdocs/mmis/2009/ha/bgrd/backgroundfile-25595.pdf)

Seven Oaks Minutes - October 13, 2009
(http://www.toronto.ca/legdocs/mmis/2009/ha/bgrd/backgroundfile-25596.pdf)

True Davidson Acres Minutes - November 19, 2009
(http://www.toronto.ca/legdocs/mmis/2009/ha/bgrd/backgroundfile-25597.pdf)

Wesburn Manor Minutes - September 29, 2009
(http://www.toronto.ca/legdocs/mmis/2009/ha/bgrd/backgroundfile-25598.pdf)

Wesburn Manor Minutes - October 27, 2009
(http://www.toronto.ca/legdocs/mmis/2009/ha/bgrd/backgroundfile-25599.pdf)

Wesburn Manor Minutes - November 24, 2009
(http://www.toronto.ca/legdocs/mmis/2009/ha/bgrd/backgroundfile-25600.pdf)

Motions
Motion to Receive Item moved by Patricia Prentice (Carried)
That the item be received for information.

HA28.9

ACTION

Adopted 

 

 

Revised 2010 Schedule of Meetings

Committee Decision

The Advisory Committee on Long-Term Care Homes and Services approved the Revised 2010 Schedule of Meetings.

Origin
(December 4, 2009) Memo from City Clerk's Office
Summary

Forwarding revised schedule for approval.

Background Information
Revised 2010 Schedule of Meetings
(http://www.toronto.ca/legdocs/mmis/2009/ha/bgrd/backgroundfile-25604.pdf)

Motions
Motion to Adopt Item moved by Barbara Buckspan (Carried)

Procedural Motions
Motion to Adopt Minutes moved by Willis Rudy (Carried)

That the Minutes of the meeting of the Advisory Committee on Long-Term Care Homes and Services held on November 20, 2009, be confirmed.

 

 

Friday, December 18, 2009
Dr. Paul Gamble, Chair, Advisory Committee on Long-Term Care Homes and Services
Meeting Sessions
Session Date Session Type Start Time End Time Public or Closed Session
2009-12-18 Morning 11:10 AM 12:00 PM Public
Attendance
Members were present for some or all of the time period indicated.
Date and Time Quorum Members
2009-12-18
11:10 AM - 12:00 PM
(Public Session)
Present Present: Buckspan, Davis, Gamble (Chair), Harmer, MacDonald, Nowakowski, Prentice, Rudy, Smuk
Not Present: Greengarten, Kerr, Legault, Robertson