Malton Village action plan
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.
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).