{"id":12826,"date":"2020-05-30T01:02:02","date_gmt":"2020-05-30T05:02:02","guid":{"rendered":"https:\/\/www.ontariohealthcoalition.ca\/?p=12826"},"modified":"2020-06-12T15:58:25","modified_gmt":"2020-06-12T19:58:25","slug":"advocates-say-ontario-should-have-known-the-horrific-state-of-long-term-care","status":"publish","type":"post","link":"https:\/\/www.ontariohealthcoalition.ca\/index.php\/advocates-say-ontario-should-have-known-the-horrific-state-of-long-term-care\/","title":{"rendered":"Advocates say Ontario should have known the &#8216;horrific&#8217; state of long-term care"},"content":{"rendered":"<p>(May 29, 2020)<\/p>\n<p>By: Andrew Duffy, Ottawa Citizen<\/p>\n<p>Advocates for Ontario\u2019s long-term care residents say Premier Doug Ford and his government should have known which long-term care homes would be most at risk in a pandemic based on years of inspection reports, risk modelling and bed classifications.<\/p>\n<p>In an interview Friday, NDP health critic France G\u00e9linas said she believed that most of the LTC home hard-hit by COVID-19 should have been identified as high-risk before the pandemic based on their age and inspection records. She repeated her party\u2019s call for the resignation of Long-Term Care Minister Dr. Merrillee Fullerton.<\/p>\n<div id=\"featured-video\" class=\"featured-video youtube\">\n<div class=\"video-placeholder\">\n<div class=\"placeholder-inner\">\n<div class=\"ytp-spinner\">\n<div class=\"ytp-spinner-container\">\n<div class=\"ytp-spinner-rotator\">\n<div class=\"ytp-spinner-left\">\n<p>\u201cYou cannot say you\u2019ve done your job as a minister when you say, \u2018I did not know,&#8217;\u201d G\u00e9linas said. \u201cHow can we tolerate that she did not know?\u201d<\/p>\n<p>Fullerton\u2019s office did not respond to a request for comment Friday.<\/p>\n<p>The Ontario Health Coalition has issued a series of critical reports on the long-term care system, including one in December that highlighted a shortage of personal support workers. Natalie Mehra, executive director of the coalition, said that, predictably, those staff shortages became critical during the pandemic. \u201cThey should have known,\u201d she said. \u201cIt stretches the bounds of credibility for the minister to say she was unaware. I find it beyond belief.\u201d<\/p>\n<p>Earlier this week, Ford told reporters he was shocked by the revelations of a Canadian military report based on the experience of soldiers inside some of Ontario\u2019s worst-hit long-term care homes. The report alleged that soldiers encountered \u201chorrific conditions,\u201d including cockroach infestations, poor infection control, aggressive staff behaviour and inattention to residents\u2019 needs at five homes in southern Ontario.<\/p>\n<p>\u201cIt was the worst report, most heart-wrenching report I have ever read in my entire life,\u201d Ford said. \u201cUntil yesterday morning, we didn\u2019t know the full extent of what these homes, what these residents, were dealing with.\u201d<\/p>\n<p>Long-term care advocates, however, point to a large and detailed body of information that should have informed government ministers and their decision-making, including:<\/p>\n<p>\u2022 Inspection reports. Fullerton has said nearly 3,000 inspection reports have been conducted inside the province\u2019s long-term care homes since June 2018. Those reports have catalogued a host of problems. A 2015 ministry report found that unaddressed problems in LTC home reports were \u201cmost often related to completion of the LTC home plan of care, infection prevention and control, the Residents\u2019 Bill of Rights, skin and wound care, dining and snack service, and communication and response.\u201d<\/p>\n<p><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"http:\/\/publicreporting.ltchomes.net\/en-ca\/File.aspx?RecID=24791&amp;FacilityID=20069\">At Carlingview Manor<\/a><\/span>\u00a0in Ottawa, where 53 residents have died of COVID-19, recent inspection reports identified a persistent cockroach problem, a resident care plan that was not being followed and an unreported instance of sexual abuse by one resident against another.<\/p>\n<p>\u2022 The province\u2019s inspection system is based on a risk-management approach. It means the province uses a risk management \u201cframework\u201d to sort long-term care homes into high-, medium- and low-risk categories based on their inspection and compliance histories, management turnover and other risk factors.<\/p>\n<p>In Ottawa, more than one-third of long-term care homes were flagged as medium-risk in 2018, but the province has refused to publicly identify which homes were on that list.<\/p>\n<div class=\"row\">\n<div class=\"col-xs-12 col-sm-8 col-lg-6 offset-sm-2 offset-lg-3\">\n<section class=\"article-content\">\u2022 Long-term care homes are also categorized by the building standards that each facility meets. There are five basic categories: new beds, A, B, C and D. New beds account for more than half of Ontario\u2019s 77,000 LTC beds; their design standards do not allow for three- or four-bed ward rooms.Those classified as \u201cA\u201d beds were built before 1998, but come close to current design standards, while those in category B exceed the 1972 design standards. There remains in Ontario a substantial number of C beds, which meet 1972 standards, and upgraded D beds, which do not. For the past decade, the province has been pursuing a renewal strategy to redevelop B, C and D beds.<\/section>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"ad__section-border\">\n<p>The 1972 design standards stipulate that a four-bed room requires a minimum of 305-square feet. Almonte Country Haven, which opened in 1981, is categorized as a C building and includes four-bed ward rooms with shared bathrooms. More than one-third of its residents \u2014 28 people \u2014 have died from COVID-19.<\/p>\n<p>Ontario\u2019s auditor general issued reports on the province\u2019s long-term care system in 2015 and 2019. The reports pointed to problems with the sugar and nutritional content of meals and highlighted issues with a backlogged complaints and inspections system. Those reports joined a stack of other reports from inquests, newspapers and organizations such as the Ontario Health Coalition and the union representing LTC workers, SEIU Healthcare, that all pointed to system failings.<\/p>\n<p>Jane Meadus, staff lawyer at the Advocacy Centre for the Elderly, said anyone familiar with the reports knew what damage the pandemic would wreak on long-term care. \u201cWe knew right from the get-go this was going to be a problem: These homes are not equipped, they\u2019re not staffed properly,\u201d Meadus said. \u201cThe system was propped up by family members going in and giving care, and private care givers. Now you\u2019ve taken all of that out.\u201d<\/p>\n<p>The Ford government, she said, also curtailed the number of comprehensive annual LTC home inspections, known as resident quality inspections. \u201cIf you don\u2019t look, you won\u2019t find,\u201d Meadus said.<\/p>\n<p>The government has never cracked down on poor-performing long-term care homes, Meadus added, because they need the beds to address lengthy waiting lists, and to relieve the pressure on hospitals, which often devote beds to people who should be in nursing homes: \u201cIt means there\u2019s no impetus for those homes to change because they can always fill their beds.\u201d<\/p>\n<p>Ontario spent $4.4 billion on long-term care last year.<\/p>\n<p><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/ottawacitizen.com\/news\/local-news\/advocates-say-ontario-should-have-known-the-horrific-state-of-long-term-care\">Click here for original article<\/a><\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>(May 29, 2020) By: Andrew Duffy, Ottawa Citizen Advocates for Ontario\u2019s long-term care residents say Premier Doug Ford and his government should have known which long-term care homes would be most at risk in a pandemic based on years of inspection reports, risk modelling and bed classifications. In an interview Friday, NDP health critic France [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[],"class_list":["post-12826","post","type-post","status-publish","format-standard","hentry","category-ohc-in-the-news"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Advocates say Ontario should have known the &#039;horrific&#039; state of long-term care - Ontario Health Coalition<\/title>\n<meta name=\"description\" content=\"(May 29, 2020) By: Andrew Duffy, Ottawa Citizen Advocates for Ontario\u2019s long-term care residents say Premier Doug Ford and his government should have\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ontariohealthcoalition.ca\/index.php\/advocates-say-ontario-should-have-known-the-horrific-state-of-long-term-care\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Advocates say Ontario should have known the &#039;horrific&#039; 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