Vera M. Davis Community Care Centre (80 Allan Drive, Bolton) is owned and operated by Peel Region. The facility is more commonly known as Davis Centre. There are approximately 60 beds.
Inspection Reports for Davis Centre
Our research team carefully reviewed and summarized inspection reports for Davis Centre. You can read the original copies of the reports in the Government of Ontario website.
October 2023
During the course of this inspection, the inspector made relevant observations, reviewed records and conducted interviews, as applicable. There were no findings of non-compliance.
August 2023
During an inspection, conducted from July 31 to August 2, 2023, inspectors Gurvarinder Brar and Kaitlyn Puklicz identified critical areas of non-compliance.
This inspection focused on the prevention of abuse and neglect, falls prevention and management, and infection prevention and control.
The licensee failed to ensure adherence to a resident’s specified care plan. This particular instance involved a Personal Support Worker (PSW) providing care to a resident who required assistance from two persons. The Director of Care (DOC) confirmed this requirement, noting that the resident received care from only one staff member instead of two, as stipulated in their plan. This deviation from the care plan exposed the resident to a risk of injury.
May 2023
During an inspection at Davis Centre, inspectors Daniela Lupu and Kaitlyn Puklicz addressed various intakes related to the facility’s operations.
The focus areas included falls prevention and management, Residents’ Bill of Rights, alleged abuse, and resident safety.
- Upholding Residents’ Bill of Rights: The licensee was found to have failed in ensuring a resident’s right to privacy while addressing their personal needs. On two separate occasions, a staff member compromised the resident’s privacy by inappropriately sharing their personal and health information. This breach was confirmed by the Director of Care, highlighting the violation of the resident’s rights to privacy and dignity.
- Managing Responsive Behaviours: The licensee did not effectively implement strategies to manage a resident’s specific responsive behaviour that posed a risk of harm. There was an incident where the staff could not timely respond to the resident’s behaviour, resulting in an injury and a change in their condition. Despite the resident exhibiting this behaviour on multiple occasions over nine months, their care plan lacked strategies to manage these behaviours. There was also no documentation of involvement from the resident’s Substitute Decision Maker in the care plan regarding this behaviour. The Behavioural Supports Ontario Nurse and the Director of Care acknowledged the need for safety discussions with the resident’s family and the implementation of interventions to manage the behaviour.
April 2022
Inspector Daniela Lupu evaluated several aspects of the facility’s operations. This comprehensive assessment focused on resident care, falls prevention and management, and home operations.
- Pain Management Program: The home failed to comply with its Pain Management Program for three residents. This involved a lack of immediate reporting and documenting of residents’ pain by Personal Support Workers, delayed assessment and reevaluation of pain interventions, and failure to follow pain policy guidelines. These lapses led to delays in identifying injuries and implementing appropriate pain management strategies, thereby increasing risks to resident welfare.
- Infection Prevention and Control: The facility did not ensure staff participation in the home’s infection prevention and control program, particularly in regards to appropriate hand hygiene practices for residents. There were observed deficiencies in hand hygiene before and after meals and snack services, with instances of inadequate practices like using plain water on wet towels instead of alcohol-based hand rubs. These gaps in infection control posed potential risks of exposure and transmission of harmful pathogens within the home.
- Critical Incident Reporting: The licensee did not include long-term actions to prevent recurrence in the incident report regarding a resident’s injury of unknown cause. This omission highlighted a lack of thoroughness in addressing and mitigating future risks related to similar incidents.
September 2021
During the course of this inspection, Non-Compliances were not issued.
April 2021
During the course of this inspection, Non-Compliances were not issued.