Middlesex Terrace (2094 Gideon Drive, Delaware), located 10 kilometers west of London, Ontario, is operated by APANS Health Services. It has a capacity of approximately 100 beds.
October 2023 ✅
There were no findings of non-compliance. The report was completed by Kristen Murray and Christie Birch.
July 2023 ✅
There were no findings of non-compliance. The report was completed by Kristen Murray and Cheryl McFadden.
November 2022 🔎
This inspection report was amended by Inspector Rhonda Kukoly. The report clarifies that there was no change to the narrative of the findings or the determination of compliance, but an administrative change was necessary.
- Home to be Safe, Secure Environment: The home failed to provide a safe and secure environment due to an open stairwell accessible to residents, with no doors at the bottom or top. This stairwell connected the lower level to the main foyer and was used for screening and rapid tests during the pandemic. The area was accessible to residents, with two residents observed independently accessing the front entrance and another opening the door to the break area. The Associate Director of Care noted that these areas were previously used as resident lounges and were only closed due to the pandemic. There was a risk of residents using the stairwell independently.
- Skin and Wound Care: The home did not comply with the requirement for weekly reassessment of a resident’s altered skin integrity by a registered nursing staff member. The resident’s electronic Treatment Administration Record lacked direction for these assessments, leading to their non-completion. This non-compliance could risk infection or deterioration of the resident’s skin integrity.
December 2021 ✅
There were no findings of non-compliance.
January 2021 ✅
There were no findings of non-compliance.
September 2020 🔎
This report documents a Critical Incident System inspection by Donna Tierney and Helene Desabrais. The inspection took place over several days in August and September 2020.
- Non-Compliance Related to Reporting Abuse: The licensee failed to report allegations of resident abuse to the Director immediately. An email received by the Executive Director alleging staff abuse towards residents was not reported until three days later, following an internal investigation to identify the residents involved.
- Non-Compliance Related to Medication Incident Reporting: The licensee did not inform the Director about a medication adverse drug reaction resulting in a resident’s hospitalization within one business day of the incident, as required.
February 2020 🔎
This report details a Critical Incident System inspection by Ayesha Sarathy.
- Non-Compliance in Care Plans: The licensee failed to provide clear directions in the written care plans for residents. This included inconsistencies in implementing fall prevention interventions and failure to revise care plans when residents’ care needs or risk status changed. For example, a fall prevention intervention was not implemented as specified in a resident’s care plan, and another resident’s fall risk status changed without a corresponding update in their care plan.
- Non-Compliance in Interdisciplinary Assessment: The licensee did not conduct interdisciplinary assessments of safety risks for a resident who had a falls prevention intervention. This meant the intervention was implemented without the necessary assessment, including input from physiotherapy.
- Non-Compliance in Medication Administration: A medication incident occurred where a resident received another resident’s medications in error. The medications were left on a dining table against the home’s policy, which required a physician’s order for self-administration of medications in this manner.
A second Critical Incident Inspection within the same month resulted no findings of non-compliance. The inspection was completed by Ali Nasser.