A Guide to the Long-Term Care Homes Act, 2007 and ...

A Guide to the Long-Term Care Homes Act, 2007 and Regulation 79/10

Table of Contents

Introduction ..........................................................................................................1

Part I

Fundamental Principle and Interpretation..................................................................1-1 Policies and Records......................................................................................................1-2

Part II

Residents' Bill of Rights.................................................................................................2-1 Mission Statement ..........................................................................................................2-6 Safe and Secure Homes .................................................................................................2-7 Care Plans and Plans of Care .....................................................................................2-12 General Requirements for Programs .........................................................................2-20 Nursing and Personal Support Services ...................................................................2-22 Required Programs ......................................................................................................2-28 Responsive Behaviours ...............................................................................................2-33 Altercations and Other Interactions ..........................................................................2-36 Behaviours and Altercations ......................................................................................2-37 Restorative Care ...........................................................................................................2-38 Recreational and Social Activities..............................................................................2-41 Nutrition Care, Dietary Services and Hydration Programs.....................................2-42 Medical Services ...........................................................................................................2-52 Religious and Spiritual Practices................................................................................2-54 Accommodation Services ............................................................................................2-55 Pets .................................................................................................................................2-59 Volunteers .....................................................................................................................2-60 Prevention of Abuse and Neglect ..............................................................................2-61 Reporting and Complaints (Complaints)...................................................................2-67 Reporting and Complaints (Mandatory Reports) .....................................................2-69 Reporting and Complaints (Critical Incidents).........................................................2-80 Minimizing of Restraining ...........................................................................................2-84 Drugs ............................................................................................................................2-101 Absences ...................................................................................................................... 2-114 Discharge .....................................................................................................................2-118

Part IV

Councils ? Residents' Council.......................................................................................4-1 Councils ? Family Council.............................................................................................4-3 Councils ? General .........................................................................................................4-6

A Guide to the Long-Term Care Homes Act, 2007 and Regulation 79/10

Introduction

Ontario's Long-Term Care Homes Act, 2007 (LTCHA) and Ontario Regulation 79/10 (Regulation) made under the LTCHA came into force on July 1, 2010. The new LTCHA and the Regulation replace the Nursing Homes Act, Homes for the Aged and Rest Homes Act and the Charitable Institutions Act, and the regulations under those Acts.

All long-term care homes in Ontario are now governed by one piece of legislation: the Long-Term Care Homes Act, 2007. The LTCHA is designed to help ensure that residents of long-term care homes receive safe, consistent, high-quality, resident-centred care.

The goal is to create long-term care home environments where residents feel at home, are treated with respect, and have the supports and services they need for health and wellbeing. The way to achieve this goal is through:

? An ongoing, province-wide commitment to the health and well-being of Ontarians living in long-term care homes; and

? Collaboration and mutual respect among residents, their families and friends, longterm care home licensees, service providers, caregivers, volunteers, the community and governments.

About this Guide

This Guide provides a general overview of the LTCHA and the Regulation. The Guide does not address all aspects of the LTCHA and the Regulation and is made available for convenient reference only. It should be read in conjunction with the LTCHA and the Regulation and, in the case of any conflict, the provisions of the LTCHA and the Regulation are authoritative.

This Guide is designed to align with the Table of Contents of the LTCHA and the Regulation. This Guide is divided into ten Parts, reflecting the ten Parts of the LTCHA and the Regulation as set out in the Table of Contents.

Users should consult their own legal counsel for all purposes of interpretation.

Who May Use this Guide?

This Guide is intended to provide a plain language reference and to be a useful resource for the following:

? Long-Term Care Home licensees; ? Long-Term Care Home staff; ? Residents; ? Substitute Decision-Makers; ? Residents' family members;

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A Guide to the Long-Term Care Homes Act, 2007 and Regulation 79/10

? Residents' Councils; ? Family Councils; ? Volunteers; ? Local Health Integration Networks (LHINs); and ? Community Care Access Centres (CCACs).

Terminology

In this Guide, a "long-term care home" will be referred to as a "Home" for ease of reference. "Home" will also be used to refer to the "licensee". The licensee is the person who is licensed or approved to operate the Home under the LTCHA and who is responsible for ensuring compliance with the requirements set out in the LTCHA and the Regulation.

For the purposes of this Guide, unless otherwise specified, "Director" refers to the Director, Performance Improvement and Compliance Branch, Health System Accountability and Performance Division, Ministry of Health and Long-Term Care.

To provide more context and help readers understand the LTCHA and the Regulation, this Guide includes the following additional information in some sections:

"Definitions" include definitions found in the LTCHA and the Regulation. In addition, there are other definitions taken from approved ministry policy sources.

"Key Linkages" cross-reference other sections of the LTCHA and the Regulation that should be considered when reading that part of the Guide.

"Key Considerations" provide additional information, resources or explanations.

Notice

The contents of this Guide are subject to change without notice from time to time and are for information purposes only. They are not intended to provide legal, financial or professional recommendations or advice. The Ministry of Health and Long-Term Care (MOHLTC) cannot and does not represent or guarantee that the information in this Guide is current, accurate, complete or free of errors. Any reliance on any information in the Guide is solely at the risk of the user of the Guide. Users should always seek legal, financial or other professional advice relating to the information contained in this Guide. Users should also consult their own legal counsel for all purposes of interpretation of the LTCHA and the Regulation.

The MOHLTC assumes no responsibility for any changes, errors or omissions in any of the information contained in the Guide. The MOHLTC makes no representation or warranty of any kind whatsoever with respect to this Guide. In no event shall the MOHLTC, the

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