Extendicare Port Hope (360 Croft Street, Port Hope) is operated by Extendicare, a for-profit operator of long-term care homes in Canada. There are approximately 130 beds in private, semi-private and shared rooms.
Inspection Reports for Extendicare Port Hope
Our research team at Caring Magazine carefully reviewed and summarized inspection reports for Extendicare Port Hope. You can read the original copies of the reports in the Government of Ontario website.
🔍 September 2023: Inspection
This inspection report for Extendicare Port Hope, led by Jennifer Batten, addressed a complaint related to various aspects of resident care, including plan of care, medication administration, continence care, pain management, transferring and positioning, infection prevention and control, bedtime and rest routines, and falls prevention.
- Hazardous Substances Accessibility: The facility failed to keep hazardous substances inaccessible to residents. The door of the shower room sometimes didn’t close properly, allowing residents access to these substances.
- Continence Care: Resident #001’s plan of care lacked adequate directions regarding continence care, leading to discrepancies between the care plan and actual practices.
- Mouth and Dental Care: The care plan for resident #001 lacked clear directions for mouth and dental care, causing confusion about who should provide this care.
- Falls Prevention: The facility did not clearly implement or provide directions in resident #001’s plan of care concerning falls prevention, leading to inconsistent use of fall prevention interventions.
- Nutrition and Hydration: Resident #001 and #002 did not receive care as specified in their plans regarding nutrition and hydration, including issues with food temperatures and dietary needs compatibility.
- Personal Care and Rest Schedule: The facility did not adhere to the specified rest schedule in resident #001’s care plan, with the resident not resting at set times.
- Communication System Accessibility: Resident #006 did not have consistent access to the communication system, with the call bell often out of reach.
- Labeling of Personal Items: Personal items like deodorants and combs in shared areas were not labeled, increasing the risk of unsanitary usage.
- Dining and Snack Service: The facility failed to serve food and fluids at palatable temperatures to resident #002, resulting in the resident frequently receiving cold meals.
- Infection Prevention and Control: There was a failure to record symptoms of infections on every shift, particularly during infection outbreaks and treatment periods for resident #001.
- Safe Storage of Drugs: Medications, including medicated creams, were not stored in a secured and locked area, posing safety risks to residents.
🔍 December 2022: Inspection
This inspection report for Extendicare Port Hope was conducted by lead inspector Britney Bartley with the support of Nicole Jarvis, Sarah Gillis, and Frank Gong.
- Communication System The inspection revealed an issue with a resident-staff communication system cord in a bathroom, which was wrapped around a railing and disconnected from the wall port. This issue was remedied immediately upon notification.
- Safe and Secure Home: The inspection observed that kitchen servery doors were open on multiple occasions without staff supervision. This was a concern as the area contained hot food steamers, and residents were nearby. This breach posed a safety risk.
- Infection Prevention and Control Program: The inspection identified two main issues under this category. First, a student nurse failed to follow hand hygiene protocols before and after a procedure and medication administration, increasing the risk of spreading infectious diseases. Second, proper use of personal protective equipment (PPE) was not followed by a student nurse and a Personal Support Worker (PSW), which also posed a risk for transmission of infectious diseases.
🔍 June 2022: Inspection
This inspection report for Extendicare Port Hope was carried out by lead inspector Karyn Wood, along with additional inspector Julie Dunn.
The inspection found non-compliance concerning the bathing preferences of a resident. The resident, identified as #001, was not receiving showers as preferred and outlined in their plan of care, often going several days without one. This issue was addressed during the inspection. Although the resident would often refuse their scheduled shower, it was noted that when they were bathed, it was in the bathtub and not as a shower, contrary to their expressed preference. The Director of Care (DOC) developed a plan to ensure the resident was offered a shower on their scheduled bath days.
This non-compliance was rectified with no significant impact or risk to the resident, and the remedy was implemented by May 12, 2022.
🔍 September 2021: Critical Incident Inspection
This inspection report details a critical incident system inspection at Extendicare Port Hope, led by Lynda Brown and other inspectors.
The inspection included reviewing eight critical incidents and other mandatory inspections concurrently. These incidents involved alleged resident-to-resident abuse, falls resulting in injury, and alleged staff-to-resident neglect.
- Plan of Care: The licensee did not ensure that the plan of care for hygiene, grooming, and dressing was provided to resident #006 as specified. This led to issues with dignity and required a voluntary plan of correction.
- Policies and Records: The licensee failed to comply with the complaints policy for resident #006 and #007. This failure potentially led to further neglect.
- Air Temperature Regulations: The home failed to maintain minimum air temperatures and adequately document temperature checks, leading to potential discomfort or unsafe conditions for residents.
- Minimizing Risk of Altercations: The licensee did not take adequate steps to minimize altercations between residents, resulting in injuries to resident #003.
- Infection Control Program: Staff participation in the infection prevention and control program was inadequate, particularly in PPE usage and availability, raising high risks for infection transmission.
- Continence Care: There were failures in providing individualized continence care plans for resident #007 and ensuring adequate continence care products.
- Failure to Report to Director: The licensee did not report an alleged abuse incident involving resident #007 to the Director within the specified time frame.
🔍 September 2021: Complaints Inspection
This inspection report details a complaint inspection at Extendicare Port Hope, led by Lynda Brown and other inspectors.
- Transferring Devices: The licensee failed to ensure that staff used safe transferring and positioning devices or techniques when assisting resident #001. This resulted in a resident falling and sustaining an injury that required hospitalization. The resident was known to be at risk for falls and required extensive assistance with two staff members for all transfers using a mechanical lift.
- Safety Concerns: There were instances where the resident was observed in a slouched position in their mobility aid, and staff walked past without repositioning the resident. This lack of attention to safe positioning techniques indicated a risk for additional falls.
Extendicare Port Hope was requested to prepare a written plan of correction to ensure that staff use safe transferring and positioning devices or techniques when assisting residents.
🔍 March 2021: Critical Incident Inspection
This inspection report, by Karyn Wood and other inspectors, focuses on a Critical Incident System inspection at Extendicare Port Hope.
Concerns were raised about a resident not accepting staff attempts to provide personal care, meals, and medication. The staff failed to collaborate effectively in assessing the resident, leading to a lack of integrated and consistent care.
- Resident Care Plan: The staff did not collaborate effectively regarding the resident’s care assessment, which led to inconsistent and uncoordinated care. Specifically, the resident was not accepting staff attempts to provide personal care, meals, and medication, but the lack of collaboration among staff meant this was not properly addressed. The resident’s significant change in condition was not recognized in time, indicating a communication gap among the care team. The resident, who was at risk for impaired mobility and dehydration, didn’t receive the necessary care due to this failure in staff collaboration.
- Infection Prevention and Control: Staff failed to properly participate in the IPAC program, specifically in the correct use of Personal Protective Equipment (PPE). This was observed when Personal Support Workers (PSWs) exited rooms requiring droplet and contact precautions without changing their mask and face shield, contrary to IPAC guidelines. The IPAC program included requirements for staff to wear gown, gloves, eye protection, and a mask when providing direct care to residents on contact and droplet precautions. However, the staff did not adhere to these guidelines, thereby risking the spread of infection.
Extendicare Port Hope was requested to prepare a written plan of correction to ensure effective staff collaboration in resident care assessment and full staff participation in the IPAC program.
🔍 October 2020: Critical Incident Inspection
This inspection report documents a Critical Incident System inspection at Extendicare Port Hope in Ontario, conducted by Lynda Brown. The inspection included three critical incident reports: two related to falls resulting in injury requiring hospitalization and one related to alleged staff-to-resident abuse.
- Abuse Policy: The licensee failed to ensure compliance with the abuse policy regarding reporting and documentation of verbal abuse and improper care. The issues identified included a delay in notifying the RN or manager, lack of documentation in resident progress notes, and failure to complete an incident report in a timely manner.
- Notification Requirements: The licensee did not notify a resident or their substitute decision-maker (SDM) of the results of an investigation into alleged staff-to-resident verbal abuse immediately upon its completion.