Members of the Committee and Staff: Please keep this agenda and the accompanying material until the City Council meeting dealing with these matters has ended.  The City Clerk’s Office will not provide additional copies.

Special Assistance for Members of the Public: City staff can arrange for special assistance with some advance notice.  If you need special assistance, please call 416‑392-5227, TTY 416- 338‑0889 or e-mail coneill1@toronto.ca.

Closed Meeting Requirements:  If the Advisory Committee on Long-Term Care Homes and Services wants to meet in closed session (privately), a member of the Committee must make a motion to do so and give the reason why the Committee has to meet privately.  (City of Toronto Act, 2006)

Notice to people writing or making presentations to the Advisory Committee on Long-Term Care Homes and Services: The City of Toronto Act, 2006 and the City of Toronto Municipal Code authorize the City of Toronto to collect any personal information in your communication or presentation to City Council or its committees.

The City collects this information to enable it to make informed decisions on the relevant issue(s). If you are submitting letters, faxes, e-mails, presentations or other communications to the City, you should be aware that your name and the fact that you communicated with the City will become part of the public record and will appear on the City’s website. The City will also make your communication and any personal information in it – such as your postal address, telephone number or e-mail address – available to the public, unless you expressly request the City to remove it.

If you want to learn more about why and how the City collects your information, write to the City Clerk’s Office, Advisory Committee on Long-Term Care Homes and Services, 10^th Floor, West,100 Queen Street West, Toronto, ON  M5H 2N2, or by calling 416-392-5227.

Declarations of Interest under the Municipal Conflict of Interest Act.

Confirmation of Minutes - December 18, 2009.

Communications/Reports

The General Manager, Long-Term Care Homes and Services recommends that the Advisory Committee on Long‑Term Care Homes and Services endorse the requested expenditure for $1,700.00 no GST from the divisional Education Donations Account.

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.

There is no impact on the 2010 operating budget. This expenditure request is for use of the Education Donations account and is made in accordance with the criteria for use of this fund.

The General Manager, Long-Term Care Homes and Services recommends that the Advisory Committee on Long-Term Care Homes and Services endorse the requested expenditure not to exceed $5,000.00 plus City printing costs from the divisional Education Donations Account.

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.

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.

The General Manager, Long-Term Care Homes and Services recommends that the Advisory Committee on Long‑Term Care Homes and Services endorse the 2010 Toronto Challenge event budget.

The 19^th annual Toronto Challenge will be held on Sunday, June 13, 2010, with the presenting sponsorship support of MonsterMortgage.ca and the returning sponsorship and in‑kind support of dozens of corporate partners.  Funds contributed by the presenting sponsor of the Toronto Challenge help pay for promotional materials, race day logistical costs, and printed materials associated with staging the 5k run, 5k walk and 1k walk.

With strong sponsorship support and a controlled event budget, the Toronto Challenge is a significant fund and awareness raising event for Toronto Long‑Term Care Homes and Services and for dozens of other community organizations serving Toronto seniors.  As of this date, there are forty‑eight groups that will benefit by the funds raised.

The General Manager, Long Term Care Homes and Services recommends that the Advisory Committee on Long-Term Care Homes and Services endorse the Residents’ Interest Reserve Fund 2010 Budget.

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. 

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.

There are no financial implications arising from this report.

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.

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.

The strategic planning process in the Long-Term Care Homes and Services Division includes the development of long range goals and a process to establish annual operating objectives to guide the achievement of the goals.  The division reviewed and revised its Strategic Plan in late 2008 for the period of 2009 – 2011.  Strategic Directions were revised and the long range goals refocused to include a number of elements that support the division's strategic plan.  They are:  Governance and Leadership, Leadership and Management, Information Management and Communication, Integrated Quality Management and Safety.  The 2009 annual objectives addressed specific priorities related to each of these elements.

This report provides a summary of the achievement of each of the annual objectives established by the Long-Term Care Homes and Services Division's management team for 2009.

There are no financial implications arising from this report.

Toronto Long‑Term Care Homes and Services develops long term goals and annual operating objectives that are consistent with the strategic direction and vision of the division and the mission and values of the City.  Last year, the Division reviewed and updated the Strategic Plan for the period of 2009 – 2011.  Based on the division’s vision, goals and annual operating objectives, each home and the community services program establishes annual operating objectives to assist and guide the achievement of these goals.  Each objective is monitored throughout the year, and a final report is prepared at year-end.

This report provides copies of the 2009 achievement reports for each of the ten homes and community programs.

The Residents’ Interest Reserve Fund is used for the general benefit of the residents in the 10 Long-Term Care Homes to enhance their quality of life through social and recreational activities.  Annual expenditures are based on 90 percent of all interest recorded in the fund in the previous year.  The fund balance as at December 31, 2009 is $1,849,800.21.

There are no financial implications arising from this report.

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 22, 2010) Minutes of Castleview Wychwood Towers Home Advisory
Committee meeting on October 15, 2009

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

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

5.         (January 25, 2010) Minutes of Fudger House Home Advisory Committee meeting on
November 18, 2009

6.         (January 22, 2010) Minutes of Kipling Acres Home Advisory Committee meeting on
November 24, 2009

7.         (January 22, 2010) Minutes of Lakeshore Lodge Home Advisory Committee meeting
 on December 16, 2009

8.         (January 21, 2010) Minutes of Seven Oaks Home Advisory Committee meeting on
November 10, 2009

9.         (January 21, 2010) Minutes of Seven Oaks Home Advisory Committee meeting on
December 8, 2009