The summary is AI-generated and can contain mistakes. Always rely on the original Ministry report for decisions.
- Transferring And Positioning TechniquesRestraints & mobilityOrder
Inspectors found that staff did not use safe techniques when transferring a resident, and the resident was injured and subsequently hospitalized and died. The home's review identified gaps in transfer assessments, care plan documentation, staff training, and policies. Staff did not consistently follow the home's lift and transfer protocols, and there was limited understanding of safe mechanical lift principles among staff. The home has been ordered to update its transfer policy, clarify staff roles, provide training, audit all residents who need mechanical lifts, and assess individual staff members' transfer techniques.
- Skin And Wound CareSkin & wound
Inspectors found that a resident who returned to the home after a hospital stay for treatment of a fall-related injury did not receive the required skin and wound assessment upon return, despite the home's policy requiring registered staff to complete this assessment.
- Skin And Wound CareSkin & wound
Inspectors found that when a resident returned to the home from hospital after a fall and treatment for injury, staff did not complete an initial skin and wound assessment using an appropriate assessment tool.
- Missing Personal ClothingEnvironment & safety
Inspectors found that a resident's clothing items went missing, and staff did not follow the home's policy for tracking and locating lost personal items during laundry services. The missing items were not recovered.