John Noble Home (97 Mount Pleasant Street, Brantford) is owned and operated by the City of Brantford and the County of Brant. There are approximately 150 beds.
John Noble Home also operates the John Noble Day and Stay Program for individuals with memory loss who live in Brantford and Brant County, and Bell Lane Terrace which is a 26 unit seniors affordable housing complex.
History of John Noble Home
John Noble dedicated 14 years of service on the City Council, where he served as an Alderman from 1937 to 1958. His notable achievement includes his pivotal role in expanding and enhancing the Brantford area home for the aged. He also played a crucial role in securing funding for this essential long-term care facility from the Province of Ontario, Brantford, and the County of Brant.
The original John Noble Home was constructed in 1954 and initially accommodated 78 residents. Subsequent expansions occurred in 1961, increasing capacity to 210 residents, and in 1965, a two-story addition raised the bed count to 302. A final two-story addition in 1969 further increased the Home’s capacity to 406 beds.
After 1969, the Home underwent significant renovations, concluding in the fall of 1990, resulting in a capacity of 361 beds, including three respite beds.
In 1999, a partnership was established with St. Joseph’s Healthcare System, leading to the transfer of 205 beds to the new St. Joseph’s Lifecare Centre in the fall of 2004.
Inspection Reports for John Noble Home
Our research team carefully reviewed and summarized inspection reports for John Noble Home. You can read the original copies of the reports in the Government of Ontario website.
November 2023
During the course of the inspection, the inspectors made relevant observations, reviewed records and conducted interviews. There were no findings of non-compliance.
June 2023
During the course of the inspection, the inspectors made relevant observations, reviewed records and conducted interviews. There were no findings of non-compliance.
March 2023
This report discusses an inspection under the Fixing Long-Term Care Act, 2021 at John Noble Home in Brantford, Ontario, conducted by the Long-Term Care Inspections Branch, Hamilton District. The inspection, led by Carol Polcz with assistance from Yvonne Walton, was extensive, taking place over multiple dates in January and February 2023.
The inspection identified a non-compliance issue regarding the Infection Prevention and Control (IPAC) Standard, specifically relating to the hand hygiene program. The licensee had failed to include in their hand hygiene program policies and procedures for audits to monitor hand hygiene compliance, feedback, and correction of practices. This was noted as the IPAC lead reported not completing hand hygiene audits at snack times and the absence of an audit tool.
The non-compliance issue was rectified during the inspection. The IPAC lead created and implemented an audit tool for hand hygiene during snack times, which resolved the issue to the inspector’s satisfaction. This action was completed on February 2, 2023.
March 2022
This report details a complaint inspection at John Noble Home in Brantford, Ontario, under the Long-Term Care Homes Act, 2007. Conducted by Lesley Edwards, the inspection took place over several days in March 2022.
The inspection addressed multiple complaint intakes, including issues related to nursing and personal support services, recreation, nutrition and hydration, infection control, housekeeping, residents’ rights, staffing, care standards, and prevention of abuse and neglect.
- Plan of Care: The licensee failed to include specific care preferences, particularly dressing preferences, in the written plans of care for residents, leading to potential inconsistencies in care provision.
- Policy Compliance: There was a failure in complying with the ‘Weights/Heights’ policy, as significant weight changes in residents were not appropriately referred to the dietitian. Residents #001 and #003 experienced notable weight changes, but there were no referrals to the dietitian as required by policy.
- Oral Care: The licensee did not ensure that residents received the required oral care, potentially impacting their oral health. Resident #002’s toothbrushes were found dry, indicating missed oral care. Similarly, Resident #012’s oral care was also neglected.
- Infection Prevention and Control: Staff did not fully participate in the IPAC program, specifically in areas like resident hand hygiene and catheter care. A PSW was seen not assisting residents with hand hygiene before snack distribution, and a resident’s medical device was improperly stored. These lapses increased the risk of infection spread and compromised resident safety.
- Documentation of Care: There was a lack of documentation regarding residents’ baths. Although baths were provided to a resident, they were not recorded in the clinical records. Lack of proper documentation could lead to care inconsistencies and does not provide a clear history of care provided.
- Bathing Preferences: Residents were not always bathed according to their preferred methods. Changes in a resident’s bathing preferences were not consistently honored, as confirmed through staff interviews and record reviews. Not respecting residents’ choices in bathing could negatively affect their experience and dignity.
May 2021
This report covers a complaint inspection at John Noble Home. Conducted by Lisa Vink, the inspection took place over multiple days in late April and May 2021.
- Plan of Care: The licensee failed to ensure comprehensive written plans of care, especially for residents with injuries or specific care needs. This included missing details and directions for care, affecting the effectiveness of treatment and interventions.
- Collaboration in Care: Staff lacked integrated and consistent collaboration in the assessment of residents. This was particularly evident in fall risk assessments, leading to inconsistencies in care approaches and potential safety risks.
- Documentation of Care: Inadequate documentation of care actions, including assessments and interventions, was observed. This gap could lead to issues in the effectiveness and continuity of resident care.
- Conditions of Licence: The home did not meet specific conditions of their licence, notably in using standardized tools like RAI-MDS for reassessing residents’ needs after significant condition changes.
- Reporting Critical Incidents: The home failed to immediately report a COVID-19 outbreak to the Director, breaching regulatory reporting requirements.
- Hand Hygiene Program: An evidence-based hand hygiene program for residents, particularly concerning pre and post-snack hand hygiene, was not properly implemented.
- Retention of Resident Records: The facility did not maintain complete records of a former resident for the required 10-year period after their discharge.
October 2020
During the course of the inspection, the inspectors made relevant observations, reviewed records and conducted interviews. There were no findings of non-compliance.
