Allendale (185 Ontario Street South, Milton) is owned and operated by Halton Region. There are approximately 200 beds.
Inspection Reports for Allendale
Our research team carefully reviewed and summarized inspection reports for Allendale. You can read the original copies of the reports in the Government of Ontario website.
May 2023
he inspection occurred onsite from February 27 to March 9, 2023. It covered various intakes related to Resident Care and Support Services, Staffing, Prevention of Abuse and Neglect, and Falls Prevention and Management.
During the inspection, a non-compliance issue was identified and subsequently remedied by the licensee before the conclusion of the inspection. This involved a failure to implement the standard issued by the Director with respect to infection prevention and control (IPAC), particularly regarding additional precautions in the IPAC program. The specific issue noted was the lack of surgical masks at the entrance of a resident’s room, which was on additional precautions due to symptoms and awaiting diagnostic test results. A Personal Support Worker (PSW) reported that after doffing an N95 mask used in the room, there was no surgical mask available for reapplication. The Supervisor of Resident Services acknowledged this shortfall and rectified the situation by ensuring a box of surgical masks was available at the required location.
December 2022
The inspection report under the Fixing Long-Term Care Act, 2021, conducted by the Ministry of Long-Term Care for Allendale in Milton, details the findings of a follow-up inspection carried out from December 8 to 19, 2022. This inspection was led by Barbara Grohmann (720920), focusing on Continence Care and Infection Prevention and Control.
- Directives by Minister (NC #001): The licensee failed to ensure compliance with the Minister’s Directive on COVID-19, which requires all staff, students, and volunteers to wear medical masks throughout their shifts. Several staff members were observed without a surgical mask or with masks lowered in undesignated areas, posing a potential risk of spreading COVID-19.
- Infection Prevention and Control Program (NC #002): The licensee did not fully implement standards or protocols issued by the Director regarding infection prevention and control. Specifically, a resident was on isolation due to COVID-19 symptoms, but there was no signage indicating the additional precautions required.
- Reports Regarding Critical Incidents (NC #003): The licensee failed to inform the Director immediately of COVID-19 outbreaks in the home. Two incidents of delayed reporting were noted, which could have impacted the Director’s ability to take necessary actions.
June 2022
The inspection report under the Fixing Long-Term Care Act, 2021, conducted by the Ministry of Long-Term Care for Allendale in Milton, covers an inspection that took place from May 17 to 25, 2022. Led by Inspector Barbara Grohmann (720920), along with Inspector Julie Hing (649), the inspection focused on falls prevention and management, and infection prevention and control (IPAC).
- Non-Compliance with Emergency Plans – CMOH and MOH (NC#01): The licensee failed to follow directives issued by the Chief Medical Officer of Health (CMOH), particularly regarding staff and visitors wearing personal protective equipment (PPE) in line with additional precautions during a COVID-19 outbreak. Specific incidents noted included two Personal Support Workers (PSWs) not wearing eye protection in a droplet precaution area, a visitor entering a droplet precaution room without appropriate PPE, and a PSW entering a droplet precaution room without required gloves and gown.
- Compliance Order for Infection Prevention and Control Program (NC#02): The licensee was ordered to ensure the home’s Hand Hygiene Program included support for residents’ hand hygiene, especially prior to meals. This was in response to observed inconsistencies in providing hand hygiene assistance to residents, particularly those in isolation or receiving tray service.
December 2021
Critical Incident Inspection
This report is from a critical incident system inspection. Inspectors Daria Trzos and Farah Khan carried out the inspection, which focused on falls prevention and infection prevention and control (IPAC).
- Plan of Care Implementation: The home failed to provide care as specified in the plan of care, particularly concerning falls prevention. For instance, a resident had a fall with injury where the identified intervention for falls prevention was not in place.
- Issues with Infection Prevention and Control Program: The IPAC program wasn’t annually evaluated and updated as per evidence-based practices. Specifically, there was inadequate staff access to Personal Protective Equipment (PPE). Staff failed to participate in the implementation of the IPAC program, evidenced by lapses in posting precaution signage and providing necessary PPE. The hand hygiene program did not comply with the “Just Clean Your Hands” evidence-based program, particularly in assisting residents with hand hygiene before and after meals.
Complaints Inspection
The inspection report details an investigation conducted at Allendale following several complaints. The inspection, led by inspectors Daria Trzos and Farah Khan, took place over several days in late 2021.
- Continence Care Non-Compliance: There were instances where residents did not receive sufficient changes of continence care products, resulting in some staying in soiled briefs. This led to impaired skin integrity requiring treatment, especially during staff shortages.
- Failure to Forward Complaints: The facility failed to forward written complaints about resident care and home operations to the Director as required.
- Inadequate Involvement in Care Planning: The licensee did not ensure a resident’s substitute decision-maker (SDM) was involved in the medication management plan.
- Inadequate Bathing: Residents were not bathed a minimum of twice a week by their preferred method, especially during staff shortages.
- Documentation Lapses: Actions taken under the Nursing and Skin and Wound Program were not properly documented.
- Non-Compliance with License Conditions: The licensee failed to comply with a prior Compliance Order related to insulin administration auditing processes.
- Inadequate Complaint Handling: The home did not provide timely follow-up responses to complaints that couldn’t be resolved within ten business days.
A Compliance Order (Order #001) was issued, requiring the licensee to ensure sufficient changes of continence care products for residents to remain clean, dry, and comfortable. This includes an auditing process for compliance and maintaining records of completed audits.