St. Joseph's Villa Family Council

   Meeting Minutes Monday January 18, 2016

In Attendance: Dr. Eric Correa, Tracey Davidson, Marlene Dawdy, Suzan Fawcett, Lillian Gagne, Jennifer Hardy, Clare Lamont, Jim Lamont, Shirley Latulippe, Brian McMahon, Doug Mitchell, Flo Molnar, Mary Molnar, Ken Ockenden, Anita Ormond-Gough, Sylvia Perrone, Joan Phillips, Ann Pryde, Rose Repchull, Jean Robertson, Joan Russell, Cecile Scime, June Seawright, Carol Shwedyk, , Marjorie Smith, Betty Spencer

Regrets:Karen Felker, Peter Gnish, Cate Roberts, Annie Smith

Call to Order:Welcome and Introductions from the Chair, Marjorie Smith. Marjorie called the meeting to order at 1:08 pm.

Guest Speaker: Tamara Johnson, Director of Community Programs and Services.

Tamara reported that the carpets in front of the elevators in the South Tower will be removed and replaced by flooring similar to that in Birch Trail and Pine Grove which was completed in the summer of 2015. Removal of old carpet and laying of new flooring will take place from 9:00 PM until 6:00 AM, when there is the least traffic.   This flooring is hard wearing and much easier to keep clean and maintained. As money becomes available all carpets in the Villa will be replaced.

Tamara also stated that Therapeutic Recreation Department is reviewing fulltime and part time schedules to get more programming into evenings and weekends for residents.

Tamara showed samples of the wall art that is being considered for SJV. Art depicting local scenes and possibly movie posters is being considered. The art work will be mounted at an appropriate eye level so that our residents in wheelchairs can enjoy them. The art work will be mounted in plexiglass to ensure safety. Residents will have input into what is chosen for their areas. Pricing of new lobby furniture for each resident home area has begun. This will start with the two secured home areas when funds become available and each unit as they are repainted and carpet removed.

Adoption of Minutes:

Anita Ormond-Gough moved that the minutes from December 21st, 2015 be accepted and this was seconded by Lillian Gagne.

Issues Arising From Members

-       Document to be placed on file re care of a family member’s mother and brought to the attention of Jennifer Banks.

-       Clarification requested on the process and timeline followed if concerns are sent to Dr. David Higgins, President St Joseph’s Healthcare. Marjorie stated that sending family concerns to Dr. Higgins would occur only if the concerns were not looked after satisfactorily with SJV staff. The process of evaluating and detailing concerns will be addressed at a Family Council meeting.

-       One family member raised a concern regarding her mother’s recurring urinary tract infections. She is concerned that the infection is not being dealt with in a timely fashion; lab results can take several days which means that treatment of any kind is delayed causing distress to the resident. The families have made their concerns known to Mieke Ewen, Director of Care.

-       Business Arising From Minutes   - None identified

Committee Reports

Residents' Council: no report from the Council as Chair, Joyce Slusarchuk, was unable to attend.

Chair's Report

Chair attended the January meeting of Residents’ Council. Her remarks follow:

As reported earlier 125 new beds have been purchased for SJV. All old beds have now been replaced to the new high/low style making it easier for residents and staff. Thanks to SJV Foundation.

A new bath chair has been bought for Rose Garden and a new bath chair will be purchased for Primrose Lane. The cost of these bath chairs is $22,000.00 each.

A family member of a resident questioned the sharing of resident care information. She feels that the information is not passed from staff to staff at change of shifts.

Jenn Banks announced that a “reward” system is being introduced. If any staff member goes above or beyond her duties and a family member or other staff member sends a note to Jenn to that effect the staff member will be awarded points. When a certain number of points is reached a reward will be given. Details to be worked out.

Residents were happy with food choices over the Christmas season. Unfortunately, due to a 20% increase in price, pineapple juice will not be offered at this time. There will be other juices available.

A resident complained about having a male PSW bathe her. She is embarrassed. Jenn Banks said she has every right to ask for a female PSW to assist her.

Some residents are not happy with staff schedule changes. Jenn explained her rationale in making the changes and stated that many staff had requested the change.

A Social Services Worker has been hired to work on Birch Trail, Pine Grove and 5th floor convalescent care unit. Also an Assistant Director of Care has been hired and will work on the 5th floor in the convalescent unit as well as perform duties in Education of Staff.

An extra PSW float has been added to   Willow Grove.

Compliance reports:   (MOH) All dealing with the feeding (or not feeding) of residents who need assistance.

The chair has written a note of thanks to The Garden Club of Dundas for their very generous gift of 20 or more Christmas plant arrangements. These were delivered to residents who have no family to visit them. They were very much appreciated.

The chair read a newspaper article claiming there will be no smoking allowed on any health care property. This will be addressed by administration for SJV.

 

 

Guest Speakers: David Bakker – SJV Administrator

                             Derrick Bernardo – CEO, SJV

                             Jenn Banks, Director of Care

Chair, Marjorie Smith and Peter Gnish, Past Chair, met with Mr. Bakker and Mr. Bernardo in November 2015 to address the letter of concerns that Family Council members had wanted to bring to their attention after many weeks and months of discussion. The concerns were not addressed at that meeting but Mr. Bakker and Mr. Bernardo agreed to come to Family Council to address those concerns.

Mr. Bernardo said a few words in response but the gist of his remarks were that Family Council should not be involved with care issues. But that these should be directly addressed by management. He stated that we should concentrate on perhaps doing things for the residents such as some form of entertainment. Mr. Bernardo asked the chair if she attended any other local family council meetings, to see the content of their involvement with the care of the residents. She replied she did not.   A hue and cry ensued.   Marjorie read him the SJV Family Council Terms of Reference and that of the LTC Act of the Ministry of Health. A copy of our Terms of Reference had been given to Mr. Bernardo in the summer of 2015. For the record our Terms of Reference states: Mission Statement: The mission of the Family Council at St. Joseph’s Villa is to advocate for excellence in physical, mental, spiritual and emotional care by working together with residents and staff to ensure a safe, informed, dignified and caring environment for all. And, to disseminate information which affects positive change in Long Term Care in a responsible manner. Further, from the Long Term Care Homes Act (in part): A Family Council has the power to do any or all of the following:     1. Provide assistance, information and advice to residents, family members of residents etc etc. 2. Advise residents, family members of residents respecting their rights and obligations under this Act. 4. Attempt to resolve disputes between the licensee and residents. You will find Jurisdiction under the Long Term Care Homes Act – Regulations passed 2010, in our Terms of Reference.

Both Mr. Bakker and Mr. Bernardo apologized that these concerns keep happening. All three guests’speakers said that they are open to families calling them with their issues. Their e-mail addresses and telephone numbers are available to you.

At this point Mr. Bernardo left the meeting as he had a previous meeting planned.

The Chair, questioned “good nursing practices”. Who is accountable for the staff?

David stated that the administrative staff is open to working collaboratively with Family Council; staff have been disciplined and some have had their employment terminated. He encouraged everyone to ask for a family meeting right away and not wait. He also stated the Villa has made positive strides in the last few months.  

Family council members and their families need to know ‘who you are’. Do staff have regular in-service training sessions? More social activity has been evidenced on Orchid Wing. We are all advocating for those who cannot advocate for themselves. We belong to the larger organization of Family Councils of Ontario.

It was suggested that senior staff (Mr. Bakker and Mr. Bernardo included) should visit the units preferably at mealtimes when all the residents are in one place to introduce themselves. These visits could be spread over a period of time and need only be for 10 minutes or so. It would mean a lot to residents, families and staff.

The chair will meet with David Bakker, Jenn Banks and Tracey Davidson to look at the concerns Family council handed to them and get their feedback. Chair will report to Family Council at the next meeting.

Date of Next Meeting: Monday, February 8th, 2016 at 7:00 in the Boardroom

PLEASE NOTE THIS IS ONE WEEK EARLY DUE TO FAMILY DAY.

Adjournment: 3:25 pm

                

             St. Joseph's Villa Family Council

   Meeting Minutes Monday February 8th, 2016

In Attendance:, Marlene Dawdy, Suzan Fawcett, Jim Lamont, Doug Mitchell, Flo Molnar, Mary Molnar, Anita Ormond-Gough, Sylvia Perrone, Joan Russell, Annie Smith, Marjorie Smith, Betty Spencer, Jonathon White . Staff liaison, Tracey Davidson.

Regrets:Dr. Eric Correa, Karen Felker, Peter Gnish, Cate Roberts, S. Latulippe, B. McMahon

Call to Order: Welcome and introductions from the Chair, Marjorie Smith. Marjorie called the meeting to order at 7:05 pm.

Adoption of Minutes:

Doug Mitchell moved that the minutes from January 18th, 2016 be accepted and this was seconded by Anita Ormond-Gough.

Issues Arising From Members

Jim reported that the letter from his family regarding their mother’s care was filed and he had a meeting with Jennifer Banks, Director of Care. The Lamont family have sent their letter of concerns to the Ministry of Health. Jim stated that the communication with the Villa administration is better and things have improved.

Annie is pleased with the care her mother is having on Birch Trail and feels that the 3rd PSW position has made a positive difference.

Jonathon is pleased that some of his mom’s medication has been changed and he sees a big improvement.

Anita asked if the nurse practitioner can do something about ear wax build up or does she only see residents with wounds? (Tracey to find out).

 

Anita asked about mouth care on her mother’s unit and how she fits in as she is not the Power of Attorney for personal care. (Tracey to find out)

Business Arising From Minutes

  • Identified   actionable items follow-up

Committee Reports

Residents' Council: No report from the Council as Chair, Joyce Slusarchuk, was unable to attend.

Chair's Report

Chair attended the February meeting of Residents’ Council.

  • Tamara Johnson attended the Residents’ council meeting to announce that new art work is being purchased for the Villa and that residents will have a voice in the selection for their home units. New furniture is being purchased for the Conservatory Lounge. Carpeting is being removed from outside elevators and flooring will replace the worn carpeting.

In follow-up to the letter of concerns that was sent to administration in October 2015, the chair met with David Bakker, Jenn Banks and Tracey Davidson. Linda Dennis attended to take notes.

The meeting was amicable and each concern was addressed. It was agreed that many of the issues are out of the control of administration ie support of funding from MOH etc. The chair suggested that this be conveyed to Family Council members in order for them to have a better understanding of the handling of the many concerns. Both David and Jenn offered to address Family Council at any time and it was suggested that Jenn and/or Mieke attend our monthly meetings for a short period of time so that concerns can be dealt with more quickly. Administration feel that the care of residents should be left to them and that Family Council should perhaps be more involved with volunteering to help residents. David Bakker asked the chair if she had any dealings with other Family Councils and the chair replied “no” other than the material she received through Family Councils of Ontario where ideas and suggestions are shared.   The chair has a call in to the chair at Wentworth Lodge and is interested in attending a meeting of their council and reciprocating. The chair presented a list of questions which was discussed .

  • What does “care” mean to Family Council? The Family Council will need to look into this further. A review of our mandate may need revisiting and shared with administration so that we are clear on this important issue.
  • If there is a concern that needs to be addressed:

First, speak with the Registered Staff member on the Resident Home Area.  If no resolution then notify your Resident Care Coordinator, then Assistant Director of Care, then Director of Care, then Administrator.

A motion was put forth by Doug Mitchell that families follow the complaint process first, before a concern comes to Family Council. Members in attendance agreed.

Ontario Family Council link for members if they would like to receive emails, bulletins etc

http://www.fco.ngo/family-councils

Marjorie has been invited to Resident Councils meeting by the chair Joyce Slusarchuck. Some Family council members will take turns going to the meeting. Jim is attending Feb 10th and Annie will attend March 2016. Please let the chair know if you would like to be an observer at a residents’ council meeting which is held the second Wednesday of each month at 2:00 pm in the auditorium. It is suggested that these dates be confirmed as they change occasionally.

A suggestion was made that, perhaps, Family Council could set up a mentoring system whereby families of new residents would have someone to call and share the Villa “experience”. The Family Council pamphlet that is issued at the post admission meeting will be reviewed by the chair to see if any changes need to be made or any new information added.

Family council Week this year is June 4th to June 10th 2016. Do we have any volunteers or ideas for this week?

The Chair shared an article from Science Alert about new Alzheimer’s research (Australia) which shows promise. Trials on humans is expected in 2017.

For the past few years, several Family Council members have filled the welcome bags given to new residents on admission. The chair asked if more are needed at this time. Tracey will check

New Business

Tracey –Therapeutic recreation -Per Tamara a four week rotation with part timers regularly scheduled-‎provides 2 staff every Saturday and Sunday- one for each tower and helps ensure consistent coverage for peak programs. Amanda is no longer covering Orchid Garden. Amanda covers Birch, Heritage and Rose Garden. Lyndsey is now covering Pine Grove and Orchid Garden.

Dawn Martin is filling in for the remainder of Heather’s maternity leave as the Resident Care Coordinator for the South tower/ MacArthur Wing . Contact number is still the same ext # 2312.

Social Service Workers Kathryn and Ildiko will rotate and have alternate Fridays off.

The chair handed out a questionnaire regarding the structure of our Family Council. This questionnaire will be e-mailed to our members who were not able to attend the meeting. Please complete and give to Marjorie or e-mail her at This email address is being protected from spambots. You need JavaScript enabled to view it.

New initiatives:

Tracey asked if any member had a used TV for a resident in need. Mary Molnar generously offered to supply one. Thank you Mary.

Marjorie asked if anyone had a used sewing machine for a resident and again, Mary, offered one. A big thank you to Mary.

There being no further business, the meeting was adjourned at 9:10 pm.

Date of next meeting:   Monday, March 21, 2016 at 1:00 pm in the Boardroom. Jennifer Banks will be one of our guests. Please come with any concerns you would like her to address. Jaimie Williams will also be attending.

 

     St. Joseph's Villa Family Council

Meeting Minutes Monday, March 21, 2016

In Attendance: Dr. Eric Correa, Donna D’Angelo, Joyce Dawson, Rhonda Jonker, Jim Lamont, Shirley Latulippe, Mary Molnar, Wendy Olyschlager, Joan Phillips, Joan Russell, June Seawright, Cecile Scime, Marjorie Smith.

Staff Liaison: Tracey Davidson

Regrets: Karen Felker, Anita Ormond-Gough, Brian McMahon, Flo Molnar

Call to Order: Welcome and introductions from the Chair, Marjorie Smith

Marjorie called the meeting to order at 1:05 pm, and introduced our guest speakers.

Special Guests: Jamie Williams, Manager of Quality and Performance Systems and Jennifer Banks, Chief Nursing Executive – McArthur Wing.

Jamie reported on the three main areas that SJV is concentrating on this year:

  1. Hand hygiene – for staff, visitors and residents.  Statistics show the numbers have increased to 67% (as of Q3 2015) compliance from 49%.  The target is 75% compliance by March 31, 2017.
  2. Anti-psychotic drug use – records of residents is to be more closely supervised to ensure correct and timely use of these drugs.  Use of these drugs is down to 20% from 22%. 20% has been achieved for this quarter and hope to maintain or surpass by March 31, 2017.
  3. Care of wounds – worsened stage 2-4 pressure ulcers – Now at 4.40% and aiming for a 10% reduction to 4% by March 31, 2017.

Residents are to have nails cared for at bath times which is, normally, twice weekly.

Residents can have foot care by contacting Step Ahead (advanced nursing foot care). Information can be obtained from nursing staff , clinic or on admission.

The Chair remarked on the number of hand sanitizers that are placed around the Villa. She commended the purchase of so many and remarked that this should greatly enhance hand sanitation for all.

Jennifer Banks addressed concerns of those present. She and Mieke Ewen will attend Family Council meetings, alternately, each month. Once again, it was stressed that the order for lodging resident care complaints is as follows: bring the concern to the attention of the RPN. If the issue is not solved to the families’ liking take it to the Resident Care Co-ordinator and if that fails take it to Jennifer Banks and/or Mieke Ewen. If the issue is still a concern to families, address it to David Bakker and/or Derrick Bernardo. As a last resort, contact the Ministry of Health by letter.   Tracey will email contact list to anyone who wishes them.

Recently, nail clippers have been purchased for each resident and they will be kept in the resident’s bathroom.

A family member asked about documentation of resident’s weight. Jennifer announced that weights were taken by a PSW monthly. Goldcare (computer programme) would initiate an investigation, by a dietician, if there was a significant weight gain or loss. Resident’s height is measured yearly.

Several family members commented on improved communication re concerns.

As sunny weather approaches, the application of sunscreen concerns will be re-visited.

The chair thanked Jennifer for attending our meeting and it is hoped that communications will be improved by management staff attending our monthly meetings. At this point, Jennifer left the meeting.

The ministry completed the annual RQI (Resident Quality Inspection) and the following orders were given.

  1. Call bells on balconies, chapel, common areas, etc ,need to be installed.
  2. Improve cooking of textured diets, following an exact recipe
  3. Catheter education for staff; both PSW and registered staff

Adoption of Minutes: Dr Eric Correa moved that the minutes of February 8, 2016 be adopted and this was seconded by Joyce Dawson

Issues Arising From Members

Not enough staffhas again been raised. We do lobby the government frequently in this regard.

Business Arising from minutes

  1. Ear wax – Nurse practitioner can address if urgent
  2. Mouth care – there are facilities in SJV for check-ups and cleaning. Hygienist will visit resident in their rooms if necessary. Staff will have information.
  3. Mentoring system. Once again, it is suggested that new families could be contacted by a Family Council member, should they so wish. A pamphlet describing what Family Council is , is not given to families until the residents’ follow-up appointment which is 4 – 6 weeks after admission.
  4. Family Council Week June 4-10, 2016. Jim Lamont volunteered to look at the presentation for this year.
  5. A questionnaire concerning members views of Family Council was sent to members last month but only 5 were returned. Several were distributed at this meeting and it is hoped that they are returned so that Family Council can ascertain if our mandate needs to be re-addressed.

Tracey advised that a new social service worker (Jodi McDonald) has been hired for Birch, Pine and 5th floor. A physical therapist has also been hired ( Prabu Elangovan ).

The Conservatory Lounge is to under-go a face lift this week. New furniture has been purchased. Members are hopeful that plants will be replaced to make it more hospitable.

Action Items – see separate report

Committee Reports

  • Residents' Council: Jim Lamont attended February 10 meeting. 7 residents were present. Residents asked about the replacement of plants along the corridors on Ground and 1st floor. They also asked if residents could help housekeeping with the watering of plants. And they asked what timeline for plant acquisition to replace those plants removed July 2015.
  • As previously suggested, Family Council members will take turns in attending Residents’ Council meetings and report to FC meetings. To date, four members have volunteered to do so.

Chair's Report

  • Compliance report: There were 3. All dealing with verbal abuse by a staff member to a few residents. The staff member is no longer employed at SJV
  • Ipod project: the Chair contacted Lyndsey for follow-up. 6 ipods donated to date. Lyndsey is to contact other high schools. St. Mary’s High School held a fund raiser and donated 3.
  • The Chair asked Lyndsey for an update of the dining room music. As Lindsey does not visit dining rooms at dinner time she will try to get an answer.
  • LHIN 4 – Family Council Networks 4 for this area. Jim, Brian and Marjorie will attend meeting March 29.

New Business

 

  • Unfortunately, our co-chair, Suzan, has resigned her position and the Chair asked for someone to volunteer to fill the position until elections are held in November. Jim Lamont offered to fill this position and the motion was passed by Joyce Dawson and seconded by Dr. Correa.
  • Members were asked if they would like to see Family Council minutes (in their entirety) on the SJV web? Consensus to do so.
  • How do we say thank you to staff? Family Council will have something at our table during Family Council week.
  • Suggestion to pilot a blog as many family members cannot attend meetings. Jim Lamont will investigate how this would work. All agreed.
  • Marjorie distributed questionnaire re Family Council again.
  • New initiatives:

A suggestion of what our Family Council could do for our residents was discussed and it was agreed that we could help residents who needed and perhaps had no other source of getting these items. This followed up on the generosity of Mary Molnar who donated a TV and sewing machine - both of which were thoroughly appreciated. Tracey was asked to make suggestions to us of any needy resident. Three came to her quickly. One needs a lamp (Mary has one to donate) another would like a DVD player (Jim offered one) and Marjorie offered a radio, which had been requested.

Date of Next Meeting: Monday, April 18th 7:00 p.m. in the Boardroom. Our guest speaker will be Robert Gadsby, Chair, Family Council Network 4. Mr. Gadsby will discuss the functions of Family Councils.

Adjournment 3:15

 

      

           St. Joseph's Villa Family Council

Meeting Minutes Monday, April 18th, 2016

In Attendance: Colleen Banitsiotis, Dr. Eric Correa, Marlene Dawdy, Karen Felker, Jim Lamont, Shirley Latulippe, Anne Martin, Brian McMahon, Mary McNair, Flo Molnar, Mary Molnar, Louise Morissey, Ken Ockenden, Wendy Olyschlager, Sylvia Perrone, Joan Russell, Sonja Samek, June Seawright, Annie Smith, Marjorie Smith.

St Joseph’s Villa:Staff Liaison: Tracey Davidson                 Assistant Director of Care: Mieke Ewen

 

Call to Order: Welcome from the Chair, Marjorie Smith and round table introductions. Marjorie called the meeting to order at 7:03 pm.

Issues Arising From Members

A family member remarked that Mieke provides great support, also noted that when residents/patients are transferred to hospital that the OPT needs more information to relay to hospital staff upon arrival. Mieke responded that they could discuss specifics privately regarding the family member and the OPT transport but there is a formal template and paperwork that goes with each patient to the hospital. This member also remarked that there no longer will be chocolate milk served to residents and that they are now offered a syrup made from Quik. Mieke will check with Brian Burns, Manager, Food Services why chocolate syrup is now being used rather than the regular chocolate milk. Residents are disappointed with this decision.

Another family member noted that in February she had raised a concern with Jen Banks regarding oral healthcare of her family member and wanted to acknowledge how well things are going now. Accolades!

A family member is pleased with all staff, especially Shirley, Ida and Rosemarie, but wanted to mention that there are still some inconsistencies. A staff member said that they do not check resident’s charts when they are only on duty in that unit for a short period of time. This was identified to Terri the Resident Care Coordinator immediately.

Activities for residents during the evening would be appreciated. Too often staff are just sitting behind the desk.   Refresher training on the Gentle Persuasive Approach (GPA) for many staff was recommended by a family member. Bella (Birch Trail) is amazing, while other staff can be indifferent to the needs of the residents.

One family member inquired whether outings had been cut back. Mieke responded that spring, summer and fall are better times to take residents out from the building rather than during the winter with the cold weather and possible icy conditions. The same family member inquired about issuing vitamins and Mieke suggested that if there are specific requests you can write them out and give them to the doctor. There is a pharmacist onsite, as well.

If closet doors or wheelchair foot rests, etc. etc. need attention, it should be brought to the attention of the Resident Care Coordinator; on Birch Trail this would be Terri Davidson. Mieke advised that within the last few weeks Shoppers Drug Mart no longer provides maintenance for medical devices, so they have begun the tender process for a new supplier.

One family member suggested picnic baskets and lawn chairs might be added to the outdoor BBQ area to help bring back memories.

Mieke Ewen and Jennifer Banks will continue to attend Family Council meetings, alternately, each month. Once again, it was stressed that the order for lodging resident care complaints is as follows: bring the concern to the attention of the RPN. If the issue is not solved to the families’ liking take it to the Resident Care Coordinator Terri/ Dawn and if that fails take it to the Assistant Director of care Marlena/Penny and then to Jennifer Banks and/or Mieke Ewen. If the issue is still a concern to families, address it to David Bakker. As a last resort, contact the Ministry of Health by letter.   Tracey will email contact list to anyone who wishes it.

The chair thanked Mieke for attending our meeting and her in-put. It is hoped that communications will be improved by management staff attending our monthly meetings. At this point Mieke was extended an invitation to stay and attend the rest of the meeting, which she accepted.

Special Guest: Robert (Bob) Gadsby   Chair: Family Council Network Four (FCN-4), Chair: Extendicare Hamilton Family Council, Member of the Board of Directors: Family Councils of Ontario

Robert Gadsby has been Chair of the Family Council at Extendicare Hamilton since 2003, and Chair of Family Council Network Four (FCN-4) since 2006. Family Council Network Four (FCN-4) represents the Family Councils in the LHIN-4 region (which includes Hamilton, Niagara, Haldimand, Brant and most of the County of Norfolk and the city of Burlington). In terms of long-term care, LHIN-4 is the largest region in the province of Ontario, with 86 LTC homes (about 10,000 residents).

Marjorie Smith, Jim Lamont and Brian McMahon attended the March 29th regional meeting and invited Bob to speak to our council. The agenda of this meeting was circulated and is typical of their regular meetings. Brian, Marjorie and Jim recorded some Best Practices from this regional meeting and will bring the ideas to our next family council in May.

Because our Family Council had been challenged, by administration, as to our mandate regarding our interests in resident care, overall, we asked Mr. Gadsby to inform us as to what other councils do. He was very reassuring that we are “on the right track” and was very impressed at the attendance and content of the meeting. Bob assured us that we are not alone. There are many people who want to improve the care of their loved ones in long term care facilities, through support from family councils and ultimately learn and share ideas and interact with staff. He noted that St Joseph’s Villa family council is a shining example, citing the introduction of Fall Forums which were held at SJV for four years and are still ongoing at various sites in the region. This year the Forum will be held October 19th at Meadowlands Retirement Community. Peter Gnish, our past chair, is an active member of the LHIN 4.

Adoption of Minutes: Brian McMahon moved that the minutes of March 21, 2016 be adopted and this was seconded by Jim Lamont.

Business Arising from minutes:

Sunscreen: Tracey informed us that in Birch and Pine there are dispensers at the doors leading to the enclosed garden areas.

  1. Staffing levels continue to be a concern. There is a petition. Please sign and circulate. The more voices the better.
  2. Family Council Week June 4-10, 2016. There will be a table in the Main Lobby. Jim Lamont volunteered to lead the presentation for this year. Ad hoc Committee to lead the staff appreciation initiative: Marjorie, Flo, Jim, Marlene, Sylvia and Brian. There are no funds for this Family Council initiative; perhaps family members would be willing to make donations.
  3. The Conservatory Lounge facelift is in progress and new furniture purchased. Members are still hopeful that plants will be replaced to make it more hospitable.
  4. Still need an update from Lyndsay and rollout plan regarding the music at dinner and the iPod project.
  5. Jim Lamont is still investigating blog pilot as many family members cannot attend meetings.

Action Items – see separate report

  • Tell Us How We Are Doing Form is on the website to download and print and submit manually.
  • More Welcome Bags are needed. Marjorie and Marika will meet to fill them this week.

Committee Reports

  • Residents' Council: No resident council representative present. Jennifer and Mieke will be sharing the responsibility of attending each monthly meeting there as well. As previously suggested, Family Council members will take turns in attending Residents’ Council meetings and report to FC meetings. To date, four members have volunteered to do so.

Chair's Report

  • Butterfly Care Homes – additional information from Marjorie if you are interested. It is about piloting a radical model of care for people with dementia.
  • The Chair remarked that one Family Council had submitted a grant for an IPod initiative at their LTC and was granted $3,000.00. Tamara Johnson is the contact person at SJV as a resource person for submitting grants.
  • The Regional meeting had a guest speaker regarding a McMaster Pilot project of LTC facilities doing IV’s for UTI’s and/or pneumonia rather than transferring residents to hospitals. They had trained staff to administer IV’s. Mieke stated that SJV can accommodate IV care on a limited basis, but not the initial set-up as an emergency situation may occur and SJV are not staffed to handle it.
  • Petition to the Legislative Assembly of Ontario is asking for basically two things: (1) increase funding for hands on care to 4 hours per resident per day, and (2) to regulate the training of PSWs. Marjorie encouraged all of us to, at least, sign the petition and submit and to get additional names and signatures if possible.
  • Only six Questionnaires have been returned to assist with direction of our family council; Marjorie once again encouraged all to complete it. Jim made a motion to resolve this questionnaire process ……………..at our next meeting time will be allotted to fill it out, then and there! Motion was seconded by Brian and carried by all.
  • Fall Forum to be held Wednesday, October 19th at Meadowlands Retirement Community in Ancaster, 1248 Mohawk Road. “Topic: Enriching Lives of Residents in Long Term Care”. Marjorie, Jim and Brian are attending. If you are interested please contact Marjorie; cost is $30 which includes lunch.

Date of Next Meeting: Monday, May 16th 1:00 p.m. in the Boardroom.

Adjournment 8:50 PM

 

 

 

                 St. Joseph's Villa Family Council

           Meeting Minute Monday, May 16th 2016  

In Attendance: Joyce Dawson, Peter Gnish, Rhonda Jonker, Shirley Latulippe, Brian McMahon, Steven McMajor, Mary McNair, Flo Molnar, Louise Morissey, Sylvia Perrone, Joan Russell, June Seawright, Annie Smith, Marjorie Smith, Betty Spencer.

Regrets: Karen Felker

St Joseph’s Villa:Staff Liaison: Tracey Davidson                 Director of Care, Macarthur Wing: Jennifer Banks

Call to Order: Welcome from the Chair, Marjorie Smith and round table introductions; calling the meeting to order at 1:00 pm.

Update: Director of Care, Macarthur Wing Jennifer Banks

Alzheimer’s Society representatives visited the Villa and offered suggestions regarding the outdoor areas; as a follow-up some staff will be visiting Idlewyld Manor in Hamilton.

A new electronic recording keeping system coming to replace paper-based documentation; Point Click Care (PCC) and staff is already familiar with process.

Issues Arising From Members

Questions were raised regarding personal resident care regarding dentures and hearing aids. Jennifer reviewed the established complaint process.

Family member again asked about vitamins prescribed for residents; as physician is not in agreement.

Doctors visit on request, not regular rounds.

One family member questioned calls not being returned by doctor and/or floor staff.

One family member cited lost clothing in the process of labelling. Suggestion was made to take a picture of new clothing prior to it being sent to the labelling process.

NOTE: Mieke Ewen and Jennifer Banks will continue to attend Family Council meetings, alternately, each month. Once again, it was stressed that the order for lodging resident care complaints is as follows: bring the concern to the attention of the RPN. If the issue is not solved to the families’ liking take it to the Resident Care Co-ordinator and if that fails take it to Jennifer Banks and/or Mieke Ewen. If the issue is still a concern to families, address it to David Bakker and/or Derrick Bernardo. As a last resort, contact the Ministry of Health by letter.   Tracey will email contact list to anyone who wishes them.

Adoption of Minutes: Joyce Dawson moved that the minutes of April 18, 2016 be adopted and this was seconded by Peter Gnish.

Business Arising from minutes

  1. Chocolate milk issue closed May 16, 2016
  2. Music for residents, trial on Pine Grove during May. Will await outcomes.
  3. Regional meeting at Macassa Lodge; many best practices listed by Chair
  4. Butterfly Care Homes – additional information from Marjorie if interested. Piloting a radical model of care for people with dementia.
  5. Residents having staggered eating times; staff eating with residents
  6. Snoezelen Multi-Sensory Environment tour requested by Council
  7. Appearance of Conservatory Lounge. Chair sent letter to Mr. Bernardo re lack of plants, he feels plants will not thrive in Conservatory due to lack of sunlight and is exploring other options.
  8. 96 Welcome Bags have been prepared
  9. No compliance reports

Action Items – see separate report

Committee Reports

  • Residents' Council: 6 new residents. Therapeutic Recreation will be buying plants for balconies, very successful on Willow last year. Council encourages such an initiative in ALL areas. Next meeting is Wednesday June 8th at 2:00 pm (auditorium). Would be great if one representative attended from each area.

Chair's Report: no compliance reports.

 

New Business

  • DVD and/or VCR needed if anyone has one to donate
  • All those in attendance took time to complete family council direction questionnaire before leaving meeting.
  • Family Council Week June 6 – 10th. Two displays will be manned by council members. Appreciation draws for all staff on June 9th. Gifts and donations would be appreciated.
  • Tuesday, June 14th old cars and motorcycles will be on display in the parking lot; the Villa is still looking for additional entrants so please recruit anyone you think would be interested.
  • Fall Forum to be held Wednesday, October 19th at Meadowlands Retirement Community in Ancaster, 1248 Mohawk Road at “Topic: Enriching Lives of Residents in Long Term Care”. Marjorie, Jim and Brian are attending. If you are interested please contact Marjorie; cost is $30 which includes lunch.

Date of Next Meeting: Monday, June 20th 7:00 p.m. in the Boardroom.

 

Adjournment 2:48 PM Flo Molnar moved that the meeting be adjourned and this was seconded by Brian McMahon.

 

               St. Joseph's Villa Family Council

   Meeting Minutes Monday, June 20th, 2016

In Attendance: Dr. Eric Correa, Marlene Dawdy, , Jim Lamont, Shirley Latulippe, , Brian McMahon, Mary Mcnair Louise Morissey, Sylvia Perrone, June Seawright, Carol Shwedyk, Annie Smith, Jonathon White,

St Joseph’s Villa: Staff Liaison: Tracey Davidson              

Guests:

Assistant Director of Care: Mieke Ewen & Laundry/Housekeeping Manager: Wendy Randall

Regrets: Marjorie Smith, Flo Molnar

 

Call to Order: Welcome from the Co-Chair, Jim Lamont and round table introductions. Jim called the meeting to order at 7:05 pm.

Jim – Thanked all involved in the Family Council week for their time and effort into making it a great success.

Tracey- Shared a letter from Marjorie regarding Family Council Week (copy is attached)

Issues Arising From Members

Guest Speaker: Mieke extended a huge thank you to Family Council from the Management Team and the Executive Team at the Villa for all the effort and hard work put into this year’s Family Council Week. Mieke also left a thank you card for Marjorie. Mieke addressed the heat this past week and advised that the central areas are cooling stations so residents were moved to these areas. Also iced water jugs and cups have been left on all PSW desks for residents and visitors.

Mieke also spoke about the change to the chocolate milk. There is only an 8 calorie difference between the syrup and chocolate milk. For example a small cup of white milk is 144 calories vs. small cup white milk with syrup which is 136 calories. A question was asked what if the resident cannot express if they would like chocolate milk? Mieke explained that families could let the villa know and it would be noted on the resident’s protocol in the servery.

Annie asked Mieke about Birch which was short staffed today. Mieke explained that a staff called in at noon. There was still an RPN and two PSW’s on the unit. Also we need to make sure all floors have the required staff before filling the third position on Birch. Mieke also mentioned that we have hired approximately 34-40 new staff in the last few months; this is to fill casual and part time lines. We do not use agency staff as we want all staff that work here trained to the Villa standards and to go through orientation.

Jonathon expressed that he has had great interaction with the part time staff on his mother’s floor.    

Annie also shared that staff handled the behavior of resident on the secure unit very well this past weekend.

Guest Speaker: Wendy showed a slide presentation detailing the roles, responsibilities and goals of the Laundry and Linen Department (copy is attached)

Summary: Please make sure that all clothing is labeled by the Villa, regardless of who is doing the residents laundry.

There is a process for missing items. A note is put into Gold care (computer programme) and is sent to Wendy and other management staff for follow up. The nurses on the floor can enter these notes for families.

Wendy offered a tour for any family’s member that would like to come down and see the laundry process.

Carol mentioned that her mom has been here for 13 years, and she had seen improvement in the process this year.

A family member stated that the housekeeper on Cherry lane is cheery and friendly to the residents. Also on Birch the staff is caring, loving and will help out residents and families.

Jim mentioned that a family on Primrose had some concerns with missing laundry (constrictive hose) and the unpleasant way a staff member handled this. The issue has been forwarded to Jennifer Banks for attention.

Adoption of Minutes: Dr Correamoved that the minutes of May 16th, 2016 be adopted and this was seconded by Brian McMahon.

Business arising from minutes:

  1. Jonathan mentioned that he tried to access the Villa website from Taiwan and it was blocked. – Tracey has emailed I.T.

Action Items – see separate report

  • IPod project at the Villa. Jim is going to contact Lyndsey directly about this program.
  • Snoezellen room Tour. Lyndsey will set up a tour for September. If any members would like training they can contact her directly to set up a time. If family council members are trained and become a volunteer at the Villa, they would be able to use these skills with other residents.

Committee Reports

  • Residents' Council: No resident council representative present.

Chair's Report

  • Compliance Reports- Nothing received as of today

New Business:

Sylvia attended a Dundas Community Council Meeting. There will be construction from Ogilvie to Creighton and will cost approximately $ 900,000. This should start Mid July and be done around the end of September. Main to Ogilvie and Creighton to Dundas will happen in 2018. The meridian at OverField will be removed and they will have a turning lane and traffic lights that work from sensors on the road.

A family council member asked for an update on the back parking lot. There were some delays and they are hoping to be finished early August.

 

Date of Next Meeting: Monday, July 18th, 2016 1:00 p.m. in the Boardroom.

Adjournment 8:37 PM

 

 

 

 

             St. Joseph's Villa Family Council

Meeting Minutes Monday, July 18th , 2016  

In Attendance: Dr. Eric Correa, Dr. Elaine Correa, Donna Corwyn, Marlene Dawdy, Douglas Gourlay, Peter Gnish, Rhonda Jonker, Brian McMahon, WendyOlyschlager, Sylvia Perrone, Marjorie Smith, Annie Smith, Betty Spencer, Jonathon White, Carol Zapotochny

St Joseph’s Villa: Staff Liaison: Tracey Davidson  

Resident: Lorri Chamberlin

Guests:

Dee Foley – Behavioral Supports Ontario – RN Team Manager

Brian Burns- Food Service Manager

Regrets:Jim Lamont,

 

Call to Order: Welcome from the Chair, Marjorie Smith and round table introductions. Marjorie called the meeting to order at 1:05 pm.

Issues Arising From Members: Annie shared a concern about her mom receiving medication that was not thickened to the right texture. Annie is meeting with Marlena and Mieke on Tuesday July 19th 2016.

Elaine has a concern that she has not received a reply to an email from June 20, 2016 that she sent to Jen Banks., Director or Care. Tracey will look into this. Elaine will no longer be able to attend in person as she is moving for a job opportunity in California, but will still receive emails to do with Family Council.

Donna asked if anyone would like to start a support group for families of loved ones on secure units, a discussion ensued and it was suggested that family member of residents in secure units could talk amongst themselves and see if there is interest in forming an informal             discussion group. No decisions for changes could be made unless they were discussed at Family Council.

Guest Speaker: Dee Foley from BSO (Behavioral Supports Ontario)- Dee handed out a sheet explaining what BSO is ( a copy is attached ) BSO has helped transition patients/residents from Home to Hospital, LTC to LTC, Home to LTC and Hospital to LTC. BSO does approximately 69-70 transitions a month. If families wish to inquire about the BSO program please contact your resident care coordinator or social service worker. They use tools like Music therapy with headphones, pocket talkers, doll therapy, aromatherapy, adult coloring books, sorting/folding bins and Montessori type activity bins. Family council member were shocked to hear that although the program is funded through the LHIN , there is no funding for material used. Some staff have been purchasing necessary items from their own pockets. They are in need of tape recorders (used to tape a family member’s voice), Leggo Blocks, magazines, crayons and puzzles. If anyone is cleaning out there home and could donate any items, please give them to Tracey .Dee also shared that their offices are here at the Villa. Family members had many questions about the Funding and the Villa’s involvement in the program. Dee mentioned that Tamara would be able to answer these questions.

Guest Speaker: Brian Burns’s Food services manager. Brian shared that the daily funding rate has been increased as of July 1st 2016 to $8.33 per day, per resident. The raw food cost per resident is $8.85 per day. A discussion was had about the recent change of chocolate milk to the syrup. Elaine suggested that if changes like this are made to notify residents so there is less anxiety when the change happens. Also to let them know the options so they are still having choices. Brian talked about the Ministry being in last week and the order given about recipes was lifted. Brian shared that the snack cart has different choices of beverages. Also different textures, diets and special diet restrictions are taken in account.

Annie talked to Brain about her mom’s diet and her concern that Dinner was served late on Sunday July the 17th on Birch Trail. She mentioned that there was a new dietary aid who was unfamiliar with the protocol and family members were trying to help out. Brian will look into this and will follow up with Annie. Family also asked why residents on secure units are taken into the dining room so early and why the ones that wander in and out could not be served first. Brian explained that the meals are served on a rotating schedule each day. This allows each table to have a chance to be served first. If a resident needs to be served first it could be part of their care plan. Dietary staff have flip charts in the servery with the resident’s picture and texture of food and fluids that they require. It was noted by many family members that this protocol was not always followed and evident when some new staff are on duty.

Brian showed a diagram of what the process is to be at meal time. Tracey left a voice mail for another manager on July 19th to obtain a copy of this process that Jonathon requested.

Brian, also mentioned that training was just done in his department re times and responsibility of who does what. There is a Food service supervisor on duty from 7am to 7pm , 7 days a week.

Adoption of Minutes: Dr E Correa moved that the minutes of June 20th, 2016 be adopted and this was seconded by Brian McMahon.

Business arising from minutes: Marjorie read a card form the Villa Executive Team thanking Family Council for the time and effort put into this year’s Family Council week.

For those interested the tour of the Laundry Department will take place on Monday September 19th at noon, please meet by the Boardroom.

For those interested the tour of the Snoezelen room will take place on Monday September the 19th at 12:30, please meet by the Boardroom.

Action Items – Please see the attached report. 3 new ones were added.

Committee Reports

  • Residents' Council: No resident council representative present. Resident council does not meet during the summer months.  

Chair's Report

  • Compliance Reports- Three were received, one to do with care of pain, another to do with menu planning and the third to do with a resident not receiving a bath or shower. Villa policy states that if care is not documented for a resident that we consider it not done. There are times when residents refuse care i.e. baths/showers.

A reminder about the unclaimed clothing in the Auditorium on August 12th and 13th. Residents and family can come and look through the many items to see if any items belong to them. All unclaimed items will be sent to charity.

As per Tracey, Mieke Ewen (Director of Care for the Juravinski Tower) last Day will be Tuesday July 26th 2016, She has accepted a position as Director of Care at St Josephs Life Care Center in Brantford. Family council members were upset with the news, but wish her every success with this new adventure.

Marjorie reminded families to follow the process of concerns and to use the goldenrod forms for concerns.

New Business:

 

Doug had a concern about the recent extreme heat and temperatures on the upper floors. As a physician, Doug does not feel that the cooling stations are sufficient. Doug wanted to know if the air conditioners are working properly, and will have someone check the temperatures with gauges if needed. Apparently many residents like to open the window in their room, which defeats the attempts to keep the temperatures at the appropriate level. It was suggested that we nail the windows closed to prevent residents from opening them on the extremely hot days. Can they have Air Conditioners in the rooms? An email was sent to the Maintenance manager and ADOC to address these concerns.

Peter Gnish announced that he would no longer be attending Family Council meetings as he is away 6 months of the year and cannot attend as often as he would like. Peter is still involved with the regional Family Council advocacy group and is available if any one has any questions. Marjorie thanked Peter for his dedication to SJV Family Council over the past few years. Peter was Chairman for two years and very proactive in holding four very successful forums at St Josephs Villa. Peter and Cate will be missed.

The parking lot in the back of SJV should be completed in early August. The back parking lot will be used for full time staff and this will allow more parking spots for families and visitors out front.

Families are given a contact list on admission so they can directly contact the appropriate staff responsible for the care of their loved one.   A family member asked if the names could be posted in the main area of the home unit. Tracey will work on a draft copy and bring it back to family council to review. 

Initiative ideas from members

Tracey mentioned that we are in need of the following for residents.

Bed side lamp

VCR- Doug has one that can be donated

DVD player

 

Date of Next Meeting: Monday, August 15th, 2016 7:00 p.m. in the Boardroom.

Adjournment 3:32 PM

 

      

    St. Joseph's VillaFamily Council

Meeting Minute Monday, August 15, 2016

 

In Attendance: Diane Acker, Dorothy Buttenham, Marlene Dawdy, Karen Felker, Cathy Garrity, Doug Gourlay, Jim Lamont, Shirley Latulippe, Mary McNair, Wendy Olyschlager, Sylvia Perrone, Marjorie Smith, Betty Spencer, Carol Shwedyk, Carol Zapotochny

SJV Staff: Tracey Davidson, Tamara Johnson

Regrets: Dr. Elaine Correa, Dr. Eric Correa, Brian McMahon, Flo Molnar, Joan Russell, Annie Smith

Call to Order: Welcome from theChair, Marjorie Smith and roundtable introductions

Marjorie called the meeting to order at 7:10 pm, and introduced our guest speakerTamara Johnson.

Special Guest:Tamara Johnson Director of Community Programs & Services

Behavioural Supports Ontario (BSO) Long-Term Care Home Mobile Team was introduced by the Province four years ago and provides support in the Hamilton Niagara Haldimand Brant Local Health Integration Network (HNCB LHIN). There are approximately 11,000 beds in 85 LTC homes. These services provide assistance to care teams in serving residents with responsive behaviours. These behaviours include aggression, wandering, physical resistance and agitation.

Responsive behaviours are in response to a real or perceived stimulus and may result in increased risk for the client or others. The behaviour may present a challenge to receiving appropriate interventions or co-existing with others. Responsive refers to the fact that many of these behaviours could respond to appropriate and timely interventions, and may be occurring as s result of an unmet need or desire that can no longer be communicated.

Within 48 hours of receiving a referral from a long term care Resident Care Coordinator, the BSO Mobile Team is on site to coach and mentor the staff; the BSO are consultant who provide solutions for the Villa to implement. Tamara will provide Outcome report to Family Council.

Adoption of Minutes: Carol Shwedykmoved that the minutes be accepted and this was seconded by Jim Lamont.

Issues Arising From Members

  1. A family member would like the BSO team to be involved; suggested to engage the Resident Care Coordinator in their area to begin the process
  2. A family member stated their concern was never addressed even though it was entered months ago; Tracey Davidson will talk to them privately after the meeting
  3. $200 given from Family Council to the iPod program and we have not received an update. Update will be provided in September meeting.
  4. Occupational Therapist sitting inside at front desk chatting
  5. Issues regarding heat on the top floors identified during last meeting were handled very well; thank you.
  6. Hearing aids are missing; this is the third set in three years.
  7. Bandages and slippers for the healing of feet are not being applied.

Business Arising From Minutes

Tour of the Laundry Department will take place on Monday September 19th at noon, please meet by the Boardroom

Tour of the Snoezelen room will take place on Monday, September 19th at 12:30, please meet by the Boardroom

Committee Reports

  • Residents' Council does not meet during the summer therefore no report received.
  • Meetings are the second Wednesday each month at 2:00 pm and last approximately a half hour; Cathy will attend September meeting.

Chair's Report

  • No non-compliance reports
  • Petition to the Legislative Assembly of Ontario regarding chronic understaffing of Long Term Care Homes and failing to recognize the increased levels of sickness and rates of Alzheimers and Dementia of LTC residents. (Petition Available from Marjorie). These need to be signed and submitted prior to September 22, 2016
  • Reminder re the Fall Forum which is being held October 19th at 9:00 am in the Meadowlands, admission is $30.
  • Tracey Davidson is once again participating in the Road to Hope Run being held the weekend of November 5 & 6th; please email Tracey if you would like to sponsor her.

New Business

      Some residents arrive at the Villa with just the clothes on their back and have no family members; some items are being requested: table lamp, DVD Player, radio. Please contact Marjorie Smith if you can assist.

      Reminder that Family Council Elections will be held during the November meeting. Please advise Marjorie Smith if you are interested in the Co-Chair and/or the Secretary position.

Date of Next Meeting: Monday, September 19th, 2016 at 1:00 p.m. in the Boardroom.

Adjournment 9:00 pm; moved by Marjorie and seconded by Jim.

 

 

           St. Joseph's Villa Family Council

Meeting Minutes Monday, September 19th 2016

In Attendance: Diane Acker, Dorothy Buttenham, Dr. Eric Correa, Marlene Dawdy, Lillian Gagne, Cathy Garrity, DouglasGourlay, Peter Gnish, Rhonda Jonker, Darlene Lamont, Jim Lamont, Mike Lamont, Brian McMahon, Wendy Olyschlager, Sylvia Perrone, Joan Phillips , Carol Shwedyk, Marjorie Smith, Annie Smith, Betty Spencer, Sheila Stanley-Powell,

St Joseph’s Villa: Staff Liaison: Tracey Davidson

Resident: Lorri Chamberlin

Guests: Ray Rocci- Member of the Board of Directors

            : Jennifer Banks- Chief Nursing Executive

            : Jaimie Williams – Manager of Quality and Performance Systems   

Regrets:Joan Russell

 

Call to Order: Welcome from the Chair, Marjorie Smith. Marjorie called the meeting to order at 1:05 pm.

Issues Arising from Members:

Guest :Jennifer Banks

Rhonda had a concern about her mom’s stockings not being put on correctly causing her toes to turn purple. Jen will address this with the Resident Care Coordinator on Heritage Trail.

Jim shared a note he had received from a family member who has made a formal complaint against a SJV PSW who denigrated a private duty PSW and ignored information regarding an ear infection of her mother.

Diane shared a concern about clothes missing on Pine Grove and of a very serious incident that took place between a disruptive and disturbed resident and her husband over the weekend. She was not notified about the incident for several days and is extremely upset and many questions arose as to who is accountable and responsible when such serious incidents take place. She demands answers and assurance that this will never happen to her loved one again. He was very traumatized, as is she. Diane is meeting with Jen after today’s meeting to discuss this further.

Some members asked why a resident exhibiting certain behavior is not removed from the Villa.   Sometimes a one on one staff can be placed with a resident. This cost has to be covered by the Villa. The Villa is not able to just remove residents. Jen clarified that family must consent to a referral for BSO (Behavioral Supports Ontario) intervention and for a referral to a behavioral unit like St Peters or St Joseph’s Mountain Site. Before a behavioral unit can be used there are other interventions that must take place like an assessment by a Geriatrician (Dr Kerrigan) or a Psychiatrist ( DrLuthra). BSO, PRC (Psychogeriatric Resource Consultants). Sometimes a resident is sent out on a Form 1, but tends to return very quickly from hospital. The list to see DrLuthra or to wait for a Behavioral unit (if the resident qualifies) can be very lengthy. This information is unsettling to family members. A member asked if there could be a special unit assigned to residents who put others at risk. If a resident is sent to an outside assessment unit their beds are kept open for them for 60 days.

The question was raised if the above families had used the concern/ complaint process that was discussed at a Family Council meeting earlier this year. A reminder to use this process. Any family wishing to meet with Jen is asked to contact her directly after today’s meeting.

Jim suggested that it might be helpful to form a committee to deal with concerns. The consensus was that people could meet for support or to talk to each other, or meet alone, but no formal committee is needed.

A resident, who attended the meeting, stated that many staff are seen playing video games or sleeping during their shift. Also, many make personal telephone calls on their cell phones. Jen stated that the Villa policy is that no cell phones are to be used by staff for personal calls during their shift. Calls may be made when staff are on their breaks. Jen will speak to this issue with her staff. This needs to be reported immediately so these types of concerns can be followed up.

Once again Family Council expressed deep concern over what seems like lack of accountability. It is broken and needs fixing.

Jim suggested that any family member who would like someone to attend a meeting with them and management could contact him or another Family Council member to go with them. Two sets of ears are better than one!

Doug asked who is in charge after hours if a concern cannot wait. There is always a Registered Nurse (charge nurse) in the building and an Administrator on call at night and on the weekends.

Guest :Jaimie Williams - Jaimie shared the results from the Resident and Family surveys. (A copy is attached)

Adoption of Minutes: Carol Shwedyk moved that the minutes of August 15th, 2016 be adopted and this was seconded by Brian McMahon.

Business arising from minutes:

BSO outcome Report – Please see the attached report provided by Jaimie Williams in the Family survey regarding appropriate use of Anti Psychotics and behavioral Symptoms which is in a separate document.

Action Items – I-Pod project update- therapeutic recreation was scheduled to attend today’s meeting, but this was postponed due to time restraint as the question and answer period with Jen Banks went way past allotted time.

Updated Contact lists for each tower will be posted in resident’s room the first week in October. The one for each home area is still being reviewed.

Committee Reports-Cathy attended the Residents Council meeting in September. Many of the agenda items are the same ones that are addressed at family council. It was mentioned that they would like to have 1 I-pod and therapy doll allocated to each home area.

Lyndsey mentioned that there may be a small fee charged for some trips to help cover the costs. They are working on putting call bells on the balconies as this was an issue that MOH compliance has given to be done.

Previously there has been a pre-Christmas dinner as well as a Christmas dinner. This year they are going to do a Festive Drop in on December 15th form 2pm to 4 pm.

Jim Lamont will attend the Residents Council meeting on October 12th ,2016 at 2:00 pm

Chair's Report-

No new compliance reports have been received.

A reminder to all about the Family Council Forum being held on October 19th at the Meadowlands Community Centre in Ancaster.

The Villa Bulletin is emailed out to Family Council members and posted on the FC board and throughout the Villa. There is valuable information as to monthly events for residents.

A note was shared by the Chair, from the Group of Concerned Friends that listed High Risk Homes for 2015 – The Villa is not on the list.

Dementia Care matters Poster was shared by Marjorie- Tracey will put a copy in the Friday Flyer so staff can see it.

The tour of the laundry room was well attended and was excellent. Also the tour of the Snoezelen room took place prior to the Family Council meeting.

The meeting dates for 2017 was shared.

If anyone would like the link for the Family Council of Ontario, please contact Marjorie or Tracey

Family Council Christmas tree project was discussed for 2016. Members present were in favour of continuing this endeavour. A committee will be headed by Jim and other members include Marlene, Sylvia, Carol, Marjorie and Tracey. Tracey will send out the notices to the appropriate staff the beginning of October to start compiling a list of residents in need.

New Business:

Sheila mentioned that the soap dispenser in her mom’s bathroom is too hard for her to use. Tracey spoke to Natalie at the Hand Hygiene Committee meeting. Families could purchase a small pump type for liquid soap or the motion sensor ones for the room. The dispenser and soap in the resident rooms are fairly new and they would be expensive to replace.

Jim wondered if a cooling unit could be purchased for the main area of the home areas for use during the extreme heat. One family on Balsam was able to put one in the resident’s room at their expense.

Initiative ideas from members:

 

It was agreed to continue asking for needed items for residents who have no family and/or limited means. Several items have been donated by Family Council members and are appreciated by residents. Keep this in mind as you clean out your attics and basements! Tracey will keep us informed as to items needed.

 

Date of Next Meeting: Monday, October 17th 2016 at 7:00 pm in the boardroom.

Adjournment 4:10 PM

y Latulippe, Brian McMahon, Doug Mitchell, Flo Molnar, Mary Molnar, Ken Ockenden, Anita Ormond-Gough, Sylvia Perrone, Joan Phillips, Ann Pryde, Rose Repchull, Jean Robertson, Joan Russell, Cecile Scime, June Seawright, Carol Shwedyk, , Marjorie Smith, Betty Spencer

Regrets:Karen Felker, Peter Gnish, Cate Roberts, Annie Smith

Call to Order:Welcome and Introductions from the Chair, Marjorie Smith. Marjorie called the meeting to order at 1:08 pm.

Guest Speaker: Tamara Johnson, Director of Community Programs and Services.

Tamara reported that the carpets in front of the elevators in the South Tower will be removed and replaced by flooring similar to that in Birch Trail and Pine Grove which was completed in the summer of 2015. Removal of old carpet and laying of new flooring will take place from 9:00 PM until 6:00 AM, when there is the least traffic.   This flooring is hard wearing and much easier to keep clean and maintained. As money becomes available all carpets in the Villa will be replaced.

Tamara also stated that Therapeutic Recreation Department is reviewing fulltime and part time schedules to get more programming into evenings and weekends for residents.

Tamara showed samples of the wall art that is being considered for SJV. Art depicting local scenes and possibly movie posters is being considered. The art work will be mounted at an appropriate eye level so that our residents in wheelchairs can enjoy them. The art work will be mounted in plexiglass to ensure safety. Residents will have input into what is chosen for their areas. Pricing of new lobby furniture for each resident home area has begun. This will start with the two secured home areas when funds become available and each unit as they are repainted and carpet removed.

Adoption of Minutes:

Anita Ormond-Gough moved that the minutes from December 21st, 2015 be accepted and this was seconded by Lillian Gagne.

Issues Arising From Members

-       Document to be placed on file re care of a family member’s mother and brought to the attention of Jennifer Banks.

-       Clarification requested on the process and timeline followed if concerns are sent to Dr. David Higgins, President St Joseph’s Healthcare. Marjorie stated that sending family concerns to Dr. Higgins would occur only if the concerns were not looked after satisfactorily with SJV staff. The process of evaluating and detailing concerns will be addressed at a Family Council meeting.

-       One family member raised a concern regarding her mother’s recurring urinary tract infections. She is concerned that the infection is not being dealt with in a timely fashion; lab results can take several days which means that treatment of any kind is delayed causing distress to the resident. The families have made their concerns known to Mieke Ewen, Director of Care.

-       Business Arising From Minutes   - None identified

Committee Reports

Residents' Council: no report from the Council as Chair, Joyce Slusarchuk, was unable to attend.

Chair's Report

Chair attended the January meeting of Residents’ Council. Her remarks follow:

As reported earlier 125 new beds have been purchased for SJV. All old beds have now been replaced to the new high/low style making it easier for residents and staff. Thanks to SJV Foundation.

A new bath chair has been bought for Rose Garden and a new bath chair will be purchased for Primrose Lane. The cost of these bath chairs is $22,000.00 each.

A family member of a resident questioned the sharing of resident care information. She feels that the information is not passed from staff to staff at change of shifts.

Jenn Banks announced that a “reward” system is being introduced. If any staff member goes above or beyond her duties and a family member or other staff member sends a note to Jenn to that effect the staff member will be awarded points. When a certain number of points is reached a reward will be given. Details to be worked out.

Residents were happy with food choices over the Christmas season. Unfortunately, due to a 20% increase in price, pineapple juice will not be offered at this time. There will be other juices available.

A resident complained about having a male PSW bathe her. She is embarrassed. Jenn Banks said she has every right to ask for a female PSW to assist her.

Some residents are not happy with staff schedule changes. Jenn explained her rationale in making the changes and stated that many staff had requested the change.

A Social Services Worker has been hired to work on Birch Trail, Pine Grove and 5th floor convalescent care unit. Also an Assistant Director of Care has been hired and will work on the 5th floor in the convalescent unit as well as perform duties in Education of Staff.

An extra PSW float has been added to   Willow Grove.

Compliance reports:   (MOH) All dealing with the feeding (or not feeding) of residents who need assistance.

The chair has written a note of thanks to The Garden Club of Dundas for their very generous gift of 20 or more Christmas plant arrangements. These were delivered to residents who have no family to visit them. They were very much appreciated.

The chair read a newspaper article claiming there will be no smoking allowed on any health care property. This will be addressed by administration for SJV.

 

 

Guest Speakers: David Bakker – SJV Administrator

                             Derrick Bernardo – CEO, SJV

                             Jenn Banks, Director of Care

Chair, Marjorie Smith and Peter Gnish, Past Chair, met with Mr. Bakker and Mr. Bernardo in November 2015 to address the letter of concerns that Family Council members had wanted to bring to their attention after many weeks and months of discussion. The concerns were not addressed at that meeting but Mr. Bakker and Mr. Bernardo agreed to come to Family Council to address those concerns.

Mr. Bernardo said a few words in response but the gist of his remarks were that Family Council should not be involved with care issues. But that these should be directly addressed by management. He stated that we should concentrate on perhaps doing things for the residents such as some form of entertainment. Mr. Bernardo asked the chair if she attended any other local family council meetings, to see the content of their involvement with the care of the residents. She replied she did not.   A hue and cry ensued.   Marjorie read him the SJV Family Council Terms of Reference and that of the LTC Act of the Ministry of Health. A copy of our Terms of Reference had been given to Mr. Bernardo in the summer of 2015. For the record our Terms of Reference states: Mission Statement: The mission of the Family Council at St. Joseph’s Villa is to advocate for excellence in physical, mental, spiritual and emotional care by working together with residents and staff to ensure a safe, informed, dignified and caring environment for all. And, to disseminate information which affects positive change in Long Term Care in a responsible manner. Further, from the Long Term Care Homes Act (in part): A Family Council has the power to do any or all of the following:     1. Provide assistance, information and advice to residents, family members of residents etc etc. 2. Advise residents, family members of residents respecting their rights and obligations under this Act. 4. Attempt to resolve disputes between the licensee and residents. You will find Jurisdiction under the Long Term Care Homes Act – Regulations passed 2010, in our Terms of Reference.

Both Mr. Bakker and Mr. Bernardo apologized that these concerns keep happening. All three guests’speakers said that they are open to families calling them with their issues. Their e-mail addresses and telephone numbers are available to you.

At this point Mr. Bernardo left the meeting as he had a previous meeting planned.

The Chair, questioned “good nursing practices”. Who is accountable for the staff?

David stated that the administrative staff is open to working collaboratively with Family Council; staff have been disciplined and some have had their employment terminated. He encouraged everyone to ask for a family meeting right away and not wait. He also stated the Villa has made positive strides in the last few months.  

Family council members and their families need to know ‘who you are’. Do staff have regular in-service training sessions? More social activity has been evidenced on Orchid Wing. We are all advocating for those who cannot advocate for themselves. We belong to the larger organization of Family Councils of Ontario.

It was suggested that senior staff (Mr. Bakker and Mr. Bernardo included) should visit the units preferably at mealtimes when all the residents are in one place to introduce themselves. These visits could be spread over a period of time and need only be for 10 minutes or so. It would mean a lot to residents, families and staff.

The chair will meet with David Bakker, Jenn Banks and Tracey Davidson to look at the concerns Family council handed to them and get their feedback. Chair will report to Family Council at the next meeting.

Date of Next Meeting: Monday, February 8th, 2016 at 7:00 in the Boardroom

PLEASE NOTE THIS IS ONE WEEK EARLY DUE TO FAMILY DAY.

Adjournment: 3:25 pm

                

             St. Joseph's Villa Family Council

   Meeting Minutes Monday February 8th, 2016

In Attendance:, Marlene Dawdy, Suzan Fawcett, Jim Lamont, Doug Mitchell, Flo Molnar, Mary Molnar, Anita Ormond-Gough, Sylvia Perrone, Joan Russell, Annie Smith, Marjorie Smith, Betty Spencer, Jonathon White . Staff liaison, Tracey Davidson.

Regrets:Dr. Eric Correa, Karen Felker, Peter Gnish, Cate Roberts, S. Latulippe, B. McMahon

Call to Order: Welcome and introductions from the Chair, Marjorie Smith. Marjorie called the meeting to order at 7:05 pm.

Adoption of Minutes:

Doug Mitchell moved that the minutes from January 18th, 2016 be accepted and this was seconded by Anita Ormond-Gough.

Issues Arising From Members

Jim reported that the letter from his family regarding their mother’s care was filed and he had a meeting with Jennifer Banks, Director of Care. The Lamont family have sent their letter of concerns to the Ministry of Health. Jim stated that the communication with the Villa administration is better and things have improved.

Annie is pleased with the care her mother is having on Birch Trail and feels that the 3rd PSW position has made a positive difference.

Jonathon is pleased that some of his mom’s medication has been changed and he sees a big improvement.

Anita asked if the nurse practitioner can do something about ear wax build up or does she only see residents with wounds? (Tracey to find out).

 

Anita asked about mouth care on her mother’s unit and how she fits in as she is not the Power of Attorney for personal care. (Tracey to find out)

Business Arising From Minutes

  • Identified   actionable items follow-up

Committee Reports

Residents' Council: No report from the Council as Chair, Joyce Slusarchuk, was unable to attend.

Chair's Report

Chair attended the February meeting of Residents’ Council.

  • Tamara Johnson attended the Residents’ council meeting to announce that new art work is being purchased for the Villa and that residents will have a voice in the selection for their home units. New furniture is being purchased for the Conservatory Lounge. Carpeting is being removed from outside elevators and flooring will replace the worn carpeting.

In follow-up to the letter of concerns that was sent to administration in October 2015, the chair met with David Bakker, Jenn Banks and Tracey Davidson. Linda Dennis attended to take notes.

The meeting was amicable and each concern was addressed. It was agreed that many of the issues are out of the control of administration ie support of funding from MOH etc. The chair suggested that this be conveyed to Family Council members in order for them to have a better understanding of the handling of the many concerns. Both David and Jenn offered to address Family Council at any time and it was suggested that Jenn and/or Mieke attend our monthly meetings for a short period of time so that concerns can be dealt with more quickly. Administration feel that the care of residents should be left to them and that Family Council should perhaps be more involved with volunteering to help residents. David Bakker asked the chair if she had any dealings with other Family Councils and the chair replied “no” other than the material she received through Family Councils of Ontario where ideas and suggestions are shared.   The chair has a call in to the chair at Wentworth Lodge and is interested in attending a meeting of their council and reciprocating. The chair presented a list of questions which was discussed .

  • What does “care” mean to Family Council? The Family Council will need to look into this further. A review of our mandate may need revisiting and shared with administration so that we are clear on this important issue.
  • If there is a concern that needs to be addressed:

First, speak with the Registered Staff member on the Resident Home Area.  If no resolution then notify your Resident Care Coordinator, then Assistant Director of Care, then Director of Care, then Administrator.

A motion was put forth by Doug Mitchell that families follow the complaint process first, before a concern comes to Family Council. Members in attendance agreed.

Ontario Family Council link for members if they would like to receive emails, bulletins etc

http://www.fco.ngo/family-councils

Marjorie has been invited to Resident Councils meeting by the chair Joyce Slusarchuck. Some Family council members will take turns going to the meeting. Jim is attending Feb 10th and Annie will attend March 2016. Please let the chair know if you would like to be an observer at a residents’ council meeting which is held the second Wednesday of each month at 2:00 pm in the auditorium. It is suggested that these dates be confirmed as they change occasionally.

A suggestion was made that, perhaps, Family Council could set up a mentoring system whereby families of new residents would have someone to call and share the Villa “experience”. The Family Council pamphlet that is issued at the post admission meeting will be reviewed by the chair to see if any changes need to be made or any new information added.

Family council Week this year is June 4th to June 10th 2016. Do we have any volunteers or ideas for this week?

The Chair shared an article from Science Alert about new Alzheimer’s research (Australia) which shows promise. Trials on humans is expected in 2017.

For the past few years, several Family Council members have filled the welcome bags given to new residents on admission. The chair asked if more are needed at this time. Tracey will check

New Business

Tracey –Therapeutic recreation -Per Tamara a four week rotation with part timers regularly scheduled-‎provides 2 staff every Saturday and Sunday- one for each tower and helps ensure consistent coverage for peak programs. Amanda is no longer covering Orchid Garden. Amanda covers Birch, Heritage and Rose Garden. Lyndsey is now covering Pine Grove and Orchid Garden.

Dawn Martin is filling in for the remainder of Heather’s maternity leave as the Resident Care Coordinator for the South tower/ MacArthur Wing . Contact number is still the same ext # 2312.

Social Service Workers Kathryn and Ildiko will rotate and have alternate Fridays off.

The chair handed out a questionnaire regarding the structure of our Family Council. This questionnaire will be e-mailed to our members who were not able to attend the meeting. Please complete and give to Marjorie or e-mail her at This email address is being protected from spambots. You need JavaScript enabled to view it.

New initiatives:

Tracey asked if any member had a used TV for a resident in need. Mary Molnar generously offered to supply one. Thank you Mary.

Marjorie asked if anyone had a used sewing machine for a resident and again, Mary, offered one. A big thank you to Mary.

There being no further business, the meeting was adjourned at 9:10 pm.

Date of next meeting:   Monday, March 21, 2016 at 1:00 pm in the Boardroom. Jennifer Banks will be one of our guests. Please come with any concerns you would like her to address. Jaimie Williams will also be attending.

 

     St. Joseph's Villa Family Council

Meeting Minutes Monday, March 21, 2016

In Attendance: Dr. Eric Correa, Donna D’Angelo, Joyce Dawson, Rhonda Jonker, Jim Lamont, Shirley Latulippe, Mary Molnar, Wendy Olyschlager, Joan Phillips, Joan Russell, June Seawright, Cecile Scime, Marjorie Smith.

Staff Liaison: Tracey Davidson

Regrets: Karen Felker, Anita Ormond-Gough, Brian McMahon, Flo Molnar

Call to Order: Welcome and introductions from the Chair, Marjorie Smith

Marjorie called the meeting to order at 1:05 pm, and introduced our guest speakers.

Special Guests: Jamie Williams, Manager of Quality and Performance Systems and Jennifer Banks, Chief Nursing Executive – McArthur Wing.

Jamie reported on the three main areas that SJV is concentrating on this year:

  1. Hand hygiene – for staff, visitors and residents.  Statistics show the numbers have increased to 67% (as of Q3 2015) compliance from 49%.  The target is 75% compliance by March 31, 2017.
  2. Anti-psychotic drug use – records of residents is to be more closely supervised to ensure correct and timely use of these drugs.  Use of these drugs is down to 20% from 22%. 20% has been achieved for this quarter and hope to maintain or surpass by March 31, 2017.
  3. Care of wounds – worsened stage 2-4 pressure ulcers – Now at 4.40% and aiming for a 10% reduction to 4% by March 31, 2017.

Residents are to have nails cared for at bath times which is, normally, twice weekly.

Residents can have foot care by contacting Step Ahead (advanced nursing foot care). Information can be obtained from nursing staff , clinic or on admission.

The Chair remarked on the number of hand sanitizers that are placed around the Villa. She commended the purchase of so many and remarked that this should greatly enhance hand sanitation for all.

Jennifer Banks addressed concerns of those present. She and Mieke Ewen will attend Family Council meetings, alternately, each month. Once again, it was stressed that the order for lodging resident care complaints is as follows: bring the concern to the attention of the RPN. If the issue is not solved to the families’ liking take it to the Resident Care Co-ordinator and if that fails take it to Jennifer Banks and/or Mieke Ewen. If the issue is still a concern to families, address it to David Bakker and/or Derrick Bernardo. As a last resort, contact the Ministry of Health by letter.   Tracey will email contact list to anyone who wishes them.

Recently, nail clippers have been purchased for each resident and they will be kept in the resident’s bathroom.

A family member asked about documentation of resident’s weight. Jennifer announced that weights were taken by a PSW monthly. Goldcare (computer programme) would initiate an investigation, by a dietician, if there was a significant weight gain or loss. Resident’s height is measured yearly.

Several family members commented on improved communication re concerns.

As sunny weather approaches, the application of sunscreen concerns will be re-visited.

The chair thanked Jennifer for attending our meeting and it is hoped that communications will be improved by management staff attending our monthly meetings. At this point, Jennifer left the meeting.

The ministry completed the annual RQI (Resident Quality Inspection) and the following orders were given.

  1. Call bells on balconies, chapel, common areas, etc ,need to be installed.
  2. Improve cooking of textured diets, following an exact recipe
  3. Catheter education for staff; both PSW and registered staff

Adoption of Minutes: Dr Eric Correa moved that the minutes of February 8, 2016 be adopted and this was seconded by Joyce Dawson

Issues Arising From Members

Not enough staffhas again been raised. We do lobby the government frequently in this regard.

Business Arising from minutes

  1. Ear wax – Nurse practitioner can address if urgent
  2. Mouth care – there are facilities in SJV for check-ups and cleaning. Hygienist will visit resident in their rooms if necessary. Staff will have information.
  3. Mentoring system. Once again, it is suggested that new families could be contacted by a Family Council member, should they so wish. A pamphlet describing what Family Council is , is not given to families until the residents’ follow-up appointment which is 4 – 6 weeks after admission.
  4. Family Council Week June 4-10, 2016. Jim Lamont volunteered to look at the presentation for this year.
  5. A questionnaire concerning members views of Family Council was sent to members last month but only 5 were returned. Several were distributed at this meeting and it is hoped that they are returned so that Family Council can ascertain if our mandate needs to be re-addressed.

Tracey advised that a new social service worker (Jodi McDonald) has been hired for Birch, Pine and 5th floor. A physical therapist has also been hired ( Prabu Elangovan ).

The Conservatory Lounge is to under-go a face lift this week. New furniture has been purchased. Members are hopeful that plants will be replaced to make it more hospitable.

Action Items – see separate report

Committee Reports

  • Residents' Council: Jim Lamont attended February 10 meeting. 7 residents were present. Residents asked about the replacement of plants along the corridors on Ground and 1st floor. They also asked if residents could help housekeeping with the watering of plants. And they asked what timeline for plant acquisition to replace those plants removed July 2015.
  • As previously suggested, Family Council members will take turns in attending Residents’ Council meetings and report to FC meetings. To date, four members have volunteered to do so.

Chair's Report

  • Compliance report: There were 3. All dealing with verbal abuse by a staff member to a few residents. The staff member is no longer employed at SJV
  • Ipod project: the Chair contacted Lyndsey for follow-up. 6 ipods donated to date. Lyndsey is to contact other high schools. St. Mary’s High School held a fund raiser and donated 3.
  • The Chair asked Lyndsey for an update of the dining room music. As Lindsey does not visit dining rooms at dinner time she will try to get an answer.
  • LHIN 4 – Family Council Networks 4 for this area. Jim, Brian and Marjorie will attend meeting March 29.

New Business

 

  • Unfortunately, our co-chair, Suzan, has resigned her position and the Chair asked for someone to volunteer to fill the position until elections are held in November. Jim Lamont offered to fill this position and the motion was passed by Joyce Dawson and seconded by Dr. Correa.
  • Members were asked if they would like to see Family Council minutes (in their entirety) on the SJV web? Consensus to do so.
  • How do we say thank you to staff? Family Council will have something at our table during Family Council week.
  • Suggestion to pilot a blog as many family members cannot attend meetings. Jim Lamont will investigate how this would work. All agreed.
  • Marjorie distributed questionnaire re Family Council again.
  • New initiatives:

A suggestion of what our Family Council could do for our residents was discussed and it was agreed that we could help residents who needed and perhaps had no other source of getting these items. This followed up on the generosity of Mary Molnar who donated a TV and sewing machine - both of which were thoroughly appreciated. Tracey was asked to make suggestions to us of any needy resident. Three came to her quickly. One needs a lamp (Mary has one to donate) another would like a DVD player (Jim offered one) and Marjorie offered a radio, which had been requested.

Date of Next Meeting: Monday, April 18th 7:00 p.m. in the Boardroom. Our guest speaker will be Robert Gadsby, Chair, Family Council Network 4. Mr. Gadsby will discuss the functions of Family Councils.

Adjournment 3:15

 

      

           St. Joseph's Villa Family Council

Meeting Minutes Monday, April 18th, 2016

In Attendance: Colleen Banitsiotis, Dr. Eric Correa, Marlene Dawdy, Karen Felker, Jim Lamont, Shirley Latulippe, Anne Martin, Brian McMahon, Mary McNair, Flo Molnar, Mary Molnar, Louise Morissey, Ken Ockenden, Wendy Olyschlager, Sylvia Perrone, Joan Russell, Sonja Samek, June Seawright, Annie Smith, Marjorie Smith.

St Joseph’s Villa:Staff Liaison: Tracey Davidson                 Assistant Director of Care: Mieke Ewen

 

Call to Order: Welcome from the Chair, Marjorie Smith and round table introductions. Marjorie called the meeting to order at 7:03 pm.

Issues Arising From Members

A family member remarked that Mieke provides great support, also noted that when residents/patients are transferred to hospital that the OPT needs more information to relay to hospital staff upon arrival. Mieke responded that they could discuss specifics privately regarding the family member and the OPT transport but there is a formal template and paperwork that goes with each patient to the hospital. This member also remarked that there no longer will be chocolate milk served to residents and that they are now offered a syrup made from Quik. Mieke will check with Brian Burns, Manager, Food Services why chocolate syrup is now being used rather than the regular chocolate milk. Residents are disappointed with this decision.

Another family member noted that in February she had raised a concern with Jen Banks regarding oral healthcare of her family member and wanted to acknowledge how well things are going now. Accolades!

A family member is pleased with all staff, especially Shirley, Ida and Rosemarie, but wanted to mention that there are still some inconsistencies. A staff member said that they do not check resident’s charts when they are only on duty in that unit for a short period of time. This was identified to Terri the Resident Care Coordinator immediately.

Activities for residents during the evening would be appreciated. Too often staff are just sitting behind the desk.   Refresher training on the Gentle Persuasive Approach (GPA) for many staff was recommended by a family member. Bella (Birch Trail) is amazing, while other staff can be indifferent to the needs of the residents.

One family member inquired whether outings had been cut back. Mieke responded that spring, summer and fall are better times to take residents out from the building rather than during the winter with the cold weather and possible icy conditions. The same family member inquired about issuing vitamins and Mieke suggested that if there are specific requests you can write them out and give them to the doctor. There is a pharmacist onsite, as well.

If closet doors or wheelchair foot rests, etc. etc. need attention, it should be brought to the attention of the Resident Care Coordinator; on Birch Trail this would be Terri Davidson. Mieke advised that within the last few weeks Shoppers Drug Mart no longer provides maintenance for medical devices, so they have begun the tender process for a new supplier.

One family member suggested picnic baskets and lawn chairs might be added to the outdoor BBQ area to help bring back memories.

Mieke Ewen and Jennifer Banks will continue to attend Family Council meetings, alternately, each month. Once again, it was stressed that the order for lodging resident care complaints is as follows: bring the concern to the attention of the RPN. If the issue is not solved to the families’ liking take it to the Resident Care Coordinator Terri/ Dawn and if that fails take it to the Assistant Director of care Marlena/Penny and then to Jennifer Banks and/or Mieke Ewen. If the issue is still a concern to families, address it to David Bakker. As a last resort, contact the Ministry of Health by letter.   Tracey will email contact list to anyone who wishes it.

The chair thanked Mieke for attending our meeting and her in-put. It is hoped that communications will be improved by management staff attending our monthly meetings. At this point Mieke was extended an invitation to stay and attend the rest of the meeting, which she accepted.

Special Guest: Robert (Bob) Gadsby   Chair: Family Council Network Four (FCN-4), Chair: Extendicare Hamilton Family Council, Member of the Board of Directors: Family Councils of Ontario

Robert Gadsby has been Chair of the Family Council at Extendicare Hamilton since 2003, and Chair of Family Council Network Four (FCN-4) since 2006. Family Council Network Four (FCN-4) represents the Family Councils in the LHIN-4 region (which includes Hamilton, Niagara, Haldimand, Brant and most of the County of Norfolk and the city of Burlington). In terms of long-term care, LHIN-4 is the largest region in the province of Ontario, with 86 LTC homes (about 10,000 residents).

Marjorie Smith, Jim Lamont and Brian McMahon attended the March 29th regional meeting and invited Bob to speak to our council. The agenda of this meeting was circulated and is typical of their regular meetings. Brian, Marjorie and Jim recorded some Best Practices from this regional meeting and will bring the ideas to our next family council in May.

Because our Family Council had been challenged, by administration, as to our mandate regarding our interests in resident care, overall, we asked Mr. Gadsby to inform us as to what other councils do. He was very reassuring that we are “on the right track” and was very impressed at the attendance and content of the meeting. Bob assured us that we are not alone. There are many people who want to improve the care of their loved ones in long term care facilities, through support from family councils and ultimately learn and share ideas and interact with staff. He noted that St Joseph’s Villa family council is a shining example, citing the introduction of Fall Forums which were held at SJV for four years and are still ongoing at various sites in the region. This year the Forum will be held October 19th at Meadowlands Retirement Community. Peter Gnish, our past chair, is an active member of the LHIN 4.

Adoption of Minutes: Brian McMahon moved that the minutes of March 21, 2016 be adopted and this was seconded by Jim Lamont.

Business Arising from minutes:

Sunscreen: Tracey informed us that in Birch and Pine there are dispensers at the doors leading to the enclosed garden areas.

  1. Staffing levels continue to be a concern. There is a petition. Please sign and circulate. The more voices the better.
  2. Family Council Week June 4-10, 2016. There will be a table in the Main Lobby. Jim Lamont volunteered to lead the presentation for this year. Ad hoc Committee to lead the staff appreciation initiative: Marjorie, Flo, Jim, Marlene, Sylvia and Brian. There are no funds for this Family Council initiative; perhaps family members would be willing to make donations.
  3. The Conservatory Lounge facelift is in progress and new furniture purchased. Members are still hopeful that plants will be replaced to make it more hospitable.
  4. Still need an update from Lyndsay and rollout plan regarding the music at dinner and the iPod project.
  5. Jim Lamont is still investigating blog pilot as many family members cannot attend meetings.

Action Items – see separate report

  • Tell Us How We Are Doing Form is on the website to download and print and submit manually.
  • More Welcome Bags are needed. Marjorie and Marika will meet to fill them this week.

Committee Reports

  • Residents' Council: No resident council representative present. Jennifer and Mieke will be sharing the responsibility of attending each monthly meeting there as well. As previously suggested, Family Council members will take turns in attending Residents’ Council meetings and report to FC meetings. To date, four members have volunteered to do so.

Chair's Report

  • Butterfly Care Homes – additional information from Marjorie if you are interested. It is about piloting a radical model of care for people with dementia.
  • The Chair remarked that one Family Council had submitted a grant for an IPod initiative at their LTC and was granted $3,000.00. Tamara Johnson is the contact person at SJV as a resource person for submitting grants.
  • The Regional meeting had a guest speaker regarding a McMaster Pilot project of LTC facilities doing IV’s for UTI’s and/or pneumonia rather than transferring residents to hospitals. They had trained staff to administer IV’s. Mieke stated that SJV can accommodate IV care on a limited basis, but not the initial set-up as an emergency situation may occur and SJV are not staffed to handle it.
  • Petition to the Legislative Assembly of Ontario is asking for basically two things: (1) increase funding for hands on care to 4 hours per resident per day, and (2) to regulate the training of PSWs. Marjorie encouraged all of us to, at least, sign the petition and submit and to get additional names and signatures if possible.
  • Only six Questionnaires have been returned to assist with direction of our family council; Marjorie once again encouraged all to complete it. Jim made a motion to resolve this questionnaire process ……………..at our next meeting time will be allotted to fill it out, then and there! Motion was seconded by Brian and carried by all.
  • Fall Forum to be held Wednesday, October 19th at Meadowlands Retirement Community in Ancaster, 1248 Mohawk Road. “Topic: Enriching Lives of Residents in Long Term Care”. Marjorie, Jim and Brian are attending. If you are interested please contact Marjorie; cost is $30 which includes lunch.

Date of Next Meeting: Monday, May 16th 1:00 p.m. in the Boardroom.

Adjournment 8:50 PM

 

 

 

                 St. Joseph's Villa Family Council

           Meeting Minute Monday, May 16th 2016  

In Attendance: Joyce Dawson, Peter Gnish, Rhonda Jonker, Shirley Latulippe, Brian McMahon, Steven McMajor, Mary McNair, Flo Molnar, Louise Morissey, Sylvia Perrone, Joan Russell, June Seawright, Annie Smith, Marjorie Smith, Betty Spencer.

Regrets: Karen Felker

St Joseph’s Villa:Staff Liaison: Tracey Davidson                 Director of Care, Macarthur Wing: Jennifer Banks

Call to Order: Welcome from the Chair, Marjorie Smith and round table introductions; calling the meeting to order at 1:00 pm.

Update: Director of Care, Macarthur Wing Jennifer Banks

Alzheimer’s Society representatives visited the Villa and offered suggestions regarding the outdoor areas; as a follow-up some staff will be visiting Idlewyld Manor in Hamilton.

A new electronic recording keeping system coming to replace paper-based documentation; Point Click Care (PCC) and staff is already familiar with process.

Issues Arising From Members

Questions were raised regarding personal resident care regarding dentures and hearing aids. Jennifer reviewed the established complaint process.

Family member again asked about vitamins prescribed for residents; as physician is not in agreement.

Doctors visit on request, not regular rounds.

One family member questioned calls not being returned by doctor and/or floor staff.

One family member cited lost clothing in the process of labelling. Suggestion was made to take a picture of new clothing prior to it being sent to the labelling process.

NOTE: Mieke Ewen and Jennifer Banks will continue to attend Family Council meetings, alternately, each month. Once again, it was stressed that the order for lodging resident care complaints is as follows: bring the concern to the attention of the RPN. If the issue is not solved to the families’ liking take it to the Resident Care Co-ordinator and if that fails take it to Jennifer Banks and/or Mieke Ewen. If the issue is still a concern to families, address it to David Bakker and/or Derrick Bernardo. As a last resort, contact the Ministry of Health by letter.   Tracey will email contact list to anyone who wishes them.

Adoption of Minutes: Joyce Dawson moved that the minutes of April 18, 2016 be adopted and this was seconded by Peter Gnish.

Business Arising from minutes

  1. Chocolate milk issue closed May 16, 2016
  2. Music for residents, trial on Pine Grove during May. Will await outcomes.
  3. Regional meeting at Macassa Lodge; many best practices listed by Chair
  4. Butterfly Care Homes – additional information from Marjorie if interested. Piloting a radical model of care for people with dementia.
  5. Residents having staggered eating times; staff eating with residents
  6. Snoezelen Multi-Sensory Environment tour requested by Council
  7. Appearance of Conservatory Lounge. Chair sent letter to Mr. Bernardo re lack of plants, he feels plants will not thrive in Conservatory due to lack of sunlight and is exploring other options.
  8. 96 Welcome Bags have been prepared
  9. No compliance reports

Action Items – see separate report

Committee Reports

  • Residents' Council: 6 new residents. Therapeutic Recreation will be buying plants for balconies, very successful on Willow last year. Council encourages such an initiative in ALL areas. Next meeting is Wednesday June 8th at 2:00 pm (auditorium). Would be great if one representative attended from each area.

Chair's Report: no compliance reports.

 

New Business

  • DVD and/or VCR needed if anyone has one to donate
  • All those in attendance took time to complete family council direction questionnaire before leaving meeting.
  • Family Council Week June 6 – 10th. Two displays will be manned by council members. Appreciation draws for all staff on June 9th. Gifts and donations would be appreciated.
  • Tuesday, June 14th old cars and motorcycles will be on display in the parking lot; the Villa is still looking for additional entrants so please recruit anyone you think would be interested.
  • Fall Forum to be held Wednesday, October 19th at Meadowlands Retirement Community in Ancaster, 1248 Mohawk Road at “Topic: Enriching Lives of Residents in Long Term Care”. Marjorie, Jim and Brian are attending. If you are interested please contact Marjorie; cost is $30 which includes lunch.

Date of Next Meeting: Monday, June 20th 7:00 p.m. in the Boardroom.

 

Adjournment 2:48 PM Flo Molnar moved that the meeting be adjourned and this was seconded by Brian McMahon.

 

               St. Joseph's Villa Family Council

   Meeting Minutes Monday, June 20th, 2016

In Attendance: Dr. Eric Correa, Marlene Dawdy, , Jim Lamont, Shirley Latulippe, , Brian McMahon, Mary Mcnair Louise Morissey, Sylvia Perrone, June Seawright, Carol Shwedyk, Annie Smith, Jonathon White,

St Joseph’s Villa: Staff Liaison: Tracey Davidson              

Guests:

Assistant Director of Care: Mieke Ewen & Laundry/Housekeeping Manager: Wendy Randall

Regrets: Marjorie Smith, Flo Molnar

 

Call to Order: Welcome from the Co-Chair, Jim Lamont and round table introductions. Jim called the meeting to order at 7:05 pm.

Jim – Thanked all involved in the Family Council week for their time and effort into making it a great success.

Tracey- Shared a letter from Marjorie regarding Family Council Week (copy is attached)

Issues Arising From Members

Guest Speaker: Mieke extended a huge thank you to Family Council from the Management Team and the Executive Team at the Villa for all the effort and hard work put into this year’s Family Council Week. Mieke also left a thank you card for Marjorie. Mieke addressed the heat this past week and advised that the central areas are cooling stations so residents were moved to these areas. Also iced water jugs and cups have been left on all PSW desks for residents and visitors.

Mieke also spoke about the change to the chocolate milk. There is only an 8 calorie difference between the syrup and chocolate milk. For example a small cup of white milk is 144 calories vs. small cup white milk with syrup which is 136 calories. A question was asked what if the resident cannot express if they would like chocolate milk? Mieke explained that families could let the villa know and it would be noted on the resident’s protocol in the servery.

Annie asked Mieke about Birch which was short staffed today. Mieke explained that a staff called in at noon. There was still an RPN and two PSW’s on the unit. Also we need to make sure all floors have the required staff before filling the third position on Birch. Mieke also mentioned that we have hired approximately 34-40 new staff in the last few months; this is to fill casual and part time lines. We do not use agency staff as we want all staff that work here trained to the Villa standards and to go through orientation.

Jonathon expressed that he has had great interaction with the part time staff on his mother’s floor.    

Annie also shared that staff handled the behavior of resident on the secure unit very well this past weekend.

Guest Speaker: Wendy showed a slide presentation detailing the roles, responsibilities and goals of the Laundry and Linen Department (copy is attached)

Summary: Please make sure that all clothing is labeled by the Villa, regardless of who is doing the residents laundry.

There is a process for missing items. A note is put into Gold care (computer programme) and is sent to Wendy and other management staff for follow up. The nurses on the floor can enter these notes for families.

Wendy offered a tour for any family’s member that would like to come down and see the laundry process.

Carol mentioned that her mom has been here for 13 years, and she had seen improvement in the process this year.

A family member stated that the housekeeper on Cherry lane is cheery and friendly to the residents. Also on Birch the staff is caring, loving and will help out residents and families.

Jim mentioned that a family on Primrose had some concerns with missing laundry (constrictive hose) and the unpleasant way a staff member handled this. The issue has been forwarded to Jennifer Banks for attention.

Adoption of Minutes: Dr Correamoved that the minutes of May 16th, 2016 be adopted and this was seconded by Brian McMahon.

Business arising from minutes:

  1. Jonathan mentioned that he tried to access the Villa website from Taiwan and it was blocked. – Tracey has emailed I.T.

Action Items – see separate report

  • IPod project at the Villa. Jim is going to contact Lyndsey directly about this program.
  • Snoezellen room Tour. Lyndsey will set up a tour for September. If any members would like training they can contact her directly to set up a time. If family council members are trained and become a volunteer at the Villa, they would be able to use these skills with other residents.

Committee Reports

  • Residents' Council: No resident council representative present.

Chair's Report

  • Compliance Reports- Nothing received as of today

New Business:

Sylvia attended a Dundas Community Council Meeting. There will be construction from Ogilvie to Creighton and will cost approximately $ 900,000. This should start Mid July and be done around the end of September. Main to Ogilvie and Creighton to Dundas will happen in 2018. The meridian at OverField will be removed and they will have a turning lane and traffic lights that work from sensors on the road.

A family council member asked for an update on the back parking lot. There were some delays and they are hoping to be finished early August.

 

Date of Next Meeting: Monday, July 18th, 2016 1:00 p.m. in the Boardroom.

Adjournment 8:37 PM

 

 

 

 

             St. Joseph's Villa Family Council

Meeting Minutes Monday, July 18th , 2016  

In Attendance: Dr. Eric Correa, Dr. Elaine Correa, Donna Corwyn, Marlene Dawdy, Douglas Gourlay, Peter Gnish, Rhonda Jonker, Brian McMahon, WendyOlyschlager, Sylvia Perrone, Marjorie Smith, Annie Smith, Betty Spencer, Jonathon White, Carol Zapotochny

St Joseph’s Villa: Staff Liaison: Tracey Davidson  

Resident: Lorri Chamberlin

Guests:

Dee Foley – Behavioral Supports Ontario – RN Team Manager

Brian Burns- Food Service Manager

Regrets:Jim Lamont,

 

Call to Order: Welcome from the Chair, Marjorie Smith and round table introductions. Marjorie called the meeting to order at 1:05 pm.

Issues Arising From Members: Annie shared a concern about her mom receiving medication that was not thickened to the right texture. Annie is meeting with Marlena and Mieke on Tuesday July 19th 2016.

Elaine has a concern that she has not received a reply to an email from June 20, 2016 that she sent to Jen Banks., Director or Care. Tracey will look into this. Elaine will no longer be able to attend in person as she is moving for a job opportunity in California, but will still receive emails to do with Family Council.

Donna asked if anyone would like to start a support group for families of loved ones on secure units, a discussion ensued and it was suggested that family member of residents in secure units could talk amongst themselves and see if there is interest in forming an informal             discussion group. No decisions for changes could be made unless they were discussed at Family Council.

Guest Speaker: Dee Foley from BSO (Behavioral Supports Ontario)- Dee handed out a sheet explaining what BSO is ( a copy is attached ) BSO has helped transition patients/residents from Home to Hospital, LTC to LTC, Home to LTC and Hospital to LTC. BSO does approximately 69-70 transitions a month. If families wish to inquire about the BSO program please contact your resident care coordinator or social service worker. They use tools like Music therapy with headphones, pocket talkers, doll therapy, aromatherapy, adult coloring books, sorting/folding bins and Montessori type activity bins. Family council member were shocked to hear that although the program is funded through the LHIN , there is no funding for material used. Some staff have been purchasing necessary items from their own pockets. They are in need of tape recorders (used to tape a family member’s voice), Leggo Blocks, magazines, crayons and puzzles. If anyone is cleaning out there home and could donate any items, please give them to Tracey .Dee also shared that their offices are here at the Villa. Family members had many questions about the Funding and the Villa’s involvement in the program. Dee mentioned that Tamara would be able to answer these questions.

Guest Speaker: Brian Burns’s Food services manager. Brian shared that the daily funding rate has been increased as of July 1st 2016 to $8.33 per day, per resident. The raw food cost per resident is $8.85 per day. A discussion was had about the recent change of chocolate milk to the syrup. Elaine suggested that if changes like this are made to notify residents so there is less anxiety when the change happens. Also to let them know the options so they are still having choices. Brian talked about the Ministry being in last week and the order given about recipes was lifted. Brian shared that the snack cart has different choices of beverages. Also different textures, diets and special diet restrictions are taken in account.

Annie talked to Brain about her mom’s diet and her concern that Dinner was served late on Sunday July the 17th on Birch Trail. She mentioned that there was a new dietary aid who was unfamiliar with the protocol and family members were trying to help out. Brian will look into this and will follow up with Annie. Family also asked why residents on secure units are taken into the dining room so early and why the ones that wander in and out could not be served first. Brian explained that the meals are served on a rotating schedule each day. This allows each table to have a chance to be served first. If a resident needs to be served first it could be part of their care plan. Dietary staff have flip charts in the servery with the resident’s picture and texture of food and fluids that they require. It was noted by many family members that this protocol was not always followed and evident when some new staff are on duty.

Brian showed a diagram of what the process is to be at meal time. Tracey left a voice mail for another manager on July 19th to obtain a copy of this process that Jonathon requested.

Brian, also mentioned that training was just done in his department re times and responsibility of who does what. There is a Food service supervisor on duty from 7am to 7pm , 7 days a week.

Adoption of Minutes: Dr E Correa moved that the minutes of June 20th, 2016 be adopted and this was seconded by Brian McMahon.

Business arising from minutes: Marjorie read a card form the Villa Executive Team thanking Family Council for the time and effort put into this year’s Family Council week.

For those interested the tour of the Laundry Department will take place on Monday September 19th at noon, please meet by the Boardroom.

For those interested the tour of the Snoezelen room will take place on Monday September the 19th at 12:30, please meet by the Boardroom.

Action Items – Please see the attached report. 3 new ones were added.

Committee Reports

  • Residents' Council: No resident council representative present. Resident council does not meet during the summer months.  

Chair's Report

  • Compliance Reports- Three were received, one to do with care of pain, another to do with menu planning and the third to do with a resident not receiving a bath or shower. Villa policy states that if care is not documented for a resident that we consider it not done. There are times when residents refuse care i.e. baths/showers.

A reminder about the unclaimed clothing in the Auditorium on August 12th and 13th. Residents and family can come and look through the many items to see if any items belong to them. All unclaimed items will be sent to charity.

As per Tracey, Mieke Ewen (Director of Care for the Juravinski Tower) last Day will be Tuesday July 26th 2016, She has accepted a position as Director of Care at St Josephs Life Care Center in Brantford. Family council members were upset with the news, but wish her every success with this new adventure.

Marjorie reminded families to follow the process of concerns and to use the goldenrod forms for concerns.

New Business:

 

Doug had a concern about the recent extreme heat and temperatures on the upper floors. As a physician, Doug does not feel that the cooling stations are sufficient. Doug wanted to know if the air conditioners are working properly, and will have someone check the temperatures with gauges if needed. Apparently many residents like to open the window in their room, which defeats the attempts to keep the temperatures at the appropriate level. It was suggested that we nail the windows closed to prevent residents from opening them on the extremely hot days. Can they have Air Conditioners in the rooms? An email was sent to the Maintenance manager and ADOC to address these concerns.

Peter Gnish announced that he would no longer be attending Family Council meetings as he is away 6 months of the year and cannot attend as often as he would like. Peter is still involved with the regional Family Council advocacy group and is available if any one has any questions. Marjorie thanked Peter for his dedication to SJV Family Council over the past few years. Peter was Chairman for two years and very proactive in holding four very successful forums at St Josephs Villa. Peter and Cate will be missed.

The parking lot in the back of SJV should be completed in early August. The back parking lot will be used for full time staff and this will allow more parking spots for families and visitors out front.

Families are given a contact list on admission so they can directly contact the appropriate staff responsible for the care of their loved one.   A family member asked if the names could be posted in the main area of the home unit. Tracey will work on a draft copy and bring it back to family council to review. 

Initiative ideas from members

Tracey mentioned that we are in need of the following for residents.

Bed side lamp

VCR- Doug has one that can be donated

DVD player

 

Date of Next Meeting: Monday, August 15th, 2016 7:00 p.m. in the Boardroom.

Adjournment 3:32 PM

 

      

    St. Joseph's VillaFamily Council

Meeting Minute Monday, August 15, 2016

 

In Attendance: Diane Acker, Dorothy Buttenham, Marlene Dawdy, Karen Felker, Cathy Garrity, Doug Gourlay, Jim Lamont, Shirley Latulippe, Mary McNair, Wendy Olyschlager, Sylvia Perrone, Marjorie Smith, Betty Spencer, Carol Shwedyk, Carol Zapotochny

SJV Staff: Tracey Davidson, Tamara Johnson

Regrets: Dr. Elaine Correa, Dr. Eric Correa, Brian McMahon, Flo Molnar, Joan Russell, Annie Smith

Call to Order: Welcome from theChair, Marjorie Smith and roundtable introductions

Marjorie called the meeting to order at 7:10 pm, and introduced our guest speakerTamara Johnson.

Special Guest:Tamara Johnson Director of Community Programs & Services

Behavioural Supports Ontario (BSO) Long-Term Care Home Mobile Team was introduced by the Province four years ago and provides support in the Hamilton Niagara Haldimand Brant Local Health Integration Network (HNCB LHIN). There are approximately 11,000 beds in 85 LTC homes. These services provide assistance to care teams in serving residents with responsive behaviours. These behaviours include aggression, wandering, physical resistance and agitation.

Responsive behaviours are in response to a real or perceived stimulus and may result in increased risk for the client or others. The behaviour may present a challenge to receiving appropriate interventions or co-existing with others. Responsive refers to the fact that many of these behaviours could respond to appropriate and timely interventions, and may be occurring as s result of an unmet need or desire that can no longer be communicated.

Within 48 hours of receiving a referral from a long term care Resident Care Coordinator, the BSO Mobile Team is on site to coach and mentor the staff; the BSO are consultant who provide solutions for the Villa to implement. Tamara will provide Outcome report to Family Council.

Adoption of Minutes: Carol Shwedykmoved that the minutes be accepted and this was seconded by Jim Lamont.

Issues Arising From Members

  1. A family member would like the BSO team to be involved; suggested to engage the Resident Care Coordinator in their area to begin the process
  2. A family member stated their concern was never addressed even though it was entered months ago; Tracey Davidson will talk to them privately after the meeting
  3. $200 given from Family Council to the iPod program and we have not received an update. Update will be provided in September meeting.
  4. Occupational Therapist sitting inside at front desk chatting
  5. Issues regarding heat on the top floors identified during last meeting were handled very well; thank you.
  6. Hearing aids are missing; this is the third set in three years.
  7. Bandages and slippers for the healing of feet are not being applied.

Business Arising From Minutes

Tour of the Laundry Department will take place on Monday September 19th at noon, please meet by the Boardroom

Tour of the Snoezelen room will take place on Monday, September 19th at 12:30, please meet by the Boardroom

Committee Reports

  • Residents' Council does not meet during the summer therefore no report received.
  • Meetings are the second Wednesday each month at 2:00 pm and last approximately a half hour; Cathy will attend September meeting.

Chair's Report

  • No non-compliance reports
  • Petition to the Legislative Assembly of Ontario regarding chronic understaffing of Long Term Care Homes and failing to recognize the increased levels of sickness and rates of Alzheimers and Dementia of LTC residents. (Petition Available from Marjorie). These need to be signed and submitted prior to September 22, 2016
  • Reminder re the Fall Forum which is being held October 19th at 9:00 am in the Meadowlands, admission is $30.
  • Tracey Davidson is once again participating in the Road to Hope Run being held the weekend of November 5 & 6th; please email Tracey if you would like to sponsor her.

New Business

      Some residents arrive at the Villa with just the clothes on their back and have no family members; some items are being requested: table lamp, DVD Player, radio. Please contact Marjorie Smith if you can assist.

      Reminder that Family Council Elections will be held during the November meeting. Please advise Marjorie Smith if you are interested in the Co-Chair and/or the Secretary position.

Date of Next Meeting: Monday, September 19th, 2016 at 1:00 p.m. in the Boardroom.

Adjournment 9:00 pm; moved by Marjorie and seconded by Jim.

 

 

           St. Joseph's Villa Family Council

Meeting Minutes Monday, September 19th 2016

In Attendance: Diane Acker, Dorothy Buttenham, Dr. Eric Correa, Marlene Dawdy, Lillian Gagne, Cathy Garrity, DouglasGourlay, Peter Gnish, Rhonda Jonker, Darlene Lamont, Jim Lamont, Mike Lamont, Brian McMahon, Wendy Olyschlager, Sylvia Perrone, Joan Phillips , Carol Shwedyk, Marjorie Smith, Annie Smith, Betty Spencer, Sheila Stanley-Powell,

St Joseph’s Villa: Staff Liaison: Tracey Davidson

Resident: Lorri Chamberlin

Guests: Ray Rocci- Member of the Board of Directors

            : Jennifer Banks- Chief Nursing Executive

            : Jaimie Williams – Manager of Quality and Performance Systems   

Regrets:Joan Russell

 

Call to Order: Welcome from the Chair, Marjorie Smith. Marjorie called the meeting to order at 1:05 pm.

Issues Arising from Members:

Guest :Jennifer Banks

Rhonda had a concern about her mom’s stockings not being put on correctly causing her toes to turn purple. Jen will address this with the Resident Care Coordinator on Heritage Trail.

Jim shared a note he had received from a family member who has made a formal complaint against a SJV PSW who denigrated a private duty PSW and ignored information regarding an ear infection of her mother.

Diane shared a concern about clothes missing on Pine Grove and of a very serious incident that took place between a disruptive and disturbed resident and her husband over the weekend. She was not notified about the incident for several days and is extremely upset and many questions arose as to who is accountable and responsible when such serious incidents take place. She demands answers and assurance that this will never happen to her loved one again. He was very traumatized, as is she. Diane is meeting with Jen after today’s meeting to discuss this further.

Some members asked why a resident exhibiting certain behavior is not removed from the Villa.   Sometimes a one on one staff can be placed with a resident. This cost has to be covered by the Villa. The Villa is not able to just remove residents. Jen clarified that family must consent to a referral for BSO (Behavioral Supports Ontario) intervention and for a referral to a behavioral unit like St Peters or St Joseph’s Mountain Site. Before a behavioral unit can be used there are other interventions that must take place like an assessment by a Geriatrician (Dr Kerrigan) or a Psychiatrist ( DrLuthra). BSO, PRC (Psychogeriatric Resource Consultants). Sometimes a resident is sent out on a Form 1, but tends to return very quickly from hospital. The list to see DrLuthra or to wait for a Behavioral unit (if the resident qualifies) can be very lengthy. This information is unsettling to family members. A member asked if there could be a special unit assigned to residents who put others at risk. If a resident is sent to an outside assessment unit their beds are kept open for them for 60 days.

The question was raised if the above families had used the concern/ complaint process that was discussed at a Family Council meeting earlier this year. A reminder to use this process. Any family wishing to meet with Jen is asked to contact her directly after today’s meeting.

Jim suggested that it might be helpful to form a committee to deal with concerns. The consensus was that people could meet for support or to talk to each other, or meet alone, but no formal committee is needed.

A resident, who attended the meeting, stated that many staff are seen playing video games or sleeping during their shift. Also, many make personal telephone calls on their cell phones. Jen stated that the Villa policy is that no cell phones are to be used by staff for personal calls during their shift. Calls may be made when staff are on their breaks. Jen will speak to this issue with her staff. This needs to be reported immediately so these types of concerns can be followed up.

Once again Family Council expressed deep concern over what seems like lack of accountability. It is broken and needs fixing.

Jim suggested that any family member who would like someone to attend a meeting with them and management could contact him or another Family Council member to go with them. Two sets of ears are better than one!

Doug asked who is in charge after hours if a concern cannot wait. There is always a Registered Nurse (charge nurse) in the building and an Administrator on call at night and on the weekends.

Guest :Jaimie Williams - Jaimie shared the results from the Resident and Family surveys. (A copy is attached)

Adoption of Minutes: Carol Shwedyk moved that the minutes of August 15th, 2016 be adopted and this was seconded by Brian McMahon.

Business arising from minutes:

BSO outcome Report – Please see the attached report provided by Jaimie Williams in the Family survey regarding appropriate use of Anti Psychotics and behavioral Symptoms which is in a separate document.

Action Items – I-Pod project update- therapeutic recreation was scheduled to attend today’s meeting, but this was postponed due to time restraint as the question and answer period with Jen Banks went way past allotted time.

Updated Contact lists for each tower will be posted in resident’s room the first week in October. The one for each home area is still being reviewed.

Committee Reports-Cathy attended the Residents Council meeting in September. Many of the agenda items are the same ones that are addressed at family council. It was mentioned that they would like to have 1 I-pod and therapy doll allocated to each home area.

Lyndsey mentioned that there may be a small fee charged for some trips to help cover the costs. They are working on putting call bells on the balconies as this was an issue that MOH compliance has given to be done.

Previously there has been a pre-Christmas dinner as well as a Christmas dinner. This year they are going to do a Festive Drop in on December 15th form 2pm to 4 pm.

Jim Lamont will attend the Residents Council meeting on October 12th ,2016 at 2:00 pm

Chair's Report-

No new compliance reports have been received.

A reminder to all about the Family Council Forum being held on October 19th at the Meadowlands Community Centre in Ancaster.

The Villa Bulletin is emailed out to Family Council members and posted on the FC board and throughout the Villa. There is valuable information as to monthly events for residents.

A note was shared by the Chair, from the Group of Concerned Friends that listed High Risk Homes for 2015 – The Villa is not on the list.

Dementia Care matters Poster was shared by Marjorie- Tracey will put a copy in the Friday Flyer so staff can see it.

The tour of the laundry room was well attended and was excellent. Also the tour of the Snoezelen room took place prior to the Family Council meeting.

The meeting dates for 2017 was shared.

If anyone would like the link for the Family Council of Ontario, please contact Marjorie or Tracey

Family Council Christmas tree project was discussed for 2016. Members present were in favour of continuing this endeavour. A committee will be headed by Jim and other members include Marlene, Sylvia, Carol, Marjorie and Tracey. Tracey will send out the notices to the appropriate staff the beginning of October to start compiling a list of residents in need.

New Business:

Sheila mentioned that the soap dispenser in her mom’s bathroom is too hard for her to use. Tracey spoke to Natalie at the Hand Hygiene Committee meeting. Families could purchase a small pump type for liquid soap or the motion sensor ones for the room. The dispenser and soap in the resident rooms are fairly new and they would be expensive to replace.

Jim wondered if a cooling unit could be purchased for the main area of the home areas for use during the extreme heat. One family on Balsam was able to put one in the resident’s room at their expense.

Initiative ideas from members:

 

It was agreed to continue asking for needed items for residents who have no family and/or limited means. Several items have been donated by Family Council members and are appreciated by residents. Keep this in mind as you clean out your attics and basements! Tracey will keep us informed as to items needed.

 

Date of Next Meeting: Monday, October 17th 2016 at 7:00 pm in the boardroom.

Adjournment 4:10 PM