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    4. Peel Long Term Care
    5. About Peel Long Term Care

    Malton Village action plan

    Action plans are based on survey results from residents, families and caregivers.

    The annual Resident survey took place in August 2023 and Family and Caregiver Experience survey took place in October 2023. Resident surveys were administered in-house with the assistance of volunteers, while family surveys were distributed both by mail as paper copies and via email with a SurveyMonkey link for online completion. Paper surveys were later entered into SurveyMonkey, and the results were compiled.

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    The analysis of our 2023 Resident Experience Survey results indicated overall satisfaction with the accommodation, care, services, programs, and goods provided to our residents. Additionally, it highlighted specific areas where targeted improvement efforts are needed to further enhance the resident experience.

    Nursing care and centre staff

    Includes staff and centre overall or QOL

    Focus of improvement

    • Help me prepare for my day.
    • My loved one received a consistent level of care.
    • Express opinion without fear of consequences.
    • Staff listen to me.

    Key actions

    • Arrange Customer Service Education.
    • Training to staff regarding butterfly model/emotion-based care for improving resident satisfaction.

    Outcomes of action

    • Implemented October to November 2024.
    • In progress

    Key action

    Centre leadership team to conduct walkabouts/audits.

    Outcomes of action

    • Implemented February 2024.
    • Ongoing

    Key action

    Reward and recognize staff.

    Outcome of action

    • Implemented May 2024
    • Ongoing

    Key action

    Enhance resident care and staff accountability through individual assignments in point of care.

    Outcome of action

    • Implemented June 2024
    • Completed

    Services

    Focus of improvement

    Foot care

    Key action

    Explore reasons for poor surveys results.

    Outcomes of action

    • Implemented July 2024
    • Completed

    Activities

    Focus of improvement

    Recreation activities

    Key action

    Recruitment and retention of staff.

    Outcomes of action

    • Implemented February 2024
    • Completed

    Meals and diet

    Focus of improvement

    There are a variety of menu choices to choose from

    Key action

    Commitment to offering 2 menus per year.

    Outcomes of action

    • Implemented June and November 2024
    • Completed, in progress

    Focus of improvement

    Satisfaction with quality of foods and snacks.

    Key action

    Ensure nutritious snacks are offered by adding fruit to snack cart.

    Outcomes of action

    • Implemented June 2024
    • Ongoing

    Centre environment

    Focus of improvement

    The centre is clean and tidy.

    Key action

    Facility services supervisor and public works to oversee tree trimming and landscaping.

    Outcomes of action

    • Implemented summer 2024
    • Completed

    These are the priority areas identified for the year 2024/25. Tall Pines’ Quality Improvement Initiatives align with annual submissions of Quality Improvement Plans.

    Focus of improvement 1

    Reducing avoidable emergency department visits.

    Key action

    Utilize PreviewED tool.

    Outcomes of action

    • Implemented April 2024
    • Completed

    Key action

    Provide PoET education to staff and recertification.

    Outcomes of action

    • Implemented April to May 2024
    • Completed

    Key action

    Provide one Family and Caregiver education session at Town Hall – End of Life and Advanced Care Planning.

    Outcomes of action

    • Implemented August 2024
    • Completed

    Key action

    Equip staff with SBAR education.

    Outcomes of action

    • Implemented October to November 2024
    • In progress

    Focus of improvement 2

    Reducing Inappropriate Anti-Psychotic Use

    Key action

    BSON’s 6-week Antipsychotic Medication Reviews.

    Outcomes of action

    • Implemented April 2024
    • Ongoing

    Key action

    BSON care planning for new admissions (non-pharmacological approaches).

    Outcomes of action

    • Implemented August 2024
    • Ongoing

    Focus of improvement 3

    Reducing falls

    Key action

    Implement interdisciplinary Weekly Falls Huddles (high risk residents).

    Outcomes of action

    • Implemented April 2024
    • Ongoing

    Key action

    Friendly home-area competition (monthly).

    Outcomes of action

    • Implemented May 2024
    • Ongoing

    Key action

    RNAO Gap Analysis with Best Practice Coach.

    Outcomes of action

    • Implemented June 2024
    • Completed

    Key action

    Train staff on 4Ps.

    Outcomes of action

    • Implemented April 2024
    • In progress

    Focus of improvement 4

    Residents can express opinions without fear of consequences.

    Key action

    Review Resident’s Bill of Rights with Resident Council.

    Outcomes of action

    • Implemented April 2024
    • Completed

    Key action

    Review Whistleblower Policy with Resident Council.

    Outcomes of action

    • Implemented September 2024
    • In progress

    The Resident Council holds monthly meetings where members can ask questions, share their expectations, and discuss their preferences for care and treatment. Quality Improvement plans are discussed regularly at Resident Council and Family Council meetings. Regular updates on the status of action plans are provided, and feedback from both councils is collected and documented in meeting minutes. Additionally, ongoing updates about the plan's implementation are posted on the information board.

    Quarterly Continuous Quality Improvement (CQI) meetings are held to provide progress updates and identify areas needing further attention. Discussion on Quality improvement initiatives is a standing agenda item at CQI committee meetings. The CQI Committee aids in implementing the action plan by offering recommendations and continuously assessing the effectiveness and sustainability of the actions taken.

    Including outcomes based off RES, FCES, and Home’s Priority Areas

    Residents: Information was shared with residents through the Resident Council meeting minutes, in addition to an Infographic posted on the CQI Board on March 19, 2024. The action plan was discussed in the Resident Council meetings on February 28, 2024, and March 28, 2024. The outcomes are to be communicated in Fall 2024.

    Families: Details on the action plan were provided to families through the Family Town Hall meeting minutes and through an infographic posted on the CQI Board on March 19, 2024. The action plan was further discussed during the Family Council meeting on April 25, 2024, with outcomes to be shared in Fall 2024.

    Staff: Updates were shared via CLT and CQI meetings, where action plans were discussed regularly. The outcomes were presented during the CLT meeting on February 13, 2024, and the quarterly CQI meetings on February 29, 2024, May 28, 2024 and on August 9, 2024. Ongoing updates about the plan’s implementation is posted on the quality board after each CQI meeting (e.g. meeting minutes including updates re: action plans).

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