Peel Manor (525 Main Street North, Brampton) is owned and operated by Peel Region. There are approximately 180 beds.
Inspection Reports for Peel Manor
Our research team carefully reviewed and summarized inspection reports for Peel Manor. You can read the original copies of the reports in the Government of Ontario website.
October 2023
In an inspection conducted at Peel Manor, overseen by Lead Inspector Janet Groux and additional Inspector Sharon Perry, several critical incidents and a complaint were thoroughly examined.
The inspection, which took place between September 26 and October 6, 2023, scrutinized various aspects of the long-term care facility’s operations.
Key Observations and Findings:
- Administration of Drugs: The inspection identified a significant lapse in medication administration. Specifically, a resident was given incorrect medication due to a transcription error by the registered staff, who misheard a physician’s order. This error led to the resident receiving an inappropriate medication for their low blood electrolyte levels, negatively impacting their health. This finding is based on the resident’s medication administration record, physician’s digital record, medication incident report, and staff interviews.
- Reporting and Complaints: The facility failed to report the results of an investigation into an allegation of emotional abuse of a resident. The Critical Incident System (CIS) report submitted by the licensee did not include the investigation’s findings. This omission could have delayed necessary actions or responses from the Director, as they were not fully informed of the outcome. The basis for this finding includes the CIS report and interviews with the Acting Director of Care.
February 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.
December 2022
In an inspection conducted at Peel Manor, under the oversight of Lead Inspector Daniela Lupu and additional Inspector Sharon Perry, several critical incidents and complaints were investigated.
The inspection took place between December 5-9, and 13-14, 2022, examining various aspects of the facility’s operations.
- Administration of Drugs: The facility failed to administer medication as ordered by a physician. A resident received incorrect medication due to a transcription error, negatively impacting their health. This issue was identified through a resident’s medication administration record, physician’s digital record, medication incident report, and staff interviews.
- Reporting and Complaints: The facility did not report the results of an investigation into an allegation of emotional abuse of a resident. The Critical Incident System (CIS) report did not include the investigation’s findings, potentially delaying necessary actions or responses from the Director.
September 2021
A critical incident inspection was conducted at Peel Manor in Brampton, Ontario, from September 8-10 and 13-15, 2021, by inspectors from the Long-Term Care Operations Division. This inspection, led by Katherine Adamski, was focused on evaluating the facility’s compliance with protocols related to fall prevention, infection control, and skin and wound care.
- Non-Compliance in Skin and Wound Care: The inspection revealed that Peel Manor did not consistently adhere to required skin and wound care protocols. Specifically, two residents did not receive necessary skin assessments by registered nursing staff after returning from hospital stays. This lapse could potentially delay the identification and treatment of new or existing skin concerns, posing a risk to resident well-being.
- Delayed Reassessment of Skin Concern: For one resident, a new skin concern was not reassessed for 14 days, contrary to the requirement for at least weekly reassessments. This oversight may have caused a delay in receiving appropriate treatment, impacting the resident’s recovery and well-being.
May 2021
A critical incident inspection was conducted at Peel Manor from April 8-9 and 12-15, 2021, by inspectors Katherine Adamski and April Tolentino.
This inspection focused on evaluating the facility’s adherence to established protocols in the context of two critical incidents that resulted in hospitalization and significant change in the condition of a resident.
- Non-Compliance in Skin and Wound Care: The inspection revealed that Peel Manor did not consistently adhere to the required protocols for skin and wound care. In particular, the facility failed to ensure appropriate skin assessments were conducted for residents at risk of skin concerns after returning from hospital stays. This oversight could potentially delay the identification and treatment of new or existing skin issues, posing a risk to resident well-being.
- Failure in Implementing Fall Prevention Program: The facility was found not to have complied with its “Fall Prevention and Management Program” policy for several residents. This included not properly documenting residents’ fall risk levels and failing to refer residents to physiotherapy when criteria were met. These lapses could increase the risk of falls and related injuries among residents.
- Delayed Reporting of Critical Incidents: The inspection found that the facility did not report a critical incident involving a resident’s injury and subsequent hospitalization to the Director within the required timeframe. This delay could hinder timely intervention and response to such critical incidents.
February 2021
During the course of this inspection, Non-Compliances were not issued.