Ontario ombud to probe nursing homes
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CTV.ca News Staff
Date: Wednesday Jul. 16, 2008 6:17 PM ET
Ontario's ombudsman launched an investigation Wednesday into the way the province monitors its nursing homes. Andre Marin says he plans to look into the way the Liberal government enforces its standards, and whether those standards are appropriate.
"First, we will investigate the ministry's monitoring of long-term care facilities to ensure compliance with statutory requirements and policy standards," he told reporters at a news conference.
Marin said the second part of the investigation would ask whether "the standards imposed by the ministry (are) unrealistic, trivial or irrelevant to the extent that they detract from effective compliance monitoring."
The announcement came on the heels of media reports that found three-quarters of the province's facilities weren't meeting targets set by the Ministry of Health and Long-Term Care. The standards include regulations on cleanliness, care and safety.
The report found that in seniors in some homes have died while physically restrained. In others, residents have been left in soiled diapers for hours.
Facility operators have complained that several of the 400 provincial benchmarks are not essential to patient care and distract employees from the most important part of their work.
Marin said a recently conducted "pre-investigation" provided sufficient proof that a full examination is required. He said he has also received hundreds of complaints from residents and their families.
"I think that by the very nature of the business, those who are in long-term care facilities don't always have the means to express themselves... We've only touched the tip of the iceberg."
He would like the power to directly investigate conditions inside seniors' homes but the government refuses to change his mandate to allow it, he said.
"For 33 years, six ombudsmen in a row have complained this is an area that has been overlooked," he said. "There's no independent recourse for those who have complaints on how this process is run."
Provincial opposition leaders pointed fingers at the Liberal party upon hearing news of the investigation, saying Premier Dalton McGuinty has not given nursing home operators the funding and guidance they need to run high-quality facilities.
"We have our most vulnerable, most deserving citizens... going with the funding, going without the standard of care that we would expect them to have," Conservative Leader John Tory told CTV Toronto.
McGuinty said he welcomes the probe.
"The fact of the matter is we're on the same side," McGuinty said Wednesday from the premiers' annual meeting in Quebec City.
McGuinty admitted "progress is a little bit slower than we would hope for,'' despite his government having hired thousands of nurses and having spent $1 billion more on long-term care.
"If Mr. Marin can go in there and turn something up for us and give us some good advice, as he's done in so many other areas in the past, I would welcome that," he said.
"I've known Andre for more than 30 years now -- I grew up on the same street. I've never found that he's ever let anything get in the way of getting his job done.''
About 75,000 people live in Ontario's 622 long-term care facilities.
Janet Lambert, executive director of the Ontario Long-Term Care Association, said homes also welcome the investigation, provided it prompts the province to boost staffing and funding in nursing homes.
"Right now, Ontario is actually second to last when it comes to a measure of the qualified people that care for our residents, and that is a per-resident per-day measure," Lambert told Newsnet. "It's second to last compared to the rest of the provinces in Canada, and Ontario shouldn't be second to last."
Lambert said the standards should also be less focused on paperwork and more focused on resident care.
Marin's report will be completed within the next six months.
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Dave
said
Margaret
said
The provincial goverments needs to take some of that tax monies that they have in surplus and put it to good use....this would be a good investment.....
Big Mike
said
David
said
If they require institutional care that amount is woefully inadequate to cover the kind of care people are demanding.
I have had the unpleasant experience to have to place an elderly person in care. Unfortunately their level of expectation was in no way equivalent to their means. If you don't have at least $2000.00 a month in Ontario, don't expect a level of care much greater than that of a prisoner.
The population is aging, and this is going to become even worse. For all those who demand better care I will ask: where is the money going to come from?
Lindsay Morgan
said
MikeCanada
said
Mr. Den
said
Chris
said
Reece
said
Cheryl
said
As soon as the nursing home knows someone is coming from the government, then they are on high alert and you will never get to the bottom of what is going on.
Similar to a mystery shopper if you will.
Anon
said
nowonder
said
Jodi
said
Nowonder
said
Nancy
said
Response to Chris
said
Doug BC
said
But,having said that,I think these homes also have the potential to become the same kind of money pits as health care,or our education system.No matter how much money is spent,more can always be spent.
What's sad,it that most people feel the government should to the paying.Is this society so sick that we can't even contribute to the welfare of our aging parents and grand parents?? The people who gave their all to take care of their families.
This "nanny state" is shameful,greedy,and to self absorbed.
Subsidized elder care homes should be a last resort.Familes should care for their own,or at least be willing to help pay for that care.
There is no such thing as "free" people.Like health care,like day care,like education,this is not about "free".This is all about people who want services,but want someone else to pay for it.
Frank Buchan
said
At 40, I am already aware choices I made in my 20s have reduced my quality of life moving forward. To address the aging issue, we need to recognise that and assist the next generations in understanding the consequences of choices. The simplest example is smoking: maybe we create a system where your choice to moke means no access to health care of a specific form? It's harsh, but practical. And unless we at think about these things, we will eventually be forced to be far harsher when the cash runs out.
R D
said
Carol
said
Marty
said
Sandra A.
said
The elderly should have home care, but the Ontario government, in all it's glory are spending excess money on trivial things instead of taking care of our elderly citizens.
They are abused and even die in these homes, but no one cares.
They have fought wars, been through the depressions and raised us. This says a lot about Canada, if you are sick or old you can be eliminated. Why don't they hire older workers to take care of these people. They have more compassion.
Robert Thomas
said
They needed a bed for someone who didn't place too many demands on the staff.
A bath once every couple of weeks or a diaper change once a day might have been something my mom had paid for throught her 60 years of taxes.
Guess who won?
Carole
said
JJ
said
Chris
said
Again I certainly don't mind meeting a standard and if we're not meeting a standard then yes we need to spend money/redirect money to fix those issues and bring them up to snuff. I have no problem with this.
I went to Bosnia, and I went to Afghanistan. Yes I may have only worked for 10 yrs right now. However there have been times I've worked 2 jobs . I look at my grandfather, who went to War who worked hard to give someone like me many of the things I enjoy today. He's worked on a farm his whole life , ran a successful business. Now he's got enough money that my grandmother is taken care of, if he dies or they both need to goto into a nursing home.
I am worried about rising taxes and taking more money to take these facilities beyond what is needed to improve them. Because the more money the gov't takes from younger generations to help the older generations, the less effective I become at being able to help myself and my family when I get to that point. Its a vicious cycle. Higher taxes are not the answer.
RPK ~ Kitchener
said
NOT all Nursing Facilities in this Province are breaking rules daily ~ Yet ~ many are, & running free to do so, because they can.
I am on the Board of Directors of Senior Facilities in Kitchener Ontario and I can assure anyone we meet and in some cases exceed the government rules.
We use "Common Decency & Respect" for our guests 24 - 7 .
So many young citizens are using a nursing home as a dropping spot to get rid of ole grandpa & grandma or mom or dad.
These terrible nursing locations exist because no one reports their actions not to the ministry but to police authorities.
Elder Abuse is an illegal action as is child abuse.
At least some of us are dedicated to not only meeting the physical n eeds but we address the social & spitual needs of the elderly so that their days can be fruitful as limited as some are.
Don't blame the government all the time take a look at what you are doing to be a part of the cure of a real live problem.
When regulations choke the system...
said
What they need are more inspectors who get around more often and issue fines to management who are not in compliance with the basic of necessities.
Getting old meself
said
One old lad I got to know told me he had a furniture business and several houses before he ended up there. and all the money he had was now held for "Future considerations" by the corporation that ran the facility. Although he was 84 yrs old he seemed very aware and was angry that he no longer had any control over his finances and was given $5 a week as spending money.
He also claimed that when he passes on the home will take a percentage of his remaining monies and deduct Lawyers fees and many other charges until there is virtually nothing left.......
How much truth there is in this I don't know. but his other gripe, which I have witness is the fact that he claimes he is paying about $3000 a month for care, while the guy who lives in the next room who has no money gets the same room,meals and care that he does.....he claims he wished he had given all his money to his grand-kids and then gone down to Vegas for a week and told them he had lost it all at roulette!
This old chap really does have his wits about him and although he says the staff treat him well he feels cheated and abandond.....
The other prob. we ran into is when we asked if we could take him out for the afternoon down to the lake we were met with a very rude "NO!" as the insurance would not allow it
He calls the place Stalag 17 and has advised me to ensure I am dead broke before putting myself in any long term care facility!
Sounds like good advice if all he says is true !
Max
said
Based on our socialist "nanny-state" mentality, we expect the government to look after us, on some level, our ENTIRE lives. We're absolutely delighted to pay insane taxes in exchange for the government babysitting us, cradle to grave.
It should come as no surprise that institutional entities that rely on government dollars perform poorly or, at best, profoundly inefficiently (wastefully). Look around you. The examples are everywhere.
Indeed, I want to live in a world where we collectively look after those who need assistance for whatever reason; HOWEVER, it's time we started being more self-reliant and financially responsible in order to afford the monumentally high cost of old-age care. Too many people cruise through life beyond their economic means, saving only a paltry sum for retirement and old age, and then expect the government (we taxpayers) to look after them with stellar institutional care when the needed time comes.
I'd rather pay lower taxes along my personally-responsible journey and be left to afford a "private" nursing home where, certainly, I'd receive acceptable care.
This issue is growing in importance daily. We need to resolve it very soon. Demographically, this is a time bomb.
Lastly, more people are going to have to drop their entrenched "ME" lifestyle in favour of looking after Mom and/or Dad themselves, at home.
Larry L
said
In the mid-1960s, a very nice house could be had for $15K, a fully loaded mid-range car cost $6-7K, gas sold for just over $0.09/litre, a monthly electricity bill of $8 wasn't unusual, a good suit cost around $75, $30 worth of groceries filled 4-5 large paper bags, and a McD's burger cost $0.27.
Extrapolate those prices to: today; the year you plan on retiring (say 2048), and; the year you and/or spouse turn 80. Still think you can go it alone to make your future secure? Think you'll still feel the same way when you and/or spouse are 80?
Oh, don't count on being able to make uninterupted payments to CPP and RSSPs for the next 30-40 years. Life has a way of taking at least one or two big bites out of what you sit on, e.g. debilitating illnesses, child expenses (and they only increase), prolonged unemployment, etc, etc.
David
said
But, simply put, if you didn't save enough for your retirement and eventual and inevitable old age, you can't expect to enjoy more than a minimal lifestyle. You should expect to be housed in a ward and you should expect nutritious, but not extravagent meals. You should not expect one-on-one nursing care.
If that is not your expectation, then you better have saved some money.
JoeC
said
Max
said
I can certainly appreciate what you're saying with regard to the MAJOR cost of retirement and old-age care...but, the important point still remains, that most people today live (spend) like there's no tomorrow and, consequently, don't have enough money set aside for their remaining years.
Furthermore, the government continually grabs a huge portion of your income...and this adds up to MAJOR money down the road, when you've been working for decades!
Sure, some people's plans for their life get squashed due to unforeseen illness, etc. We can have a system that helps them. No problem. However, these people are a tiny minority.
Save your dollars and resist higher taxes. There's a plan!
Terry
said
When will something be done about the conditions in our nursing homes? I was a adovcate for my parents for 10 years. I found the nursing home negligent for all sorts of misapporiate behaviour and medical inconstancies. When I wasn't around I hate to think of what the patient care was, that I didn't get to monitor.
I implore the government to step in quickly and monitor these homes & their staff.
jill
said
Peter
said