Winbourne Park (1020 Westney Road North, Ajax) is operated by Extendicare, a for-profit operator of long-term care homes in Canada. There are approximately 110 beds in private, semi-private and shared rooms.
Winbourne Park is formerly owned and operated by Revera.
Inspection Reports for Winbourne Park
Our research team carefully reviewed and summarized inspection reports for Winbourne Park. You can read the original copies of the reports in the Government of Ontario website.
🔍 December 2023: Inspection
The inspection for Winbourne Park was led by Sami Jarour.
- Cleaning and Disinfection Practices for Common Areas: The inspector noted that the floors in multiple resident bathrooms and Spa rooms felt sticky and appeared dirty, with a lingering offensive odor of urine. This was attributed to a lack of effective cleaning and disinfection practices for common areas, potentially leading to the spread of infectious agents and impacting residents’ enjoyment of their living environment.
- Mechanical Lifts Cleaning Practices: Staff were observed using mechanical lifts between residents without cleaning or disinfecting them in between. Not all mechanical lifts had disinfectant wipes attached, and staff did not always have time to search for wipes between care incidents. This lapse in cleaning/disinfection practices for resident care equipment like lift chairs posed a risk of infection to residents.
- Resident Care Equipment Cleaning/Disinfection Practices: The inspector observed unclean conditions in the Spa rooms, including dirty shower chairs and bathtubs with grime and dried feces. Despite the responsibility of PSW staff to clean and disinfect these items between usage, proper practices were not consistently followed, leading to potential infection risks.
- Water Temperature Maintenance: Residents were sometimes bathed in water temperatures less than 40 degrees Celsius, as documented in temperature logs. This inconsistency in maintaining water temperatures put residents at risk of refusing baths/showers due to cool temperatures or not enjoying their bathing experience.
- Storage of Hazardous Substances: Hazardous substances, including cleaning products and alcohol, were found stored in resident areas. This non-compliance posed risks of ingestion and exposure to these substances for resi
🔍 May 2023: Inspection
The inspection for Winbourne Park was led by Miko Hawken and Amandeep Bhela. It covered various issues including staff to resident abuse/neglect, compliance with previously issued orders, and incidents such as falls leading to hospital transfers.
- Abuse Policy Violation: The report mentions a case where the home’s abuse policy was not followed. A Personal Support Worker (PSW) accused of abuse was not immediately suspended, and the allegation was not promptly reported to the Executive Director.
- Admission Care Plan Lapse: There was a failure to develop a 24-hour admission care plan for a resident, leading to increased risks to the resident’s safety and care.
- Skin and Wound Care Assessment Failure: The report notes a case where a skin assessment was not completed for a resident after an altercation, which could have affected the management of the resident’s skin condition.
🔍 December 2022: Inspection
The inspection for Winbourne Park, led by Holly Wilson, Susan Semeredy and Sarah Lee, was a follow-up to various complaints and incidents. It took place over several days in November and December 2022.
- Maintenance Services: Non-compliance with proper maintenance of toilets, washroom fixtures, and accessories. Corroded shower racks, detached toilet seats, and other issues were noted.
- Housekeeping: The contracted service provider’s cleaning procedures were not properly implemented, leading to unclean conditions in various areas of the home.
- Pest Control: The facility failed to comply with preventative pest control measures, with gaps in doors allowing potential pest entry.
- Falls Prevention and Management: The staff did not comply with the home’s policy for post-fall management, increasing the risk of further falls for residents.
- Registered Dietitian: The facility did not meet the required on-site hours for a registered dietitian in November 2022, potentially impacting residents’ nutritional needs.
- Residents’ Bill of Rights: A resident’s rights to proper grooming and care were not fully respected, with inadequate responses to their needs.
🔍 June 2022: Inspection
The inspection for Winbourne Park was led by Inspector Amandeep Bhela, Eric Tang and Asal Fouladgar. The inspection was a follow-up to address issues related to abuse, dining, medication management, and infection prevention and control. Previous compliance orders were reviewed and found to be in compliance.
- Plan of Care: It was observed that a Personal Support Worker (PSW) was assisting a resident, referred to as resident #012, in an unsafe position during mealtime. This was contrary to the resident’s written plan of care, which requires them to be in an upright position for safer swallowing. Although the PSW and a Registered Practical Nurse (RPN) initially indicated that this was the resident’s usual position, further observation and interviews confirmed the need for proper positioning to prevent choking risks.
🔍 June 2022: Critical Incident Inspection
The inspection for Winbourne Park, led by Jennifer Batten, was conducted to address a critical incident system.
- Facility Maintenance: Flooring in the Spa rooms was found to be broken, cracked, and lifting, posing a tripping hazard. The inspector noted that no immediate plans were in place for repair.
- Failure to Protect Residents from Abuse: An incident occurred between two residents, leading to one resident sustaining injuries. The report noted that resident #001, who caused the harm, was known to have behavioral issues.
- Dining and Snack Service: Proper techniques, including safe positioning of residents who required assistance with eating, were not followed.
- Inadequate Storage of Drugs and Treatment Creams: Medications and creams were not stored securely and were accessible to residents, posing a risk of inappropriate usage or ingestion.
- Infection Prevention and Control Practices: There were failures in hand hygiene, proper use of Personal Protective Equipment (PPE), and maintaining physical distancing.
🔍 June 2021: Critical Incident Inspection
The inspection for Winbourne Park was focused on a critical incident, specifically related to falls prevention and infection prevention and control. The inspection took place over several days in May 2021.
- Infection Prevention and Control: The inspection identified that the staff at Winbourne Park did not fully participate in the implementation of the infection prevention and control (IPAC) program. Specifically, staff members were observed exiting a room with precautions without wearing the appropriate personal protective equipment (PPE) and not disinfecting their eye protection as required. This non-compliance poses a risk of spreading infectious diseases.
- Use of Portable Fans: The report noted the use of a small fan in a room that required precautions, which was not recommended by Public Health Ontario. The fan could potentially propel infectious droplets, increasing the risk of disease spread.
🔍 February 2021: Critical Incident Inspection
The inspection for Winbourne Park, led by Jack Shi and other inspectors, took place over several days in February 2021. The inspection was focused on a critical incident.
- Falls Prevention Policies: The licensee did not comply with falls prevention policies and procedures for a resident. Despite the policy requiring head injury routine checks for unwitnessed falls, it was noted that proper procedures were not followed in certain instances. This oversight posed a risk to the resident as potential injuries might not have been addressed promptly.
- Medication Management Issues: There was a failure to comply with the Medication Management policy. Medications for a resident were administered later than scheduled, violating the home’s policy on medication administration times. This lapse could have led to risks like double dosing.
- Infection Prevention and Control Program: A Personal Support Worker (PSW) failed to participate properly in the IPAC program. They did not perform hand hygiene after disposing of soiled items before moving on to another resident, creating a potential risk of spreading infectious diseases.