Rekai Centre – Wellesley Central Place (160 Wellesley Street East, Toronto) is operated by The Rekai Centres, a not-for-profit operator long-term care homes in Canada. The facility has a capacity of approximately 150 beds.
In this article, our Good Caring Canada team has reviewed Rekai Centre – Wellesley Central Place from three essential angles: inspection reports, performance indicators, and resident profiles. You are encouraged to thoroughly review all three angles so you can be more informed about the quality and safety of Rekai Centre – Wellesley Central Place.
Table of Contents:
- Inspection Reports for Rekai Centre – Wellesley Central Place
- Performance Indicators for Rekai Centre – Wellesley Central Place
- Resident Profile of Rekai Centre – Wellesley Central Place
Inspection Reports for Rekai Centre – Wellesley Central Place
Rekai Centre – Wellesley Central Place is regulated by the Ontario Ministry of Health and Long-Term Care. The Ministry conducts inspections of all long-term care facilities to ensure that operations are in compliance with provincial regulations, and that residents receive proper care.
Our Good Caring Canada team has summarized inspection reports for Rekai Centre – Wellesley Central Place. Original copies of the inspection reports can be read in the Government of Ontario website.
🔍 March 2024: Inspection
The inspection for Rekai Centre – Wellesley Central Place addressed four main intakes. The intakes involved issues related to improper documentation of infection prevention and control (IPAC) audits, improper removal and disposal of personal protective equipment (PPE), failure to record resident symptoms, and late reporting of an outbreak.
- Infection Prevention and Control Audits: The licensee failed to complete required IPAC audits during a COVID-19 outbreak. An audit was completed one day late, eight days after the previous one, instead of the mandated weekly interval. This delay increased the risk of ineffective outbreak management.
- Personal Protective Equipment (PPE): The licensee did not ensure proper removal and disposal of PPE as per IPAC standards. A student was observed leaving a resident’s room with soiled gloves and touching surfaces, which violated routine practice policies. This posed a risk of infection transmission.
- Recording Resident Symptoms: The licensee did not record symptoms of infection for residents every shift during a respiratory outbreak. Five out of nine affected residents had incomplete symptom records, increasing the risk of unmonitored infection transmission.
- Reporting Outbreaks: The licensee failed to immediately inform the Director of a respiratory outbreak. Public health declared the outbreak, but the critical incident report was submitted to the Director nearly a day later. This delay in reporting may have prevented timely intervention by the Director.
🔍 November 2023: Inspection
There were no findings of non-compliance.
🔍 September 2023: Inspection
The inspection for Rekai Centre – Wellesley Central Place addressed three main intakes. The intakes involved issues related to falls prevention and management, the security of drug supply, and the protection of residents from abuse.
- Falls Prevention and Management: The licensee failed to comply with their falls prevention and management program. According to the home’s “Post Fall Assessment Policy,” registered staff must assess residents after a fall before moving them. A personal support worker (PSW) moved a resident who had fallen and sustained multiple injuries before they were assessed, violating the policy. This posed a risk of further injury to the resident.
- Security of Drug Supply: The licensee did not ensure that all areas where drugs were stored were kept locked at all times. A medication room door was left unlocked, allowing a resident to enter. This oversight posed a risk of harm if the resident had accessed medications. The Director of Nursing Services (DONS) confirmed that medication rooms should always be locked when not in use.
- Protection from Abuse: The licensee failed to protect a resident from abuse by another resident. Resident #002, who had a history of physically responsive behaviors, caused resident #001 to fall and sustain multiple injuries. Despite knowing the trigger and intervention for resident #002’s behavior, staff did not implement the necessary measures. This resulted in significant injuries to resident #001. A compliance order was issued, requiring weekly audits for four weeks to ensure the intervention for resident #002’s behavior is implemented as per their plan of care.
🔍 August 2023: Inspection
There were no findings of non-compliance.
🔍 July 2023: Inspection
The inspection for Rekai Centre – Wellesley Central Place addressed several intakes, related to the administration of medications.
- Plan of Care: The licensee did not ensure that the staff providing direct care to a resident were aware of the contents of the resident’s plan of care and had convenient and immediate access to it. A resident’s plan of care binder lacked up-to-date information, which was corrected during the inspection by updating the binder with the current care plan and recommendations.
- Nutritional Care and Dietary Services: The licensee did not fully implement the nutritional care and dietary services program. A resident experienced significant weight loss, and staff did not refer the resident to a dietitian as required by policy, delaying necessary interventions.
- Collaborative Plan of Care: The licensee did not ensure collaboration among staff in the development and implementation of a resident’s plan of care. Conflicting information about the type of assistance required for an activity of daily living (ADL) led to a fall incident, though no injury occurred.
- Duty to Protect: An incident occurred where a Registered Practical Nurse (RPN) treated a resident inappropriately, resulting in injuries. The incident was investigated and confirmed by the home, posing a moderate risk to the resident. A resident was not provided with repositioning, hydration, or continence care over an extended period, leading to impaired skin integrity. The home’s investigation determined that staff did not provide the required care, resulting in moderate harm to the resident.
🔍 February 2023: Inspection
The inspection of Rekai Centre – Wellesley Central Place addressed multiple intakes involving changes in medication directions and administration errors.
- Changes in Directions for Administration: Non-compliance with the policy governing changes in drug administration led to a resident receiving medication that had been discontinued. Registered nursing staff failed to follow the proper protocol for updating and communicating medication orders, resulting in the continued administration of a high-alert medication. This oversight posed significant risks to the resident’s health and safety, leading to an adverse event.
- Administration of Drugs: The licensee failed to ensure proper administration of drugs, resulting in the administration of medication that was not prescribed. Errors in transcribing and validating medication orders led to a resident receiving a high-alert medication that should have been discontinued. The failure to adhere to medication management protocols resulted in the resident experiencing an adverse event, highlighting serious deficiencies in the medication administration process.
🔍 September 2022: Inspection
The inspection of the long-term care home addressed multiple issues involving hand hygiene, infection prevention, resident care, and documentation.
- Infection Prevention and Control Program: The licensee failed to ensure proper hand hygiene practices among staff as required by Routine Practices. A PSW neglected hand hygiene between contacts with multiple residents, increasing infection transmission risks, despite the policy mandating hand hygiene before and after resident contact. The IPAC Lead confirmed the non-compliance. Additionally, staff did not assist three residents with hand hygiene before meals, violating the policy requiring assistance before activities. Furthermore, the licensee did not enforce enhanced cleaning procedures in the Rapid Antigen testing area, where surfaces were not cleaned, sanitized, and disinfected after each test, heightening the risk of infection spread
- Plan of Care Documentation: The licensee did not document the provision of care as specified in the plan of care for a resident’s participation in recreation programming. A complaint revealed that staff did not consistently invite the resident to programs of interest, and attempts to engage the resident were not documented. The Manager of Programs and Volunteer Services acknowledged the need for improved documentation.
- Responsive Behaviors: The assessment of a resident’s responsive behaviors was not coordinated and implemented on an interdisciplinary basis. A referral to an external resource team was delayed, resulting in a lack of timely intervention. The DOC acknowledged that earlier involvement of the external team could have better managed the resident’s mood.
- Incontinent Care: The licensee failed to provide the specified incontinent product as outlined in the resident’s plan of care. On a specified date, the resident was given a smaller size brief due to unavailability of the correct size. This improper sizing led to inadequate care and discomfort for the resident. Staff acknowledged the issues with the supply and size of the incontinent products.
Performance Indicators for Rekai Centre – Wellesley Central Place
Our research team at Good Caring Canada has compiled data on seven key performance indicators for long-term care facilities in Ontario.
We invite you to review each of the below indicators — to compare Rekai Centre – Wellesley Central Place with other long-term care facilities in Ontario.
- 💊 Potential misuse of antipsychotics is measured by the percentage of residents taking antipsychotic drugs, without a diagnosis of psychosis
- 🔒 Potential excessive use of physical restraints is measured by the percentage of residents in daily physical restraints
- 🤕 Fall risk is measured by the percentage of residents who fell in the 30 days leading up to the date of their quarterly clinical assessment
- 🦽 Worsened physical functioning is measured by the percentage of residents who worsened or remained dependent in transferring and locomotion (mid-loss ADLs), less residents who improved or remained independent
- 🩹 Worsened pressure ulcers is measured by the percentage of residents whose stage 2 to 4 pressure ulcer worsened since the previous assessment
- 😣 Pain is measured by the percentage of residents who report to have moderate daily pain or horrible/excruciating pain at any frequency
- ☹️ Worsened depressive mood is measured by the percentage of residents whose mood from symptoms of depression worsened
Resident Profile of Rekai Centre – Wellesley Central Place
Understanding the resident profile of a long-term care facility can help you assess the facility’s appropriateness and compatibility for a patient. Our research team at Good Caring Canada compiled data on three main elements to understand resident profiles. We invite you to review each of the three below elements.
- 👵🏻 Gender profile can be helpful for assessing the gender compatibility of a long-term care facility.
- 👴🏻 Age profile can be helpful for assessing whether a long-term care facility has experience in caring for residents of specific age groups. More residents of advanced age may imply potential challenges to adequate and equitable care for all residents in the facility.
- 💭 The percentage of residents with dementia can be helpful for assessing whether a long-term care facility is aware and ready for dementia care. A higher percentage may imply more relevant care services. A higher percentage may also imply potential challenges to adequate and equitable care for all residents in the facility.