REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66...

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Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COPERNICUS LODGE LONG TERM CARE RESIDENT INFORMATION BOOKLET JANUARY 2015

Transcript of REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66...

Page 1: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

Copernicus Lodge

66 Roncesvalles AvenueToronto Ontario M6R 3A7

Tel 416-536 7122

CCOOPPEERRNNIICCUUSS LLOODDGGEE

LLOONNGG TTEERRMM CCAARREE

RREESSIIDDEENNTT IINNFFOORRMMAATTIIOONN BBOOOOKKLLEETT

JANUARY 2015

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 1

COPERNICUS LODGE OWNERSHIP INFORMATION

Legal Name Copernicus Lodge Ownership Owned by the Members of the Corporation

Operated by a Not-For-Profit Board of Directors

Address 66 Roncesvalles Avenue Toronto Ontario M6R 3A7

Telephone (24 hours) 416-536-7122 Fax 416-536-8242

Bienvenue a Copernicus Lodge Laissez-nous savoir si vous voulez qursquoon parlent en francais

Merci

COPERNICUS LODGE MISSION STATEMENT

Copernicus Lodge is a not-for-profit organization made possible through the efforts of the Polish Canadian community We strive to provide the highest quality of resident-driven service and continuum of care to meet the changing needs of our aging community Copernicus Lodge fosters a caring Christian and Polish environment that is desired by those who have made this their home

The Mission of Copernicus Lodge is to

Provide a continuum of care in order to meet the changing needs of our seniors

Provide independent Self Care Apartments Supportive Housing Adult Day Program and a full spectrum of Long-Term Care as required by the government regulations and requirements

Give comfort and care to the elderly to enable them to live a happy dignified and contented life while at the same time preserving their individual self-reliance and self-determination

Assist the elderly by providing quality of care based on modern concepts and procedures in accordance with the Residentsrsquo Bill of Rights

Create provide and assist community based programs utilizing other health care providers community organizations volunteers staff and Copernicus Lodge facilities

Meet the needs of individuals and strive to provide for their physical cultural social spiritual emotional and intellectual needs

The Board of Directors Staff and Volunteers are to achieve the foregoing within the available resources and legal responsibilities of Copernicus Lodge

THE FUNDAMENTAL PRINCIPLE AND COPERNICUS LODGE RESIDENTSrsquo BILL OF RIGHTS UNDER THE LONG-TERM CARE HOMES ACT 2007

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Please be advised that the Residents Bill of Rights is the primary document to ensure that residentsrsquo rights are being met This includes ldquothe right to give or refuse consent to treatment including medication in accordance with the law and to be informed of the consequences of giving or refusing consentrdquo If a resident who is cognitively well refuses caremedicationtreatment this is documented in the residentrsquos medical chart and care plan In certain cases the doctor and or family is notified of the refusal As this is the residentrsquos home any caremedicationtreatment is never forced upon the residents If a resident is deemed incapable of understanding the short-term or long-term risks of refusal the residentsrsquo Power of Attorney is notified and a decision is made whether to accept or deny the residentrsquos wishes

Copernicus Lodge is committed to ensuring that residentrsquos rights are fully respected and promoted

Home The Fundamental Principle

1 The fundamental principle to be applied in the interpretation of this Act and anything required or permitted under this Act is that a long-term care home is primarily the home of its residents and is to be operated so that it is a place where they may live with dignity and in security safety and comfort and have their physical psychological social spiritual and cultural needs adequately met 2007 c 8 s 1

Residentsrsquo Bill of Rights

3(1) Copernicus Lodge shall ensure that the following rights of residents are fully respected and promoted

1 Every resident has the right to be treated with courtesy and respect and in a way that fully recognizes the residents individuality and respects the residents dignity

2 Every resident has the right to be protected from abuse

3 Every resident has the right not to be neglected by Copernicus Lodge or staff

4 Every resident has the right to be properly sheltered fed clothed groomed and cared for in a manner consistent with his or her needs

5 Every resident has the right to live in a safe and clean environment

6 Every resident has the right to exercise the rights of a citizen

7 Every resident has the right to be told who is responsible for and who is providing the residents direct care

8 Every resident has the right to be afforded privacy in treatment and in caring for his or her personal needs

9 Every resident has the right to have his or her participation in decision-making respected

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10 Every resident has the right to keep and display personal possessions pictures and furnishings in his or her room subject to safety requirements and the rights of other residents

11 Every resident has the right to

i participate fully in the development implementation review and revision of his or her plan of care

ii give or refuse consent to any treatment care or services for which his or her consent is required by law and to be informed of the consequences of giving or refusing consent

iii participate fully in making any decision concerning any aspect of his or her care including any decision concerning his or her admission discharge or transfer to or from a long-term care home or a secure unit and to obtain an independent opinion with regard to any of those matters and

iv have his or her personal health information within the meaning of the Personal Health Information Protection Act 2004 kept confidential in accordance with that Act and to have access to his or her records of personal health information including his or her plan of care in accordance with that Act

12 Every resident has the right to receive care and assistance towards independence based on a restorative care philosophy to maximize independence to the greatest extent possible

13 Every resident has the right not to be restrained except in the limited circumstances provided for under this Act and subject to the requirements provided for under this Act

14 Every resident has the right to communicate in confidence receive visitors of his or her choice and consult in private with any person without interference

15 Every resident who is dying or who is very ill has the right to have family and friends present 24 hours per day

16 Every resident has the right to designate a person to receive information concerning any transfer or any hospitalization of the resident and to have that person receive that information immediately

17 Every resident has the right to raise concerns or recommend changes in policies and services on behalf of himself or herself or others to the following persons and organizations without interference and without fear of coercion discrimination or reprisal whether directed at the resident or anyone else

i the Residents Council ii the Family Council iii Copernicus Lodge the directors and officers of Copernicus Lodge iv staff members v government officials

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vi any other person inside or outside Copernicus Lodge

18 Every resident has the right to form friendships and relationships and to participate in the life of Copernicus Lodge

19 Every resident has the right to have his or her lifestyle and choices respected

20 Every resident has the right to participate in the Residents Council

21 Every resident has the right to meet privately with his or her spouse or another person in a room that assures privacy

22 Every resident has the right to share a room with another resident according to their mutual wishes if appropriate accommodation is available

23 Every resident has the right to pursue social cultural religious spiritual and other interests to develop his or her potential and to be given reasonable assistance by Copernicus Lodge to pursue these interests and to develop his or her potential

24 Every resident has the right to be informed in writing of any law rule or policy affecting services provided to the resident and of the procedures for initiating complaints

25 Every resident has the right to manage his or her own financial affairs unless the resident lacks the legal capacity to do so

26 Every resident has the right to be given access to protected outdoor areas in order to enjoy outdoor activity unless the physical setting makes this impossible

27 Every resident has the right to have any friend family member or other person of importance to the resident attend any meeting with the licensee or the staff of the home

Further guide to interpretation

(2) Without restricting the generality of the fundamental principle the following are to be interpreted so as to advance the objective that a residentrsquos rights set out in subsection (1) are respected

1 This Act and the regulations

2 Any agreement entered into between Copernicus Lodge and the Crown or an agent of the Crown

3 Any agreement entered into between Copernicus Lodge and as resident or the residentrsquos substitute decision maker 2007 c 8 s 3 (2)

Enforcement by the Resident

(3) A resident may enforce the Residentsrsquo Bill of Rights against Copernicus Lodge as though the resident and Copernicus Lodge had entered into a contract

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under which Copernicus Lodge had agreed to fully respect and promote all the rights set out in the Residentsrsquo Bill of Rights 2007 c 8 s 3 (3)

Regulations

(4) The Lieutenant Governor in Council may make regulations governing how rights set out in the Residentsrsquo Bill of Rights shall be respected and promoted by Copernicus Lodge 2007 c 8 s 3 (4)

ACCESSIBILITY FOR ONTARIANS WITH DISABILITIES ACT This legislation is aimed at ensuring that we identify remove and prevent barriers for people with disabilities in areas of daily living This new law requires us to

Communicate with a person with a disability in an manner that takes into account their disability

Let people with disabilities bring their service animals onto the premises

Let people with disabilities be accompanied by their support persons while on the property

Train staff to know these standards and help all staff to understand the need to follow these standards

Principles

Dignity ndash service is provided in a way that allows the person with a disability to maintain self-respect and the respect of other people

Independence ndash Allowing a person with a disability to do things on their own without unnecessary help or interferences from others

Integration ndash Service is provided in a way that allows the person with a disability to benefit from the same services in the same place and in the same or similar way as other customers unless an alternate measure is necessary to enable the person to access the building or the services

Equal Opportunity ndash People with disabilities have an opportunity equal to that given to others to access the goods or services

Our Commitment In fulfilling our mission Copernicus Lodge strives at all times to provide our services in a way that respects the dignity and independence of people with disabilities Copernicus Lodge is committed to giving people with disabilities the same opportunity to access our services and allowing them to benefit from the same services in the same place and in a similar way as seniors who qualify for our services

HOW COPERNICUS LODGE COMPLIES WITH THE STANDARDS

Copernicus Lodge complies with the 14 requirements summarized below

1 Copernicus Lodge has established policies practices and procedures on providing services to people with disabilities

2 Policies practices and procedures are consistent with the core principles of independence dignity integration and equality of opportunity

3 People accessing our services have the right to use their own personal assistive devices to access services and about any other measures we offer (assistive devices services or methods) to enable them to access our services

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4 Copernicus Lodge staff and volunteers are trained to communicate with a person with a disability in a manner that takes into account his or her disability

5 Copernicus Lodge permits people with disabilities to be accompanied by their guide dog or service animal in any area of our home

6 Copernicus Lodge permits people with disabilities who use a support person to bring that person with them while accessing any services in our home

7 Where admission fees are charged Copernicus Lodge provides notice ahead of time on what admission if any would be charged for a support person of a person with a disability

8 Copernicus Lodge provides notice when our facilities or services that people with disabilities rely on to access or use our services are temporarily disrupted Such notices are posted throughout the building and on the whats new page on our website

9 Copernicus Lodge provides annual training to staff volunteers contractors and any other people who interact with the public or other third parties on our behalf

10 Copernicus Lodge trains staff volunteers contractors and any other people who are involved in developing our policies practices and procedures on the provision of goods or services

11 Copernicus Lodge has established a feedback form (located at reception) for people to provide feedback on how we provide services to people with disabilities and how we respond to any feedback and take action on any complaints Copernicus Lodge makes the information about our feedback process readily available to the public

12 Copernicus Lodge documents in writing all our policies practices and procedures for providing accessible customer service

13 Copernicus Lodge posts a copy of this policy notifying customers that our policies are available upon request on our website

14 When giving documents required under the customer service standard to a person with a disability Copernicus Lodge provides the information in a format that takes into account the personrsquos disability (ie a CD disc andor hard copy sheets)

The Accessibility Bag at Reception

Located in the reception area is our Accessibility Bag which contains such things as up to date information about our services in various formats assistive devices (ie laminated communication cards magnifier glass paperpens amplifier) and copies of the feedback forms etc This bag is used by staff to ensure effective communication as required respecting a personsrsquo disability A similar bag is located in our Adult Day Program and Supportive Housing areas

ADVOCACY PROGRAMS AT COPERNICUS LODGE Copernicus Lodge promotes the philosophy of care in its standards and practices that all residents are treated with dignity respect and courtesy and have a right to know and participate fully in the operation of our home and in their own care Residents Tenants and Families have a right to express concerns within our home without the fear of reprisal

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The Lodge views most seriously any type of abuse (including reprisal) of a resident tenant family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge and maintains a Zero Tolerance for any type of abuse We are here to

answer any questions or concerns you may have

empower and engage families and residents in dialogue and participate in care decisions

encourage residentfamily input to aid staff in problem solving and finding solutions and

provide support to residents tenants and families around issues and concerns at the Lodge and beyond in the community

To ensure this happens we provide the following advocacy opportunities for families and residentsrsquo to participate in the decision-making process at Copernicus Lodge

Resident Council Meetings (LTC Residents) (held every second month) Family Council (LTC Family) (held quarterly) Seniors Club Meetings (Apartment tenants) (held monthly) Family Information Sessions (held annually) Food Review Committee (held 4 timesyear) Annual TenantResidentFamily Satisfaction Surveys organized by the Continuous

Quality Improvement Committee andor Department Head (Supportive Housing and Adult Day Program)

A suggestion box located at the main entrance and at the Continuous Quality Improvement Board Forms are available at Reception for any complaints or suggestions ndash available 24 hours a day7 days a week

Copernicus Lodgersquos formal complaint procedure (posted on the ResidentFamily Information board on main floor and throughout the building)

Resident Care Conferences for each LTC resident (held 6 weeks after admission and annually thereafter or as needed)

LTC Resident Home Area (RHA) Meetings (held quarterly on each RHA) LTC Resident Bill of Rights (posted on the ResidentFamily Information Board and on

every floor next to the elevators) Task Force meetings to discuss issues related to resident abuse and neglect in LTC

homes as a response to recommendations of the Ontario Task Force on Resident Care and Safety

If you have any suggestions that will help us improve we ask that you please take advantage of these advocacy programs

If you would like further information about any of our policies or any of these

advocacy programs please feel free to contact Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

RESIDENT ADVOCATE (SOCIAL WORK SOCIAL SERVICES WORK) As part of the Resident Advocates roles and responsibilities he she act on behalf of the residents in order to support and assist them with social work social services issues He she provide emotional support to residents and family member act as a residentrsquos liaison in the community and assist to rectify issues that impact both the residents and other departments as necessary

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The Resident Advocate as approved and authorized by the councils act as the Family and Resident Council Staff Assistant As the Family and Resident Council Staff Assistant the Resident Advocate takes instructions from the Councils ensure confidentiality where requested and reports to the Councils RESIDENTS COUNCIL Residents Council operates for the purpose of

Promoting communication between the residents and administration

Improving the residentsrsquo quality of life within the home by providing an opportunity for residents to air their ideas feelings and concerns through discussion

Providing a forum to identify problem solve

Fostering residentsrsquo independence and self-direction

Providing residents with the opportunity to actively participate in the decision making process within the Lodge

New members residents are always welcome Meetings are held every 3 months in the Multipurpose Room or Boardroom The current approved staff assistance for Residentsrsquo Council is Copernicus Lodgersquos Resident Advocate who is the staff assistant approved by the Residents Council In addition to the Residents Council Copernicus Lodge provides Long Term Care residents with the opportunity to participate in discussion groups Residents air their views opinions and talk about matters of concern to themselves and other Residents living at the Home The Registered Nurse together with Managers have quarterly meetings on each Resident Home Area (RHA) for all residents staff volunteers and family members

FAMILY COUNCIL

A Family Council is self-led self-determining democratic group of family members and friends of residents in Long Term Care Home that meet on a quarterly basis to provide a forum for sharing their experiences learning exchanging information and seek solutions to common problems The current approved staff assistance for Residentsrsquo Council is Copernicus Lodgersquos Social Worker A Family Council can benefit the Family Members Residents and Copernicus Lodge These benefits can include the following

Allows families to give each other ongoing mutual support and encouragement Sharing thoughts and feelings with others who are in the same situation can help families cope

Provides a forum for learning especially for families of new residents

Provides an opportunity to become knowledgeable about the Homersquos operations policies and rules This can be especially helpful for families of new Residents

Help families and the Home form a positive partnership aimed at improving resident care

Offers family members a chance to express their collective concerns ndash a ldquounited voicerdquo supporting a ldquounited effortrdquo In this way a Family Council can be a catalyst for positive changes in residentsrsquo daily lives familiesrsquo experiences and in the Home in general

A Family Council can benefit residents who are physically or mentally unable to voice their needs and concerns as well as those without family

Can benefit the Home by providing a means for staff to deal directly with families as a group and establish meaningful ongoing lines of communication

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Any family members who wish to join the Family Council please contact the Copernicus Lodge Resident Advocate Meetings are quarterly in the Boardroom on the Main floor

MANDATORY AND IMMEDIATE REPORTING TO THE DIRECTOR

OF THE MINISTRY OF HEALTH

1 Copernicus Lodge immediately investigates responds and acts on every alleged suspected or witnessed incident of abuse and or neglect of a resident by anyone that Copernicus Lodge knows of or that is reported to Copernicus Lodge Chief Executive Officer (CEO) andor Director of Care (DOC) will refer to the Resident Abuse amp Neglect Decision Trees as provided by the Ministry of Health Long Term Care when assessing the allegation to determine reporting requirements to the Ministry as required by the LTCH Act

When reporting to the Director the report will include the results of every investigation and every action taken to such incidents

Reporting to the Director Copernicus Lodge or any other person who has reasonable grounds to suspect that any of the following has occurred or may occur will immediately report the suspicion and the information upon which it is based to the Director

1 Improper or incompetent treatment or care of a resident that resulted in harm or a risk of harm to the resident

2 Abuse of a resident by anyone or neglect of a resident by Copernicus Lodge or staff that resulted in harm or a risk of harm to the resident

3 Unlawful conduct that resulted in harm or a risk of harm to a resident

4 Misuse or misappropriation of a residentrsquos money

5 Misuse or misappropriation of funding provided to Copernicus Lodge under the Long Term Care Homes Act or the Local Health System Integration Act 2006

False information Any person reporting information to the Director they know to be false will be guilty of an offence

Exceptions for residents A resident may make a report but is not required to and the issue in regards to reporting

false information as an offence does not apply to residents who are incapable

Duty on practitioners and others Even if the information on which a report may be based is confidential or privileged no

action or other proceeding for making the report shall be commenced against a person (ie Physician Social Worker Pharmacist etc) who acts in accordance with reporting unless that person acts maliciously or without reasonable grounds for the suspicion

Offence of failure to report Copernicus Lodge Copernicus Lodge staff any person who provides professional

services to our residents in the areas of health social work or social services work and any person who provides professional services to Copernicus Lodge in the areas of health social work or social services work would be guilty of an offence if they fail to make a report under this policy

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Offences re suppressing reports Every person who coerces or intimidates a person not to make a report andor

discourages a person from making a report andor authorizes permits or concurs in a contravention of the duty to make a report is guilty of an offence

All Mandatory reports are made to

Director Performance Improvement and Compliance Branch Ministry of Health and Long-Term Care

1075 Bay Street 11th

Floor Toronto ON M5S 2B1 1-866-434-0144

COPERNICUS LODGE COMPLAINT PROCEDURE

It is the policy of Copernicus Lodge that the following steps are taken when raising concerns lodging complaints or recommending changes

STEP 1 Speak directly to the staff member involved If you are not satisfied with their response or the issue is not resolved move on to step 2

STEP 2 Speak to the Manager of the Department involved If you are not satisfied with their response move on to step 3

STEP 3 Speak to the Chief Executive Officer If you are still not satisfied with the response given move on to step 4

STEP 4 Submit your complaintconcern in writing to the Board of Directors If you are still not satisfied with the response given move on to step 5

STEP 5 For issues related to long-term care contact

THE MINISTRY OF HEALTH LONG TERM CARE ACTION LINE

Quality care matters If you want more information have a concern or want to register a complaint about a

Long-Term Care Facility call this toll-free number

1-866-434-0144 Available 7 days a week 830AM ndash 700PM

OR Send a written letter by mail to the responsible Director at

The Ministry of Long Term care at the following address Director Performance Improvement and Compliance Branch

Ministry of Health and Long-Term Care 1075 Bay Street 11

th Floor

Toronto ON M5S 2B1

You will receive a letter or phone call to let you know that the ministry has received your complaint

The Director will refer your complaint to an inspector who will look into your matter

Please Note You may obtain a complete up to date listing of all Departments Names of Managers and their contact information in the clear folder attached to the Long Term Care Resident Family Board located on the main floor hallway

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Privacy of Resident Health Information Copernicus Lodge exists to provide you with a broad variety of care services To meet your needs and serve you well Copernicus Lodge needs to know personal information about you You as an individual have a right to know how we collect use and disclose personal information You have a right to expect that to the best of our ability your personal information held by us remains accurate confidential and secure Copernicus Lodge is proud of its commitment to maintaining the confidentiality and security of personal information and weve provided this write-up to explain how we protect the privacy of individual residents information in Copernicus Lodge Copernicus Lodgersquos privacy policies comply with the Personal Health Information Protection Act (PHIPA) It is important that a trust relationship be established between you and Copernicus Lodge To this end we are pleased to share information with you The more you know about us the more confident you can feel about receiving our services Similarly the more we know about you the better we can serve you Copernicus Lodge collects and uses information about you for the following purposes only

To make decisions about the types services you need

To serve as a means to communicate with service providers

To monitor the provision of services and evaluate your response to services provided

As a legal document made in the normal course of business

To serve as a record of services provided

As proof of what was done by whom and when during a residents encounter with a provider

To be used as evidence against or for the organizations the service providers or the resident

To verify our accountability

For strategic planning decision making allocating of resources and

To meet legal and regulatory requirements

Consent Because it is important that we keep your trust we will only ask for information which we need and when we ask you for information well let you know why we need it To the best of our ability we will seek your consent to verify and supplement information collected from external sources such as Community Care Access Centerrsquos (CCAC) Physicians Social Services the Local Health Integrated Networks (LHINS) the Ministry of Health and Long Term Care (MOHLTC) and other community service providers for whom you may need service from Subject to legal or contractual requirements you can refuse to consent to our collection use or disclosure of information at any time provided the consent does not relate to certain information required for care provisions such as disclosure of information to the LHIN or MOHLTC If you refuse or withdraw your consent to the collection use or disclosure of information about you we may not be able to continue to provide you with some services you require With your consent and where laws allow this we may share your information with other service providers such as a hospital pharmacy medical specialist social worker and others who provide community services If you do not want to be contacted by these other service providers we will withhold information from them Disclosure means providing specific information about you from our records to a third party Depending on your consent disclosure can happen over the telephone by fax by computer andor be electronic data sharing Under normal circumstance we wont collect use or disclose your personal information without your consent The only exceptions to this rule are when the disclosure is permitted by law or when it is impossible or impractical to

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 12

get your consent Some examples of situations where we will not seek your consent for disclosure are

For emergency or life threatening events

Where there is legal obligation to disclose under a court or government order for instance to police

Where personal information is given to our agents and service providers for services such as laboratory and pharmacy services and

Where personal information must be given to insurers in connection with insurance services

Reviewing amp Making Corrections Except as outlined below a record is kept each time personal information is disclosed noting the nature of the disclosure that was made Individual records of disclosure are not maintained for regular and routine actions such as prescriptions sent to the pharmacy We attempt to ensure that the information we hold about you is accurate complete and up-to-date If there are changes to your information eg a new Substitute Decision Maker (SDM) has been named please notify us immediately If you believe that information in your records may be inaccurate we make it easy for you to access verify and update it If information has been provided to third parties we will convey the corrected information to them if necessary If we do not agree to change your personal information you may challenge our decision We will make a record of this challenge and if necessary disclose the challenge to third parties who also process your information To review your personal information simply ask a staff person for assistance The staff person will provide you with instructions about accessing your information There may be a charge for retrieving your information in which case you will be notified in advance and may if you like withdraw your consent You may also challenge the reasonableness of the charge Access to information may be more meaningful to you if such access is provided in the presence of a service provider who can explain terminology and the organizations policies We encourage you to invite a care provider from Copernicus Lodge to assist you in your review of your personal information Sometimes a staff person will not provide you with information about you that is within its control This can occur if your right of access is constrained pursuant to the provisions of PHIPA For example the staff person will not provide you with personal information if

It would reveal personal information about another party and your personal information cannot be separated

The information is subject to solicitor-client or litigation privilege andor if

The information is used for the detection and prevention of a criminal activity and dealings in the proceeds of crime

If a staff person refuses your request for access to personal information you will be told why unless prohibited by law You may challenge the decision Once you have the information all you have to do is check for its accuracy and let us know if there are any corrections required We will correct our records or make a note of differences If information has been provided to third parties we will convey the corrected information or note any differences to them if necessary

Complaints amp Responsibility Ultimately Department Managers and Supervisors are responsible for protecting resident information They delegate day-to-day responsibilities to others such as privacy officers within Copernicus Lodge Every staff person must take responsibility for protecting resident privacy confidentiality and security Our suppliers sign contracts that oblige them to contractually adhere to our privacy practices thus protecting the information of residents when in the possession of third parties These suppliers or third party

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 13

include lab pharmacy physicians etc There are controls over the use of computers electronic data sharing paper documents faxing activities access to personal information If you or your family has concerns or questions about the management of personal information in Copernicus Lodge or about our compliance with privacy codes and laws we invite you to direct your questions and concerns to a staff person who is providing service to you If that person is unable to effectively respond to your questions and concerns we encourage you to contact our Privacy Officer

Tracy Kamino Chief Executive Officer 416-536-7122 extension 238

Fax 416-536-8242

We trust that we will be able to resolve any issues that you have regarding the protection of personal information If our Privacy Officer Tracy Kamino is unable to satisfy your inquiries you may contact the Office of the Privacy Commissioner of Ontario

Information and Privacy Commissioner of Ontario 2 Bloor Street West Suite 1400 Toronto Ontario M4W 1A8

Tel 1-416-326-3333 or Toll Free 1-800-387-0073

LONG TERM CARE ACCOMMODATION

All rooms are furnished with bull an electric hospital bed (regular or adjustable head and foot ) and pillows bull comfortable mattress with waterproof cover bull adjustable bed rails (if required) bull loungeguest chair bull night tablelamp bull laundry basket bull garbage can

The residentrsquos name is posted outside their room Memory boxes at eye level personalize and cue residents to their room All rooms are heated and water tempered with connections for telephone and cable TV Common areas are air-conditioned All windows can open but only 4 inches wide at all times (as per legal requirements) Residentsfamiliesvolunteers are not allowed to tamper with the window locking mechanisms You may bring a radio TV andor pictures Only certain electrical appliances as discussed and permitted by the Director of Care are allowed Bar fridges are not permitted in the home unless identified for medical reasons only and under the approval of the Director of Care Call bells must meet CSA Standards and are located at the bedside in the washrooms and lounge areas Press to call for assistance Cleaning services are provided weekly or more often if necessary Additional furniture may be brought in after consulting with the Director of Care Balcony Balcony doors must be locked at all times unless residents are supervised by staff or families (or resident is competent to be there alone) Families and residents using this space are told before allowing access to ensure they close the door after themselves and ensure it is locked

Accommodation Rates

Copernicus Lodge has different classes of accommodation that have different rates The

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 14

Ministry of Health and Long-Term Care (the ldquoMinistryrdquo) sets these rates The Long Term Care Homes Act requires residents to pay homes the rate that is set for his or her class of accommodation The Ministry adjusts accommodation rates from time to time These adjustments will result in changes to the Accommodation Fees Copernicus Lodge will provide the Resident with thirty (30) days written notice in advance of any increase in Accommodation Fees The notice will include the amount of the increase and the current Accommodation Fees that the Resident must pay

A Resident who is absent from Copernicus Lodge must continue to pay Accommodation Fees for each day of his or her absence The term ldquoabsencerdquo includes a casual or vacation absence and also an absence for medical or psychiatric care or assessment

RATES ndash from September 1 2014

A Basic Accommodation (Shared washroom)

From $ 123865 per month to $ 173162 per month

Persons applying for Basic Accommodation must submit a Notice of Assessment for the current year from Canada Customs and Revenue Agency CCRA (formerly Revenue Canada) to the Accounting Department A rate reduction form will be completed and must be signed If the income is below the threshold set by the Ministry of Health then the resident will receive a rate reduction Please contact the Accountant at 416-536-71122 ext 258

B Preferred Accommodation Private $ 243881 per month (Own room with ensuite washroom)

SHORT STAY RESPITE ACCOMMODATION

Copernicus Lodge offers Short Stay Respite Care Applications are filed and processed through the Community Care Access Centre

RATES $ 3685 per day A maximum of 90 days in a calendar year is allowed (60 days consecutive)

NOTE Rates are subject to change on notification by the Ministry of Health

List of Goods and Services included with Accommodation

The following list provides information about the goods and services included in basic or

preferred accommodation

1 Nursing and personal care on a 24-hour basis the administration of medications and assistance with activities of daily living

2 Medical care and restorative care is available in the home 3 Certain medical supplies and nursing equipment that are necessary for the care of the

resident 4 Supplies and equipment for personal hygiene and grooming 5 Certain equipment for the short-term use of the resident

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 15

6 Meal and snack service (three meals daily snacks between meals and at bedtime) special and therapeutic diets dietary supplements and devices to promote independence with eating

7 Social recreational spiritual and physical activities and programs 8 Laundry including labelling 9 Bedroom furnishings bedding and linen 10 Cleaning and upkeep of accommodations 11 Maintenance of a trust account on the residentrsquos behalf 12 Information package for residents 13 Prescription pharmaceutical preparations listed in the Ontario Drug Benefit Formulary

(the government requires residents to pay a small co-payment) 14 Special preparations or medical devices that may be obtained from the Ontario Drug

Benefit Program as interim non-formulary benefits 15 Insured devices equipment supplies and services that are available to the resident

through certain programs such as the Ontario Assistive Devices Program (the government covers part of this cost and residents must pay the rest)

16 Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon request

Note The Resident (or Power of Attorney for Property Guardian Trustee on behalf of the Resident) may purchase additional goods and services from the Home or 3

rd Party Suppliers

under a separate agreement ACCOUNTING BILLING BANKING

Hours Monday 130 pm - 400 pm Wednesday 900 am - 1230 pm Last Friday of the month 900 am - 1200 noon Closed - Tuesday Thursday and Friday (except last) Other times are by appointment please call ext 258 There is a slot located on the Accounting Office door for dropping off paymentsinformation after hours

ON SITE BANKING St Stanislaus St Casimirrsquos Credit Union attends in Room G 30 every Wednesday from 930 am to 1230 pm amp 100 pm to 200 pm and the last Friday of the month from 930 am to 1230 pm amp 100 pm to 200 pm for persons wishing to do regular banking transactions

Trust Accounts may be opened in Copernicus Lodge as requested Copernicus Lodge maintains a non interest bearing account on behalf of the resident There is no charge for this service Please contact the Accountant at ext 258 between 700 am and 300 pm

Comfort Allowance - is available to persons in Basic Accommodation rooms only There is no Comfort Allowance for persons in Preferred Accommodation Monies owing to the residentlawfully authorized substitute are returned one month after discharge Copernicus Lodge does not require a resident to pay a penalty in lieu of a specific notice period prior to discharge

MEDICAL SERVICES

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 16

Medical Director Copernicus Lodge shall ensure that it has a Medical Director The Medical Director shall be a physician The Medical Director

advises Copernicus Lodge long term care on matters relating to medical care

consults with the Director of Care and other health professionals working in Copernicus Lodge

performs any other duties provided for in the regulations 2007 c 72 (3)

Attending Physicians All residents have the option to choose their own Attending Physician outside of those physicians currently servicing Copernicus Lodge provided that heshe agrees to attend the resident at the home on a weekly basis and abide by Copernicus Lodge policies and procedures Attending Physicians must sign a contract with Copernicus Lodge

1 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario 2 All Attending Physicians are appointed by the Chief Executive Officer on the advice of the Medical Director 3 Attending Physicians are accountable to the Medical Director for meeting the homes policies and standards of medical care 4 Attending Physicians assess plan implement and evaluate their residents medical care and participate in a multi-disciplinary approach to care 5 Attending Physicians document on the resident health record on each visit to maintain continuity and ongoing evaluation 6 Attending Physicians arrange for 24-hour medical coverage for residents for whom they provide medical care 7 All medical care and services provided by Physicians in Long-Term Care homes are subject to peer assessment by the College of Physicians and Surgeons of Ontario on a random basis according to College procedures 8 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario

Residents and family members should be aware that the primary contact for medical care or medical concerns is the Registered Nursing staff Attending Physicians do not have offices within the home and are not in the facility each day Attending Physicians complete regular visits to their residents and on an as needed basis Attending Physicians do not normally contact family members to provide updates on the residentrsquos condition Residents and family members are always welcome to contact the Attending Physician at their private practice The office number can be obtained from the Registered Nursing staff Due to privacy issues Registered Nursing staff will only provide general health information about a resident to the Power of Attorney for Care (POA) Information about or changes to a residentrsquos medical diagnosis is given by the Attending Physician and not the Registered Nursing Staff Psychogeriatrician

Dr Colman Nefsky (MD Psychogeriatrician) We are very pleased to have the support of our consulting Psychogeriatrician from St Josephrsquos Health Center Dr Colman Nefsky Dr Nefsky visits and completes rounds on a monthly basis

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 17

for those residents who have been referred to him Dr Nefsky provides consultations to individuals who are suffering with psychological or behavioural issues and provides treatment options to the nursing and medical staff in the home Mary Boudart RN ndash St Josephrsquos Health Center Geriatric Mental Health Outreach Team Nurse (GMHOT) Mary Boudart works in collaboration with Dr Nefsky and completes weekly rounds for any resident who has been referred to her Care Conferences An organized documented interdisciplinary care conference lasting 30 minutes in duration is held with each resident andor substitute decision maker (POA for care) if you are able and wish to attend within six (6) weeks following admission to Copernicus Lodge and annually thereafter Care Conferences are held in order to discuss review and further develop the residents plan of care and address any other matters of importance to the resident and hisher substitute decision-maker (if any) The resident the substitute decision maker if any and any person that either of you may direct are given an opportunity to participate fully in the care conference

Special Care Conferences may be held anytime at the request of the family resident or interdisciplinary team if a residents condition or any other situation arises which affects the residents status Care conferences are held in either the activity room or the conference room (behind the nursing station) located on the residents home areafloorunit If the family substitute decision maker is unable to attend in person the option of a teleconference (over the telephone meeting) is available as an option to being there in person The conference may also be held at the bedside of a bedridden resident as requested by the resident andor substitute decision maker Residents and family are reminded not to wait for this annual meeting to express any concerns or issues you have Express concerns at the time they occur directly with any one of the interdisciplinary team as it relates to any department or inform the Charge Nurse who can redirect them as appropriate

Note Care Conferences do not apply to those residents residing in short-stay beds

NURSING

Nursing care and personal care is provided on a 24-hour basis This includes care given by or under the supervision of a Registered Nurse or a Registered Practical Nurse All Registered Nursing staff is licensed by the College of Nurses of Ontario Assistance with activities of daily living (personal care) is provided by Personal Support Workers (PSWrsquos) Daily medication is administered by the Registered Nursing staff Newly admitted residents must give all of their medication from home or hospital to the Registered Nurse on duty on the day of admission A picture is taken of all new residents on the day of admission and posted on their Medication Administration Record (MAR) and in the residents chart This is done to prevent medication and treatment errors Nursing and personal care is completed through an individualized personal care approach Nursing staff complete ongoing assessments and care plans which detail each residentrsquos individual care needs

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 18

Nursing staff can be reached by pressing the call-bells for assistance These are located in the resident bedroom bathrooms and lounge areas Call bells are responded to as quickly as possible

Pharmacy Copernicus Lodge utilizes a local pharmacy for all of its medicationpharmaceutical requirements At no time should residents or families bring in medications not approved by the medical nursing staff Medications are not to be left in resident rooms IMPORTANT All medications must be left with the Registered Nursing staff on duty

Medical supplies and nursing equipment

Medical supplies and nursing equipment necessary for the care of residents is provided by the home including supplies for the prevention or care of skin disorders continence care products infection control and sterile procedures

Medical devices such as catheters colostomy and ileostomy devices

Supplies and equipment for personal hygiene and grooming including skin care lotions and powders shampoos soap deodorant toothpaste toothbrushes denture cups and cleansers toilet tissue facial tissue hair brushes combs razorsshavers shaving cream feminine hygiene and incontinence products

Equipment for the general use of residents such as toilet aids and other self-help aids for the activities of daily living

Equipment for the general use of residents including wheelchairs geriatric chairs canes walkers are provided for short term use only (maximum 3 ndash 4 weeks) Should a resident require equipment for longer than 3-4 weeks the residentfamilysubstitute decision maker will be required to purchasecover all costs for such items Prescription pharmaceutical preparations listed in the Drug Benefit Formulary

bull Special preparations or medical devices which may be obtained from the Ontario Drug Benefit Program as interim non-formulary benefits

bull Insured devices equipment supplies and services available to residents through other programs such as the Home Care Program and Assistive Devices Program (ADP) ACHIEVA HEALTH provides ADP Seating and Mobility Assessments at NO COST to the Residents at Copernicus Lodge

bull Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon requisition If you have any questions or concerns regarding the nursing care or service please speak to the Charge Nurse

TAG SYSTEM

PURPOSE TO IDENTIFY RESIDENTS WITH BEHAVIOURAL ISSUES AND DIETARY RESTRICTIONS AS PART OF FALLS PREVENTION PROGRAM

As part of the Falls Prevention Program cards are mounted onto the residentrsquos mobility aids (where applicable) identifying that

a resident is at risk for falls

these cards are COLOUR-CODED to match the residents current behavioural risk level (ie Green Yellow or Pink as detailed in Section D)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 19

cards have a picture of food that is crossed out to identify that residents have a dietary restriction

On a quarterly basis or more often as necessary based on changes to a residentrsquos falls risk or behavioural risk level it is the responsibility of the RN RPN on each unit to review these cards and change them in order to correspond with the residentrsquos current condition

If the Dietician notes that there are changes to a residents swallowing meal consistency etc which warrant dietary restrictions it is the responsibility of the Dietician Manager of Dietary Services or Food Services Supervisor to change these cards on the residents mobility aid

There are 4 types of cards These are

I Colour-coded cards with only the residents unit identified ndash these individuals are not at risk for falls and do not have dietary restrictions however staff can clearly identify the residents behavioural risk level

II Colour-coded cards with the residents unit and Falls Symbol ndash this identifies that a resident is at risk for falls and also identifies the residents behavioural risk level

III Colour-coded cards with residents unit Falls symbol and Dietary Restriction symbol ndash this identifies that the resident is at risk for falls and has dietary restrictions as well as the residents behavioural risk level

IV Colour-coded cards with residents unit and Dietary Restriction Symbol ndash this identifies that a resident has dietary restrictions to be aware of as well as the residents behavioural risk level

Prevention of Needlestick Injuries

Copernicus Lodge thrives to maintain the health and safety of all residents staff and visitors to our home Needlestick Injury Prevention is a serious concern for the employees of our home In order to take a proactive approach regarding the prevention of needlestick injuries we would like to outline some important information for you ALL NEW ADMISSIONS TO LONG TERM CARE

1 Please note that when residents move into our Long Term Care Home that the nursing staff will take on the responsibility of completing diabetic glucose testing along with insulin injections Residents are NOT to self test themselves if they are diabetic This practice allows the nursing staff to safely dispose the needles as required into the Yellow Disposable Needle Containers - in every circumstance

2 We would kindly ask that families POArsquos please take any glucometer testing units syringes home Please do not leave any of these items in the residents room or by the bedside

FAMILIES AND VISITORS If any family member or visitor must test themselves while at Copernicus Lodge please ensure that you speak with the nursing staff RN RPN on the unit so that you can safely discard any needles used into one of the Yellow Disposable Needle Containers available on the Resident Home Area units

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 20

RESTRAINT USE AT COPERNICUS LODGE Copernicus Lodge uses the Least Restraint practice which means that the least restrictive measure is used for the shortest duration possible This allows for the maximum freedom of movement andor residentrsquos control The types of restraints currently used within Copernicus Lodge are as follows

a) Chemical Restraints - a pharmaceutical agent given with the specific purpose of inhibiting or controlling behaviour or movement

b) Physical RestraintsDevices - any appliance device apparatus or equipment attached or adjacent to a residents body that the individual cannot remove easily and which restricts movement The Physical Restraints currently used at Copernicus Lodge are Lapbelts Seatbelts Table Tops and Full Bedrails (both up at the same time)

c) Environmental Restraints - A barrier to free personal movement which serves to confine a resident to a specific geographic area (ie 2 North Special Care Unit which has a wanderguard alarm installed for residents with exit-seeking behaviours)

Note Under no circumstances can two restraints be applied at the same time (for example a lap tray cannot be used at the same time as a seatbelt)

The following devices are Prohibited and NOT permitted to be used in Copernicus Lodge

1 Roller bars on wheelchairs and commodes or toilets

2 Vest or jacket restraints

3 Any device with locks that can only be released by a separate device such as a key or magnet

4 Four point extremity restraints

5 Any device used to restrain a resident to a commode or toilet

6 Any device that cannot be immediately released by staff

7 Sheets wraps tensors or other types of strips or bandages used other than for a therapeutic purpose

Copernicus Lodgersquos Restraint Policy involves an interdisciplinary approach to restraint use and we document all steps of the restraining process

Our Restraint Policy includes the following requirements

1 Staff only applies a physical device that has been ordered and approved by the Attending Physician and where there is a signed consent by the resident (if competent) andor Substitute Decision Maker and an understanding of the reason for the use of the device

2 Staff consider alternatives to the use of physical devices including how these alternatives are planned developed and implemented (ie one way-gliders assist to prevent residents from sliding as does the tilt mechanism on many wheelchairs)

3 That the need for the restraint is clearly documented in the resident plan of care

4 Staff applies the physical device only in accordance with any manufacturerrsquos instructions and the instructions of the Attending Physician

5 Staff ensures that the physical device is well maintained

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 21

6 Staff ensures that the physical device is not altered except for routine adjustments in accordance with any manufacturerrsquos instructions

7 Registered staff and PSW staff monitor the resident while restrained at least every hour

8 Staff ensures that the resident is released from the physical device and repositioned at least once every two hours (this requirement does not apply when bed rails are being used if the resident is able to reposition himself or herself)

9 Staff ensures that the resident is released and repositioned any other time when necessary based on the residentrsquos condition or circumstances

10 The residentrsquos condition is reassessed and the effectiveness of the restraining is evaluated by the Registered Nurse every eight hours and at any other time when necessary based on the residentrsquos condition or circumstances

11 Upon removal of a physical device post-restraining care is provided to ensure the safety and comfort of the resident

Copernicus Lodge also reserves the right to restrain a resident by physical means when immediate action is necessary to prevent serious bodily harm to the resident or to others In the event such action is required

1 The resident is monitored or supervised on an ongoing basis and released from the physical device and repositioned when necessary based on the residentrsquos condition or circumstances

2 Ongoing assessment of the residentrsquos condition is reassessed by the registered nursing staff

3 The restraint is discontinued when the immediate action is no longer necessary

4 When the application of a physical restraint is required for to prevent serious injury to a resident or others the reason for the use of the physical device will be explained to the resident or the residentrsquos substitute decision maker where the resident is incapable

Environmental Restraints Dementia Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentrsquos plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

Evaluation Through our continuous quality improvement efforts Copernicus Lodge annually evaluates the effectiveness of our restraint policy and identifies what changes and improvements are required

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 22

to minimize restraining and to ensure that any restraining that is necessary is done in accordance with legislative requirements Any changes or improvements are to be promptly implemented

Although there will always be residents who require or feel more secure with restraints we hope that everyone will work with us to try to keep our home as RESTRAINT FREE AS POSSIBLE

To receive a copy of the full restraint policy please feel free to speak to our Director of Care at 416-536-7122 ext 240

Copernicus Lodgersquos Resident Abuse and Neglect Policy Copernicus Lodge promotes in its standards and practices the philosophy of care that all residents are treated with dignity respect and courtesy The Lodge views most seriously any type of abuse or neglect of a resident by any staff volunteer family substitute decision-maker visitor or any other persons who enter the premises at Copernicus Lodge

Definitions of Abuse

Copernicus Lodge defines ldquoabuserdquo (in accordance with our policy and subsection 2 (1) of the Long Term Care Homes Act) as the following

Emotional Abuse

(a) any threatening insulting intimidating or humiliating gestures actions behaviour or remarks including imposed social isolation shunning ignoring lack of acknowledgement or infantilization that are performed by anyone other than a resident or

(b) any threatening or intimidating gestures actions behaviour or remarks by a resident that causes alarm or fear to another resident where the resident performing the gestures actions behaviour or remarks understands and appreciates their consequences

Financial Abuse

(a) any misappropriation or misuse of a residentrsquos money or property

Physical Abuse

(a) the use of physical force by anyone other than a resident that causes physical injury or pain

(b) administering or withholding a drug for an inappropriate purpose or

(c) the use of physical force by a resident that causes physical injury to another resident

(Note Physical Abuse does not include the use of force that is appropriate to the provision of care or assisting a resident with activities of daily living unless the force used is excessive in the circumstance)

Sexual Abuse

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 23

(a) subject to subsection (3) any consensual or non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation that is directed towards a resident by a licensee or staff member or

(b) any non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation directed towards a resident by a person other than a licensee or staff member

(Note Sexual Abuse does not include

(a) touching behaviour or remarks of a clinical nature that are appropriate to the provision of care or assisting a resident with activities of daily living or

(b) consensual touching behaviour or remarks of a sexual nature between a resident and a licensee or staff member that is in the course of a sexual relationship that began before the resident was admitted to the long-term care home or before the licensee or staff member became a licensee or staff member)

Verbal Abuse

(a) any form of verbal communication of a threatening or intimidating nature or any form of verbal communication of a belittling or degrading nature which diminishes a residentrsquos sense of well-being dignity or self-worth that is made by anyone other than a resident or

(b) any form of verbal communication of a threatening or intimidating nature made by a resident that leads another resident to fear for his or her safety where the resident making the communication understands and appreciates its consequences

Neglect

(a) the failure to provide a resident with the treatment care services or assistance required for health safety or well-being and includes inaction or a pattern of inaction that jeopardizes the health safety or well-being of one or more residents

Copernicus Lodgersquos established Resident Abuse Policy and Procedure encompasses

A Definitions of what constitutes Resident Abuse and Neglect

B A Resident Abuse Incident Reporting System

C A Resident Abuse Incident Investigation System

D Support for the person abused

E EducationTraining that supports prevention of resident abuse and neglect and

F Evaluation of our 0 tolerance program

Copernicus Lodge maintains a Zero Tolerance for any type of abuse of a resident family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 2: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 1

COPERNICUS LODGE OWNERSHIP INFORMATION

Legal Name Copernicus Lodge Ownership Owned by the Members of the Corporation

Operated by a Not-For-Profit Board of Directors

Address 66 Roncesvalles Avenue Toronto Ontario M6R 3A7

Telephone (24 hours) 416-536-7122 Fax 416-536-8242

Bienvenue a Copernicus Lodge Laissez-nous savoir si vous voulez qursquoon parlent en francais

Merci

COPERNICUS LODGE MISSION STATEMENT

Copernicus Lodge is a not-for-profit organization made possible through the efforts of the Polish Canadian community We strive to provide the highest quality of resident-driven service and continuum of care to meet the changing needs of our aging community Copernicus Lodge fosters a caring Christian and Polish environment that is desired by those who have made this their home

The Mission of Copernicus Lodge is to

Provide a continuum of care in order to meet the changing needs of our seniors

Provide independent Self Care Apartments Supportive Housing Adult Day Program and a full spectrum of Long-Term Care as required by the government regulations and requirements

Give comfort and care to the elderly to enable them to live a happy dignified and contented life while at the same time preserving their individual self-reliance and self-determination

Assist the elderly by providing quality of care based on modern concepts and procedures in accordance with the Residentsrsquo Bill of Rights

Create provide and assist community based programs utilizing other health care providers community organizations volunteers staff and Copernicus Lodge facilities

Meet the needs of individuals and strive to provide for their physical cultural social spiritual emotional and intellectual needs

The Board of Directors Staff and Volunteers are to achieve the foregoing within the available resources and legal responsibilities of Copernicus Lodge

THE FUNDAMENTAL PRINCIPLE AND COPERNICUS LODGE RESIDENTSrsquo BILL OF RIGHTS UNDER THE LONG-TERM CARE HOMES ACT 2007

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 2

Please be advised that the Residents Bill of Rights is the primary document to ensure that residentsrsquo rights are being met This includes ldquothe right to give or refuse consent to treatment including medication in accordance with the law and to be informed of the consequences of giving or refusing consentrdquo If a resident who is cognitively well refuses caremedicationtreatment this is documented in the residentrsquos medical chart and care plan In certain cases the doctor and or family is notified of the refusal As this is the residentrsquos home any caremedicationtreatment is never forced upon the residents If a resident is deemed incapable of understanding the short-term or long-term risks of refusal the residentsrsquo Power of Attorney is notified and a decision is made whether to accept or deny the residentrsquos wishes

Copernicus Lodge is committed to ensuring that residentrsquos rights are fully respected and promoted

Home The Fundamental Principle

1 The fundamental principle to be applied in the interpretation of this Act and anything required or permitted under this Act is that a long-term care home is primarily the home of its residents and is to be operated so that it is a place where they may live with dignity and in security safety and comfort and have their physical psychological social spiritual and cultural needs adequately met 2007 c 8 s 1

Residentsrsquo Bill of Rights

3(1) Copernicus Lodge shall ensure that the following rights of residents are fully respected and promoted

1 Every resident has the right to be treated with courtesy and respect and in a way that fully recognizes the residents individuality and respects the residents dignity

2 Every resident has the right to be protected from abuse

3 Every resident has the right not to be neglected by Copernicus Lodge or staff

4 Every resident has the right to be properly sheltered fed clothed groomed and cared for in a manner consistent with his or her needs

5 Every resident has the right to live in a safe and clean environment

6 Every resident has the right to exercise the rights of a citizen

7 Every resident has the right to be told who is responsible for and who is providing the residents direct care

8 Every resident has the right to be afforded privacy in treatment and in caring for his or her personal needs

9 Every resident has the right to have his or her participation in decision-making respected

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 3

10 Every resident has the right to keep and display personal possessions pictures and furnishings in his or her room subject to safety requirements and the rights of other residents

11 Every resident has the right to

i participate fully in the development implementation review and revision of his or her plan of care

ii give or refuse consent to any treatment care or services for which his or her consent is required by law and to be informed of the consequences of giving or refusing consent

iii participate fully in making any decision concerning any aspect of his or her care including any decision concerning his or her admission discharge or transfer to or from a long-term care home or a secure unit and to obtain an independent opinion with regard to any of those matters and

iv have his or her personal health information within the meaning of the Personal Health Information Protection Act 2004 kept confidential in accordance with that Act and to have access to his or her records of personal health information including his or her plan of care in accordance with that Act

12 Every resident has the right to receive care and assistance towards independence based on a restorative care philosophy to maximize independence to the greatest extent possible

13 Every resident has the right not to be restrained except in the limited circumstances provided for under this Act and subject to the requirements provided for under this Act

14 Every resident has the right to communicate in confidence receive visitors of his or her choice and consult in private with any person without interference

15 Every resident who is dying or who is very ill has the right to have family and friends present 24 hours per day

16 Every resident has the right to designate a person to receive information concerning any transfer or any hospitalization of the resident and to have that person receive that information immediately

17 Every resident has the right to raise concerns or recommend changes in policies and services on behalf of himself or herself or others to the following persons and organizations without interference and without fear of coercion discrimination or reprisal whether directed at the resident or anyone else

i the Residents Council ii the Family Council iii Copernicus Lodge the directors and officers of Copernicus Lodge iv staff members v government officials

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 4

vi any other person inside or outside Copernicus Lodge

18 Every resident has the right to form friendships and relationships and to participate in the life of Copernicus Lodge

19 Every resident has the right to have his or her lifestyle and choices respected

20 Every resident has the right to participate in the Residents Council

21 Every resident has the right to meet privately with his or her spouse or another person in a room that assures privacy

22 Every resident has the right to share a room with another resident according to their mutual wishes if appropriate accommodation is available

23 Every resident has the right to pursue social cultural religious spiritual and other interests to develop his or her potential and to be given reasonable assistance by Copernicus Lodge to pursue these interests and to develop his or her potential

24 Every resident has the right to be informed in writing of any law rule or policy affecting services provided to the resident and of the procedures for initiating complaints

25 Every resident has the right to manage his or her own financial affairs unless the resident lacks the legal capacity to do so

26 Every resident has the right to be given access to protected outdoor areas in order to enjoy outdoor activity unless the physical setting makes this impossible

27 Every resident has the right to have any friend family member or other person of importance to the resident attend any meeting with the licensee or the staff of the home

Further guide to interpretation

(2) Without restricting the generality of the fundamental principle the following are to be interpreted so as to advance the objective that a residentrsquos rights set out in subsection (1) are respected

1 This Act and the regulations

2 Any agreement entered into between Copernicus Lodge and the Crown or an agent of the Crown

3 Any agreement entered into between Copernicus Lodge and as resident or the residentrsquos substitute decision maker 2007 c 8 s 3 (2)

Enforcement by the Resident

(3) A resident may enforce the Residentsrsquo Bill of Rights against Copernicus Lodge as though the resident and Copernicus Lodge had entered into a contract

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 5

under which Copernicus Lodge had agreed to fully respect and promote all the rights set out in the Residentsrsquo Bill of Rights 2007 c 8 s 3 (3)

Regulations

(4) The Lieutenant Governor in Council may make regulations governing how rights set out in the Residentsrsquo Bill of Rights shall be respected and promoted by Copernicus Lodge 2007 c 8 s 3 (4)

ACCESSIBILITY FOR ONTARIANS WITH DISABILITIES ACT This legislation is aimed at ensuring that we identify remove and prevent barriers for people with disabilities in areas of daily living This new law requires us to

Communicate with a person with a disability in an manner that takes into account their disability

Let people with disabilities bring their service animals onto the premises

Let people with disabilities be accompanied by their support persons while on the property

Train staff to know these standards and help all staff to understand the need to follow these standards

Principles

Dignity ndash service is provided in a way that allows the person with a disability to maintain self-respect and the respect of other people

Independence ndash Allowing a person with a disability to do things on their own without unnecessary help or interferences from others

Integration ndash Service is provided in a way that allows the person with a disability to benefit from the same services in the same place and in the same or similar way as other customers unless an alternate measure is necessary to enable the person to access the building or the services

Equal Opportunity ndash People with disabilities have an opportunity equal to that given to others to access the goods or services

Our Commitment In fulfilling our mission Copernicus Lodge strives at all times to provide our services in a way that respects the dignity and independence of people with disabilities Copernicus Lodge is committed to giving people with disabilities the same opportunity to access our services and allowing them to benefit from the same services in the same place and in a similar way as seniors who qualify for our services

HOW COPERNICUS LODGE COMPLIES WITH THE STANDARDS

Copernicus Lodge complies with the 14 requirements summarized below

1 Copernicus Lodge has established policies practices and procedures on providing services to people with disabilities

2 Policies practices and procedures are consistent with the core principles of independence dignity integration and equality of opportunity

3 People accessing our services have the right to use their own personal assistive devices to access services and about any other measures we offer (assistive devices services or methods) to enable them to access our services

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 6

4 Copernicus Lodge staff and volunteers are trained to communicate with a person with a disability in a manner that takes into account his or her disability

5 Copernicus Lodge permits people with disabilities to be accompanied by their guide dog or service animal in any area of our home

6 Copernicus Lodge permits people with disabilities who use a support person to bring that person with them while accessing any services in our home

7 Where admission fees are charged Copernicus Lodge provides notice ahead of time on what admission if any would be charged for a support person of a person with a disability

8 Copernicus Lodge provides notice when our facilities or services that people with disabilities rely on to access or use our services are temporarily disrupted Such notices are posted throughout the building and on the whats new page on our website

9 Copernicus Lodge provides annual training to staff volunteers contractors and any other people who interact with the public or other third parties on our behalf

10 Copernicus Lodge trains staff volunteers contractors and any other people who are involved in developing our policies practices and procedures on the provision of goods or services

11 Copernicus Lodge has established a feedback form (located at reception) for people to provide feedback on how we provide services to people with disabilities and how we respond to any feedback and take action on any complaints Copernicus Lodge makes the information about our feedback process readily available to the public

12 Copernicus Lodge documents in writing all our policies practices and procedures for providing accessible customer service

13 Copernicus Lodge posts a copy of this policy notifying customers that our policies are available upon request on our website

14 When giving documents required under the customer service standard to a person with a disability Copernicus Lodge provides the information in a format that takes into account the personrsquos disability (ie a CD disc andor hard copy sheets)

The Accessibility Bag at Reception

Located in the reception area is our Accessibility Bag which contains such things as up to date information about our services in various formats assistive devices (ie laminated communication cards magnifier glass paperpens amplifier) and copies of the feedback forms etc This bag is used by staff to ensure effective communication as required respecting a personsrsquo disability A similar bag is located in our Adult Day Program and Supportive Housing areas

ADVOCACY PROGRAMS AT COPERNICUS LODGE Copernicus Lodge promotes the philosophy of care in its standards and practices that all residents are treated with dignity respect and courtesy and have a right to know and participate fully in the operation of our home and in their own care Residents Tenants and Families have a right to express concerns within our home without the fear of reprisal

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 7

The Lodge views most seriously any type of abuse (including reprisal) of a resident tenant family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge and maintains a Zero Tolerance for any type of abuse We are here to

answer any questions or concerns you may have

empower and engage families and residents in dialogue and participate in care decisions

encourage residentfamily input to aid staff in problem solving and finding solutions and

provide support to residents tenants and families around issues and concerns at the Lodge and beyond in the community

To ensure this happens we provide the following advocacy opportunities for families and residentsrsquo to participate in the decision-making process at Copernicus Lodge

Resident Council Meetings (LTC Residents) (held every second month) Family Council (LTC Family) (held quarterly) Seniors Club Meetings (Apartment tenants) (held monthly) Family Information Sessions (held annually) Food Review Committee (held 4 timesyear) Annual TenantResidentFamily Satisfaction Surveys organized by the Continuous

Quality Improvement Committee andor Department Head (Supportive Housing and Adult Day Program)

A suggestion box located at the main entrance and at the Continuous Quality Improvement Board Forms are available at Reception for any complaints or suggestions ndash available 24 hours a day7 days a week

Copernicus Lodgersquos formal complaint procedure (posted on the ResidentFamily Information board on main floor and throughout the building)

Resident Care Conferences for each LTC resident (held 6 weeks after admission and annually thereafter or as needed)

LTC Resident Home Area (RHA) Meetings (held quarterly on each RHA) LTC Resident Bill of Rights (posted on the ResidentFamily Information Board and on

every floor next to the elevators) Task Force meetings to discuss issues related to resident abuse and neglect in LTC

homes as a response to recommendations of the Ontario Task Force on Resident Care and Safety

If you have any suggestions that will help us improve we ask that you please take advantage of these advocacy programs

If you would like further information about any of our policies or any of these

advocacy programs please feel free to contact Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

RESIDENT ADVOCATE (SOCIAL WORK SOCIAL SERVICES WORK) As part of the Resident Advocates roles and responsibilities he she act on behalf of the residents in order to support and assist them with social work social services issues He she provide emotional support to residents and family member act as a residentrsquos liaison in the community and assist to rectify issues that impact both the residents and other departments as necessary

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 8

The Resident Advocate as approved and authorized by the councils act as the Family and Resident Council Staff Assistant As the Family and Resident Council Staff Assistant the Resident Advocate takes instructions from the Councils ensure confidentiality where requested and reports to the Councils RESIDENTS COUNCIL Residents Council operates for the purpose of

Promoting communication between the residents and administration

Improving the residentsrsquo quality of life within the home by providing an opportunity for residents to air their ideas feelings and concerns through discussion

Providing a forum to identify problem solve

Fostering residentsrsquo independence and self-direction

Providing residents with the opportunity to actively participate in the decision making process within the Lodge

New members residents are always welcome Meetings are held every 3 months in the Multipurpose Room or Boardroom The current approved staff assistance for Residentsrsquo Council is Copernicus Lodgersquos Resident Advocate who is the staff assistant approved by the Residents Council In addition to the Residents Council Copernicus Lodge provides Long Term Care residents with the opportunity to participate in discussion groups Residents air their views opinions and talk about matters of concern to themselves and other Residents living at the Home The Registered Nurse together with Managers have quarterly meetings on each Resident Home Area (RHA) for all residents staff volunteers and family members

FAMILY COUNCIL

A Family Council is self-led self-determining democratic group of family members and friends of residents in Long Term Care Home that meet on a quarterly basis to provide a forum for sharing their experiences learning exchanging information and seek solutions to common problems The current approved staff assistance for Residentsrsquo Council is Copernicus Lodgersquos Social Worker A Family Council can benefit the Family Members Residents and Copernicus Lodge These benefits can include the following

Allows families to give each other ongoing mutual support and encouragement Sharing thoughts and feelings with others who are in the same situation can help families cope

Provides a forum for learning especially for families of new residents

Provides an opportunity to become knowledgeable about the Homersquos operations policies and rules This can be especially helpful for families of new Residents

Help families and the Home form a positive partnership aimed at improving resident care

Offers family members a chance to express their collective concerns ndash a ldquounited voicerdquo supporting a ldquounited effortrdquo In this way a Family Council can be a catalyst for positive changes in residentsrsquo daily lives familiesrsquo experiences and in the Home in general

A Family Council can benefit residents who are physically or mentally unable to voice their needs and concerns as well as those without family

Can benefit the Home by providing a means for staff to deal directly with families as a group and establish meaningful ongoing lines of communication

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 9

Any family members who wish to join the Family Council please contact the Copernicus Lodge Resident Advocate Meetings are quarterly in the Boardroom on the Main floor

MANDATORY AND IMMEDIATE REPORTING TO THE DIRECTOR

OF THE MINISTRY OF HEALTH

1 Copernicus Lodge immediately investigates responds and acts on every alleged suspected or witnessed incident of abuse and or neglect of a resident by anyone that Copernicus Lodge knows of or that is reported to Copernicus Lodge Chief Executive Officer (CEO) andor Director of Care (DOC) will refer to the Resident Abuse amp Neglect Decision Trees as provided by the Ministry of Health Long Term Care when assessing the allegation to determine reporting requirements to the Ministry as required by the LTCH Act

When reporting to the Director the report will include the results of every investigation and every action taken to such incidents

Reporting to the Director Copernicus Lodge or any other person who has reasonable grounds to suspect that any of the following has occurred or may occur will immediately report the suspicion and the information upon which it is based to the Director

1 Improper or incompetent treatment or care of a resident that resulted in harm or a risk of harm to the resident

2 Abuse of a resident by anyone or neglect of a resident by Copernicus Lodge or staff that resulted in harm or a risk of harm to the resident

3 Unlawful conduct that resulted in harm or a risk of harm to a resident

4 Misuse or misappropriation of a residentrsquos money

5 Misuse or misappropriation of funding provided to Copernicus Lodge under the Long Term Care Homes Act or the Local Health System Integration Act 2006

False information Any person reporting information to the Director they know to be false will be guilty of an offence

Exceptions for residents A resident may make a report but is not required to and the issue in regards to reporting

false information as an offence does not apply to residents who are incapable

Duty on practitioners and others Even if the information on which a report may be based is confidential or privileged no

action or other proceeding for making the report shall be commenced against a person (ie Physician Social Worker Pharmacist etc) who acts in accordance with reporting unless that person acts maliciously or without reasonable grounds for the suspicion

Offence of failure to report Copernicus Lodge Copernicus Lodge staff any person who provides professional

services to our residents in the areas of health social work or social services work and any person who provides professional services to Copernicus Lodge in the areas of health social work or social services work would be guilty of an offence if they fail to make a report under this policy

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 10

Offences re suppressing reports Every person who coerces or intimidates a person not to make a report andor

discourages a person from making a report andor authorizes permits or concurs in a contravention of the duty to make a report is guilty of an offence

All Mandatory reports are made to

Director Performance Improvement and Compliance Branch Ministry of Health and Long-Term Care

1075 Bay Street 11th

Floor Toronto ON M5S 2B1 1-866-434-0144

COPERNICUS LODGE COMPLAINT PROCEDURE

It is the policy of Copernicus Lodge that the following steps are taken when raising concerns lodging complaints or recommending changes

STEP 1 Speak directly to the staff member involved If you are not satisfied with their response or the issue is not resolved move on to step 2

STEP 2 Speak to the Manager of the Department involved If you are not satisfied with their response move on to step 3

STEP 3 Speak to the Chief Executive Officer If you are still not satisfied with the response given move on to step 4

STEP 4 Submit your complaintconcern in writing to the Board of Directors If you are still not satisfied with the response given move on to step 5

STEP 5 For issues related to long-term care contact

THE MINISTRY OF HEALTH LONG TERM CARE ACTION LINE

Quality care matters If you want more information have a concern or want to register a complaint about a

Long-Term Care Facility call this toll-free number

1-866-434-0144 Available 7 days a week 830AM ndash 700PM

OR Send a written letter by mail to the responsible Director at

The Ministry of Long Term care at the following address Director Performance Improvement and Compliance Branch

Ministry of Health and Long-Term Care 1075 Bay Street 11

th Floor

Toronto ON M5S 2B1

You will receive a letter or phone call to let you know that the ministry has received your complaint

The Director will refer your complaint to an inspector who will look into your matter

Please Note You may obtain a complete up to date listing of all Departments Names of Managers and their contact information in the clear folder attached to the Long Term Care Resident Family Board located on the main floor hallway

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 11

Privacy of Resident Health Information Copernicus Lodge exists to provide you with a broad variety of care services To meet your needs and serve you well Copernicus Lodge needs to know personal information about you You as an individual have a right to know how we collect use and disclose personal information You have a right to expect that to the best of our ability your personal information held by us remains accurate confidential and secure Copernicus Lodge is proud of its commitment to maintaining the confidentiality and security of personal information and weve provided this write-up to explain how we protect the privacy of individual residents information in Copernicus Lodge Copernicus Lodgersquos privacy policies comply with the Personal Health Information Protection Act (PHIPA) It is important that a trust relationship be established between you and Copernicus Lodge To this end we are pleased to share information with you The more you know about us the more confident you can feel about receiving our services Similarly the more we know about you the better we can serve you Copernicus Lodge collects and uses information about you for the following purposes only

To make decisions about the types services you need

To serve as a means to communicate with service providers

To monitor the provision of services and evaluate your response to services provided

As a legal document made in the normal course of business

To serve as a record of services provided

As proof of what was done by whom and when during a residents encounter with a provider

To be used as evidence against or for the organizations the service providers or the resident

To verify our accountability

For strategic planning decision making allocating of resources and

To meet legal and regulatory requirements

Consent Because it is important that we keep your trust we will only ask for information which we need and when we ask you for information well let you know why we need it To the best of our ability we will seek your consent to verify and supplement information collected from external sources such as Community Care Access Centerrsquos (CCAC) Physicians Social Services the Local Health Integrated Networks (LHINS) the Ministry of Health and Long Term Care (MOHLTC) and other community service providers for whom you may need service from Subject to legal or contractual requirements you can refuse to consent to our collection use or disclosure of information at any time provided the consent does not relate to certain information required for care provisions such as disclosure of information to the LHIN or MOHLTC If you refuse or withdraw your consent to the collection use or disclosure of information about you we may not be able to continue to provide you with some services you require With your consent and where laws allow this we may share your information with other service providers such as a hospital pharmacy medical specialist social worker and others who provide community services If you do not want to be contacted by these other service providers we will withhold information from them Disclosure means providing specific information about you from our records to a third party Depending on your consent disclosure can happen over the telephone by fax by computer andor be electronic data sharing Under normal circumstance we wont collect use or disclose your personal information without your consent The only exceptions to this rule are when the disclosure is permitted by law or when it is impossible or impractical to

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 12

get your consent Some examples of situations where we will not seek your consent for disclosure are

For emergency or life threatening events

Where there is legal obligation to disclose under a court or government order for instance to police

Where personal information is given to our agents and service providers for services such as laboratory and pharmacy services and

Where personal information must be given to insurers in connection with insurance services

Reviewing amp Making Corrections Except as outlined below a record is kept each time personal information is disclosed noting the nature of the disclosure that was made Individual records of disclosure are not maintained for regular and routine actions such as prescriptions sent to the pharmacy We attempt to ensure that the information we hold about you is accurate complete and up-to-date If there are changes to your information eg a new Substitute Decision Maker (SDM) has been named please notify us immediately If you believe that information in your records may be inaccurate we make it easy for you to access verify and update it If information has been provided to third parties we will convey the corrected information to them if necessary If we do not agree to change your personal information you may challenge our decision We will make a record of this challenge and if necessary disclose the challenge to third parties who also process your information To review your personal information simply ask a staff person for assistance The staff person will provide you with instructions about accessing your information There may be a charge for retrieving your information in which case you will be notified in advance and may if you like withdraw your consent You may also challenge the reasonableness of the charge Access to information may be more meaningful to you if such access is provided in the presence of a service provider who can explain terminology and the organizations policies We encourage you to invite a care provider from Copernicus Lodge to assist you in your review of your personal information Sometimes a staff person will not provide you with information about you that is within its control This can occur if your right of access is constrained pursuant to the provisions of PHIPA For example the staff person will not provide you with personal information if

It would reveal personal information about another party and your personal information cannot be separated

The information is subject to solicitor-client or litigation privilege andor if

The information is used for the detection and prevention of a criminal activity and dealings in the proceeds of crime

If a staff person refuses your request for access to personal information you will be told why unless prohibited by law You may challenge the decision Once you have the information all you have to do is check for its accuracy and let us know if there are any corrections required We will correct our records or make a note of differences If information has been provided to third parties we will convey the corrected information or note any differences to them if necessary

Complaints amp Responsibility Ultimately Department Managers and Supervisors are responsible for protecting resident information They delegate day-to-day responsibilities to others such as privacy officers within Copernicus Lodge Every staff person must take responsibility for protecting resident privacy confidentiality and security Our suppliers sign contracts that oblige them to contractually adhere to our privacy practices thus protecting the information of residents when in the possession of third parties These suppliers or third party

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 13

include lab pharmacy physicians etc There are controls over the use of computers electronic data sharing paper documents faxing activities access to personal information If you or your family has concerns or questions about the management of personal information in Copernicus Lodge or about our compliance with privacy codes and laws we invite you to direct your questions and concerns to a staff person who is providing service to you If that person is unable to effectively respond to your questions and concerns we encourage you to contact our Privacy Officer

Tracy Kamino Chief Executive Officer 416-536-7122 extension 238

Fax 416-536-8242

We trust that we will be able to resolve any issues that you have regarding the protection of personal information If our Privacy Officer Tracy Kamino is unable to satisfy your inquiries you may contact the Office of the Privacy Commissioner of Ontario

Information and Privacy Commissioner of Ontario 2 Bloor Street West Suite 1400 Toronto Ontario M4W 1A8

Tel 1-416-326-3333 or Toll Free 1-800-387-0073

LONG TERM CARE ACCOMMODATION

All rooms are furnished with bull an electric hospital bed (regular or adjustable head and foot ) and pillows bull comfortable mattress with waterproof cover bull adjustable bed rails (if required) bull loungeguest chair bull night tablelamp bull laundry basket bull garbage can

The residentrsquos name is posted outside their room Memory boxes at eye level personalize and cue residents to their room All rooms are heated and water tempered with connections for telephone and cable TV Common areas are air-conditioned All windows can open but only 4 inches wide at all times (as per legal requirements) Residentsfamiliesvolunteers are not allowed to tamper with the window locking mechanisms You may bring a radio TV andor pictures Only certain electrical appliances as discussed and permitted by the Director of Care are allowed Bar fridges are not permitted in the home unless identified for medical reasons only and under the approval of the Director of Care Call bells must meet CSA Standards and are located at the bedside in the washrooms and lounge areas Press to call for assistance Cleaning services are provided weekly or more often if necessary Additional furniture may be brought in after consulting with the Director of Care Balcony Balcony doors must be locked at all times unless residents are supervised by staff or families (or resident is competent to be there alone) Families and residents using this space are told before allowing access to ensure they close the door after themselves and ensure it is locked

Accommodation Rates

Copernicus Lodge has different classes of accommodation that have different rates The

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 14

Ministry of Health and Long-Term Care (the ldquoMinistryrdquo) sets these rates The Long Term Care Homes Act requires residents to pay homes the rate that is set for his or her class of accommodation The Ministry adjusts accommodation rates from time to time These adjustments will result in changes to the Accommodation Fees Copernicus Lodge will provide the Resident with thirty (30) days written notice in advance of any increase in Accommodation Fees The notice will include the amount of the increase and the current Accommodation Fees that the Resident must pay

A Resident who is absent from Copernicus Lodge must continue to pay Accommodation Fees for each day of his or her absence The term ldquoabsencerdquo includes a casual or vacation absence and also an absence for medical or psychiatric care or assessment

RATES ndash from September 1 2014

A Basic Accommodation (Shared washroom)

From $ 123865 per month to $ 173162 per month

Persons applying for Basic Accommodation must submit a Notice of Assessment for the current year from Canada Customs and Revenue Agency CCRA (formerly Revenue Canada) to the Accounting Department A rate reduction form will be completed and must be signed If the income is below the threshold set by the Ministry of Health then the resident will receive a rate reduction Please contact the Accountant at 416-536-71122 ext 258

B Preferred Accommodation Private $ 243881 per month (Own room with ensuite washroom)

SHORT STAY RESPITE ACCOMMODATION

Copernicus Lodge offers Short Stay Respite Care Applications are filed and processed through the Community Care Access Centre

RATES $ 3685 per day A maximum of 90 days in a calendar year is allowed (60 days consecutive)

NOTE Rates are subject to change on notification by the Ministry of Health

List of Goods and Services included with Accommodation

The following list provides information about the goods and services included in basic or

preferred accommodation

1 Nursing and personal care on a 24-hour basis the administration of medications and assistance with activities of daily living

2 Medical care and restorative care is available in the home 3 Certain medical supplies and nursing equipment that are necessary for the care of the

resident 4 Supplies and equipment for personal hygiene and grooming 5 Certain equipment for the short-term use of the resident

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 15

6 Meal and snack service (three meals daily snacks between meals and at bedtime) special and therapeutic diets dietary supplements and devices to promote independence with eating

7 Social recreational spiritual and physical activities and programs 8 Laundry including labelling 9 Bedroom furnishings bedding and linen 10 Cleaning and upkeep of accommodations 11 Maintenance of a trust account on the residentrsquos behalf 12 Information package for residents 13 Prescription pharmaceutical preparations listed in the Ontario Drug Benefit Formulary

(the government requires residents to pay a small co-payment) 14 Special preparations or medical devices that may be obtained from the Ontario Drug

Benefit Program as interim non-formulary benefits 15 Insured devices equipment supplies and services that are available to the resident

through certain programs such as the Ontario Assistive Devices Program (the government covers part of this cost and residents must pay the rest)

16 Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon request

Note The Resident (or Power of Attorney for Property Guardian Trustee on behalf of the Resident) may purchase additional goods and services from the Home or 3

rd Party Suppliers

under a separate agreement ACCOUNTING BILLING BANKING

Hours Monday 130 pm - 400 pm Wednesday 900 am - 1230 pm Last Friday of the month 900 am - 1200 noon Closed - Tuesday Thursday and Friday (except last) Other times are by appointment please call ext 258 There is a slot located on the Accounting Office door for dropping off paymentsinformation after hours

ON SITE BANKING St Stanislaus St Casimirrsquos Credit Union attends in Room G 30 every Wednesday from 930 am to 1230 pm amp 100 pm to 200 pm and the last Friday of the month from 930 am to 1230 pm amp 100 pm to 200 pm for persons wishing to do regular banking transactions

Trust Accounts may be opened in Copernicus Lodge as requested Copernicus Lodge maintains a non interest bearing account on behalf of the resident There is no charge for this service Please contact the Accountant at ext 258 between 700 am and 300 pm

Comfort Allowance - is available to persons in Basic Accommodation rooms only There is no Comfort Allowance for persons in Preferred Accommodation Monies owing to the residentlawfully authorized substitute are returned one month after discharge Copernicus Lodge does not require a resident to pay a penalty in lieu of a specific notice period prior to discharge

MEDICAL SERVICES

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 16

Medical Director Copernicus Lodge shall ensure that it has a Medical Director The Medical Director shall be a physician The Medical Director

advises Copernicus Lodge long term care on matters relating to medical care

consults with the Director of Care and other health professionals working in Copernicus Lodge

performs any other duties provided for in the regulations 2007 c 72 (3)

Attending Physicians All residents have the option to choose their own Attending Physician outside of those physicians currently servicing Copernicus Lodge provided that heshe agrees to attend the resident at the home on a weekly basis and abide by Copernicus Lodge policies and procedures Attending Physicians must sign a contract with Copernicus Lodge

1 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario 2 All Attending Physicians are appointed by the Chief Executive Officer on the advice of the Medical Director 3 Attending Physicians are accountable to the Medical Director for meeting the homes policies and standards of medical care 4 Attending Physicians assess plan implement and evaluate their residents medical care and participate in a multi-disciplinary approach to care 5 Attending Physicians document on the resident health record on each visit to maintain continuity and ongoing evaluation 6 Attending Physicians arrange for 24-hour medical coverage for residents for whom they provide medical care 7 All medical care and services provided by Physicians in Long-Term Care homes are subject to peer assessment by the College of Physicians and Surgeons of Ontario on a random basis according to College procedures 8 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario

Residents and family members should be aware that the primary contact for medical care or medical concerns is the Registered Nursing staff Attending Physicians do not have offices within the home and are not in the facility each day Attending Physicians complete regular visits to their residents and on an as needed basis Attending Physicians do not normally contact family members to provide updates on the residentrsquos condition Residents and family members are always welcome to contact the Attending Physician at their private practice The office number can be obtained from the Registered Nursing staff Due to privacy issues Registered Nursing staff will only provide general health information about a resident to the Power of Attorney for Care (POA) Information about or changes to a residentrsquos medical diagnosis is given by the Attending Physician and not the Registered Nursing Staff Psychogeriatrician

Dr Colman Nefsky (MD Psychogeriatrician) We are very pleased to have the support of our consulting Psychogeriatrician from St Josephrsquos Health Center Dr Colman Nefsky Dr Nefsky visits and completes rounds on a monthly basis

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 17

for those residents who have been referred to him Dr Nefsky provides consultations to individuals who are suffering with psychological or behavioural issues and provides treatment options to the nursing and medical staff in the home Mary Boudart RN ndash St Josephrsquos Health Center Geriatric Mental Health Outreach Team Nurse (GMHOT) Mary Boudart works in collaboration with Dr Nefsky and completes weekly rounds for any resident who has been referred to her Care Conferences An organized documented interdisciplinary care conference lasting 30 minutes in duration is held with each resident andor substitute decision maker (POA for care) if you are able and wish to attend within six (6) weeks following admission to Copernicus Lodge and annually thereafter Care Conferences are held in order to discuss review and further develop the residents plan of care and address any other matters of importance to the resident and hisher substitute decision-maker (if any) The resident the substitute decision maker if any and any person that either of you may direct are given an opportunity to participate fully in the care conference

Special Care Conferences may be held anytime at the request of the family resident or interdisciplinary team if a residents condition or any other situation arises which affects the residents status Care conferences are held in either the activity room or the conference room (behind the nursing station) located on the residents home areafloorunit If the family substitute decision maker is unable to attend in person the option of a teleconference (over the telephone meeting) is available as an option to being there in person The conference may also be held at the bedside of a bedridden resident as requested by the resident andor substitute decision maker Residents and family are reminded not to wait for this annual meeting to express any concerns or issues you have Express concerns at the time they occur directly with any one of the interdisciplinary team as it relates to any department or inform the Charge Nurse who can redirect them as appropriate

Note Care Conferences do not apply to those residents residing in short-stay beds

NURSING

Nursing care and personal care is provided on a 24-hour basis This includes care given by or under the supervision of a Registered Nurse or a Registered Practical Nurse All Registered Nursing staff is licensed by the College of Nurses of Ontario Assistance with activities of daily living (personal care) is provided by Personal Support Workers (PSWrsquos) Daily medication is administered by the Registered Nursing staff Newly admitted residents must give all of their medication from home or hospital to the Registered Nurse on duty on the day of admission A picture is taken of all new residents on the day of admission and posted on their Medication Administration Record (MAR) and in the residents chart This is done to prevent medication and treatment errors Nursing and personal care is completed through an individualized personal care approach Nursing staff complete ongoing assessments and care plans which detail each residentrsquos individual care needs

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 18

Nursing staff can be reached by pressing the call-bells for assistance These are located in the resident bedroom bathrooms and lounge areas Call bells are responded to as quickly as possible

Pharmacy Copernicus Lodge utilizes a local pharmacy for all of its medicationpharmaceutical requirements At no time should residents or families bring in medications not approved by the medical nursing staff Medications are not to be left in resident rooms IMPORTANT All medications must be left with the Registered Nursing staff on duty

Medical supplies and nursing equipment

Medical supplies and nursing equipment necessary for the care of residents is provided by the home including supplies for the prevention or care of skin disorders continence care products infection control and sterile procedures

Medical devices such as catheters colostomy and ileostomy devices

Supplies and equipment for personal hygiene and grooming including skin care lotions and powders shampoos soap deodorant toothpaste toothbrushes denture cups and cleansers toilet tissue facial tissue hair brushes combs razorsshavers shaving cream feminine hygiene and incontinence products

Equipment for the general use of residents such as toilet aids and other self-help aids for the activities of daily living

Equipment for the general use of residents including wheelchairs geriatric chairs canes walkers are provided for short term use only (maximum 3 ndash 4 weeks) Should a resident require equipment for longer than 3-4 weeks the residentfamilysubstitute decision maker will be required to purchasecover all costs for such items Prescription pharmaceutical preparations listed in the Drug Benefit Formulary

bull Special preparations or medical devices which may be obtained from the Ontario Drug Benefit Program as interim non-formulary benefits

bull Insured devices equipment supplies and services available to residents through other programs such as the Home Care Program and Assistive Devices Program (ADP) ACHIEVA HEALTH provides ADP Seating and Mobility Assessments at NO COST to the Residents at Copernicus Lodge

bull Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon requisition If you have any questions or concerns regarding the nursing care or service please speak to the Charge Nurse

TAG SYSTEM

PURPOSE TO IDENTIFY RESIDENTS WITH BEHAVIOURAL ISSUES AND DIETARY RESTRICTIONS AS PART OF FALLS PREVENTION PROGRAM

As part of the Falls Prevention Program cards are mounted onto the residentrsquos mobility aids (where applicable) identifying that

a resident is at risk for falls

these cards are COLOUR-CODED to match the residents current behavioural risk level (ie Green Yellow or Pink as detailed in Section D)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 19

cards have a picture of food that is crossed out to identify that residents have a dietary restriction

On a quarterly basis or more often as necessary based on changes to a residentrsquos falls risk or behavioural risk level it is the responsibility of the RN RPN on each unit to review these cards and change them in order to correspond with the residentrsquos current condition

If the Dietician notes that there are changes to a residents swallowing meal consistency etc which warrant dietary restrictions it is the responsibility of the Dietician Manager of Dietary Services or Food Services Supervisor to change these cards on the residents mobility aid

There are 4 types of cards These are

I Colour-coded cards with only the residents unit identified ndash these individuals are not at risk for falls and do not have dietary restrictions however staff can clearly identify the residents behavioural risk level

II Colour-coded cards with the residents unit and Falls Symbol ndash this identifies that a resident is at risk for falls and also identifies the residents behavioural risk level

III Colour-coded cards with residents unit Falls symbol and Dietary Restriction symbol ndash this identifies that the resident is at risk for falls and has dietary restrictions as well as the residents behavioural risk level

IV Colour-coded cards with residents unit and Dietary Restriction Symbol ndash this identifies that a resident has dietary restrictions to be aware of as well as the residents behavioural risk level

Prevention of Needlestick Injuries

Copernicus Lodge thrives to maintain the health and safety of all residents staff and visitors to our home Needlestick Injury Prevention is a serious concern for the employees of our home In order to take a proactive approach regarding the prevention of needlestick injuries we would like to outline some important information for you ALL NEW ADMISSIONS TO LONG TERM CARE

1 Please note that when residents move into our Long Term Care Home that the nursing staff will take on the responsibility of completing diabetic glucose testing along with insulin injections Residents are NOT to self test themselves if they are diabetic This practice allows the nursing staff to safely dispose the needles as required into the Yellow Disposable Needle Containers - in every circumstance

2 We would kindly ask that families POArsquos please take any glucometer testing units syringes home Please do not leave any of these items in the residents room or by the bedside

FAMILIES AND VISITORS If any family member or visitor must test themselves while at Copernicus Lodge please ensure that you speak with the nursing staff RN RPN on the unit so that you can safely discard any needles used into one of the Yellow Disposable Needle Containers available on the Resident Home Area units

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 20

RESTRAINT USE AT COPERNICUS LODGE Copernicus Lodge uses the Least Restraint practice which means that the least restrictive measure is used for the shortest duration possible This allows for the maximum freedom of movement andor residentrsquos control The types of restraints currently used within Copernicus Lodge are as follows

a) Chemical Restraints - a pharmaceutical agent given with the specific purpose of inhibiting or controlling behaviour or movement

b) Physical RestraintsDevices - any appliance device apparatus or equipment attached or adjacent to a residents body that the individual cannot remove easily and which restricts movement The Physical Restraints currently used at Copernicus Lodge are Lapbelts Seatbelts Table Tops and Full Bedrails (both up at the same time)

c) Environmental Restraints - A barrier to free personal movement which serves to confine a resident to a specific geographic area (ie 2 North Special Care Unit which has a wanderguard alarm installed for residents with exit-seeking behaviours)

Note Under no circumstances can two restraints be applied at the same time (for example a lap tray cannot be used at the same time as a seatbelt)

The following devices are Prohibited and NOT permitted to be used in Copernicus Lodge

1 Roller bars on wheelchairs and commodes or toilets

2 Vest or jacket restraints

3 Any device with locks that can only be released by a separate device such as a key or magnet

4 Four point extremity restraints

5 Any device used to restrain a resident to a commode or toilet

6 Any device that cannot be immediately released by staff

7 Sheets wraps tensors or other types of strips or bandages used other than for a therapeutic purpose

Copernicus Lodgersquos Restraint Policy involves an interdisciplinary approach to restraint use and we document all steps of the restraining process

Our Restraint Policy includes the following requirements

1 Staff only applies a physical device that has been ordered and approved by the Attending Physician and where there is a signed consent by the resident (if competent) andor Substitute Decision Maker and an understanding of the reason for the use of the device

2 Staff consider alternatives to the use of physical devices including how these alternatives are planned developed and implemented (ie one way-gliders assist to prevent residents from sliding as does the tilt mechanism on many wheelchairs)

3 That the need for the restraint is clearly documented in the resident plan of care

4 Staff applies the physical device only in accordance with any manufacturerrsquos instructions and the instructions of the Attending Physician

5 Staff ensures that the physical device is well maintained

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 21

6 Staff ensures that the physical device is not altered except for routine adjustments in accordance with any manufacturerrsquos instructions

7 Registered staff and PSW staff monitor the resident while restrained at least every hour

8 Staff ensures that the resident is released from the physical device and repositioned at least once every two hours (this requirement does not apply when bed rails are being used if the resident is able to reposition himself or herself)

9 Staff ensures that the resident is released and repositioned any other time when necessary based on the residentrsquos condition or circumstances

10 The residentrsquos condition is reassessed and the effectiveness of the restraining is evaluated by the Registered Nurse every eight hours and at any other time when necessary based on the residentrsquos condition or circumstances

11 Upon removal of a physical device post-restraining care is provided to ensure the safety and comfort of the resident

Copernicus Lodge also reserves the right to restrain a resident by physical means when immediate action is necessary to prevent serious bodily harm to the resident or to others In the event such action is required

1 The resident is monitored or supervised on an ongoing basis and released from the physical device and repositioned when necessary based on the residentrsquos condition or circumstances

2 Ongoing assessment of the residentrsquos condition is reassessed by the registered nursing staff

3 The restraint is discontinued when the immediate action is no longer necessary

4 When the application of a physical restraint is required for to prevent serious injury to a resident or others the reason for the use of the physical device will be explained to the resident or the residentrsquos substitute decision maker where the resident is incapable

Environmental Restraints Dementia Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentrsquos plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

Evaluation Through our continuous quality improvement efforts Copernicus Lodge annually evaluates the effectiveness of our restraint policy and identifies what changes and improvements are required

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 22

to minimize restraining and to ensure that any restraining that is necessary is done in accordance with legislative requirements Any changes or improvements are to be promptly implemented

Although there will always be residents who require or feel more secure with restraints we hope that everyone will work with us to try to keep our home as RESTRAINT FREE AS POSSIBLE

To receive a copy of the full restraint policy please feel free to speak to our Director of Care at 416-536-7122 ext 240

Copernicus Lodgersquos Resident Abuse and Neglect Policy Copernicus Lodge promotes in its standards and practices the philosophy of care that all residents are treated with dignity respect and courtesy The Lodge views most seriously any type of abuse or neglect of a resident by any staff volunteer family substitute decision-maker visitor or any other persons who enter the premises at Copernicus Lodge

Definitions of Abuse

Copernicus Lodge defines ldquoabuserdquo (in accordance with our policy and subsection 2 (1) of the Long Term Care Homes Act) as the following

Emotional Abuse

(a) any threatening insulting intimidating or humiliating gestures actions behaviour or remarks including imposed social isolation shunning ignoring lack of acknowledgement or infantilization that are performed by anyone other than a resident or

(b) any threatening or intimidating gestures actions behaviour or remarks by a resident that causes alarm or fear to another resident where the resident performing the gestures actions behaviour or remarks understands and appreciates their consequences

Financial Abuse

(a) any misappropriation or misuse of a residentrsquos money or property

Physical Abuse

(a) the use of physical force by anyone other than a resident that causes physical injury or pain

(b) administering or withholding a drug for an inappropriate purpose or

(c) the use of physical force by a resident that causes physical injury to another resident

(Note Physical Abuse does not include the use of force that is appropriate to the provision of care or assisting a resident with activities of daily living unless the force used is excessive in the circumstance)

Sexual Abuse

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 23

(a) subject to subsection (3) any consensual or non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation that is directed towards a resident by a licensee or staff member or

(b) any non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation directed towards a resident by a person other than a licensee or staff member

(Note Sexual Abuse does not include

(a) touching behaviour or remarks of a clinical nature that are appropriate to the provision of care or assisting a resident with activities of daily living or

(b) consensual touching behaviour or remarks of a sexual nature between a resident and a licensee or staff member that is in the course of a sexual relationship that began before the resident was admitted to the long-term care home or before the licensee or staff member became a licensee or staff member)

Verbal Abuse

(a) any form of verbal communication of a threatening or intimidating nature or any form of verbal communication of a belittling or degrading nature which diminishes a residentrsquos sense of well-being dignity or self-worth that is made by anyone other than a resident or

(b) any form of verbal communication of a threatening or intimidating nature made by a resident that leads another resident to fear for his or her safety where the resident making the communication understands and appreciates its consequences

Neglect

(a) the failure to provide a resident with the treatment care services or assistance required for health safety or well-being and includes inaction or a pattern of inaction that jeopardizes the health safety or well-being of one or more residents

Copernicus Lodgersquos established Resident Abuse Policy and Procedure encompasses

A Definitions of what constitutes Resident Abuse and Neglect

B A Resident Abuse Incident Reporting System

C A Resident Abuse Incident Investigation System

D Support for the person abused

E EducationTraining that supports prevention of resident abuse and neglect and

F Evaluation of our 0 tolerance program

Copernicus Lodge maintains a Zero Tolerance for any type of abuse of a resident family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 3: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 2

Please be advised that the Residents Bill of Rights is the primary document to ensure that residentsrsquo rights are being met This includes ldquothe right to give or refuse consent to treatment including medication in accordance with the law and to be informed of the consequences of giving or refusing consentrdquo If a resident who is cognitively well refuses caremedicationtreatment this is documented in the residentrsquos medical chart and care plan In certain cases the doctor and or family is notified of the refusal As this is the residentrsquos home any caremedicationtreatment is never forced upon the residents If a resident is deemed incapable of understanding the short-term or long-term risks of refusal the residentsrsquo Power of Attorney is notified and a decision is made whether to accept or deny the residentrsquos wishes

Copernicus Lodge is committed to ensuring that residentrsquos rights are fully respected and promoted

Home The Fundamental Principle

1 The fundamental principle to be applied in the interpretation of this Act and anything required or permitted under this Act is that a long-term care home is primarily the home of its residents and is to be operated so that it is a place where they may live with dignity and in security safety and comfort and have their physical psychological social spiritual and cultural needs adequately met 2007 c 8 s 1

Residentsrsquo Bill of Rights

3(1) Copernicus Lodge shall ensure that the following rights of residents are fully respected and promoted

1 Every resident has the right to be treated with courtesy and respect and in a way that fully recognizes the residents individuality and respects the residents dignity

2 Every resident has the right to be protected from abuse

3 Every resident has the right not to be neglected by Copernicus Lodge or staff

4 Every resident has the right to be properly sheltered fed clothed groomed and cared for in a manner consistent with his or her needs

5 Every resident has the right to live in a safe and clean environment

6 Every resident has the right to exercise the rights of a citizen

7 Every resident has the right to be told who is responsible for and who is providing the residents direct care

8 Every resident has the right to be afforded privacy in treatment and in caring for his or her personal needs

9 Every resident has the right to have his or her participation in decision-making respected

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 3

10 Every resident has the right to keep and display personal possessions pictures and furnishings in his or her room subject to safety requirements and the rights of other residents

11 Every resident has the right to

i participate fully in the development implementation review and revision of his or her plan of care

ii give or refuse consent to any treatment care or services for which his or her consent is required by law and to be informed of the consequences of giving or refusing consent

iii participate fully in making any decision concerning any aspect of his or her care including any decision concerning his or her admission discharge or transfer to or from a long-term care home or a secure unit and to obtain an independent opinion with regard to any of those matters and

iv have his or her personal health information within the meaning of the Personal Health Information Protection Act 2004 kept confidential in accordance with that Act and to have access to his or her records of personal health information including his or her plan of care in accordance with that Act

12 Every resident has the right to receive care and assistance towards independence based on a restorative care philosophy to maximize independence to the greatest extent possible

13 Every resident has the right not to be restrained except in the limited circumstances provided for under this Act and subject to the requirements provided for under this Act

14 Every resident has the right to communicate in confidence receive visitors of his or her choice and consult in private with any person without interference

15 Every resident who is dying or who is very ill has the right to have family and friends present 24 hours per day

16 Every resident has the right to designate a person to receive information concerning any transfer or any hospitalization of the resident and to have that person receive that information immediately

17 Every resident has the right to raise concerns or recommend changes in policies and services on behalf of himself or herself or others to the following persons and organizations without interference and without fear of coercion discrimination or reprisal whether directed at the resident or anyone else

i the Residents Council ii the Family Council iii Copernicus Lodge the directors and officers of Copernicus Lodge iv staff members v government officials

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 4

vi any other person inside or outside Copernicus Lodge

18 Every resident has the right to form friendships and relationships and to participate in the life of Copernicus Lodge

19 Every resident has the right to have his or her lifestyle and choices respected

20 Every resident has the right to participate in the Residents Council

21 Every resident has the right to meet privately with his or her spouse or another person in a room that assures privacy

22 Every resident has the right to share a room with another resident according to their mutual wishes if appropriate accommodation is available

23 Every resident has the right to pursue social cultural religious spiritual and other interests to develop his or her potential and to be given reasonable assistance by Copernicus Lodge to pursue these interests and to develop his or her potential

24 Every resident has the right to be informed in writing of any law rule or policy affecting services provided to the resident and of the procedures for initiating complaints

25 Every resident has the right to manage his or her own financial affairs unless the resident lacks the legal capacity to do so

26 Every resident has the right to be given access to protected outdoor areas in order to enjoy outdoor activity unless the physical setting makes this impossible

27 Every resident has the right to have any friend family member or other person of importance to the resident attend any meeting with the licensee or the staff of the home

Further guide to interpretation

(2) Without restricting the generality of the fundamental principle the following are to be interpreted so as to advance the objective that a residentrsquos rights set out in subsection (1) are respected

1 This Act and the regulations

2 Any agreement entered into between Copernicus Lodge and the Crown or an agent of the Crown

3 Any agreement entered into between Copernicus Lodge and as resident or the residentrsquos substitute decision maker 2007 c 8 s 3 (2)

Enforcement by the Resident

(3) A resident may enforce the Residentsrsquo Bill of Rights against Copernicus Lodge as though the resident and Copernicus Lodge had entered into a contract

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 5

under which Copernicus Lodge had agreed to fully respect and promote all the rights set out in the Residentsrsquo Bill of Rights 2007 c 8 s 3 (3)

Regulations

(4) The Lieutenant Governor in Council may make regulations governing how rights set out in the Residentsrsquo Bill of Rights shall be respected and promoted by Copernicus Lodge 2007 c 8 s 3 (4)

ACCESSIBILITY FOR ONTARIANS WITH DISABILITIES ACT This legislation is aimed at ensuring that we identify remove and prevent barriers for people with disabilities in areas of daily living This new law requires us to

Communicate with a person with a disability in an manner that takes into account their disability

Let people with disabilities bring their service animals onto the premises

Let people with disabilities be accompanied by their support persons while on the property

Train staff to know these standards and help all staff to understand the need to follow these standards

Principles

Dignity ndash service is provided in a way that allows the person with a disability to maintain self-respect and the respect of other people

Independence ndash Allowing a person with a disability to do things on their own without unnecessary help or interferences from others

Integration ndash Service is provided in a way that allows the person with a disability to benefit from the same services in the same place and in the same or similar way as other customers unless an alternate measure is necessary to enable the person to access the building or the services

Equal Opportunity ndash People with disabilities have an opportunity equal to that given to others to access the goods or services

Our Commitment In fulfilling our mission Copernicus Lodge strives at all times to provide our services in a way that respects the dignity and independence of people with disabilities Copernicus Lodge is committed to giving people with disabilities the same opportunity to access our services and allowing them to benefit from the same services in the same place and in a similar way as seniors who qualify for our services

HOW COPERNICUS LODGE COMPLIES WITH THE STANDARDS

Copernicus Lodge complies with the 14 requirements summarized below

1 Copernicus Lodge has established policies practices and procedures on providing services to people with disabilities

2 Policies practices and procedures are consistent with the core principles of independence dignity integration and equality of opportunity

3 People accessing our services have the right to use their own personal assistive devices to access services and about any other measures we offer (assistive devices services or methods) to enable them to access our services

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 6

4 Copernicus Lodge staff and volunteers are trained to communicate with a person with a disability in a manner that takes into account his or her disability

5 Copernicus Lodge permits people with disabilities to be accompanied by their guide dog or service animal in any area of our home

6 Copernicus Lodge permits people with disabilities who use a support person to bring that person with them while accessing any services in our home

7 Where admission fees are charged Copernicus Lodge provides notice ahead of time on what admission if any would be charged for a support person of a person with a disability

8 Copernicus Lodge provides notice when our facilities or services that people with disabilities rely on to access or use our services are temporarily disrupted Such notices are posted throughout the building and on the whats new page on our website

9 Copernicus Lodge provides annual training to staff volunteers contractors and any other people who interact with the public or other third parties on our behalf

10 Copernicus Lodge trains staff volunteers contractors and any other people who are involved in developing our policies practices and procedures on the provision of goods or services

11 Copernicus Lodge has established a feedback form (located at reception) for people to provide feedback on how we provide services to people with disabilities and how we respond to any feedback and take action on any complaints Copernicus Lodge makes the information about our feedback process readily available to the public

12 Copernicus Lodge documents in writing all our policies practices and procedures for providing accessible customer service

13 Copernicus Lodge posts a copy of this policy notifying customers that our policies are available upon request on our website

14 When giving documents required under the customer service standard to a person with a disability Copernicus Lodge provides the information in a format that takes into account the personrsquos disability (ie a CD disc andor hard copy sheets)

The Accessibility Bag at Reception

Located in the reception area is our Accessibility Bag which contains such things as up to date information about our services in various formats assistive devices (ie laminated communication cards magnifier glass paperpens amplifier) and copies of the feedback forms etc This bag is used by staff to ensure effective communication as required respecting a personsrsquo disability A similar bag is located in our Adult Day Program and Supportive Housing areas

ADVOCACY PROGRAMS AT COPERNICUS LODGE Copernicus Lodge promotes the philosophy of care in its standards and practices that all residents are treated with dignity respect and courtesy and have a right to know and participate fully in the operation of our home and in their own care Residents Tenants and Families have a right to express concerns within our home without the fear of reprisal

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 7

The Lodge views most seriously any type of abuse (including reprisal) of a resident tenant family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge and maintains a Zero Tolerance for any type of abuse We are here to

answer any questions or concerns you may have

empower and engage families and residents in dialogue and participate in care decisions

encourage residentfamily input to aid staff in problem solving and finding solutions and

provide support to residents tenants and families around issues and concerns at the Lodge and beyond in the community

To ensure this happens we provide the following advocacy opportunities for families and residentsrsquo to participate in the decision-making process at Copernicus Lodge

Resident Council Meetings (LTC Residents) (held every second month) Family Council (LTC Family) (held quarterly) Seniors Club Meetings (Apartment tenants) (held monthly) Family Information Sessions (held annually) Food Review Committee (held 4 timesyear) Annual TenantResidentFamily Satisfaction Surveys organized by the Continuous

Quality Improvement Committee andor Department Head (Supportive Housing and Adult Day Program)

A suggestion box located at the main entrance and at the Continuous Quality Improvement Board Forms are available at Reception for any complaints or suggestions ndash available 24 hours a day7 days a week

Copernicus Lodgersquos formal complaint procedure (posted on the ResidentFamily Information board on main floor and throughout the building)

Resident Care Conferences for each LTC resident (held 6 weeks after admission and annually thereafter or as needed)

LTC Resident Home Area (RHA) Meetings (held quarterly on each RHA) LTC Resident Bill of Rights (posted on the ResidentFamily Information Board and on

every floor next to the elevators) Task Force meetings to discuss issues related to resident abuse and neglect in LTC

homes as a response to recommendations of the Ontario Task Force on Resident Care and Safety

If you have any suggestions that will help us improve we ask that you please take advantage of these advocacy programs

If you would like further information about any of our policies or any of these

advocacy programs please feel free to contact Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

RESIDENT ADVOCATE (SOCIAL WORK SOCIAL SERVICES WORK) As part of the Resident Advocates roles and responsibilities he she act on behalf of the residents in order to support and assist them with social work social services issues He she provide emotional support to residents and family member act as a residentrsquos liaison in the community and assist to rectify issues that impact both the residents and other departments as necessary

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 8

The Resident Advocate as approved and authorized by the councils act as the Family and Resident Council Staff Assistant As the Family and Resident Council Staff Assistant the Resident Advocate takes instructions from the Councils ensure confidentiality where requested and reports to the Councils RESIDENTS COUNCIL Residents Council operates for the purpose of

Promoting communication between the residents and administration

Improving the residentsrsquo quality of life within the home by providing an opportunity for residents to air their ideas feelings and concerns through discussion

Providing a forum to identify problem solve

Fostering residentsrsquo independence and self-direction

Providing residents with the opportunity to actively participate in the decision making process within the Lodge

New members residents are always welcome Meetings are held every 3 months in the Multipurpose Room or Boardroom The current approved staff assistance for Residentsrsquo Council is Copernicus Lodgersquos Resident Advocate who is the staff assistant approved by the Residents Council In addition to the Residents Council Copernicus Lodge provides Long Term Care residents with the opportunity to participate in discussion groups Residents air their views opinions and talk about matters of concern to themselves and other Residents living at the Home The Registered Nurse together with Managers have quarterly meetings on each Resident Home Area (RHA) for all residents staff volunteers and family members

FAMILY COUNCIL

A Family Council is self-led self-determining democratic group of family members and friends of residents in Long Term Care Home that meet on a quarterly basis to provide a forum for sharing their experiences learning exchanging information and seek solutions to common problems The current approved staff assistance for Residentsrsquo Council is Copernicus Lodgersquos Social Worker A Family Council can benefit the Family Members Residents and Copernicus Lodge These benefits can include the following

Allows families to give each other ongoing mutual support and encouragement Sharing thoughts and feelings with others who are in the same situation can help families cope

Provides a forum for learning especially for families of new residents

Provides an opportunity to become knowledgeable about the Homersquos operations policies and rules This can be especially helpful for families of new Residents

Help families and the Home form a positive partnership aimed at improving resident care

Offers family members a chance to express their collective concerns ndash a ldquounited voicerdquo supporting a ldquounited effortrdquo In this way a Family Council can be a catalyst for positive changes in residentsrsquo daily lives familiesrsquo experiences and in the Home in general

A Family Council can benefit residents who are physically or mentally unable to voice their needs and concerns as well as those without family

Can benefit the Home by providing a means for staff to deal directly with families as a group and establish meaningful ongoing lines of communication

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 9

Any family members who wish to join the Family Council please contact the Copernicus Lodge Resident Advocate Meetings are quarterly in the Boardroom on the Main floor

MANDATORY AND IMMEDIATE REPORTING TO THE DIRECTOR

OF THE MINISTRY OF HEALTH

1 Copernicus Lodge immediately investigates responds and acts on every alleged suspected or witnessed incident of abuse and or neglect of a resident by anyone that Copernicus Lodge knows of or that is reported to Copernicus Lodge Chief Executive Officer (CEO) andor Director of Care (DOC) will refer to the Resident Abuse amp Neglect Decision Trees as provided by the Ministry of Health Long Term Care when assessing the allegation to determine reporting requirements to the Ministry as required by the LTCH Act

When reporting to the Director the report will include the results of every investigation and every action taken to such incidents

Reporting to the Director Copernicus Lodge or any other person who has reasonable grounds to suspect that any of the following has occurred or may occur will immediately report the suspicion and the information upon which it is based to the Director

1 Improper or incompetent treatment or care of a resident that resulted in harm or a risk of harm to the resident

2 Abuse of a resident by anyone or neglect of a resident by Copernicus Lodge or staff that resulted in harm or a risk of harm to the resident

3 Unlawful conduct that resulted in harm or a risk of harm to a resident

4 Misuse or misappropriation of a residentrsquos money

5 Misuse or misappropriation of funding provided to Copernicus Lodge under the Long Term Care Homes Act or the Local Health System Integration Act 2006

False information Any person reporting information to the Director they know to be false will be guilty of an offence

Exceptions for residents A resident may make a report but is not required to and the issue in regards to reporting

false information as an offence does not apply to residents who are incapable

Duty on practitioners and others Even if the information on which a report may be based is confidential or privileged no

action or other proceeding for making the report shall be commenced against a person (ie Physician Social Worker Pharmacist etc) who acts in accordance with reporting unless that person acts maliciously or without reasonable grounds for the suspicion

Offence of failure to report Copernicus Lodge Copernicus Lodge staff any person who provides professional

services to our residents in the areas of health social work or social services work and any person who provides professional services to Copernicus Lodge in the areas of health social work or social services work would be guilty of an offence if they fail to make a report under this policy

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 10

Offences re suppressing reports Every person who coerces or intimidates a person not to make a report andor

discourages a person from making a report andor authorizes permits or concurs in a contravention of the duty to make a report is guilty of an offence

All Mandatory reports are made to

Director Performance Improvement and Compliance Branch Ministry of Health and Long-Term Care

1075 Bay Street 11th

Floor Toronto ON M5S 2B1 1-866-434-0144

COPERNICUS LODGE COMPLAINT PROCEDURE

It is the policy of Copernicus Lodge that the following steps are taken when raising concerns lodging complaints or recommending changes

STEP 1 Speak directly to the staff member involved If you are not satisfied with their response or the issue is not resolved move on to step 2

STEP 2 Speak to the Manager of the Department involved If you are not satisfied with their response move on to step 3

STEP 3 Speak to the Chief Executive Officer If you are still not satisfied with the response given move on to step 4

STEP 4 Submit your complaintconcern in writing to the Board of Directors If you are still not satisfied with the response given move on to step 5

STEP 5 For issues related to long-term care contact

THE MINISTRY OF HEALTH LONG TERM CARE ACTION LINE

Quality care matters If you want more information have a concern or want to register a complaint about a

Long-Term Care Facility call this toll-free number

1-866-434-0144 Available 7 days a week 830AM ndash 700PM

OR Send a written letter by mail to the responsible Director at

The Ministry of Long Term care at the following address Director Performance Improvement and Compliance Branch

Ministry of Health and Long-Term Care 1075 Bay Street 11

th Floor

Toronto ON M5S 2B1

You will receive a letter or phone call to let you know that the ministry has received your complaint

The Director will refer your complaint to an inspector who will look into your matter

Please Note You may obtain a complete up to date listing of all Departments Names of Managers and their contact information in the clear folder attached to the Long Term Care Resident Family Board located on the main floor hallway

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 11

Privacy of Resident Health Information Copernicus Lodge exists to provide you with a broad variety of care services To meet your needs and serve you well Copernicus Lodge needs to know personal information about you You as an individual have a right to know how we collect use and disclose personal information You have a right to expect that to the best of our ability your personal information held by us remains accurate confidential and secure Copernicus Lodge is proud of its commitment to maintaining the confidentiality and security of personal information and weve provided this write-up to explain how we protect the privacy of individual residents information in Copernicus Lodge Copernicus Lodgersquos privacy policies comply with the Personal Health Information Protection Act (PHIPA) It is important that a trust relationship be established between you and Copernicus Lodge To this end we are pleased to share information with you The more you know about us the more confident you can feel about receiving our services Similarly the more we know about you the better we can serve you Copernicus Lodge collects and uses information about you for the following purposes only

To make decisions about the types services you need

To serve as a means to communicate with service providers

To monitor the provision of services and evaluate your response to services provided

As a legal document made in the normal course of business

To serve as a record of services provided

As proof of what was done by whom and when during a residents encounter with a provider

To be used as evidence against or for the organizations the service providers or the resident

To verify our accountability

For strategic planning decision making allocating of resources and

To meet legal and regulatory requirements

Consent Because it is important that we keep your trust we will only ask for information which we need and when we ask you for information well let you know why we need it To the best of our ability we will seek your consent to verify and supplement information collected from external sources such as Community Care Access Centerrsquos (CCAC) Physicians Social Services the Local Health Integrated Networks (LHINS) the Ministry of Health and Long Term Care (MOHLTC) and other community service providers for whom you may need service from Subject to legal or contractual requirements you can refuse to consent to our collection use or disclosure of information at any time provided the consent does not relate to certain information required for care provisions such as disclosure of information to the LHIN or MOHLTC If you refuse or withdraw your consent to the collection use or disclosure of information about you we may not be able to continue to provide you with some services you require With your consent and where laws allow this we may share your information with other service providers such as a hospital pharmacy medical specialist social worker and others who provide community services If you do not want to be contacted by these other service providers we will withhold information from them Disclosure means providing specific information about you from our records to a third party Depending on your consent disclosure can happen over the telephone by fax by computer andor be electronic data sharing Under normal circumstance we wont collect use or disclose your personal information without your consent The only exceptions to this rule are when the disclosure is permitted by law or when it is impossible or impractical to

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 12

get your consent Some examples of situations where we will not seek your consent for disclosure are

For emergency or life threatening events

Where there is legal obligation to disclose under a court or government order for instance to police

Where personal information is given to our agents and service providers for services such as laboratory and pharmacy services and

Where personal information must be given to insurers in connection with insurance services

Reviewing amp Making Corrections Except as outlined below a record is kept each time personal information is disclosed noting the nature of the disclosure that was made Individual records of disclosure are not maintained for regular and routine actions such as prescriptions sent to the pharmacy We attempt to ensure that the information we hold about you is accurate complete and up-to-date If there are changes to your information eg a new Substitute Decision Maker (SDM) has been named please notify us immediately If you believe that information in your records may be inaccurate we make it easy for you to access verify and update it If information has been provided to third parties we will convey the corrected information to them if necessary If we do not agree to change your personal information you may challenge our decision We will make a record of this challenge and if necessary disclose the challenge to third parties who also process your information To review your personal information simply ask a staff person for assistance The staff person will provide you with instructions about accessing your information There may be a charge for retrieving your information in which case you will be notified in advance and may if you like withdraw your consent You may also challenge the reasonableness of the charge Access to information may be more meaningful to you if such access is provided in the presence of a service provider who can explain terminology and the organizations policies We encourage you to invite a care provider from Copernicus Lodge to assist you in your review of your personal information Sometimes a staff person will not provide you with information about you that is within its control This can occur if your right of access is constrained pursuant to the provisions of PHIPA For example the staff person will not provide you with personal information if

It would reveal personal information about another party and your personal information cannot be separated

The information is subject to solicitor-client or litigation privilege andor if

The information is used for the detection and prevention of a criminal activity and dealings in the proceeds of crime

If a staff person refuses your request for access to personal information you will be told why unless prohibited by law You may challenge the decision Once you have the information all you have to do is check for its accuracy and let us know if there are any corrections required We will correct our records or make a note of differences If information has been provided to third parties we will convey the corrected information or note any differences to them if necessary

Complaints amp Responsibility Ultimately Department Managers and Supervisors are responsible for protecting resident information They delegate day-to-day responsibilities to others such as privacy officers within Copernicus Lodge Every staff person must take responsibility for protecting resident privacy confidentiality and security Our suppliers sign contracts that oblige them to contractually adhere to our privacy practices thus protecting the information of residents when in the possession of third parties These suppliers or third party

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 13

include lab pharmacy physicians etc There are controls over the use of computers electronic data sharing paper documents faxing activities access to personal information If you or your family has concerns or questions about the management of personal information in Copernicus Lodge or about our compliance with privacy codes and laws we invite you to direct your questions and concerns to a staff person who is providing service to you If that person is unable to effectively respond to your questions and concerns we encourage you to contact our Privacy Officer

Tracy Kamino Chief Executive Officer 416-536-7122 extension 238

Fax 416-536-8242

We trust that we will be able to resolve any issues that you have regarding the protection of personal information If our Privacy Officer Tracy Kamino is unable to satisfy your inquiries you may contact the Office of the Privacy Commissioner of Ontario

Information and Privacy Commissioner of Ontario 2 Bloor Street West Suite 1400 Toronto Ontario M4W 1A8

Tel 1-416-326-3333 or Toll Free 1-800-387-0073

LONG TERM CARE ACCOMMODATION

All rooms are furnished with bull an electric hospital bed (regular or adjustable head and foot ) and pillows bull comfortable mattress with waterproof cover bull adjustable bed rails (if required) bull loungeguest chair bull night tablelamp bull laundry basket bull garbage can

The residentrsquos name is posted outside their room Memory boxes at eye level personalize and cue residents to their room All rooms are heated and water tempered with connections for telephone and cable TV Common areas are air-conditioned All windows can open but only 4 inches wide at all times (as per legal requirements) Residentsfamiliesvolunteers are not allowed to tamper with the window locking mechanisms You may bring a radio TV andor pictures Only certain electrical appliances as discussed and permitted by the Director of Care are allowed Bar fridges are not permitted in the home unless identified for medical reasons only and under the approval of the Director of Care Call bells must meet CSA Standards and are located at the bedside in the washrooms and lounge areas Press to call for assistance Cleaning services are provided weekly or more often if necessary Additional furniture may be brought in after consulting with the Director of Care Balcony Balcony doors must be locked at all times unless residents are supervised by staff or families (or resident is competent to be there alone) Families and residents using this space are told before allowing access to ensure they close the door after themselves and ensure it is locked

Accommodation Rates

Copernicus Lodge has different classes of accommodation that have different rates The

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 14

Ministry of Health and Long-Term Care (the ldquoMinistryrdquo) sets these rates The Long Term Care Homes Act requires residents to pay homes the rate that is set for his or her class of accommodation The Ministry adjusts accommodation rates from time to time These adjustments will result in changes to the Accommodation Fees Copernicus Lodge will provide the Resident with thirty (30) days written notice in advance of any increase in Accommodation Fees The notice will include the amount of the increase and the current Accommodation Fees that the Resident must pay

A Resident who is absent from Copernicus Lodge must continue to pay Accommodation Fees for each day of his or her absence The term ldquoabsencerdquo includes a casual or vacation absence and also an absence for medical or psychiatric care or assessment

RATES ndash from September 1 2014

A Basic Accommodation (Shared washroom)

From $ 123865 per month to $ 173162 per month

Persons applying for Basic Accommodation must submit a Notice of Assessment for the current year from Canada Customs and Revenue Agency CCRA (formerly Revenue Canada) to the Accounting Department A rate reduction form will be completed and must be signed If the income is below the threshold set by the Ministry of Health then the resident will receive a rate reduction Please contact the Accountant at 416-536-71122 ext 258

B Preferred Accommodation Private $ 243881 per month (Own room with ensuite washroom)

SHORT STAY RESPITE ACCOMMODATION

Copernicus Lodge offers Short Stay Respite Care Applications are filed and processed through the Community Care Access Centre

RATES $ 3685 per day A maximum of 90 days in a calendar year is allowed (60 days consecutive)

NOTE Rates are subject to change on notification by the Ministry of Health

List of Goods and Services included with Accommodation

The following list provides information about the goods and services included in basic or

preferred accommodation

1 Nursing and personal care on a 24-hour basis the administration of medications and assistance with activities of daily living

2 Medical care and restorative care is available in the home 3 Certain medical supplies and nursing equipment that are necessary for the care of the

resident 4 Supplies and equipment for personal hygiene and grooming 5 Certain equipment for the short-term use of the resident

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 15

6 Meal and snack service (three meals daily snacks between meals and at bedtime) special and therapeutic diets dietary supplements and devices to promote independence with eating

7 Social recreational spiritual and physical activities and programs 8 Laundry including labelling 9 Bedroom furnishings bedding and linen 10 Cleaning and upkeep of accommodations 11 Maintenance of a trust account on the residentrsquos behalf 12 Information package for residents 13 Prescription pharmaceutical preparations listed in the Ontario Drug Benefit Formulary

(the government requires residents to pay a small co-payment) 14 Special preparations or medical devices that may be obtained from the Ontario Drug

Benefit Program as interim non-formulary benefits 15 Insured devices equipment supplies and services that are available to the resident

through certain programs such as the Ontario Assistive Devices Program (the government covers part of this cost and residents must pay the rest)

16 Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon request

Note The Resident (or Power of Attorney for Property Guardian Trustee on behalf of the Resident) may purchase additional goods and services from the Home or 3

rd Party Suppliers

under a separate agreement ACCOUNTING BILLING BANKING

Hours Monday 130 pm - 400 pm Wednesday 900 am - 1230 pm Last Friday of the month 900 am - 1200 noon Closed - Tuesday Thursday and Friday (except last) Other times are by appointment please call ext 258 There is a slot located on the Accounting Office door for dropping off paymentsinformation after hours

ON SITE BANKING St Stanislaus St Casimirrsquos Credit Union attends in Room G 30 every Wednesday from 930 am to 1230 pm amp 100 pm to 200 pm and the last Friday of the month from 930 am to 1230 pm amp 100 pm to 200 pm for persons wishing to do regular banking transactions

Trust Accounts may be opened in Copernicus Lodge as requested Copernicus Lodge maintains a non interest bearing account on behalf of the resident There is no charge for this service Please contact the Accountant at ext 258 between 700 am and 300 pm

Comfort Allowance - is available to persons in Basic Accommodation rooms only There is no Comfort Allowance for persons in Preferred Accommodation Monies owing to the residentlawfully authorized substitute are returned one month after discharge Copernicus Lodge does not require a resident to pay a penalty in lieu of a specific notice period prior to discharge

MEDICAL SERVICES

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 16

Medical Director Copernicus Lodge shall ensure that it has a Medical Director The Medical Director shall be a physician The Medical Director

advises Copernicus Lodge long term care on matters relating to medical care

consults with the Director of Care and other health professionals working in Copernicus Lodge

performs any other duties provided for in the regulations 2007 c 72 (3)

Attending Physicians All residents have the option to choose their own Attending Physician outside of those physicians currently servicing Copernicus Lodge provided that heshe agrees to attend the resident at the home on a weekly basis and abide by Copernicus Lodge policies and procedures Attending Physicians must sign a contract with Copernicus Lodge

1 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario 2 All Attending Physicians are appointed by the Chief Executive Officer on the advice of the Medical Director 3 Attending Physicians are accountable to the Medical Director for meeting the homes policies and standards of medical care 4 Attending Physicians assess plan implement and evaluate their residents medical care and participate in a multi-disciplinary approach to care 5 Attending Physicians document on the resident health record on each visit to maintain continuity and ongoing evaluation 6 Attending Physicians arrange for 24-hour medical coverage for residents for whom they provide medical care 7 All medical care and services provided by Physicians in Long-Term Care homes are subject to peer assessment by the College of Physicians and Surgeons of Ontario on a random basis according to College procedures 8 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario

Residents and family members should be aware that the primary contact for medical care or medical concerns is the Registered Nursing staff Attending Physicians do not have offices within the home and are not in the facility each day Attending Physicians complete regular visits to their residents and on an as needed basis Attending Physicians do not normally contact family members to provide updates on the residentrsquos condition Residents and family members are always welcome to contact the Attending Physician at their private practice The office number can be obtained from the Registered Nursing staff Due to privacy issues Registered Nursing staff will only provide general health information about a resident to the Power of Attorney for Care (POA) Information about or changes to a residentrsquos medical diagnosis is given by the Attending Physician and not the Registered Nursing Staff Psychogeriatrician

Dr Colman Nefsky (MD Psychogeriatrician) We are very pleased to have the support of our consulting Psychogeriatrician from St Josephrsquos Health Center Dr Colman Nefsky Dr Nefsky visits and completes rounds on a monthly basis

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 17

for those residents who have been referred to him Dr Nefsky provides consultations to individuals who are suffering with psychological or behavioural issues and provides treatment options to the nursing and medical staff in the home Mary Boudart RN ndash St Josephrsquos Health Center Geriatric Mental Health Outreach Team Nurse (GMHOT) Mary Boudart works in collaboration with Dr Nefsky and completes weekly rounds for any resident who has been referred to her Care Conferences An organized documented interdisciplinary care conference lasting 30 minutes in duration is held with each resident andor substitute decision maker (POA for care) if you are able and wish to attend within six (6) weeks following admission to Copernicus Lodge and annually thereafter Care Conferences are held in order to discuss review and further develop the residents plan of care and address any other matters of importance to the resident and hisher substitute decision-maker (if any) The resident the substitute decision maker if any and any person that either of you may direct are given an opportunity to participate fully in the care conference

Special Care Conferences may be held anytime at the request of the family resident or interdisciplinary team if a residents condition or any other situation arises which affects the residents status Care conferences are held in either the activity room or the conference room (behind the nursing station) located on the residents home areafloorunit If the family substitute decision maker is unable to attend in person the option of a teleconference (over the telephone meeting) is available as an option to being there in person The conference may also be held at the bedside of a bedridden resident as requested by the resident andor substitute decision maker Residents and family are reminded not to wait for this annual meeting to express any concerns or issues you have Express concerns at the time they occur directly with any one of the interdisciplinary team as it relates to any department or inform the Charge Nurse who can redirect them as appropriate

Note Care Conferences do not apply to those residents residing in short-stay beds

NURSING

Nursing care and personal care is provided on a 24-hour basis This includes care given by or under the supervision of a Registered Nurse or a Registered Practical Nurse All Registered Nursing staff is licensed by the College of Nurses of Ontario Assistance with activities of daily living (personal care) is provided by Personal Support Workers (PSWrsquos) Daily medication is administered by the Registered Nursing staff Newly admitted residents must give all of their medication from home or hospital to the Registered Nurse on duty on the day of admission A picture is taken of all new residents on the day of admission and posted on their Medication Administration Record (MAR) and in the residents chart This is done to prevent medication and treatment errors Nursing and personal care is completed through an individualized personal care approach Nursing staff complete ongoing assessments and care plans which detail each residentrsquos individual care needs

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 18

Nursing staff can be reached by pressing the call-bells for assistance These are located in the resident bedroom bathrooms and lounge areas Call bells are responded to as quickly as possible

Pharmacy Copernicus Lodge utilizes a local pharmacy for all of its medicationpharmaceutical requirements At no time should residents or families bring in medications not approved by the medical nursing staff Medications are not to be left in resident rooms IMPORTANT All medications must be left with the Registered Nursing staff on duty

Medical supplies and nursing equipment

Medical supplies and nursing equipment necessary for the care of residents is provided by the home including supplies for the prevention or care of skin disorders continence care products infection control and sterile procedures

Medical devices such as catheters colostomy and ileostomy devices

Supplies and equipment for personal hygiene and grooming including skin care lotions and powders shampoos soap deodorant toothpaste toothbrushes denture cups and cleansers toilet tissue facial tissue hair brushes combs razorsshavers shaving cream feminine hygiene and incontinence products

Equipment for the general use of residents such as toilet aids and other self-help aids for the activities of daily living

Equipment for the general use of residents including wheelchairs geriatric chairs canes walkers are provided for short term use only (maximum 3 ndash 4 weeks) Should a resident require equipment for longer than 3-4 weeks the residentfamilysubstitute decision maker will be required to purchasecover all costs for such items Prescription pharmaceutical preparations listed in the Drug Benefit Formulary

bull Special preparations or medical devices which may be obtained from the Ontario Drug Benefit Program as interim non-formulary benefits

bull Insured devices equipment supplies and services available to residents through other programs such as the Home Care Program and Assistive Devices Program (ADP) ACHIEVA HEALTH provides ADP Seating and Mobility Assessments at NO COST to the Residents at Copernicus Lodge

bull Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon requisition If you have any questions or concerns regarding the nursing care or service please speak to the Charge Nurse

TAG SYSTEM

PURPOSE TO IDENTIFY RESIDENTS WITH BEHAVIOURAL ISSUES AND DIETARY RESTRICTIONS AS PART OF FALLS PREVENTION PROGRAM

As part of the Falls Prevention Program cards are mounted onto the residentrsquos mobility aids (where applicable) identifying that

a resident is at risk for falls

these cards are COLOUR-CODED to match the residents current behavioural risk level (ie Green Yellow or Pink as detailed in Section D)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 19

cards have a picture of food that is crossed out to identify that residents have a dietary restriction

On a quarterly basis or more often as necessary based on changes to a residentrsquos falls risk or behavioural risk level it is the responsibility of the RN RPN on each unit to review these cards and change them in order to correspond with the residentrsquos current condition

If the Dietician notes that there are changes to a residents swallowing meal consistency etc which warrant dietary restrictions it is the responsibility of the Dietician Manager of Dietary Services or Food Services Supervisor to change these cards on the residents mobility aid

There are 4 types of cards These are

I Colour-coded cards with only the residents unit identified ndash these individuals are not at risk for falls and do not have dietary restrictions however staff can clearly identify the residents behavioural risk level

II Colour-coded cards with the residents unit and Falls Symbol ndash this identifies that a resident is at risk for falls and also identifies the residents behavioural risk level

III Colour-coded cards with residents unit Falls symbol and Dietary Restriction symbol ndash this identifies that the resident is at risk for falls and has dietary restrictions as well as the residents behavioural risk level

IV Colour-coded cards with residents unit and Dietary Restriction Symbol ndash this identifies that a resident has dietary restrictions to be aware of as well as the residents behavioural risk level

Prevention of Needlestick Injuries

Copernicus Lodge thrives to maintain the health and safety of all residents staff and visitors to our home Needlestick Injury Prevention is a serious concern for the employees of our home In order to take a proactive approach regarding the prevention of needlestick injuries we would like to outline some important information for you ALL NEW ADMISSIONS TO LONG TERM CARE

1 Please note that when residents move into our Long Term Care Home that the nursing staff will take on the responsibility of completing diabetic glucose testing along with insulin injections Residents are NOT to self test themselves if they are diabetic This practice allows the nursing staff to safely dispose the needles as required into the Yellow Disposable Needle Containers - in every circumstance

2 We would kindly ask that families POArsquos please take any glucometer testing units syringes home Please do not leave any of these items in the residents room or by the bedside

FAMILIES AND VISITORS If any family member or visitor must test themselves while at Copernicus Lodge please ensure that you speak with the nursing staff RN RPN on the unit so that you can safely discard any needles used into one of the Yellow Disposable Needle Containers available on the Resident Home Area units

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 20

RESTRAINT USE AT COPERNICUS LODGE Copernicus Lodge uses the Least Restraint practice which means that the least restrictive measure is used for the shortest duration possible This allows for the maximum freedom of movement andor residentrsquos control The types of restraints currently used within Copernicus Lodge are as follows

a) Chemical Restraints - a pharmaceutical agent given with the specific purpose of inhibiting or controlling behaviour or movement

b) Physical RestraintsDevices - any appliance device apparatus or equipment attached or adjacent to a residents body that the individual cannot remove easily and which restricts movement The Physical Restraints currently used at Copernicus Lodge are Lapbelts Seatbelts Table Tops and Full Bedrails (both up at the same time)

c) Environmental Restraints - A barrier to free personal movement which serves to confine a resident to a specific geographic area (ie 2 North Special Care Unit which has a wanderguard alarm installed for residents with exit-seeking behaviours)

Note Under no circumstances can two restraints be applied at the same time (for example a lap tray cannot be used at the same time as a seatbelt)

The following devices are Prohibited and NOT permitted to be used in Copernicus Lodge

1 Roller bars on wheelchairs and commodes or toilets

2 Vest or jacket restraints

3 Any device with locks that can only be released by a separate device such as a key or magnet

4 Four point extremity restraints

5 Any device used to restrain a resident to a commode or toilet

6 Any device that cannot be immediately released by staff

7 Sheets wraps tensors or other types of strips or bandages used other than for a therapeutic purpose

Copernicus Lodgersquos Restraint Policy involves an interdisciplinary approach to restraint use and we document all steps of the restraining process

Our Restraint Policy includes the following requirements

1 Staff only applies a physical device that has been ordered and approved by the Attending Physician and where there is a signed consent by the resident (if competent) andor Substitute Decision Maker and an understanding of the reason for the use of the device

2 Staff consider alternatives to the use of physical devices including how these alternatives are planned developed and implemented (ie one way-gliders assist to prevent residents from sliding as does the tilt mechanism on many wheelchairs)

3 That the need for the restraint is clearly documented in the resident plan of care

4 Staff applies the physical device only in accordance with any manufacturerrsquos instructions and the instructions of the Attending Physician

5 Staff ensures that the physical device is well maintained

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 21

6 Staff ensures that the physical device is not altered except for routine adjustments in accordance with any manufacturerrsquos instructions

7 Registered staff and PSW staff monitor the resident while restrained at least every hour

8 Staff ensures that the resident is released from the physical device and repositioned at least once every two hours (this requirement does not apply when bed rails are being used if the resident is able to reposition himself or herself)

9 Staff ensures that the resident is released and repositioned any other time when necessary based on the residentrsquos condition or circumstances

10 The residentrsquos condition is reassessed and the effectiveness of the restraining is evaluated by the Registered Nurse every eight hours and at any other time when necessary based on the residentrsquos condition or circumstances

11 Upon removal of a physical device post-restraining care is provided to ensure the safety and comfort of the resident

Copernicus Lodge also reserves the right to restrain a resident by physical means when immediate action is necessary to prevent serious bodily harm to the resident or to others In the event such action is required

1 The resident is monitored or supervised on an ongoing basis and released from the physical device and repositioned when necessary based on the residentrsquos condition or circumstances

2 Ongoing assessment of the residentrsquos condition is reassessed by the registered nursing staff

3 The restraint is discontinued when the immediate action is no longer necessary

4 When the application of a physical restraint is required for to prevent serious injury to a resident or others the reason for the use of the physical device will be explained to the resident or the residentrsquos substitute decision maker where the resident is incapable

Environmental Restraints Dementia Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentrsquos plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

Evaluation Through our continuous quality improvement efforts Copernicus Lodge annually evaluates the effectiveness of our restraint policy and identifies what changes and improvements are required

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 22

to minimize restraining and to ensure that any restraining that is necessary is done in accordance with legislative requirements Any changes or improvements are to be promptly implemented

Although there will always be residents who require or feel more secure with restraints we hope that everyone will work with us to try to keep our home as RESTRAINT FREE AS POSSIBLE

To receive a copy of the full restraint policy please feel free to speak to our Director of Care at 416-536-7122 ext 240

Copernicus Lodgersquos Resident Abuse and Neglect Policy Copernicus Lodge promotes in its standards and practices the philosophy of care that all residents are treated with dignity respect and courtesy The Lodge views most seriously any type of abuse or neglect of a resident by any staff volunteer family substitute decision-maker visitor or any other persons who enter the premises at Copernicus Lodge

Definitions of Abuse

Copernicus Lodge defines ldquoabuserdquo (in accordance with our policy and subsection 2 (1) of the Long Term Care Homes Act) as the following

Emotional Abuse

(a) any threatening insulting intimidating or humiliating gestures actions behaviour or remarks including imposed social isolation shunning ignoring lack of acknowledgement or infantilization that are performed by anyone other than a resident or

(b) any threatening or intimidating gestures actions behaviour or remarks by a resident that causes alarm or fear to another resident where the resident performing the gestures actions behaviour or remarks understands and appreciates their consequences

Financial Abuse

(a) any misappropriation or misuse of a residentrsquos money or property

Physical Abuse

(a) the use of physical force by anyone other than a resident that causes physical injury or pain

(b) administering or withholding a drug for an inappropriate purpose or

(c) the use of physical force by a resident that causes physical injury to another resident

(Note Physical Abuse does not include the use of force that is appropriate to the provision of care or assisting a resident with activities of daily living unless the force used is excessive in the circumstance)

Sexual Abuse

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 23

(a) subject to subsection (3) any consensual or non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation that is directed towards a resident by a licensee or staff member or

(b) any non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation directed towards a resident by a person other than a licensee or staff member

(Note Sexual Abuse does not include

(a) touching behaviour or remarks of a clinical nature that are appropriate to the provision of care or assisting a resident with activities of daily living or

(b) consensual touching behaviour or remarks of a sexual nature between a resident and a licensee or staff member that is in the course of a sexual relationship that began before the resident was admitted to the long-term care home or before the licensee or staff member became a licensee or staff member)

Verbal Abuse

(a) any form of verbal communication of a threatening or intimidating nature or any form of verbal communication of a belittling or degrading nature which diminishes a residentrsquos sense of well-being dignity or self-worth that is made by anyone other than a resident or

(b) any form of verbal communication of a threatening or intimidating nature made by a resident that leads another resident to fear for his or her safety where the resident making the communication understands and appreciates its consequences

Neglect

(a) the failure to provide a resident with the treatment care services or assistance required for health safety or well-being and includes inaction or a pattern of inaction that jeopardizes the health safety or well-being of one or more residents

Copernicus Lodgersquos established Resident Abuse Policy and Procedure encompasses

A Definitions of what constitutes Resident Abuse and Neglect

B A Resident Abuse Incident Reporting System

C A Resident Abuse Incident Investigation System

D Support for the person abused

E EducationTraining that supports prevention of resident abuse and neglect and

F Evaluation of our 0 tolerance program

Copernicus Lodge maintains a Zero Tolerance for any type of abuse of a resident family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 4: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 3

10 Every resident has the right to keep and display personal possessions pictures and furnishings in his or her room subject to safety requirements and the rights of other residents

11 Every resident has the right to

i participate fully in the development implementation review and revision of his or her plan of care

ii give or refuse consent to any treatment care or services for which his or her consent is required by law and to be informed of the consequences of giving or refusing consent

iii participate fully in making any decision concerning any aspect of his or her care including any decision concerning his or her admission discharge or transfer to or from a long-term care home or a secure unit and to obtain an independent opinion with regard to any of those matters and

iv have his or her personal health information within the meaning of the Personal Health Information Protection Act 2004 kept confidential in accordance with that Act and to have access to his or her records of personal health information including his or her plan of care in accordance with that Act

12 Every resident has the right to receive care and assistance towards independence based on a restorative care philosophy to maximize independence to the greatest extent possible

13 Every resident has the right not to be restrained except in the limited circumstances provided for under this Act and subject to the requirements provided for under this Act

14 Every resident has the right to communicate in confidence receive visitors of his or her choice and consult in private with any person without interference

15 Every resident who is dying or who is very ill has the right to have family and friends present 24 hours per day

16 Every resident has the right to designate a person to receive information concerning any transfer or any hospitalization of the resident and to have that person receive that information immediately

17 Every resident has the right to raise concerns or recommend changes in policies and services on behalf of himself or herself or others to the following persons and organizations without interference and without fear of coercion discrimination or reprisal whether directed at the resident or anyone else

i the Residents Council ii the Family Council iii Copernicus Lodge the directors and officers of Copernicus Lodge iv staff members v government officials

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 4

vi any other person inside or outside Copernicus Lodge

18 Every resident has the right to form friendships and relationships and to participate in the life of Copernicus Lodge

19 Every resident has the right to have his or her lifestyle and choices respected

20 Every resident has the right to participate in the Residents Council

21 Every resident has the right to meet privately with his or her spouse or another person in a room that assures privacy

22 Every resident has the right to share a room with another resident according to their mutual wishes if appropriate accommodation is available

23 Every resident has the right to pursue social cultural religious spiritual and other interests to develop his or her potential and to be given reasonable assistance by Copernicus Lodge to pursue these interests and to develop his or her potential

24 Every resident has the right to be informed in writing of any law rule or policy affecting services provided to the resident and of the procedures for initiating complaints

25 Every resident has the right to manage his or her own financial affairs unless the resident lacks the legal capacity to do so

26 Every resident has the right to be given access to protected outdoor areas in order to enjoy outdoor activity unless the physical setting makes this impossible

27 Every resident has the right to have any friend family member or other person of importance to the resident attend any meeting with the licensee or the staff of the home

Further guide to interpretation

(2) Without restricting the generality of the fundamental principle the following are to be interpreted so as to advance the objective that a residentrsquos rights set out in subsection (1) are respected

1 This Act and the regulations

2 Any agreement entered into between Copernicus Lodge and the Crown or an agent of the Crown

3 Any agreement entered into between Copernicus Lodge and as resident or the residentrsquos substitute decision maker 2007 c 8 s 3 (2)

Enforcement by the Resident

(3) A resident may enforce the Residentsrsquo Bill of Rights against Copernicus Lodge as though the resident and Copernicus Lodge had entered into a contract

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 5

under which Copernicus Lodge had agreed to fully respect and promote all the rights set out in the Residentsrsquo Bill of Rights 2007 c 8 s 3 (3)

Regulations

(4) The Lieutenant Governor in Council may make regulations governing how rights set out in the Residentsrsquo Bill of Rights shall be respected and promoted by Copernicus Lodge 2007 c 8 s 3 (4)

ACCESSIBILITY FOR ONTARIANS WITH DISABILITIES ACT This legislation is aimed at ensuring that we identify remove and prevent barriers for people with disabilities in areas of daily living This new law requires us to

Communicate with a person with a disability in an manner that takes into account their disability

Let people with disabilities bring their service animals onto the premises

Let people with disabilities be accompanied by their support persons while on the property

Train staff to know these standards and help all staff to understand the need to follow these standards

Principles

Dignity ndash service is provided in a way that allows the person with a disability to maintain self-respect and the respect of other people

Independence ndash Allowing a person with a disability to do things on their own without unnecessary help or interferences from others

Integration ndash Service is provided in a way that allows the person with a disability to benefit from the same services in the same place and in the same or similar way as other customers unless an alternate measure is necessary to enable the person to access the building or the services

Equal Opportunity ndash People with disabilities have an opportunity equal to that given to others to access the goods or services

Our Commitment In fulfilling our mission Copernicus Lodge strives at all times to provide our services in a way that respects the dignity and independence of people with disabilities Copernicus Lodge is committed to giving people with disabilities the same opportunity to access our services and allowing them to benefit from the same services in the same place and in a similar way as seniors who qualify for our services

HOW COPERNICUS LODGE COMPLIES WITH THE STANDARDS

Copernicus Lodge complies with the 14 requirements summarized below

1 Copernicus Lodge has established policies practices and procedures on providing services to people with disabilities

2 Policies practices and procedures are consistent with the core principles of independence dignity integration and equality of opportunity

3 People accessing our services have the right to use their own personal assistive devices to access services and about any other measures we offer (assistive devices services or methods) to enable them to access our services

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 6

4 Copernicus Lodge staff and volunteers are trained to communicate with a person with a disability in a manner that takes into account his or her disability

5 Copernicus Lodge permits people with disabilities to be accompanied by their guide dog or service animal in any area of our home

6 Copernicus Lodge permits people with disabilities who use a support person to bring that person with them while accessing any services in our home

7 Where admission fees are charged Copernicus Lodge provides notice ahead of time on what admission if any would be charged for a support person of a person with a disability

8 Copernicus Lodge provides notice when our facilities or services that people with disabilities rely on to access or use our services are temporarily disrupted Such notices are posted throughout the building and on the whats new page on our website

9 Copernicus Lodge provides annual training to staff volunteers contractors and any other people who interact with the public or other third parties on our behalf

10 Copernicus Lodge trains staff volunteers contractors and any other people who are involved in developing our policies practices and procedures on the provision of goods or services

11 Copernicus Lodge has established a feedback form (located at reception) for people to provide feedback on how we provide services to people with disabilities and how we respond to any feedback and take action on any complaints Copernicus Lodge makes the information about our feedback process readily available to the public

12 Copernicus Lodge documents in writing all our policies practices and procedures for providing accessible customer service

13 Copernicus Lodge posts a copy of this policy notifying customers that our policies are available upon request on our website

14 When giving documents required under the customer service standard to a person with a disability Copernicus Lodge provides the information in a format that takes into account the personrsquos disability (ie a CD disc andor hard copy sheets)

The Accessibility Bag at Reception

Located in the reception area is our Accessibility Bag which contains such things as up to date information about our services in various formats assistive devices (ie laminated communication cards magnifier glass paperpens amplifier) and copies of the feedback forms etc This bag is used by staff to ensure effective communication as required respecting a personsrsquo disability A similar bag is located in our Adult Day Program and Supportive Housing areas

ADVOCACY PROGRAMS AT COPERNICUS LODGE Copernicus Lodge promotes the philosophy of care in its standards and practices that all residents are treated with dignity respect and courtesy and have a right to know and participate fully in the operation of our home and in their own care Residents Tenants and Families have a right to express concerns within our home without the fear of reprisal

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 7

The Lodge views most seriously any type of abuse (including reprisal) of a resident tenant family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge and maintains a Zero Tolerance for any type of abuse We are here to

answer any questions or concerns you may have

empower and engage families and residents in dialogue and participate in care decisions

encourage residentfamily input to aid staff in problem solving and finding solutions and

provide support to residents tenants and families around issues and concerns at the Lodge and beyond in the community

To ensure this happens we provide the following advocacy opportunities for families and residentsrsquo to participate in the decision-making process at Copernicus Lodge

Resident Council Meetings (LTC Residents) (held every second month) Family Council (LTC Family) (held quarterly) Seniors Club Meetings (Apartment tenants) (held monthly) Family Information Sessions (held annually) Food Review Committee (held 4 timesyear) Annual TenantResidentFamily Satisfaction Surveys organized by the Continuous

Quality Improvement Committee andor Department Head (Supportive Housing and Adult Day Program)

A suggestion box located at the main entrance and at the Continuous Quality Improvement Board Forms are available at Reception for any complaints or suggestions ndash available 24 hours a day7 days a week

Copernicus Lodgersquos formal complaint procedure (posted on the ResidentFamily Information board on main floor and throughout the building)

Resident Care Conferences for each LTC resident (held 6 weeks after admission and annually thereafter or as needed)

LTC Resident Home Area (RHA) Meetings (held quarterly on each RHA) LTC Resident Bill of Rights (posted on the ResidentFamily Information Board and on

every floor next to the elevators) Task Force meetings to discuss issues related to resident abuse and neglect in LTC

homes as a response to recommendations of the Ontario Task Force on Resident Care and Safety

If you have any suggestions that will help us improve we ask that you please take advantage of these advocacy programs

If you would like further information about any of our policies or any of these

advocacy programs please feel free to contact Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

RESIDENT ADVOCATE (SOCIAL WORK SOCIAL SERVICES WORK) As part of the Resident Advocates roles and responsibilities he she act on behalf of the residents in order to support and assist them with social work social services issues He she provide emotional support to residents and family member act as a residentrsquos liaison in the community and assist to rectify issues that impact both the residents and other departments as necessary

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 8

The Resident Advocate as approved and authorized by the councils act as the Family and Resident Council Staff Assistant As the Family and Resident Council Staff Assistant the Resident Advocate takes instructions from the Councils ensure confidentiality where requested and reports to the Councils RESIDENTS COUNCIL Residents Council operates for the purpose of

Promoting communication between the residents and administration

Improving the residentsrsquo quality of life within the home by providing an opportunity for residents to air their ideas feelings and concerns through discussion

Providing a forum to identify problem solve

Fostering residentsrsquo independence and self-direction

Providing residents with the opportunity to actively participate in the decision making process within the Lodge

New members residents are always welcome Meetings are held every 3 months in the Multipurpose Room or Boardroom The current approved staff assistance for Residentsrsquo Council is Copernicus Lodgersquos Resident Advocate who is the staff assistant approved by the Residents Council In addition to the Residents Council Copernicus Lodge provides Long Term Care residents with the opportunity to participate in discussion groups Residents air their views opinions and talk about matters of concern to themselves and other Residents living at the Home The Registered Nurse together with Managers have quarterly meetings on each Resident Home Area (RHA) for all residents staff volunteers and family members

FAMILY COUNCIL

A Family Council is self-led self-determining democratic group of family members and friends of residents in Long Term Care Home that meet on a quarterly basis to provide a forum for sharing their experiences learning exchanging information and seek solutions to common problems The current approved staff assistance for Residentsrsquo Council is Copernicus Lodgersquos Social Worker A Family Council can benefit the Family Members Residents and Copernicus Lodge These benefits can include the following

Allows families to give each other ongoing mutual support and encouragement Sharing thoughts and feelings with others who are in the same situation can help families cope

Provides a forum for learning especially for families of new residents

Provides an opportunity to become knowledgeable about the Homersquos operations policies and rules This can be especially helpful for families of new Residents

Help families and the Home form a positive partnership aimed at improving resident care

Offers family members a chance to express their collective concerns ndash a ldquounited voicerdquo supporting a ldquounited effortrdquo In this way a Family Council can be a catalyst for positive changes in residentsrsquo daily lives familiesrsquo experiences and in the Home in general

A Family Council can benefit residents who are physically or mentally unable to voice their needs and concerns as well as those without family

Can benefit the Home by providing a means for staff to deal directly with families as a group and establish meaningful ongoing lines of communication

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 9

Any family members who wish to join the Family Council please contact the Copernicus Lodge Resident Advocate Meetings are quarterly in the Boardroom on the Main floor

MANDATORY AND IMMEDIATE REPORTING TO THE DIRECTOR

OF THE MINISTRY OF HEALTH

1 Copernicus Lodge immediately investigates responds and acts on every alleged suspected or witnessed incident of abuse and or neglect of a resident by anyone that Copernicus Lodge knows of or that is reported to Copernicus Lodge Chief Executive Officer (CEO) andor Director of Care (DOC) will refer to the Resident Abuse amp Neglect Decision Trees as provided by the Ministry of Health Long Term Care when assessing the allegation to determine reporting requirements to the Ministry as required by the LTCH Act

When reporting to the Director the report will include the results of every investigation and every action taken to such incidents

Reporting to the Director Copernicus Lodge or any other person who has reasonable grounds to suspect that any of the following has occurred or may occur will immediately report the suspicion and the information upon which it is based to the Director

1 Improper or incompetent treatment or care of a resident that resulted in harm or a risk of harm to the resident

2 Abuse of a resident by anyone or neglect of a resident by Copernicus Lodge or staff that resulted in harm or a risk of harm to the resident

3 Unlawful conduct that resulted in harm or a risk of harm to a resident

4 Misuse or misappropriation of a residentrsquos money

5 Misuse or misappropriation of funding provided to Copernicus Lodge under the Long Term Care Homes Act or the Local Health System Integration Act 2006

False information Any person reporting information to the Director they know to be false will be guilty of an offence

Exceptions for residents A resident may make a report but is not required to and the issue in regards to reporting

false information as an offence does not apply to residents who are incapable

Duty on practitioners and others Even if the information on which a report may be based is confidential or privileged no

action or other proceeding for making the report shall be commenced against a person (ie Physician Social Worker Pharmacist etc) who acts in accordance with reporting unless that person acts maliciously or without reasonable grounds for the suspicion

Offence of failure to report Copernicus Lodge Copernicus Lodge staff any person who provides professional

services to our residents in the areas of health social work or social services work and any person who provides professional services to Copernicus Lodge in the areas of health social work or social services work would be guilty of an offence if they fail to make a report under this policy

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 10

Offences re suppressing reports Every person who coerces or intimidates a person not to make a report andor

discourages a person from making a report andor authorizes permits or concurs in a contravention of the duty to make a report is guilty of an offence

All Mandatory reports are made to

Director Performance Improvement and Compliance Branch Ministry of Health and Long-Term Care

1075 Bay Street 11th

Floor Toronto ON M5S 2B1 1-866-434-0144

COPERNICUS LODGE COMPLAINT PROCEDURE

It is the policy of Copernicus Lodge that the following steps are taken when raising concerns lodging complaints or recommending changes

STEP 1 Speak directly to the staff member involved If you are not satisfied with their response or the issue is not resolved move on to step 2

STEP 2 Speak to the Manager of the Department involved If you are not satisfied with their response move on to step 3

STEP 3 Speak to the Chief Executive Officer If you are still not satisfied with the response given move on to step 4

STEP 4 Submit your complaintconcern in writing to the Board of Directors If you are still not satisfied with the response given move on to step 5

STEP 5 For issues related to long-term care contact

THE MINISTRY OF HEALTH LONG TERM CARE ACTION LINE

Quality care matters If you want more information have a concern or want to register a complaint about a

Long-Term Care Facility call this toll-free number

1-866-434-0144 Available 7 days a week 830AM ndash 700PM

OR Send a written letter by mail to the responsible Director at

The Ministry of Long Term care at the following address Director Performance Improvement and Compliance Branch

Ministry of Health and Long-Term Care 1075 Bay Street 11

th Floor

Toronto ON M5S 2B1

You will receive a letter or phone call to let you know that the ministry has received your complaint

The Director will refer your complaint to an inspector who will look into your matter

Please Note You may obtain a complete up to date listing of all Departments Names of Managers and their contact information in the clear folder attached to the Long Term Care Resident Family Board located on the main floor hallway

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 11

Privacy of Resident Health Information Copernicus Lodge exists to provide you with a broad variety of care services To meet your needs and serve you well Copernicus Lodge needs to know personal information about you You as an individual have a right to know how we collect use and disclose personal information You have a right to expect that to the best of our ability your personal information held by us remains accurate confidential and secure Copernicus Lodge is proud of its commitment to maintaining the confidentiality and security of personal information and weve provided this write-up to explain how we protect the privacy of individual residents information in Copernicus Lodge Copernicus Lodgersquos privacy policies comply with the Personal Health Information Protection Act (PHIPA) It is important that a trust relationship be established between you and Copernicus Lodge To this end we are pleased to share information with you The more you know about us the more confident you can feel about receiving our services Similarly the more we know about you the better we can serve you Copernicus Lodge collects and uses information about you for the following purposes only

To make decisions about the types services you need

To serve as a means to communicate with service providers

To monitor the provision of services and evaluate your response to services provided

As a legal document made in the normal course of business

To serve as a record of services provided

As proof of what was done by whom and when during a residents encounter with a provider

To be used as evidence against or for the organizations the service providers or the resident

To verify our accountability

For strategic planning decision making allocating of resources and

To meet legal and regulatory requirements

Consent Because it is important that we keep your trust we will only ask for information which we need and when we ask you for information well let you know why we need it To the best of our ability we will seek your consent to verify and supplement information collected from external sources such as Community Care Access Centerrsquos (CCAC) Physicians Social Services the Local Health Integrated Networks (LHINS) the Ministry of Health and Long Term Care (MOHLTC) and other community service providers for whom you may need service from Subject to legal or contractual requirements you can refuse to consent to our collection use or disclosure of information at any time provided the consent does not relate to certain information required for care provisions such as disclosure of information to the LHIN or MOHLTC If you refuse or withdraw your consent to the collection use or disclosure of information about you we may not be able to continue to provide you with some services you require With your consent and where laws allow this we may share your information with other service providers such as a hospital pharmacy medical specialist social worker and others who provide community services If you do not want to be contacted by these other service providers we will withhold information from them Disclosure means providing specific information about you from our records to a third party Depending on your consent disclosure can happen over the telephone by fax by computer andor be electronic data sharing Under normal circumstance we wont collect use or disclose your personal information without your consent The only exceptions to this rule are when the disclosure is permitted by law or when it is impossible or impractical to

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 12

get your consent Some examples of situations where we will not seek your consent for disclosure are

For emergency or life threatening events

Where there is legal obligation to disclose under a court or government order for instance to police

Where personal information is given to our agents and service providers for services such as laboratory and pharmacy services and

Where personal information must be given to insurers in connection with insurance services

Reviewing amp Making Corrections Except as outlined below a record is kept each time personal information is disclosed noting the nature of the disclosure that was made Individual records of disclosure are not maintained for regular and routine actions such as prescriptions sent to the pharmacy We attempt to ensure that the information we hold about you is accurate complete and up-to-date If there are changes to your information eg a new Substitute Decision Maker (SDM) has been named please notify us immediately If you believe that information in your records may be inaccurate we make it easy for you to access verify and update it If information has been provided to third parties we will convey the corrected information to them if necessary If we do not agree to change your personal information you may challenge our decision We will make a record of this challenge and if necessary disclose the challenge to third parties who also process your information To review your personal information simply ask a staff person for assistance The staff person will provide you with instructions about accessing your information There may be a charge for retrieving your information in which case you will be notified in advance and may if you like withdraw your consent You may also challenge the reasonableness of the charge Access to information may be more meaningful to you if such access is provided in the presence of a service provider who can explain terminology and the organizations policies We encourage you to invite a care provider from Copernicus Lodge to assist you in your review of your personal information Sometimes a staff person will not provide you with information about you that is within its control This can occur if your right of access is constrained pursuant to the provisions of PHIPA For example the staff person will not provide you with personal information if

It would reveal personal information about another party and your personal information cannot be separated

The information is subject to solicitor-client or litigation privilege andor if

The information is used for the detection and prevention of a criminal activity and dealings in the proceeds of crime

If a staff person refuses your request for access to personal information you will be told why unless prohibited by law You may challenge the decision Once you have the information all you have to do is check for its accuracy and let us know if there are any corrections required We will correct our records or make a note of differences If information has been provided to third parties we will convey the corrected information or note any differences to them if necessary

Complaints amp Responsibility Ultimately Department Managers and Supervisors are responsible for protecting resident information They delegate day-to-day responsibilities to others such as privacy officers within Copernicus Lodge Every staff person must take responsibility for protecting resident privacy confidentiality and security Our suppliers sign contracts that oblige them to contractually adhere to our privacy practices thus protecting the information of residents when in the possession of third parties These suppliers or third party

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 13

include lab pharmacy physicians etc There are controls over the use of computers electronic data sharing paper documents faxing activities access to personal information If you or your family has concerns or questions about the management of personal information in Copernicus Lodge or about our compliance with privacy codes and laws we invite you to direct your questions and concerns to a staff person who is providing service to you If that person is unable to effectively respond to your questions and concerns we encourage you to contact our Privacy Officer

Tracy Kamino Chief Executive Officer 416-536-7122 extension 238

Fax 416-536-8242

We trust that we will be able to resolve any issues that you have regarding the protection of personal information If our Privacy Officer Tracy Kamino is unable to satisfy your inquiries you may contact the Office of the Privacy Commissioner of Ontario

Information and Privacy Commissioner of Ontario 2 Bloor Street West Suite 1400 Toronto Ontario M4W 1A8

Tel 1-416-326-3333 or Toll Free 1-800-387-0073

LONG TERM CARE ACCOMMODATION

All rooms are furnished with bull an electric hospital bed (regular or adjustable head and foot ) and pillows bull comfortable mattress with waterproof cover bull adjustable bed rails (if required) bull loungeguest chair bull night tablelamp bull laundry basket bull garbage can

The residentrsquos name is posted outside their room Memory boxes at eye level personalize and cue residents to their room All rooms are heated and water tempered with connections for telephone and cable TV Common areas are air-conditioned All windows can open but only 4 inches wide at all times (as per legal requirements) Residentsfamiliesvolunteers are not allowed to tamper with the window locking mechanisms You may bring a radio TV andor pictures Only certain electrical appliances as discussed and permitted by the Director of Care are allowed Bar fridges are not permitted in the home unless identified for medical reasons only and under the approval of the Director of Care Call bells must meet CSA Standards and are located at the bedside in the washrooms and lounge areas Press to call for assistance Cleaning services are provided weekly or more often if necessary Additional furniture may be brought in after consulting with the Director of Care Balcony Balcony doors must be locked at all times unless residents are supervised by staff or families (or resident is competent to be there alone) Families and residents using this space are told before allowing access to ensure they close the door after themselves and ensure it is locked

Accommodation Rates

Copernicus Lodge has different classes of accommodation that have different rates The

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 14

Ministry of Health and Long-Term Care (the ldquoMinistryrdquo) sets these rates The Long Term Care Homes Act requires residents to pay homes the rate that is set for his or her class of accommodation The Ministry adjusts accommodation rates from time to time These adjustments will result in changes to the Accommodation Fees Copernicus Lodge will provide the Resident with thirty (30) days written notice in advance of any increase in Accommodation Fees The notice will include the amount of the increase and the current Accommodation Fees that the Resident must pay

A Resident who is absent from Copernicus Lodge must continue to pay Accommodation Fees for each day of his or her absence The term ldquoabsencerdquo includes a casual or vacation absence and also an absence for medical or psychiatric care or assessment

RATES ndash from September 1 2014

A Basic Accommodation (Shared washroom)

From $ 123865 per month to $ 173162 per month

Persons applying for Basic Accommodation must submit a Notice of Assessment for the current year from Canada Customs and Revenue Agency CCRA (formerly Revenue Canada) to the Accounting Department A rate reduction form will be completed and must be signed If the income is below the threshold set by the Ministry of Health then the resident will receive a rate reduction Please contact the Accountant at 416-536-71122 ext 258

B Preferred Accommodation Private $ 243881 per month (Own room with ensuite washroom)

SHORT STAY RESPITE ACCOMMODATION

Copernicus Lodge offers Short Stay Respite Care Applications are filed and processed through the Community Care Access Centre

RATES $ 3685 per day A maximum of 90 days in a calendar year is allowed (60 days consecutive)

NOTE Rates are subject to change on notification by the Ministry of Health

List of Goods and Services included with Accommodation

The following list provides information about the goods and services included in basic or

preferred accommodation

1 Nursing and personal care on a 24-hour basis the administration of medications and assistance with activities of daily living

2 Medical care and restorative care is available in the home 3 Certain medical supplies and nursing equipment that are necessary for the care of the

resident 4 Supplies and equipment for personal hygiene and grooming 5 Certain equipment for the short-term use of the resident

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 15

6 Meal and snack service (three meals daily snacks between meals and at bedtime) special and therapeutic diets dietary supplements and devices to promote independence with eating

7 Social recreational spiritual and physical activities and programs 8 Laundry including labelling 9 Bedroom furnishings bedding and linen 10 Cleaning and upkeep of accommodations 11 Maintenance of a trust account on the residentrsquos behalf 12 Information package for residents 13 Prescription pharmaceutical preparations listed in the Ontario Drug Benefit Formulary

(the government requires residents to pay a small co-payment) 14 Special preparations or medical devices that may be obtained from the Ontario Drug

Benefit Program as interim non-formulary benefits 15 Insured devices equipment supplies and services that are available to the resident

through certain programs such as the Ontario Assistive Devices Program (the government covers part of this cost and residents must pay the rest)

16 Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon request

Note The Resident (or Power of Attorney for Property Guardian Trustee on behalf of the Resident) may purchase additional goods and services from the Home or 3

rd Party Suppliers

under a separate agreement ACCOUNTING BILLING BANKING

Hours Monday 130 pm - 400 pm Wednesday 900 am - 1230 pm Last Friday of the month 900 am - 1200 noon Closed - Tuesday Thursday and Friday (except last) Other times are by appointment please call ext 258 There is a slot located on the Accounting Office door for dropping off paymentsinformation after hours

ON SITE BANKING St Stanislaus St Casimirrsquos Credit Union attends in Room G 30 every Wednesday from 930 am to 1230 pm amp 100 pm to 200 pm and the last Friday of the month from 930 am to 1230 pm amp 100 pm to 200 pm for persons wishing to do regular banking transactions

Trust Accounts may be opened in Copernicus Lodge as requested Copernicus Lodge maintains a non interest bearing account on behalf of the resident There is no charge for this service Please contact the Accountant at ext 258 between 700 am and 300 pm

Comfort Allowance - is available to persons in Basic Accommodation rooms only There is no Comfort Allowance for persons in Preferred Accommodation Monies owing to the residentlawfully authorized substitute are returned one month after discharge Copernicus Lodge does not require a resident to pay a penalty in lieu of a specific notice period prior to discharge

MEDICAL SERVICES

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 16

Medical Director Copernicus Lodge shall ensure that it has a Medical Director The Medical Director shall be a physician The Medical Director

advises Copernicus Lodge long term care on matters relating to medical care

consults with the Director of Care and other health professionals working in Copernicus Lodge

performs any other duties provided for in the regulations 2007 c 72 (3)

Attending Physicians All residents have the option to choose their own Attending Physician outside of those physicians currently servicing Copernicus Lodge provided that heshe agrees to attend the resident at the home on a weekly basis and abide by Copernicus Lodge policies and procedures Attending Physicians must sign a contract with Copernicus Lodge

1 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario 2 All Attending Physicians are appointed by the Chief Executive Officer on the advice of the Medical Director 3 Attending Physicians are accountable to the Medical Director for meeting the homes policies and standards of medical care 4 Attending Physicians assess plan implement and evaluate their residents medical care and participate in a multi-disciplinary approach to care 5 Attending Physicians document on the resident health record on each visit to maintain continuity and ongoing evaluation 6 Attending Physicians arrange for 24-hour medical coverage for residents for whom they provide medical care 7 All medical care and services provided by Physicians in Long-Term Care homes are subject to peer assessment by the College of Physicians and Surgeons of Ontario on a random basis according to College procedures 8 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario

Residents and family members should be aware that the primary contact for medical care or medical concerns is the Registered Nursing staff Attending Physicians do not have offices within the home and are not in the facility each day Attending Physicians complete regular visits to their residents and on an as needed basis Attending Physicians do not normally contact family members to provide updates on the residentrsquos condition Residents and family members are always welcome to contact the Attending Physician at their private practice The office number can be obtained from the Registered Nursing staff Due to privacy issues Registered Nursing staff will only provide general health information about a resident to the Power of Attorney for Care (POA) Information about or changes to a residentrsquos medical diagnosis is given by the Attending Physician and not the Registered Nursing Staff Psychogeriatrician

Dr Colman Nefsky (MD Psychogeriatrician) We are very pleased to have the support of our consulting Psychogeriatrician from St Josephrsquos Health Center Dr Colman Nefsky Dr Nefsky visits and completes rounds on a monthly basis

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 17

for those residents who have been referred to him Dr Nefsky provides consultations to individuals who are suffering with psychological or behavioural issues and provides treatment options to the nursing and medical staff in the home Mary Boudart RN ndash St Josephrsquos Health Center Geriatric Mental Health Outreach Team Nurse (GMHOT) Mary Boudart works in collaboration with Dr Nefsky and completes weekly rounds for any resident who has been referred to her Care Conferences An organized documented interdisciplinary care conference lasting 30 minutes in duration is held with each resident andor substitute decision maker (POA for care) if you are able and wish to attend within six (6) weeks following admission to Copernicus Lodge and annually thereafter Care Conferences are held in order to discuss review and further develop the residents plan of care and address any other matters of importance to the resident and hisher substitute decision-maker (if any) The resident the substitute decision maker if any and any person that either of you may direct are given an opportunity to participate fully in the care conference

Special Care Conferences may be held anytime at the request of the family resident or interdisciplinary team if a residents condition or any other situation arises which affects the residents status Care conferences are held in either the activity room or the conference room (behind the nursing station) located on the residents home areafloorunit If the family substitute decision maker is unable to attend in person the option of a teleconference (over the telephone meeting) is available as an option to being there in person The conference may also be held at the bedside of a bedridden resident as requested by the resident andor substitute decision maker Residents and family are reminded not to wait for this annual meeting to express any concerns or issues you have Express concerns at the time they occur directly with any one of the interdisciplinary team as it relates to any department or inform the Charge Nurse who can redirect them as appropriate

Note Care Conferences do not apply to those residents residing in short-stay beds

NURSING

Nursing care and personal care is provided on a 24-hour basis This includes care given by or under the supervision of a Registered Nurse or a Registered Practical Nurse All Registered Nursing staff is licensed by the College of Nurses of Ontario Assistance with activities of daily living (personal care) is provided by Personal Support Workers (PSWrsquos) Daily medication is administered by the Registered Nursing staff Newly admitted residents must give all of their medication from home or hospital to the Registered Nurse on duty on the day of admission A picture is taken of all new residents on the day of admission and posted on their Medication Administration Record (MAR) and in the residents chart This is done to prevent medication and treatment errors Nursing and personal care is completed through an individualized personal care approach Nursing staff complete ongoing assessments and care plans which detail each residentrsquos individual care needs

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 18

Nursing staff can be reached by pressing the call-bells for assistance These are located in the resident bedroom bathrooms and lounge areas Call bells are responded to as quickly as possible

Pharmacy Copernicus Lodge utilizes a local pharmacy for all of its medicationpharmaceutical requirements At no time should residents or families bring in medications not approved by the medical nursing staff Medications are not to be left in resident rooms IMPORTANT All medications must be left with the Registered Nursing staff on duty

Medical supplies and nursing equipment

Medical supplies and nursing equipment necessary for the care of residents is provided by the home including supplies for the prevention or care of skin disorders continence care products infection control and sterile procedures

Medical devices such as catheters colostomy and ileostomy devices

Supplies and equipment for personal hygiene and grooming including skin care lotions and powders shampoos soap deodorant toothpaste toothbrushes denture cups and cleansers toilet tissue facial tissue hair brushes combs razorsshavers shaving cream feminine hygiene and incontinence products

Equipment for the general use of residents such as toilet aids and other self-help aids for the activities of daily living

Equipment for the general use of residents including wheelchairs geriatric chairs canes walkers are provided for short term use only (maximum 3 ndash 4 weeks) Should a resident require equipment for longer than 3-4 weeks the residentfamilysubstitute decision maker will be required to purchasecover all costs for such items Prescription pharmaceutical preparations listed in the Drug Benefit Formulary

bull Special preparations or medical devices which may be obtained from the Ontario Drug Benefit Program as interim non-formulary benefits

bull Insured devices equipment supplies and services available to residents through other programs such as the Home Care Program and Assistive Devices Program (ADP) ACHIEVA HEALTH provides ADP Seating and Mobility Assessments at NO COST to the Residents at Copernicus Lodge

bull Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon requisition If you have any questions or concerns regarding the nursing care or service please speak to the Charge Nurse

TAG SYSTEM

PURPOSE TO IDENTIFY RESIDENTS WITH BEHAVIOURAL ISSUES AND DIETARY RESTRICTIONS AS PART OF FALLS PREVENTION PROGRAM

As part of the Falls Prevention Program cards are mounted onto the residentrsquos mobility aids (where applicable) identifying that

a resident is at risk for falls

these cards are COLOUR-CODED to match the residents current behavioural risk level (ie Green Yellow or Pink as detailed in Section D)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 19

cards have a picture of food that is crossed out to identify that residents have a dietary restriction

On a quarterly basis or more often as necessary based on changes to a residentrsquos falls risk or behavioural risk level it is the responsibility of the RN RPN on each unit to review these cards and change them in order to correspond with the residentrsquos current condition

If the Dietician notes that there are changes to a residents swallowing meal consistency etc which warrant dietary restrictions it is the responsibility of the Dietician Manager of Dietary Services or Food Services Supervisor to change these cards on the residents mobility aid

There are 4 types of cards These are

I Colour-coded cards with only the residents unit identified ndash these individuals are not at risk for falls and do not have dietary restrictions however staff can clearly identify the residents behavioural risk level

II Colour-coded cards with the residents unit and Falls Symbol ndash this identifies that a resident is at risk for falls and also identifies the residents behavioural risk level

III Colour-coded cards with residents unit Falls symbol and Dietary Restriction symbol ndash this identifies that the resident is at risk for falls and has dietary restrictions as well as the residents behavioural risk level

IV Colour-coded cards with residents unit and Dietary Restriction Symbol ndash this identifies that a resident has dietary restrictions to be aware of as well as the residents behavioural risk level

Prevention of Needlestick Injuries

Copernicus Lodge thrives to maintain the health and safety of all residents staff and visitors to our home Needlestick Injury Prevention is a serious concern for the employees of our home In order to take a proactive approach regarding the prevention of needlestick injuries we would like to outline some important information for you ALL NEW ADMISSIONS TO LONG TERM CARE

1 Please note that when residents move into our Long Term Care Home that the nursing staff will take on the responsibility of completing diabetic glucose testing along with insulin injections Residents are NOT to self test themselves if they are diabetic This practice allows the nursing staff to safely dispose the needles as required into the Yellow Disposable Needle Containers - in every circumstance

2 We would kindly ask that families POArsquos please take any glucometer testing units syringes home Please do not leave any of these items in the residents room or by the bedside

FAMILIES AND VISITORS If any family member or visitor must test themselves while at Copernicus Lodge please ensure that you speak with the nursing staff RN RPN on the unit so that you can safely discard any needles used into one of the Yellow Disposable Needle Containers available on the Resident Home Area units

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 20

RESTRAINT USE AT COPERNICUS LODGE Copernicus Lodge uses the Least Restraint practice which means that the least restrictive measure is used for the shortest duration possible This allows for the maximum freedom of movement andor residentrsquos control The types of restraints currently used within Copernicus Lodge are as follows

a) Chemical Restraints - a pharmaceutical agent given with the specific purpose of inhibiting or controlling behaviour or movement

b) Physical RestraintsDevices - any appliance device apparatus or equipment attached or adjacent to a residents body that the individual cannot remove easily and which restricts movement The Physical Restraints currently used at Copernicus Lodge are Lapbelts Seatbelts Table Tops and Full Bedrails (both up at the same time)

c) Environmental Restraints - A barrier to free personal movement which serves to confine a resident to a specific geographic area (ie 2 North Special Care Unit which has a wanderguard alarm installed for residents with exit-seeking behaviours)

Note Under no circumstances can two restraints be applied at the same time (for example a lap tray cannot be used at the same time as a seatbelt)

The following devices are Prohibited and NOT permitted to be used in Copernicus Lodge

1 Roller bars on wheelchairs and commodes or toilets

2 Vest or jacket restraints

3 Any device with locks that can only be released by a separate device such as a key or magnet

4 Four point extremity restraints

5 Any device used to restrain a resident to a commode or toilet

6 Any device that cannot be immediately released by staff

7 Sheets wraps tensors or other types of strips or bandages used other than for a therapeutic purpose

Copernicus Lodgersquos Restraint Policy involves an interdisciplinary approach to restraint use and we document all steps of the restraining process

Our Restraint Policy includes the following requirements

1 Staff only applies a physical device that has been ordered and approved by the Attending Physician and where there is a signed consent by the resident (if competent) andor Substitute Decision Maker and an understanding of the reason for the use of the device

2 Staff consider alternatives to the use of physical devices including how these alternatives are planned developed and implemented (ie one way-gliders assist to prevent residents from sliding as does the tilt mechanism on many wheelchairs)

3 That the need for the restraint is clearly documented in the resident plan of care

4 Staff applies the physical device only in accordance with any manufacturerrsquos instructions and the instructions of the Attending Physician

5 Staff ensures that the physical device is well maintained

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 21

6 Staff ensures that the physical device is not altered except for routine adjustments in accordance with any manufacturerrsquos instructions

7 Registered staff and PSW staff monitor the resident while restrained at least every hour

8 Staff ensures that the resident is released from the physical device and repositioned at least once every two hours (this requirement does not apply when bed rails are being used if the resident is able to reposition himself or herself)

9 Staff ensures that the resident is released and repositioned any other time when necessary based on the residentrsquos condition or circumstances

10 The residentrsquos condition is reassessed and the effectiveness of the restraining is evaluated by the Registered Nurse every eight hours and at any other time when necessary based on the residentrsquos condition or circumstances

11 Upon removal of a physical device post-restraining care is provided to ensure the safety and comfort of the resident

Copernicus Lodge also reserves the right to restrain a resident by physical means when immediate action is necessary to prevent serious bodily harm to the resident or to others In the event such action is required

1 The resident is monitored or supervised on an ongoing basis and released from the physical device and repositioned when necessary based on the residentrsquos condition or circumstances

2 Ongoing assessment of the residentrsquos condition is reassessed by the registered nursing staff

3 The restraint is discontinued when the immediate action is no longer necessary

4 When the application of a physical restraint is required for to prevent serious injury to a resident or others the reason for the use of the physical device will be explained to the resident or the residentrsquos substitute decision maker where the resident is incapable

Environmental Restraints Dementia Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentrsquos plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

Evaluation Through our continuous quality improvement efforts Copernicus Lodge annually evaluates the effectiveness of our restraint policy and identifies what changes and improvements are required

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 22

to minimize restraining and to ensure that any restraining that is necessary is done in accordance with legislative requirements Any changes or improvements are to be promptly implemented

Although there will always be residents who require or feel more secure with restraints we hope that everyone will work with us to try to keep our home as RESTRAINT FREE AS POSSIBLE

To receive a copy of the full restraint policy please feel free to speak to our Director of Care at 416-536-7122 ext 240

Copernicus Lodgersquos Resident Abuse and Neglect Policy Copernicus Lodge promotes in its standards and practices the philosophy of care that all residents are treated with dignity respect and courtesy The Lodge views most seriously any type of abuse or neglect of a resident by any staff volunteer family substitute decision-maker visitor or any other persons who enter the premises at Copernicus Lodge

Definitions of Abuse

Copernicus Lodge defines ldquoabuserdquo (in accordance with our policy and subsection 2 (1) of the Long Term Care Homes Act) as the following

Emotional Abuse

(a) any threatening insulting intimidating or humiliating gestures actions behaviour or remarks including imposed social isolation shunning ignoring lack of acknowledgement or infantilization that are performed by anyone other than a resident or

(b) any threatening or intimidating gestures actions behaviour or remarks by a resident that causes alarm or fear to another resident where the resident performing the gestures actions behaviour or remarks understands and appreciates their consequences

Financial Abuse

(a) any misappropriation or misuse of a residentrsquos money or property

Physical Abuse

(a) the use of physical force by anyone other than a resident that causes physical injury or pain

(b) administering or withholding a drug for an inappropriate purpose or

(c) the use of physical force by a resident that causes physical injury to another resident

(Note Physical Abuse does not include the use of force that is appropriate to the provision of care or assisting a resident with activities of daily living unless the force used is excessive in the circumstance)

Sexual Abuse

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 23

(a) subject to subsection (3) any consensual or non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation that is directed towards a resident by a licensee or staff member or

(b) any non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation directed towards a resident by a person other than a licensee or staff member

(Note Sexual Abuse does not include

(a) touching behaviour or remarks of a clinical nature that are appropriate to the provision of care or assisting a resident with activities of daily living or

(b) consensual touching behaviour or remarks of a sexual nature between a resident and a licensee or staff member that is in the course of a sexual relationship that began before the resident was admitted to the long-term care home or before the licensee or staff member became a licensee or staff member)

Verbal Abuse

(a) any form of verbal communication of a threatening or intimidating nature or any form of verbal communication of a belittling or degrading nature which diminishes a residentrsquos sense of well-being dignity or self-worth that is made by anyone other than a resident or

(b) any form of verbal communication of a threatening or intimidating nature made by a resident that leads another resident to fear for his or her safety where the resident making the communication understands and appreciates its consequences

Neglect

(a) the failure to provide a resident with the treatment care services or assistance required for health safety or well-being and includes inaction or a pattern of inaction that jeopardizes the health safety or well-being of one or more residents

Copernicus Lodgersquos established Resident Abuse Policy and Procedure encompasses

A Definitions of what constitutes Resident Abuse and Neglect

B A Resident Abuse Incident Reporting System

C A Resident Abuse Incident Investigation System

D Support for the person abused

E EducationTraining that supports prevention of resident abuse and neglect and

F Evaluation of our 0 tolerance program

Copernicus Lodge maintains a Zero Tolerance for any type of abuse of a resident family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 5: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 4

vi any other person inside or outside Copernicus Lodge

18 Every resident has the right to form friendships and relationships and to participate in the life of Copernicus Lodge

19 Every resident has the right to have his or her lifestyle and choices respected

20 Every resident has the right to participate in the Residents Council

21 Every resident has the right to meet privately with his or her spouse or another person in a room that assures privacy

22 Every resident has the right to share a room with another resident according to their mutual wishes if appropriate accommodation is available

23 Every resident has the right to pursue social cultural religious spiritual and other interests to develop his or her potential and to be given reasonable assistance by Copernicus Lodge to pursue these interests and to develop his or her potential

24 Every resident has the right to be informed in writing of any law rule or policy affecting services provided to the resident and of the procedures for initiating complaints

25 Every resident has the right to manage his or her own financial affairs unless the resident lacks the legal capacity to do so

26 Every resident has the right to be given access to protected outdoor areas in order to enjoy outdoor activity unless the physical setting makes this impossible

27 Every resident has the right to have any friend family member or other person of importance to the resident attend any meeting with the licensee or the staff of the home

Further guide to interpretation

(2) Without restricting the generality of the fundamental principle the following are to be interpreted so as to advance the objective that a residentrsquos rights set out in subsection (1) are respected

1 This Act and the regulations

2 Any agreement entered into between Copernicus Lodge and the Crown or an agent of the Crown

3 Any agreement entered into between Copernicus Lodge and as resident or the residentrsquos substitute decision maker 2007 c 8 s 3 (2)

Enforcement by the Resident

(3) A resident may enforce the Residentsrsquo Bill of Rights against Copernicus Lodge as though the resident and Copernicus Lodge had entered into a contract

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 5

under which Copernicus Lodge had agreed to fully respect and promote all the rights set out in the Residentsrsquo Bill of Rights 2007 c 8 s 3 (3)

Regulations

(4) The Lieutenant Governor in Council may make regulations governing how rights set out in the Residentsrsquo Bill of Rights shall be respected and promoted by Copernicus Lodge 2007 c 8 s 3 (4)

ACCESSIBILITY FOR ONTARIANS WITH DISABILITIES ACT This legislation is aimed at ensuring that we identify remove and prevent barriers for people with disabilities in areas of daily living This new law requires us to

Communicate with a person with a disability in an manner that takes into account their disability

Let people with disabilities bring their service animals onto the premises

Let people with disabilities be accompanied by their support persons while on the property

Train staff to know these standards and help all staff to understand the need to follow these standards

Principles

Dignity ndash service is provided in a way that allows the person with a disability to maintain self-respect and the respect of other people

Independence ndash Allowing a person with a disability to do things on their own without unnecessary help or interferences from others

Integration ndash Service is provided in a way that allows the person with a disability to benefit from the same services in the same place and in the same or similar way as other customers unless an alternate measure is necessary to enable the person to access the building or the services

Equal Opportunity ndash People with disabilities have an opportunity equal to that given to others to access the goods or services

Our Commitment In fulfilling our mission Copernicus Lodge strives at all times to provide our services in a way that respects the dignity and independence of people with disabilities Copernicus Lodge is committed to giving people with disabilities the same opportunity to access our services and allowing them to benefit from the same services in the same place and in a similar way as seniors who qualify for our services

HOW COPERNICUS LODGE COMPLIES WITH THE STANDARDS

Copernicus Lodge complies with the 14 requirements summarized below

1 Copernicus Lodge has established policies practices and procedures on providing services to people with disabilities

2 Policies practices and procedures are consistent with the core principles of independence dignity integration and equality of opportunity

3 People accessing our services have the right to use their own personal assistive devices to access services and about any other measures we offer (assistive devices services or methods) to enable them to access our services

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 6

4 Copernicus Lodge staff and volunteers are trained to communicate with a person with a disability in a manner that takes into account his or her disability

5 Copernicus Lodge permits people with disabilities to be accompanied by their guide dog or service animal in any area of our home

6 Copernicus Lodge permits people with disabilities who use a support person to bring that person with them while accessing any services in our home

7 Where admission fees are charged Copernicus Lodge provides notice ahead of time on what admission if any would be charged for a support person of a person with a disability

8 Copernicus Lodge provides notice when our facilities or services that people with disabilities rely on to access or use our services are temporarily disrupted Such notices are posted throughout the building and on the whats new page on our website

9 Copernicus Lodge provides annual training to staff volunteers contractors and any other people who interact with the public or other third parties on our behalf

10 Copernicus Lodge trains staff volunteers contractors and any other people who are involved in developing our policies practices and procedures on the provision of goods or services

11 Copernicus Lodge has established a feedback form (located at reception) for people to provide feedback on how we provide services to people with disabilities and how we respond to any feedback and take action on any complaints Copernicus Lodge makes the information about our feedback process readily available to the public

12 Copernicus Lodge documents in writing all our policies practices and procedures for providing accessible customer service

13 Copernicus Lodge posts a copy of this policy notifying customers that our policies are available upon request on our website

14 When giving documents required under the customer service standard to a person with a disability Copernicus Lodge provides the information in a format that takes into account the personrsquos disability (ie a CD disc andor hard copy sheets)

The Accessibility Bag at Reception

Located in the reception area is our Accessibility Bag which contains such things as up to date information about our services in various formats assistive devices (ie laminated communication cards magnifier glass paperpens amplifier) and copies of the feedback forms etc This bag is used by staff to ensure effective communication as required respecting a personsrsquo disability A similar bag is located in our Adult Day Program and Supportive Housing areas

ADVOCACY PROGRAMS AT COPERNICUS LODGE Copernicus Lodge promotes the philosophy of care in its standards and practices that all residents are treated with dignity respect and courtesy and have a right to know and participate fully in the operation of our home and in their own care Residents Tenants and Families have a right to express concerns within our home without the fear of reprisal

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 7

The Lodge views most seriously any type of abuse (including reprisal) of a resident tenant family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge and maintains a Zero Tolerance for any type of abuse We are here to

answer any questions or concerns you may have

empower and engage families and residents in dialogue and participate in care decisions

encourage residentfamily input to aid staff in problem solving and finding solutions and

provide support to residents tenants and families around issues and concerns at the Lodge and beyond in the community

To ensure this happens we provide the following advocacy opportunities for families and residentsrsquo to participate in the decision-making process at Copernicus Lodge

Resident Council Meetings (LTC Residents) (held every second month) Family Council (LTC Family) (held quarterly) Seniors Club Meetings (Apartment tenants) (held monthly) Family Information Sessions (held annually) Food Review Committee (held 4 timesyear) Annual TenantResidentFamily Satisfaction Surveys organized by the Continuous

Quality Improvement Committee andor Department Head (Supportive Housing and Adult Day Program)

A suggestion box located at the main entrance and at the Continuous Quality Improvement Board Forms are available at Reception for any complaints or suggestions ndash available 24 hours a day7 days a week

Copernicus Lodgersquos formal complaint procedure (posted on the ResidentFamily Information board on main floor and throughout the building)

Resident Care Conferences for each LTC resident (held 6 weeks after admission and annually thereafter or as needed)

LTC Resident Home Area (RHA) Meetings (held quarterly on each RHA) LTC Resident Bill of Rights (posted on the ResidentFamily Information Board and on

every floor next to the elevators) Task Force meetings to discuss issues related to resident abuse and neglect in LTC

homes as a response to recommendations of the Ontario Task Force on Resident Care and Safety

If you have any suggestions that will help us improve we ask that you please take advantage of these advocacy programs

If you would like further information about any of our policies or any of these

advocacy programs please feel free to contact Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

RESIDENT ADVOCATE (SOCIAL WORK SOCIAL SERVICES WORK) As part of the Resident Advocates roles and responsibilities he she act on behalf of the residents in order to support and assist them with social work social services issues He she provide emotional support to residents and family member act as a residentrsquos liaison in the community and assist to rectify issues that impact both the residents and other departments as necessary

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 8

The Resident Advocate as approved and authorized by the councils act as the Family and Resident Council Staff Assistant As the Family and Resident Council Staff Assistant the Resident Advocate takes instructions from the Councils ensure confidentiality where requested and reports to the Councils RESIDENTS COUNCIL Residents Council operates for the purpose of

Promoting communication between the residents and administration

Improving the residentsrsquo quality of life within the home by providing an opportunity for residents to air their ideas feelings and concerns through discussion

Providing a forum to identify problem solve

Fostering residentsrsquo independence and self-direction

Providing residents with the opportunity to actively participate in the decision making process within the Lodge

New members residents are always welcome Meetings are held every 3 months in the Multipurpose Room or Boardroom The current approved staff assistance for Residentsrsquo Council is Copernicus Lodgersquos Resident Advocate who is the staff assistant approved by the Residents Council In addition to the Residents Council Copernicus Lodge provides Long Term Care residents with the opportunity to participate in discussion groups Residents air their views opinions and talk about matters of concern to themselves and other Residents living at the Home The Registered Nurse together with Managers have quarterly meetings on each Resident Home Area (RHA) for all residents staff volunteers and family members

FAMILY COUNCIL

A Family Council is self-led self-determining democratic group of family members and friends of residents in Long Term Care Home that meet on a quarterly basis to provide a forum for sharing their experiences learning exchanging information and seek solutions to common problems The current approved staff assistance for Residentsrsquo Council is Copernicus Lodgersquos Social Worker A Family Council can benefit the Family Members Residents and Copernicus Lodge These benefits can include the following

Allows families to give each other ongoing mutual support and encouragement Sharing thoughts and feelings with others who are in the same situation can help families cope

Provides a forum for learning especially for families of new residents

Provides an opportunity to become knowledgeable about the Homersquos operations policies and rules This can be especially helpful for families of new Residents

Help families and the Home form a positive partnership aimed at improving resident care

Offers family members a chance to express their collective concerns ndash a ldquounited voicerdquo supporting a ldquounited effortrdquo In this way a Family Council can be a catalyst for positive changes in residentsrsquo daily lives familiesrsquo experiences and in the Home in general

A Family Council can benefit residents who are physically or mentally unable to voice their needs and concerns as well as those without family

Can benefit the Home by providing a means for staff to deal directly with families as a group and establish meaningful ongoing lines of communication

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 9

Any family members who wish to join the Family Council please contact the Copernicus Lodge Resident Advocate Meetings are quarterly in the Boardroom on the Main floor

MANDATORY AND IMMEDIATE REPORTING TO THE DIRECTOR

OF THE MINISTRY OF HEALTH

1 Copernicus Lodge immediately investigates responds and acts on every alleged suspected or witnessed incident of abuse and or neglect of a resident by anyone that Copernicus Lodge knows of or that is reported to Copernicus Lodge Chief Executive Officer (CEO) andor Director of Care (DOC) will refer to the Resident Abuse amp Neglect Decision Trees as provided by the Ministry of Health Long Term Care when assessing the allegation to determine reporting requirements to the Ministry as required by the LTCH Act

When reporting to the Director the report will include the results of every investigation and every action taken to such incidents

Reporting to the Director Copernicus Lodge or any other person who has reasonable grounds to suspect that any of the following has occurred or may occur will immediately report the suspicion and the information upon which it is based to the Director

1 Improper or incompetent treatment or care of a resident that resulted in harm or a risk of harm to the resident

2 Abuse of a resident by anyone or neglect of a resident by Copernicus Lodge or staff that resulted in harm or a risk of harm to the resident

3 Unlawful conduct that resulted in harm or a risk of harm to a resident

4 Misuse or misappropriation of a residentrsquos money

5 Misuse or misappropriation of funding provided to Copernicus Lodge under the Long Term Care Homes Act or the Local Health System Integration Act 2006

False information Any person reporting information to the Director they know to be false will be guilty of an offence

Exceptions for residents A resident may make a report but is not required to and the issue in regards to reporting

false information as an offence does not apply to residents who are incapable

Duty on practitioners and others Even if the information on which a report may be based is confidential or privileged no

action or other proceeding for making the report shall be commenced against a person (ie Physician Social Worker Pharmacist etc) who acts in accordance with reporting unless that person acts maliciously or without reasonable grounds for the suspicion

Offence of failure to report Copernicus Lodge Copernicus Lodge staff any person who provides professional

services to our residents in the areas of health social work or social services work and any person who provides professional services to Copernicus Lodge in the areas of health social work or social services work would be guilty of an offence if they fail to make a report under this policy

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 10

Offences re suppressing reports Every person who coerces or intimidates a person not to make a report andor

discourages a person from making a report andor authorizes permits or concurs in a contravention of the duty to make a report is guilty of an offence

All Mandatory reports are made to

Director Performance Improvement and Compliance Branch Ministry of Health and Long-Term Care

1075 Bay Street 11th

Floor Toronto ON M5S 2B1 1-866-434-0144

COPERNICUS LODGE COMPLAINT PROCEDURE

It is the policy of Copernicus Lodge that the following steps are taken when raising concerns lodging complaints or recommending changes

STEP 1 Speak directly to the staff member involved If you are not satisfied with their response or the issue is not resolved move on to step 2

STEP 2 Speak to the Manager of the Department involved If you are not satisfied with their response move on to step 3

STEP 3 Speak to the Chief Executive Officer If you are still not satisfied with the response given move on to step 4

STEP 4 Submit your complaintconcern in writing to the Board of Directors If you are still not satisfied with the response given move on to step 5

STEP 5 For issues related to long-term care contact

THE MINISTRY OF HEALTH LONG TERM CARE ACTION LINE

Quality care matters If you want more information have a concern or want to register a complaint about a

Long-Term Care Facility call this toll-free number

1-866-434-0144 Available 7 days a week 830AM ndash 700PM

OR Send a written letter by mail to the responsible Director at

The Ministry of Long Term care at the following address Director Performance Improvement and Compliance Branch

Ministry of Health and Long-Term Care 1075 Bay Street 11

th Floor

Toronto ON M5S 2B1

You will receive a letter or phone call to let you know that the ministry has received your complaint

The Director will refer your complaint to an inspector who will look into your matter

Please Note You may obtain a complete up to date listing of all Departments Names of Managers and their contact information in the clear folder attached to the Long Term Care Resident Family Board located on the main floor hallway

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 11

Privacy of Resident Health Information Copernicus Lodge exists to provide you with a broad variety of care services To meet your needs and serve you well Copernicus Lodge needs to know personal information about you You as an individual have a right to know how we collect use and disclose personal information You have a right to expect that to the best of our ability your personal information held by us remains accurate confidential and secure Copernicus Lodge is proud of its commitment to maintaining the confidentiality and security of personal information and weve provided this write-up to explain how we protect the privacy of individual residents information in Copernicus Lodge Copernicus Lodgersquos privacy policies comply with the Personal Health Information Protection Act (PHIPA) It is important that a trust relationship be established between you and Copernicus Lodge To this end we are pleased to share information with you The more you know about us the more confident you can feel about receiving our services Similarly the more we know about you the better we can serve you Copernicus Lodge collects and uses information about you for the following purposes only

To make decisions about the types services you need

To serve as a means to communicate with service providers

To monitor the provision of services and evaluate your response to services provided

As a legal document made in the normal course of business

To serve as a record of services provided

As proof of what was done by whom and when during a residents encounter with a provider

To be used as evidence against or for the organizations the service providers or the resident

To verify our accountability

For strategic planning decision making allocating of resources and

To meet legal and regulatory requirements

Consent Because it is important that we keep your trust we will only ask for information which we need and when we ask you for information well let you know why we need it To the best of our ability we will seek your consent to verify and supplement information collected from external sources such as Community Care Access Centerrsquos (CCAC) Physicians Social Services the Local Health Integrated Networks (LHINS) the Ministry of Health and Long Term Care (MOHLTC) and other community service providers for whom you may need service from Subject to legal or contractual requirements you can refuse to consent to our collection use or disclosure of information at any time provided the consent does not relate to certain information required for care provisions such as disclosure of information to the LHIN or MOHLTC If you refuse or withdraw your consent to the collection use or disclosure of information about you we may not be able to continue to provide you with some services you require With your consent and where laws allow this we may share your information with other service providers such as a hospital pharmacy medical specialist social worker and others who provide community services If you do not want to be contacted by these other service providers we will withhold information from them Disclosure means providing specific information about you from our records to a third party Depending on your consent disclosure can happen over the telephone by fax by computer andor be electronic data sharing Under normal circumstance we wont collect use or disclose your personal information without your consent The only exceptions to this rule are when the disclosure is permitted by law or when it is impossible or impractical to

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 12

get your consent Some examples of situations where we will not seek your consent for disclosure are

For emergency or life threatening events

Where there is legal obligation to disclose under a court or government order for instance to police

Where personal information is given to our agents and service providers for services such as laboratory and pharmacy services and

Where personal information must be given to insurers in connection with insurance services

Reviewing amp Making Corrections Except as outlined below a record is kept each time personal information is disclosed noting the nature of the disclosure that was made Individual records of disclosure are not maintained for regular and routine actions such as prescriptions sent to the pharmacy We attempt to ensure that the information we hold about you is accurate complete and up-to-date If there are changes to your information eg a new Substitute Decision Maker (SDM) has been named please notify us immediately If you believe that information in your records may be inaccurate we make it easy for you to access verify and update it If information has been provided to third parties we will convey the corrected information to them if necessary If we do not agree to change your personal information you may challenge our decision We will make a record of this challenge and if necessary disclose the challenge to third parties who also process your information To review your personal information simply ask a staff person for assistance The staff person will provide you with instructions about accessing your information There may be a charge for retrieving your information in which case you will be notified in advance and may if you like withdraw your consent You may also challenge the reasonableness of the charge Access to information may be more meaningful to you if such access is provided in the presence of a service provider who can explain terminology and the organizations policies We encourage you to invite a care provider from Copernicus Lodge to assist you in your review of your personal information Sometimes a staff person will not provide you with information about you that is within its control This can occur if your right of access is constrained pursuant to the provisions of PHIPA For example the staff person will not provide you with personal information if

It would reveal personal information about another party and your personal information cannot be separated

The information is subject to solicitor-client or litigation privilege andor if

The information is used for the detection and prevention of a criminal activity and dealings in the proceeds of crime

If a staff person refuses your request for access to personal information you will be told why unless prohibited by law You may challenge the decision Once you have the information all you have to do is check for its accuracy and let us know if there are any corrections required We will correct our records or make a note of differences If information has been provided to third parties we will convey the corrected information or note any differences to them if necessary

Complaints amp Responsibility Ultimately Department Managers and Supervisors are responsible for protecting resident information They delegate day-to-day responsibilities to others such as privacy officers within Copernicus Lodge Every staff person must take responsibility for protecting resident privacy confidentiality and security Our suppliers sign contracts that oblige them to contractually adhere to our privacy practices thus protecting the information of residents when in the possession of third parties These suppliers or third party

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 13

include lab pharmacy physicians etc There are controls over the use of computers electronic data sharing paper documents faxing activities access to personal information If you or your family has concerns or questions about the management of personal information in Copernicus Lodge or about our compliance with privacy codes and laws we invite you to direct your questions and concerns to a staff person who is providing service to you If that person is unable to effectively respond to your questions and concerns we encourage you to contact our Privacy Officer

Tracy Kamino Chief Executive Officer 416-536-7122 extension 238

Fax 416-536-8242

We trust that we will be able to resolve any issues that you have regarding the protection of personal information If our Privacy Officer Tracy Kamino is unable to satisfy your inquiries you may contact the Office of the Privacy Commissioner of Ontario

Information and Privacy Commissioner of Ontario 2 Bloor Street West Suite 1400 Toronto Ontario M4W 1A8

Tel 1-416-326-3333 or Toll Free 1-800-387-0073

LONG TERM CARE ACCOMMODATION

All rooms are furnished with bull an electric hospital bed (regular or adjustable head and foot ) and pillows bull comfortable mattress with waterproof cover bull adjustable bed rails (if required) bull loungeguest chair bull night tablelamp bull laundry basket bull garbage can

The residentrsquos name is posted outside their room Memory boxes at eye level personalize and cue residents to their room All rooms are heated and water tempered with connections for telephone and cable TV Common areas are air-conditioned All windows can open but only 4 inches wide at all times (as per legal requirements) Residentsfamiliesvolunteers are not allowed to tamper with the window locking mechanisms You may bring a radio TV andor pictures Only certain electrical appliances as discussed and permitted by the Director of Care are allowed Bar fridges are not permitted in the home unless identified for medical reasons only and under the approval of the Director of Care Call bells must meet CSA Standards and are located at the bedside in the washrooms and lounge areas Press to call for assistance Cleaning services are provided weekly or more often if necessary Additional furniture may be brought in after consulting with the Director of Care Balcony Balcony doors must be locked at all times unless residents are supervised by staff or families (or resident is competent to be there alone) Families and residents using this space are told before allowing access to ensure they close the door after themselves and ensure it is locked

Accommodation Rates

Copernicus Lodge has different classes of accommodation that have different rates The

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 14

Ministry of Health and Long-Term Care (the ldquoMinistryrdquo) sets these rates The Long Term Care Homes Act requires residents to pay homes the rate that is set for his or her class of accommodation The Ministry adjusts accommodation rates from time to time These adjustments will result in changes to the Accommodation Fees Copernicus Lodge will provide the Resident with thirty (30) days written notice in advance of any increase in Accommodation Fees The notice will include the amount of the increase and the current Accommodation Fees that the Resident must pay

A Resident who is absent from Copernicus Lodge must continue to pay Accommodation Fees for each day of his or her absence The term ldquoabsencerdquo includes a casual or vacation absence and also an absence for medical or psychiatric care or assessment

RATES ndash from September 1 2014

A Basic Accommodation (Shared washroom)

From $ 123865 per month to $ 173162 per month

Persons applying for Basic Accommodation must submit a Notice of Assessment for the current year from Canada Customs and Revenue Agency CCRA (formerly Revenue Canada) to the Accounting Department A rate reduction form will be completed and must be signed If the income is below the threshold set by the Ministry of Health then the resident will receive a rate reduction Please contact the Accountant at 416-536-71122 ext 258

B Preferred Accommodation Private $ 243881 per month (Own room with ensuite washroom)

SHORT STAY RESPITE ACCOMMODATION

Copernicus Lodge offers Short Stay Respite Care Applications are filed and processed through the Community Care Access Centre

RATES $ 3685 per day A maximum of 90 days in a calendar year is allowed (60 days consecutive)

NOTE Rates are subject to change on notification by the Ministry of Health

List of Goods and Services included with Accommodation

The following list provides information about the goods and services included in basic or

preferred accommodation

1 Nursing and personal care on a 24-hour basis the administration of medications and assistance with activities of daily living

2 Medical care and restorative care is available in the home 3 Certain medical supplies and nursing equipment that are necessary for the care of the

resident 4 Supplies and equipment for personal hygiene and grooming 5 Certain equipment for the short-term use of the resident

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 15

6 Meal and snack service (three meals daily snacks between meals and at bedtime) special and therapeutic diets dietary supplements and devices to promote independence with eating

7 Social recreational spiritual and physical activities and programs 8 Laundry including labelling 9 Bedroom furnishings bedding and linen 10 Cleaning and upkeep of accommodations 11 Maintenance of a trust account on the residentrsquos behalf 12 Information package for residents 13 Prescription pharmaceutical preparations listed in the Ontario Drug Benefit Formulary

(the government requires residents to pay a small co-payment) 14 Special preparations or medical devices that may be obtained from the Ontario Drug

Benefit Program as interim non-formulary benefits 15 Insured devices equipment supplies and services that are available to the resident

through certain programs such as the Ontario Assistive Devices Program (the government covers part of this cost and residents must pay the rest)

16 Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon request

Note The Resident (or Power of Attorney for Property Guardian Trustee on behalf of the Resident) may purchase additional goods and services from the Home or 3

rd Party Suppliers

under a separate agreement ACCOUNTING BILLING BANKING

Hours Monday 130 pm - 400 pm Wednesday 900 am - 1230 pm Last Friday of the month 900 am - 1200 noon Closed - Tuesday Thursday and Friday (except last) Other times are by appointment please call ext 258 There is a slot located on the Accounting Office door for dropping off paymentsinformation after hours

ON SITE BANKING St Stanislaus St Casimirrsquos Credit Union attends in Room G 30 every Wednesday from 930 am to 1230 pm amp 100 pm to 200 pm and the last Friday of the month from 930 am to 1230 pm amp 100 pm to 200 pm for persons wishing to do regular banking transactions

Trust Accounts may be opened in Copernicus Lodge as requested Copernicus Lodge maintains a non interest bearing account on behalf of the resident There is no charge for this service Please contact the Accountant at ext 258 between 700 am and 300 pm

Comfort Allowance - is available to persons in Basic Accommodation rooms only There is no Comfort Allowance for persons in Preferred Accommodation Monies owing to the residentlawfully authorized substitute are returned one month after discharge Copernicus Lodge does not require a resident to pay a penalty in lieu of a specific notice period prior to discharge

MEDICAL SERVICES

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 16

Medical Director Copernicus Lodge shall ensure that it has a Medical Director The Medical Director shall be a physician The Medical Director

advises Copernicus Lodge long term care on matters relating to medical care

consults with the Director of Care and other health professionals working in Copernicus Lodge

performs any other duties provided for in the regulations 2007 c 72 (3)

Attending Physicians All residents have the option to choose their own Attending Physician outside of those physicians currently servicing Copernicus Lodge provided that heshe agrees to attend the resident at the home on a weekly basis and abide by Copernicus Lodge policies and procedures Attending Physicians must sign a contract with Copernicus Lodge

1 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario 2 All Attending Physicians are appointed by the Chief Executive Officer on the advice of the Medical Director 3 Attending Physicians are accountable to the Medical Director for meeting the homes policies and standards of medical care 4 Attending Physicians assess plan implement and evaluate their residents medical care and participate in a multi-disciplinary approach to care 5 Attending Physicians document on the resident health record on each visit to maintain continuity and ongoing evaluation 6 Attending Physicians arrange for 24-hour medical coverage for residents for whom they provide medical care 7 All medical care and services provided by Physicians in Long-Term Care homes are subject to peer assessment by the College of Physicians and Surgeons of Ontario on a random basis according to College procedures 8 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario

Residents and family members should be aware that the primary contact for medical care or medical concerns is the Registered Nursing staff Attending Physicians do not have offices within the home and are not in the facility each day Attending Physicians complete regular visits to their residents and on an as needed basis Attending Physicians do not normally contact family members to provide updates on the residentrsquos condition Residents and family members are always welcome to contact the Attending Physician at their private practice The office number can be obtained from the Registered Nursing staff Due to privacy issues Registered Nursing staff will only provide general health information about a resident to the Power of Attorney for Care (POA) Information about or changes to a residentrsquos medical diagnosis is given by the Attending Physician and not the Registered Nursing Staff Psychogeriatrician

Dr Colman Nefsky (MD Psychogeriatrician) We are very pleased to have the support of our consulting Psychogeriatrician from St Josephrsquos Health Center Dr Colman Nefsky Dr Nefsky visits and completes rounds on a monthly basis

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 17

for those residents who have been referred to him Dr Nefsky provides consultations to individuals who are suffering with psychological or behavioural issues and provides treatment options to the nursing and medical staff in the home Mary Boudart RN ndash St Josephrsquos Health Center Geriatric Mental Health Outreach Team Nurse (GMHOT) Mary Boudart works in collaboration with Dr Nefsky and completes weekly rounds for any resident who has been referred to her Care Conferences An organized documented interdisciplinary care conference lasting 30 minutes in duration is held with each resident andor substitute decision maker (POA for care) if you are able and wish to attend within six (6) weeks following admission to Copernicus Lodge and annually thereafter Care Conferences are held in order to discuss review and further develop the residents plan of care and address any other matters of importance to the resident and hisher substitute decision-maker (if any) The resident the substitute decision maker if any and any person that either of you may direct are given an opportunity to participate fully in the care conference

Special Care Conferences may be held anytime at the request of the family resident or interdisciplinary team if a residents condition or any other situation arises which affects the residents status Care conferences are held in either the activity room or the conference room (behind the nursing station) located on the residents home areafloorunit If the family substitute decision maker is unable to attend in person the option of a teleconference (over the telephone meeting) is available as an option to being there in person The conference may also be held at the bedside of a bedridden resident as requested by the resident andor substitute decision maker Residents and family are reminded not to wait for this annual meeting to express any concerns or issues you have Express concerns at the time they occur directly with any one of the interdisciplinary team as it relates to any department or inform the Charge Nurse who can redirect them as appropriate

Note Care Conferences do not apply to those residents residing in short-stay beds

NURSING

Nursing care and personal care is provided on a 24-hour basis This includes care given by or under the supervision of a Registered Nurse or a Registered Practical Nurse All Registered Nursing staff is licensed by the College of Nurses of Ontario Assistance with activities of daily living (personal care) is provided by Personal Support Workers (PSWrsquos) Daily medication is administered by the Registered Nursing staff Newly admitted residents must give all of their medication from home or hospital to the Registered Nurse on duty on the day of admission A picture is taken of all new residents on the day of admission and posted on their Medication Administration Record (MAR) and in the residents chart This is done to prevent medication and treatment errors Nursing and personal care is completed through an individualized personal care approach Nursing staff complete ongoing assessments and care plans which detail each residentrsquos individual care needs

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 18

Nursing staff can be reached by pressing the call-bells for assistance These are located in the resident bedroom bathrooms and lounge areas Call bells are responded to as quickly as possible

Pharmacy Copernicus Lodge utilizes a local pharmacy for all of its medicationpharmaceutical requirements At no time should residents or families bring in medications not approved by the medical nursing staff Medications are not to be left in resident rooms IMPORTANT All medications must be left with the Registered Nursing staff on duty

Medical supplies and nursing equipment

Medical supplies and nursing equipment necessary for the care of residents is provided by the home including supplies for the prevention or care of skin disorders continence care products infection control and sterile procedures

Medical devices such as catheters colostomy and ileostomy devices

Supplies and equipment for personal hygiene and grooming including skin care lotions and powders shampoos soap deodorant toothpaste toothbrushes denture cups and cleansers toilet tissue facial tissue hair brushes combs razorsshavers shaving cream feminine hygiene and incontinence products

Equipment for the general use of residents such as toilet aids and other self-help aids for the activities of daily living

Equipment for the general use of residents including wheelchairs geriatric chairs canes walkers are provided for short term use only (maximum 3 ndash 4 weeks) Should a resident require equipment for longer than 3-4 weeks the residentfamilysubstitute decision maker will be required to purchasecover all costs for such items Prescription pharmaceutical preparations listed in the Drug Benefit Formulary

bull Special preparations or medical devices which may be obtained from the Ontario Drug Benefit Program as interim non-formulary benefits

bull Insured devices equipment supplies and services available to residents through other programs such as the Home Care Program and Assistive Devices Program (ADP) ACHIEVA HEALTH provides ADP Seating and Mobility Assessments at NO COST to the Residents at Copernicus Lodge

bull Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon requisition If you have any questions or concerns regarding the nursing care or service please speak to the Charge Nurse

TAG SYSTEM

PURPOSE TO IDENTIFY RESIDENTS WITH BEHAVIOURAL ISSUES AND DIETARY RESTRICTIONS AS PART OF FALLS PREVENTION PROGRAM

As part of the Falls Prevention Program cards are mounted onto the residentrsquos mobility aids (where applicable) identifying that

a resident is at risk for falls

these cards are COLOUR-CODED to match the residents current behavioural risk level (ie Green Yellow or Pink as detailed in Section D)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 19

cards have a picture of food that is crossed out to identify that residents have a dietary restriction

On a quarterly basis or more often as necessary based on changes to a residentrsquos falls risk or behavioural risk level it is the responsibility of the RN RPN on each unit to review these cards and change them in order to correspond with the residentrsquos current condition

If the Dietician notes that there are changes to a residents swallowing meal consistency etc which warrant dietary restrictions it is the responsibility of the Dietician Manager of Dietary Services or Food Services Supervisor to change these cards on the residents mobility aid

There are 4 types of cards These are

I Colour-coded cards with only the residents unit identified ndash these individuals are not at risk for falls and do not have dietary restrictions however staff can clearly identify the residents behavioural risk level

II Colour-coded cards with the residents unit and Falls Symbol ndash this identifies that a resident is at risk for falls and also identifies the residents behavioural risk level

III Colour-coded cards with residents unit Falls symbol and Dietary Restriction symbol ndash this identifies that the resident is at risk for falls and has dietary restrictions as well as the residents behavioural risk level

IV Colour-coded cards with residents unit and Dietary Restriction Symbol ndash this identifies that a resident has dietary restrictions to be aware of as well as the residents behavioural risk level

Prevention of Needlestick Injuries

Copernicus Lodge thrives to maintain the health and safety of all residents staff and visitors to our home Needlestick Injury Prevention is a serious concern for the employees of our home In order to take a proactive approach regarding the prevention of needlestick injuries we would like to outline some important information for you ALL NEW ADMISSIONS TO LONG TERM CARE

1 Please note that when residents move into our Long Term Care Home that the nursing staff will take on the responsibility of completing diabetic glucose testing along with insulin injections Residents are NOT to self test themselves if they are diabetic This practice allows the nursing staff to safely dispose the needles as required into the Yellow Disposable Needle Containers - in every circumstance

2 We would kindly ask that families POArsquos please take any glucometer testing units syringes home Please do not leave any of these items in the residents room or by the bedside

FAMILIES AND VISITORS If any family member or visitor must test themselves while at Copernicus Lodge please ensure that you speak with the nursing staff RN RPN on the unit so that you can safely discard any needles used into one of the Yellow Disposable Needle Containers available on the Resident Home Area units

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 20

RESTRAINT USE AT COPERNICUS LODGE Copernicus Lodge uses the Least Restraint practice which means that the least restrictive measure is used for the shortest duration possible This allows for the maximum freedom of movement andor residentrsquos control The types of restraints currently used within Copernicus Lodge are as follows

a) Chemical Restraints - a pharmaceutical agent given with the specific purpose of inhibiting or controlling behaviour or movement

b) Physical RestraintsDevices - any appliance device apparatus or equipment attached or adjacent to a residents body that the individual cannot remove easily and which restricts movement The Physical Restraints currently used at Copernicus Lodge are Lapbelts Seatbelts Table Tops and Full Bedrails (both up at the same time)

c) Environmental Restraints - A barrier to free personal movement which serves to confine a resident to a specific geographic area (ie 2 North Special Care Unit which has a wanderguard alarm installed for residents with exit-seeking behaviours)

Note Under no circumstances can two restraints be applied at the same time (for example a lap tray cannot be used at the same time as a seatbelt)

The following devices are Prohibited and NOT permitted to be used in Copernicus Lodge

1 Roller bars on wheelchairs and commodes or toilets

2 Vest or jacket restraints

3 Any device with locks that can only be released by a separate device such as a key or magnet

4 Four point extremity restraints

5 Any device used to restrain a resident to a commode or toilet

6 Any device that cannot be immediately released by staff

7 Sheets wraps tensors or other types of strips or bandages used other than for a therapeutic purpose

Copernicus Lodgersquos Restraint Policy involves an interdisciplinary approach to restraint use and we document all steps of the restraining process

Our Restraint Policy includes the following requirements

1 Staff only applies a physical device that has been ordered and approved by the Attending Physician and where there is a signed consent by the resident (if competent) andor Substitute Decision Maker and an understanding of the reason for the use of the device

2 Staff consider alternatives to the use of physical devices including how these alternatives are planned developed and implemented (ie one way-gliders assist to prevent residents from sliding as does the tilt mechanism on many wheelchairs)

3 That the need for the restraint is clearly documented in the resident plan of care

4 Staff applies the physical device only in accordance with any manufacturerrsquos instructions and the instructions of the Attending Physician

5 Staff ensures that the physical device is well maintained

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 21

6 Staff ensures that the physical device is not altered except for routine adjustments in accordance with any manufacturerrsquos instructions

7 Registered staff and PSW staff monitor the resident while restrained at least every hour

8 Staff ensures that the resident is released from the physical device and repositioned at least once every two hours (this requirement does not apply when bed rails are being used if the resident is able to reposition himself or herself)

9 Staff ensures that the resident is released and repositioned any other time when necessary based on the residentrsquos condition or circumstances

10 The residentrsquos condition is reassessed and the effectiveness of the restraining is evaluated by the Registered Nurse every eight hours and at any other time when necessary based on the residentrsquos condition or circumstances

11 Upon removal of a physical device post-restraining care is provided to ensure the safety and comfort of the resident

Copernicus Lodge also reserves the right to restrain a resident by physical means when immediate action is necessary to prevent serious bodily harm to the resident or to others In the event such action is required

1 The resident is monitored or supervised on an ongoing basis and released from the physical device and repositioned when necessary based on the residentrsquos condition or circumstances

2 Ongoing assessment of the residentrsquos condition is reassessed by the registered nursing staff

3 The restraint is discontinued when the immediate action is no longer necessary

4 When the application of a physical restraint is required for to prevent serious injury to a resident or others the reason for the use of the physical device will be explained to the resident or the residentrsquos substitute decision maker where the resident is incapable

Environmental Restraints Dementia Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentrsquos plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

Evaluation Through our continuous quality improvement efforts Copernicus Lodge annually evaluates the effectiveness of our restraint policy and identifies what changes and improvements are required

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 22

to minimize restraining and to ensure that any restraining that is necessary is done in accordance with legislative requirements Any changes or improvements are to be promptly implemented

Although there will always be residents who require or feel more secure with restraints we hope that everyone will work with us to try to keep our home as RESTRAINT FREE AS POSSIBLE

To receive a copy of the full restraint policy please feel free to speak to our Director of Care at 416-536-7122 ext 240

Copernicus Lodgersquos Resident Abuse and Neglect Policy Copernicus Lodge promotes in its standards and practices the philosophy of care that all residents are treated with dignity respect and courtesy The Lodge views most seriously any type of abuse or neglect of a resident by any staff volunteer family substitute decision-maker visitor or any other persons who enter the premises at Copernicus Lodge

Definitions of Abuse

Copernicus Lodge defines ldquoabuserdquo (in accordance with our policy and subsection 2 (1) of the Long Term Care Homes Act) as the following

Emotional Abuse

(a) any threatening insulting intimidating or humiliating gestures actions behaviour or remarks including imposed social isolation shunning ignoring lack of acknowledgement or infantilization that are performed by anyone other than a resident or

(b) any threatening or intimidating gestures actions behaviour or remarks by a resident that causes alarm or fear to another resident where the resident performing the gestures actions behaviour or remarks understands and appreciates their consequences

Financial Abuse

(a) any misappropriation or misuse of a residentrsquos money or property

Physical Abuse

(a) the use of physical force by anyone other than a resident that causes physical injury or pain

(b) administering or withholding a drug for an inappropriate purpose or

(c) the use of physical force by a resident that causes physical injury to another resident

(Note Physical Abuse does not include the use of force that is appropriate to the provision of care or assisting a resident with activities of daily living unless the force used is excessive in the circumstance)

Sexual Abuse

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 23

(a) subject to subsection (3) any consensual or non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation that is directed towards a resident by a licensee or staff member or

(b) any non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation directed towards a resident by a person other than a licensee or staff member

(Note Sexual Abuse does not include

(a) touching behaviour or remarks of a clinical nature that are appropriate to the provision of care or assisting a resident with activities of daily living or

(b) consensual touching behaviour or remarks of a sexual nature between a resident and a licensee or staff member that is in the course of a sexual relationship that began before the resident was admitted to the long-term care home or before the licensee or staff member became a licensee or staff member)

Verbal Abuse

(a) any form of verbal communication of a threatening or intimidating nature or any form of verbal communication of a belittling or degrading nature which diminishes a residentrsquos sense of well-being dignity or self-worth that is made by anyone other than a resident or

(b) any form of verbal communication of a threatening or intimidating nature made by a resident that leads another resident to fear for his or her safety where the resident making the communication understands and appreciates its consequences

Neglect

(a) the failure to provide a resident with the treatment care services or assistance required for health safety or well-being and includes inaction or a pattern of inaction that jeopardizes the health safety or well-being of one or more residents

Copernicus Lodgersquos established Resident Abuse Policy and Procedure encompasses

A Definitions of what constitutes Resident Abuse and Neglect

B A Resident Abuse Incident Reporting System

C A Resident Abuse Incident Investigation System

D Support for the person abused

E EducationTraining that supports prevention of resident abuse and neglect and

F Evaluation of our 0 tolerance program

Copernicus Lodge maintains a Zero Tolerance for any type of abuse of a resident family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 6: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 5

under which Copernicus Lodge had agreed to fully respect and promote all the rights set out in the Residentsrsquo Bill of Rights 2007 c 8 s 3 (3)

Regulations

(4) The Lieutenant Governor in Council may make regulations governing how rights set out in the Residentsrsquo Bill of Rights shall be respected and promoted by Copernicus Lodge 2007 c 8 s 3 (4)

ACCESSIBILITY FOR ONTARIANS WITH DISABILITIES ACT This legislation is aimed at ensuring that we identify remove and prevent barriers for people with disabilities in areas of daily living This new law requires us to

Communicate with a person with a disability in an manner that takes into account their disability

Let people with disabilities bring their service animals onto the premises

Let people with disabilities be accompanied by their support persons while on the property

Train staff to know these standards and help all staff to understand the need to follow these standards

Principles

Dignity ndash service is provided in a way that allows the person with a disability to maintain self-respect and the respect of other people

Independence ndash Allowing a person with a disability to do things on their own without unnecessary help or interferences from others

Integration ndash Service is provided in a way that allows the person with a disability to benefit from the same services in the same place and in the same or similar way as other customers unless an alternate measure is necessary to enable the person to access the building or the services

Equal Opportunity ndash People with disabilities have an opportunity equal to that given to others to access the goods or services

Our Commitment In fulfilling our mission Copernicus Lodge strives at all times to provide our services in a way that respects the dignity and independence of people with disabilities Copernicus Lodge is committed to giving people with disabilities the same opportunity to access our services and allowing them to benefit from the same services in the same place and in a similar way as seniors who qualify for our services

HOW COPERNICUS LODGE COMPLIES WITH THE STANDARDS

Copernicus Lodge complies with the 14 requirements summarized below

1 Copernicus Lodge has established policies practices and procedures on providing services to people with disabilities

2 Policies practices and procedures are consistent with the core principles of independence dignity integration and equality of opportunity

3 People accessing our services have the right to use their own personal assistive devices to access services and about any other measures we offer (assistive devices services or methods) to enable them to access our services

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 6

4 Copernicus Lodge staff and volunteers are trained to communicate with a person with a disability in a manner that takes into account his or her disability

5 Copernicus Lodge permits people with disabilities to be accompanied by their guide dog or service animal in any area of our home

6 Copernicus Lodge permits people with disabilities who use a support person to bring that person with them while accessing any services in our home

7 Where admission fees are charged Copernicus Lodge provides notice ahead of time on what admission if any would be charged for a support person of a person with a disability

8 Copernicus Lodge provides notice when our facilities or services that people with disabilities rely on to access or use our services are temporarily disrupted Such notices are posted throughout the building and on the whats new page on our website

9 Copernicus Lodge provides annual training to staff volunteers contractors and any other people who interact with the public or other third parties on our behalf

10 Copernicus Lodge trains staff volunteers contractors and any other people who are involved in developing our policies practices and procedures on the provision of goods or services

11 Copernicus Lodge has established a feedback form (located at reception) for people to provide feedback on how we provide services to people with disabilities and how we respond to any feedback and take action on any complaints Copernicus Lodge makes the information about our feedback process readily available to the public

12 Copernicus Lodge documents in writing all our policies practices and procedures for providing accessible customer service

13 Copernicus Lodge posts a copy of this policy notifying customers that our policies are available upon request on our website

14 When giving documents required under the customer service standard to a person with a disability Copernicus Lodge provides the information in a format that takes into account the personrsquos disability (ie a CD disc andor hard copy sheets)

The Accessibility Bag at Reception

Located in the reception area is our Accessibility Bag which contains such things as up to date information about our services in various formats assistive devices (ie laminated communication cards magnifier glass paperpens amplifier) and copies of the feedback forms etc This bag is used by staff to ensure effective communication as required respecting a personsrsquo disability A similar bag is located in our Adult Day Program and Supportive Housing areas

ADVOCACY PROGRAMS AT COPERNICUS LODGE Copernicus Lodge promotes the philosophy of care in its standards and practices that all residents are treated with dignity respect and courtesy and have a right to know and participate fully in the operation of our home and in their own care Residents Tenants and Families have a right to express concerns within our home without the fear of reprisal

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 7

The Lodge views most seriously any type of abuse (including reprisal) of a resident tenant family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge and maintains a Zero Tolerance for any type of abuse We are here to

answer any questions or concerns you may have

empower and engage families and residents in dialogue and participate in care decisions

encourage residentfamily input to aid staff in problem solving and finding solutions and

provide support to residents tenants and families around issues and concerns at the Lodge and beyond in the community

To ensure this happens we provide the following advocacy opportunities for families and residentsrsquo to participate in the decision-making process at Copernicus Lodge

Resident Council Meetings (LTC Residents) (held every second month) Family Council (LTC Family) (held quarterly) Seniors Club Meetings (Apartment tenants) (held monthly) Family Information Sessions (held annually) Food Review Committee (held 4 timesyear) Annual TenantResidentFamily Satisfaction Surveys organized by the Continuous

Quality Improvement Committee andor Department Head (Supportive Housing and Adult Day Program)

A suggestion box located at the main entrance and at the Continuous Quality Improvement Board Forms are available at Reception for any complaints or suggestions ndash available 24 hours a day7 days a week

Copernicus Lodgersquos formal complaint procedure (posted on the ResidentFamily Information board on main floor and throughout the building)

Resident Care Conferences for each LTC resident (held 6 weeks after admission and annually thereafter or as needed)

LTC Resident Home Area (RHA) Meetings (held quarterly on each RHA) LTC Resident Bill of Rights (posted on the ResidentFamily Information Board and on

every floor next to the elevators) Task Force meetings to discuss issues related to resident abuse and neglect in LTC

homes as a response to recommendations of the Ontario Task Force on Resident Care and Safety

If you have any suggestions that will help us improve we ask that you please take advantage of these advocacy programs

If you would like further information about any of our policies or any of these

advocacy programs please feel free to contact Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

RESIDENT ADVOCATE (SOCIAL WORK SOCIAL SERVICES WORK) As part of the Resident Advocates roles and responsibilities he she act on behalf of the residents in order to support and assist them with social work social services issues He she provide emotional support to residents and family member act as a residentrsquos liaison in the community and assist to rectify issues that impact both the residents and other departments as necessary

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 8

The Resident Advocate as approved and authorized by the councils act as the Family and Resident Council Staff Assistant As the Family and Resident Council Staff Assistant the Resident Advocate takes instructions from the Councils ensure confidentiality where requested and reports to the Councils RESIDENTS COUNCIL Residents Council operates for the purpose of

Promoting communication between the residents and administration

Improving the residentsrsquo quality of life within the home by providing an opportunity for residents to air their ideas feelings and concerns through discussion

Providing a forum to identify problem solve

Fostering residentsrsquo independence and self-direction

Providing residents with the opportunity to actively participate in the decision making process within the Lodge

New members residents are always welcome Meetings are held every 3 months in the Multipurpose Room or Boardroom The current approved staff assistance for Residentsrsquo Council is Copernicus Lodgersquos Resident Advocate who is the staff assistant approved by the Residents Council In addition to the Residents Council Copernicus Lodge provides Long Term Care residents with the opportunity to participate in discussion groups Residents air their views opinions and talk about matters of concern to themselves and other Residents living at the Home The Registered Nurse together with Managers have quarterly meetings on each Resident Home Area (RHA) for all residents staff volunteers and family members

FAMILY COUNCIL

A Family Council is self-led self-determining democratic group of family members and friends of residents in Long Term Care Home that meet on a quarterly basis to provide a forum for sharing their experiences learning exchanging information and seek solutions to common problems The current approved staff assistance for Residentsrsquo Council is Copernicus Lodgersquos Social Worker A Family Council can benefit the Family Members Residents and Copernicus Lodge These benefits can include the following

Allows families to give each other ongoing mutual support and encouragement Sharing thoughts and feelings with others who are in the same situation can help families cope

Provides a forum for learning especially for families of new residents

Provides an opportunity to become knowledgeable about the Homersquos operations policies and rules This can be especially helpful for families of new Residents

Help families and the Home form a positive partnership aimed at improving resident care

Offers family members a chance to express their collective concerns ndash a ldquounited voicerdquo supporting a ldquounited effortrdquo In this way a Family Council can be a catalyst for positive changes in residentsrsquo daily lives familiesrsquo experiences and in the Home in general

A Family Council can benefit residents who are physically or mentally unable to voice their needs and concerns as well as those without family

Can benefit the Home by providing a means for staff to deal directly with families as a group and establish meaningful ongoing lines of communication

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 9

Any family members who wish to join the Family Council please contact the Copernicus Lodge Resident Advocate Meetings are quarterly in the Boardroom on the Main floor

MANDATORY AND IMMEDIATE REPORTING TO THE DIRECTOR

OF THE MINISTRY OF HEALTH

1 Copernicus Lodge immediately investigates responds and acts on every alleged suspected or witnessed incident of abuse and or neglect of a resident by anyone that Copernicus Lodge knows of or that is reported to Copernicus Lodge Chief Executive Officer (CEO) andor Director of Care (DOC) will refer to the Resident Abuse amp Neglect Decision Trees as provided by the Ministry of Health Long Term Care when assessing the allegation to determine reporting requirements to the Ministry as required by the LTCH Act

When reporting to the Director the report will include the results of every investigation and every action taken to such incidents

Reporting to the Director Copernicus Lodge or any other person who has reasonable grounds to suspect that any of the following has occurred or may occur will immediately report the suspicion and the information upon which it is based to the Director

1 Improper or incompetent treatment or care of a resident that resulted in harm or a risk of harm to the resident

2 Abuse of a resident by anyone or neglect of a resident by Copernicus Lodge or staff that resulted in harm or a risk of harm to the resident

3 Unlawful conduct that resulted in harm or a risk of harm to a resident

4 Misuse or misappropriation of a residentrsquos money

5 Misuse or misappropriation of funding provided to Copernicus Lodge under the Long Term Care Homes Act or the Local Health System Integration Act 2006

False information Any person reporting information to the Director they know to be false will be guilty of an offence

Exceptions for residents A resident may make a report but is not required to and the issue in regards to reporting

false information as an offence does not apply to residents who are incapable

Duty on practitioners and others Even if the information on which a report may be based is confidential or privileged no

action or other proceeding for making the report shall be commenced against a person (ie Physician Social Worker Pharmacist etc) who acts in accordance with reporting unless that person acts maliciously or without reasonable grounds for the suspicion

Offence of failure to report Copernicus Lodge Copernicus Lodge staff any person who provides professional

services to our residents in the areas of health social work or social services work and any person who provides professional services to Copernicus Lodge in the areas of health social work or social services work would be guilty of an offence if they fail to make a report under this policy

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 10

Offences re suppressing reports Every person who coerces or intimidates a person not to make a report andor

discourages a person from making a report andor authorizes permits or concurs in a contravention of the duty to make a report is guilty of an offence

All Mandatory reports are made to

Director Performance Improvement and Compliance Branch Ministry of Health and Long-Term Care

1075 Bay Street 11th

Floor Toronto ON M5S 2B1 1-866-434-0144

COPERNICUS LODGE COMPLAINT PROCEDURE

It is the policy of Copernicus Lodge that the following steps are taken when raising concerns lodging complaints or recommending changes

STEP 1 Speak directly to the staff member involved If you are not satisfied with their response or the issue is not resolved move on to step 2

STEP 2 Speak to the Manager of the Department involved If you are not satisfied with their response move on to step 3

STEP 3 Speak to the Chief Executive Officer If you are still not satisfied with the response given move on to step 4

STEP 4 Submit your complaintconcern in writing to the Board of Directors If you are still not satisfied with the response given move on to step 5

STEP 5 For issues related to long-term care contact

THE MINISTRY OF HEALTH LONG TERM CARE ACTION LINE

Quality care matters If you want more information have a concern or want to register a complaint about a

Long-Term Care Facility call this toll-free number

1-866-434-0144 Available 7 days a week 830AM ndash 700PM

OR Send a written letter by mail to the responsible Director at

The Ministry of Long Term care at the following address Director Performance Improvement and Compliance Branch

Ministry of Health and Long-Term Care 1075 Bay Street 11

th Floor

Toronto ON M5S 2B1

You will receive a letter or phone call to let you know that the ministry has received your complaint

The Director will refer your complaint to an inspector who will look into your matter

Please Note You may obtain a complete up to date listing of all Departments Names of Managers and their contact information in the clear folder attached to the Long Term Care Resident Family Board located on the main floor hallway

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 11

Privacy of Resident Health Information Copernicus Lodge exists to provide you with a broad variety of care services To meet your needs and serve you well Copernicus Lodge needs to know personal information about you You as an individual have a right to know how we collect use and disclose personal information You have a right to expect that to the best of our ability your personal information held by us remains accurate confidential and secure Copernicus Lodge is proud of its commitment to maintaining the confidentiality and security of personal information and weve provided this write-up to explain how we protect the privacy of individual residents information in Copernicus Lodge Copernicus Lodgersquos privacy policies comply with the Personal Health Information Protection Act (PHIPA) It is important that a trust relationship be established between you and Copernicus Lodge To this end we are pleased to share information with you The more you know about us the more confident you can feel about receiving our services Similarly the more we know about you the better we can serve you Copernicus Lodge collects and uses information about you for the following purposes only

To make decisions about the types services you need

To serve as a means to communicate with service providers

To monitor the provision of services and evaluate your response to services provided

As a legal document made in the normal course of business

To serve as a record of services provided

As proof of what was done by whom and when during a residents encounter with a provider

To be used as evidence against or for the organizations the service providers or the resident

To verify our accountability

For strategic planning decision making allocating of resources and

To meet legal and regulatory requirements

Consent Because it is important that we keep your trust we will only ask for information which we need and when we ask you for information well let you know why we need it To the best of our ability we will seek your consent to verify and supplement information collected from external sources such as Community Care Access Centerrsquos (CCAC) Physicians Social Services the Local Health Integrated Networks (LHINS) the Ministry of Health and Long Term Care (MOHLTC) and other community service providers for whom you may need service from Subject to legal or contractual requirements you can refuse to consent to our collection use or disclosure of information at any time provided the consent does not relate to certain information required for care provisions such as disclosure of information to the LHIN or MOHLTC If you refuse or withdraw your consent to the collection use or disclosure of information about you we may not be able to continue to provide you with some services you require With your consent and where laws allow this we may share your information with other service providers such as a hospital pharmacy medical specialist social worker and others who provide community services If you do not want to be contacted by these other service providers we will withhold information from them Disclosure means providing specific information about you from our records to a third party Depending on your consent disclosure can happen over the telephone by fax by computer andor be electronic data sharing Under normal circumstance we wont collect use or disclose your personal information without your consent The only exceptions to this rule are when the disclosure is permitted by law or when it is impossible or impractical to

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 12

get your consent Some examples of situations where we will not seek your consent for disclosure are

For emergency or life threatening events

Where there is legal obligation to disclose under a court or government order for instance to police

Where personal information is given to our agents and service providers for services such as laboratory and pharmacy services and

Where personal information must be given to insurers in connection with insurance services

Reviewing amp Making Corrections Except as outlined below a record is kept each time personal information is disclosed noting the nature of the disclosure that was made Individual records of disclosure are not maintained for regular and routine actions such as prescriptions sent to the pharmacy We attempt to ensure that the information we hold about you is accurate complete and up-to-date If there are changes to your information eg a new Substitute Decision Maker (SDM) has been named please notify us immediately If you believe that information in your records may be inaccurate we make it easy for you to access verify and update it If information has been provided to third parties we will convey the corrected information to them if necessary If we do not agree to change your personal information you may challenge our decision We will make a record of this challenge and if necessary disclose the challenge to third parties who also process your information To review your personal information simply ask a staff person for assistance The staff person will provide you with instructions about accessing your information There may be a charge for retrieving your information in which case you will be notified in advance and may if you like withdraw your consent You may also challenge the reasonableness of the charge Access to information may be more meaningful to you if such access is provided in the presence of a service provider who can explain terminology and the organizations policies We encourage you to invite a care provider from Copernicus Lodge to assist you in your review of your personal information Sometimes a staff person will not provide you with information about you that is within its control This can occur if your right of access is constrained pursuant to the provisions of PHIPA For example the staff person will not provide you with personal information if

It would reveal personal information about another party and your personal information cannot be separated

The information is subject to solicitor-client or litigation privilege andor if

The information is used for the detection and prevention of a criminal activity and dealings in the proceeds of crime

If a staff person refuses your request for access to personal information you will be told why unless prohibited by law You may challenge the decision Once you have the information all you have to do is check for its accuracy and let us know if there are any corrections required We will correct our records or make a note of differences If information has been provided to third parties we will convey the corrected information or note any differences to them if necessary

Complaints amp Responsibility Ultimately Department Managers and Supervisors are responsible for protecting resident information They delegate day-to-day responsibilities to others such as privacy officers within Copernicus Lodge Every staff person must take responsibility for protecting resident privacy confidentiality and security Our suppliers sign contracts that oblige them to contractually adhere to our privacy practices thus protecting the information of residents when in the possession of third parties These suppliers or third party

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 13

include lab pharmacy physicians etc There are controls over the use of computers electronic data sharing paper documents faxing activities access to personal information If you or your family has concerns or questions about the management of personal information in Copernicus Lodge or about our compliance with privacy codes and laws we invite you to direct your questions and concerns to a staff person who is providing service to you If that person is unable to effectively respond to your questions and concerns we encourage you to contact our Privacy Officer

Tracy Kamino Chief Executive Officer 416-536-7122 extension 238

Fax 416-536-8242

We trust that we will be able to resolve any issues that you have regarding the protection of personal information If our Privacy Officer Tracy Kamino is unable to satisfy your inquiries you may contact the Office of the Privacy Commissioner of Ontario

Information and Privacy Commissioner of Ontario 2 Bloor Street West Suite 1400 Toronto Ontario M4W 1A8

Tel 1-416-326-3333 or Toll Free 1-800-387-0073

LONG TERM CARE ACCOMMODATION

All rooms are furnished with bull an electric hospital bed (regular or adjustable head and foot ) and pillows bull comfortable mattress with waterproof cover bull adjustable bed rails (if required) bull loungeguest chair bull night tablelamp bull laundry basket bull garbage can

The residentrsquos name is posted outside their room Memory boxes at eye level personalize and cue residents to their room All rooms are heated and water tempered with connections for telephone and cable TV Common areas are air-conditioned All windows can open but only 4 inches wide at all times (as per legal requirements) Residentsfamiliesvolunteers are not allowed to tamper with the window locking mechanisms You may bring a radio TV andor pictures Only certain electrical appliances as discussed and permitted by the Director of Care are allowed Bar fridges are not permitted in the home unless identified for medical reasons only and under the approval of the Director of Care Call bells must meet CSA Standards and are located at the bedside in the washrooms and lounge areas Press to call for assistance Cleaning services are provided weekly or more often if necessary Additional furniture may be brought in after consulting with the Director of Care Balcony Balcony doors must be locked at all times unless residents are supervised by staff or families (or resident is competent to be there alone) Families and residents using this space are told before allowing access to ensure they close the door after themselves and ensure it is locked

Accommodation Rates

Copernicus Lodge has different classes of accommodation that have different rates The

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 14

Ministry of Health and Long-Term Care (the ldquoMinistryrdquo) sets these rates The Long Term Care Homes Act requires residents to pay homes the rate that is set for his or her class of accommodation The Ministry adjusts accommodation rates from time to time These adjustments will result in changes to the Accommodation Fees Copernicus Lodge will provide the Resident with thirty (30) days written notice in advance of any increase in Accommodation Fees The notice will include the amount of the increase and the current Accommodation Fees that the Resident must pay

A Resident who is absent from Copernicus Lodge must continue to pay Accommodation Fees for each day of his or her absence The term ldquoabsencerdquo includes a casual or vacation absence and also an absence for medical or psychiatric care or assessment

RATES ndash from September 1 2014

A Basic Accommodation (Shared washroom)

From $ 123865 per month to $ 173162 per month

Persons applying for Basic Accommodation must submit a Notice of Assessment for the current year from Canada Customs and Revenue Agency CCRA (formerly Revenue Canada) to the Accounting Department A rate reduction form will be completed and must be signed If the income is below the threshold set by the Ministry of Health then the resident will receive a rate reduction Please contact the Accountant at 416-536-71122 ext 258

B Preferred Accommodation Private $ 243881 per month (Own room with ensuite washroom)

SHORT STAY RESPITE ACCOMMODATION

Copernicus Lodge offers Short Stay Respite Care Applications are filed and processed through the Community Care Access Centre

RATES $ 3685 per day A maximum of 90 days in a calendar year is allowed (60 days consecutive)

NOTE Rates are subject to change on notification by the Ministry of Health

List of Goods and Services included with Accommodation

The following list provides information about the goods and services included in basic or

preferred accommodation

1 Nursing and personal care on a 24-hour basis the administration of medications and assistance with activities of daily living

2 Medical care and restorative care is available in the home 3 Certain medical supplies and nursing equipment that are necessary for the care of the

resident 4 Supplies and equipment for personal hygiene and grooming 5 Certain equipment for the short-term use of the resident

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 15

6 Meal and snack service (three meals daily snacks between meals and at bedtime) special and therapeutic diets dietary supplements and devices to promote independence with eating

7 Social recreational spiritual and physical activities and programs 8 Laundry including labelling 9 Bedroom furnishings bedding and linen 10 Cleaning and upkeep of accommodations 11 Maintenance of a trust account on the residentrsquos behalf 12 Information package for residents 13 Prescription pharmaceutical preparations listed in the Ontario Drug Benefit Formulary

(the government requires residents to pay a small co-payment) 14 Special preparations or medical devices that may be obtained from the Ontario Drug

Benefit Program as interim non-formulary benefits 15 Insured devices equipment supplies and services that are available to the resident

through certain programs such as the Ontario Assistive Devices Program (the government covers part of this cost and residents must pay the rest)

16 Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon request

Note The Resident (or Power of Attorney for Property Guardian Trustee on behalf of the Resident) may purchase additional goods and services from the Home or 3

rd Party Suppliers

under a separate agreement ACCOUNTING BILLING BANKING

Hours Monday 130 pm - 400 pm Wednesday 900 am - 1230 pm Last Friday of the month 900 am - 1200 noon Closed - Tuesday Thursday and Friday (except last) Other times are by appointment please call ext 258 There is a slot located on the Accounting Office door for dropping off paymentsinformation after hours

ON SITE BANKING St Stanislaus St Casimirrsquos Credit Union attends in Room G 30 every Wednesday from 930 am to 1230 pm amp 100 pm to 200 pm and the last Friday of the month from 930 am to 1230 pm amp 100 pm to 200 pm for persons wishing to do regular banking transactions

Trust Accounts may be opened in Copernicus Lodge as requested Copernicus Lodge maintains a non interest bearing account on behalf of the resident There is no charge for this service Please contact the Accountant at ext 258 between 700 am and 300 pm

Comfort Allowance - is available to persons in Basic Accommodation rooms only There is no Comfort Allowance for persons in Preferred Accommodation Monies owing to the residentlawfully authorized substitute are returned one month after discharge Copernicus Lodge does not require a resident to pay a penalty in lieu of a specific notice period prior to discharge

MEDICAL SERVICES

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 16

Medical Director Copernicus Lodge shall ensure that it has a Medical Director The Medical Director shall be a physician The Medical Director

advises Copernicus Lodge long term care on matters relating to medical care

consults with the Director of Care and other health professionals working in Copernicus Lodge

performs any other duties provided for in the regulations 2007 c 72 (3)

Attending Physicians All residents have the option to choose their own Attending Physician outside of those physicians currently servicing Copernicus Lodge provided that heshe agrees to attend the resident at the home on a weekly basis and abide by Copernicus Lodge policies and procedures Attending Physicians must sign a contract with Copernicus Lodge

1 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario 2 All Attending Physicians are appointed by the Chief Executive Officer on the advice of the Medical Director 3 Attending Physicians are accountable to the Medical Director for meeting the homes policies and standards of medical care 4 Attending Physicians assess plan implement and evaluate their residents medical care and participate in a multi-disciplinary approach to care 5 Attending Physicians document on the resident health record on each visit to maintain continuity and ongoing evaluation 6 Attending Physicians arrange for 24-hour medical coverage for residents for whom they provide medical care 7 All medical care and services provided by Physicians in Long-Term Care homes are subject to peer assessment by the College of Physicians and Surgeons of Ontario on a random basis according to College procedures 8 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario

Residents and family members should be aware that the primary contact for medical care or medical concerns is the Registered Nursing staff Attending Physicians do not have offices within the home and are not in the facility each day Attending Physicians complete regular visits to their residents and on an as needed basis Attending Physicians do not normally contact family members to provide updates on the residentrsquos condition Residents and family members are always welcome to contact the Attending Physician at their private practice The office number can be obtained from the Registered Nursing staff Due to privacy issues Registered Nursing staff will only provide general health information about a resident to the Power of Attorney for Care (POA) Information about or changes to a residentrsquos medical diagnosis is given by the Attending Physician and not the Registered Nursing Staff Psychogeriatrician

Dr Colman Nefsky (MD Psychogeriatrician) We are very pleased to have the support of our consulting Psychogeriatrician from St Josephrsquos Health Center Dr Colman Nefsky Dr Nefsky visits and completes rounds on a monthly basis

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 17

for those residents who have been referred to him Dr Nefsky provides consultations to individuals who are suffering with psychological or behavioural issues and provides treatment options to the nursing and medical staff in the home Mary Boudart RN ndash St Josephrsquos Health Center Geriatric Mental Health Outreach Team Nurse (GMHOT) Mary Boudart works in collaboration with Dr Nefsky and completes weekly rounds for any resident who has been referred to her Care Conferences An organized documented interdisciplinary care conference lasting 30 minutes in duration is held with each resident andor substitute decision maker (POA for care) if you are able and wish to attend within six (6) weeks following admission to Copernicus Lodge and annually thereafter Care Conferences are held in order to discuss review and further develop the residents plan of care and address any other matters of importance to the resident and hisher substitute decision-maker (if any) The resident the substitute decision maker if any and any person that either of you may direct are given an opportunity to participate fully in the care conference

Special Care Conferences may be held anytime at the request of the family resident or interdisciplinary team if a residents condition or any other situation arises which affects the residents status Care conferences are held in either the activity room or the conference room (behind the nursing station) located on the residents home areafloorunit If the family substitute decision maker is unable to attend in person the option of a teleconference (over the telephone meeting) is available as an option to being there in person The conference may also be held at the bedside of a bedridden resident as requested by the resident andor substitute decision maker Residents and family are reminded not to wait for this annual meeting to express any concerns or issues you have Express concerns at the time they occur directly with any one of the interdisciplinary team as it relates to any department or inform the Charge Nurse who can redirect them as appropriate

Note Care Conferences do not apply to those residents residing in short-stay beds

NURSING

Nursing care and personal care is provided on a 24-hour basis This includes care given by or under the supervision of a Registered Nurse or a Registered Practical Nurse All Registered Nursing staff is licensed by the College of Nurses of Ontario Assistance with activities of daily living (personal care) is provided by Personal Support Workers (PSWrsquos) Daily medication is administered by the Registered Nursing staff Newly admitted residents must give all of their medication from home or hospital to the Registered Nurse on duty on the day of admission A picture is taken of all new residents on the day of admission and posted on their Medication Administration Record (MAR) and in the residents chart This is done to prevent medication and treatment errors Nursing and personal care is completed through an individualized personal care approach Nursing staff complete ongoing assessments and care plans which detail each residentrsquos individual care needs

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 18

Nursing staff can be reached by pressing the call-bells for assistance These are located in the resident bedroom bathrooms and lounge areas Call bells are responded to as quickly as possible

Pharmacy Copernicus Lodge utilizes a local pharmacy for all of its medicationpharmaceutical requirements At no time should residents or families bring in medications not approved by the medical nursing staff Medications are not to be left in resident rooms IMPORTANT All medications must be left with the Registered Nursing staff on duty

Medical supplies and nursing equipment

Medical supplies and nursing equipment necessary for the care of residents is provided by the home including supplies for the prevention or care of skin disorders continence care products infection control and sterile procedures

Medical devices such as catheters colostomy and ileostomy devices

Supplies and equipment for personal hygiene and grooming including skin care lotions and powders shampoos soap deodorant toothpaste toothbrushes denture cups and cleansers toilet tissue facial tissue hair brushes combs razorsshavers shaving cream feminine hygiene and incontinence products

Equipment for the general use of residents such as toilet aids and other self-help aids for the activities of daily living

Equipment for the general use of residents including wheelchairs geriatric chairs canes walkers are provided for short term use only (maximum 3 ndash 4 weeks) Should a resident require equipment for longer than 3-4 weeks the residentfamilysubstitute decision maker will be required to purchasecover all costs for such items Prescription pharmaceutical preparations listed in the Drug Benefit Formulary

bull Special preparations or medical devices which may be obtained from the Ontario Drug Benefit Program as interim non-formulary benefits

bull Insured devices equipment supplies and services available to residents through other programs such as the Home Care Program and Assistive Devices Program (ADP) ACHIEVA HEALTH provides ADP Seating and Mobility Assessments at NO COST to the Residents at Copernicus Lodge

bull Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon requisition If you have any questions or concerns regarding the nursing care or service please speak to the Charge Nurse

TAG SYSTEM

PURPOSE TO IDENTIFY RESIDENTS WITH BEHAVIOURAL ISSUES AND DIETARY RESTRICTIONS AS PART OF FALLS PREVENTION PROGRAM

As part of the Falls Prevention Program cards are mounted onto the residentrsquos mobility aids (where applicable) identifying that

a resident is at risk for falls

these cards are COLOUR-CODED to match the residents current behavioural risk level (ie Green Yellow or Pink as detailed in Section D)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 19

cards have a picture of food that is crossed out to identify that residents have a dietary restriction

On a quarterly basis or more often as necessary based on changes to a residentrsquos falls risk or behavioural risk level it is the responsibility of the RN RPN on each unit to review these cards and change them in order to correspond with the residentrsquos current condition

If the Dietician notes that there are changes to a residents swallowing meal consistency etc which warrant dietary restrictions it is the responsibility of the Dietician Manager of Dietary Services or Food Services Supervisor to change these cards on the residents mobility aid

There are 4 types of cards These are

I Colour-coded cards with only the residents unit identified ndash these individuals are not at risk for falls and do not have dietary restrictions however staff can clearly identify the residents behavioural risk level

II Colour-coded cards with the residents unit and Falls Symbol ndash this identifies that a resident is at risk for falls and also identifies the residents behavioural risk level

III Colour-coded cards with residents unit Falls symbol and Dietary Restriction symbol ndash this identifies that the resident is at risk for falls and has dietary restrictions as well as the residents behavioural risk level

IV Colour-coded cards with residents unit and Dietary Restriction Symbol ndash this identifies that a resident has dietary restrictions to be aware of as well as the residents behavioural risk level

Prevention of Needlestick Injuries

Copernicus Lodge thrives to maintain the health and safety of all residents staff and visitors to our home Needlestick Injury Prevention is a serious concern for the employees of our home In order to take a proactive approach regarding the prevention of needlestick injuries we would like to outline some important information for you ALL NEW ADMISSIONS TO LONG TERM CARE

1 Please note that when residents move into our Long Term Care Home that the nursing staff will take on the responsibility of completing diabetic glucose testing along with insulin injections Residents are NOT to self test themselves if they are diabetic This practice allows the nursing staff to safely dispose the needles as required into the Yellow Disposable Needle Containers - in every circumstance

2 We would kindly ask that families POArsquos please take any glucometer testing units syringes home Please do not leave any of these items in the residents room or by the bedside

FAMILIES AND VISITORS If any family member or visitor must test themselves while at Copernicus Lodge please ensure that you speak with the nursing staff RN RPN on the unit so that you can safely discard any needles used into one of the Yellow Disposable Needle Containers available on the Resident Home Area units

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 20

RESTRAINT USE AT COPERNICUS LODGE Copernicus Lodge uses the Least Restraint practice which means that the least restrictive measure is used for the shortest duration possible This allows for the maximum freedom of movement andor residentrsquos control The types of restraints currently used within Copernicus Lodge are as follows

a) Chemical Restraints - a pharmaceutical agent given with the specific purpose of inhibiting or controlling behaviour or movement

b) Physical RestraintsDevices - any appliance device apparatus or equipment attached or adjacent to a residents body that the individual cannot remove easily and which restricts movement The Physical Restraints currently used at Copernicus Lodge are Lapbelts Seatbelts Table Tops and Full Bedrails (both up at the same time)

c) Environmental Restraints - A barrier to free personal movement which serves to confine a resident to a specific geographic area (ie 2 North Special Care Unit which has a wanderguard alarm installed for residents with exit-seeking behaviours)

Note Under no circumstances can two restraints be applied at the same time (for example a lap tray cannot be used at the same time as a seatbelt)

The following devices are Prohibited and NOT permitted to be used in Copernicus Lodge

1 Roller bars on wheelchairs and commodes or toilets

2 Vest or jacket restraints

3 Any device with locks that can only be released by a separate device such as a key or magnet

4 Four point extremity restraints

5 Any device used to restrain a resident to a commode or toilet

6 Any device that cannot be immediately released by staff

7 Sheets wraps tensors or other types of strips or bandages used other than for a therapeutic purpose

Copernicus Lodgersquos Restraint Policy involves an interdisciplinary approach to restraint use and we document all steps of the restraining process

Our Restraint Policy includes the following requirements

1 Staff only applies a physical device that has been ordered and approved by the Attending Physician and where there is a signed consent by the resident (if competent) andor Substitute Decision Maker and an understanding of the reason for the use of the device

2 Staff consider alternatives to the use of physical devices including how these alternatives are planned developed and implemented (ie one way-gliders assist to prevent residents from sliding as does the tilt mechanism on many wheelchairs)

3 That the need for the restraint is clearly documented in the resident plan of care

4 Staff applies the physical device only in accordance with any manufacturerrsquos instructions and the instructions of the Attending Physician

5 Staff ensures that the physical device is well maintained

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 21

6 Staff ensures that the physical device is not altered except for routine adjustments in accordance with any manufacturerrsquos instructions

7 Registered staff and PSW staff monitor the resident while restrained at least every hour

8 Staff ensures that the resident is released from the physical device and repositioned at least once every two hours (this requirement does not apply when bed rails are being used if the resident is able to reposition himself or herself)

9 Staff ensures that the resident is released and repositioned any other time when necessary based on the residentrsquos condition or circumstances

10 The residentrsquos condition is reassessed and the effectiveness of the restraining is evaluated by the Registered Nurse every eight hours and at any other time when necessary based on the residentrsquos condition or circumstances

11 Upon removal of a physical device post-restraining care is provided to ensure the safety and comfort of the resident

Copernicus Lodge also reserves the right to restrain a resident by physical means when immediate action is necessary to prevent serious bodily harm to the resident or to others In the event such action is required

1 The resident is monitored or supervised on an ongoing basis and released from the physical device and repositioned when necessary based on the residentrsquos condition or circumstances

2 Ongoing assessment of the residentrsquos condition is reassessed by the registered nursing staff

3 The restraint is discontinued when the immediate action is no longer necessary

4 When the application of a physical restraint is required for to prevent serious injury to a resident or others the reason for the use of the physical device will be explained to the resident or the residentrsquos substitute decision maker where the resident is incapable

Environmental Restraints Dementia Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentrsquos plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

Evaluation Through our continuous quality improvement efforts Copernicus Lodge annually evaluates the effectiveness of our restraint policy and identifies what changes and improvements are required

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 22

to minimize restraining and to ensure that any restraining that is necessary is done in accordance with legislative requirements Any changes or improvements are to be promptly implemented

Although there will always be residents who require or feel more secure with restraints we hope that everyone will work with us to try to keep our home as RESTRAINT FREE AS POSSIBLE

To receive a copy of the full restraint policy please feel free to speak to our Director of Care at 416-536-7122 ext 240

Copernicus Lodgersquos Resident Abuse and Neglect Policy Copernicus Lodge promotes in its standards and practices the philosophy of care that all residents are treated with dignity respect and courtesy The Lodge views most seriously any type of abuse or neglect of a resident by any staff volunteer family substitute decision-maker visitor or any other persons who enter the premises at Copernicus Lodge

Definitions of Abuse

Copernicus Lodge defines ldquoabuserdquo (in accordance with our policy and subsection 2 (1) of the Long Term Care Homes Act) as the following

Emotional Abuse

(a) any threatening insulting intimidating or humiliating gestures actions behaviour or remarks including imposed social isolation shunning ignoring lack of acknowledgement or infantilization that are performed by anyone other than a resident or

(b) any threatening or intimidating gestures actions behaviour or remarks by a resident that causes alarm or fear to another resident where the resident performing the gestures actions behaviour or remarks understands and appreciates their consequences

Financial Abuse

(a) any misappropriation or misuse of a residentrsquos money or property

Physical Abuse

(a) the use of physical force by anyone other than a resident that causes physical injury or pain

(b) administering or withholding a drug for an inappropriate purpose or

(c) the use of physical force by a resident that causes physical injury to another resident

(Note Physical Abuse does not include the use of force that is appropriate to the provision of care or assisting a resident with activities of daily living unless the force used is excessive in the circumstance)

Sexual Abuse

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 23

(a) subject to subsection (3) any consensual or non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation that is directed towards a resident by a licensee or staff member or

(b) any non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation directed towards a resident by a person other than a licensee or staff member

(Note Sexual Abuse does not include

(a) touching behaviour or remarks of a clinical nature that are appropriate to the provision of care or assisting a resident with activities of daily living or

(b) consensual touching behaviour or remarks of a sexual nature between a resident and a licensee or staff member that is in the course of a sexual relationship that began before the resident was admitted to the long-term care home or before the licensee or staff member became a licensee or staff member)

Verbal Abuse

(a) any form of verbal communication of a threatening or intimidating nature or any form of verbal communication of a belittling or degrading nature which diminishes a residentrsquos sense of well-being dignity or self-worth that is made by anyone other than a resident or

(b) any form of verbal communication of a threatening or intimidating nature made by a resident that leads another resident to fear for his or her safety where the resident making the communication understands and appreciates its consequences

Neglect

(a) the failure to provide a resident with the treatment care services or assistance required for health safety or well-being and includes inaction or a pattern of inaction that jeopardizes the health safety or well-being of one or more residents

Copernicus Lodgersquos established Resident Abuse Policy and Procedure encompasses

A Definitions of what constitutes Resident Abuse and Neglect

B A Resident Abuse Incident Reporting System

C A Resident Abuse Incident Investigation System

D Support for the person abused

E EducationTraining that supports prevention of resident abuse and neglect and

F Evaluation of our 0 tolerance program

Copernicus Lodge maintains a Zero Tolerance for any type of abuse of a resident family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 7: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 6

4 Copernicus Lodge staff and volunteers are trained to communicate with a person with a disability in a manner that takes into account his or her disability

5 Copernicus Lodge permits people with disabilities to be accompanied by their guide dog or service animal in any area of our home

6 Copernicus Lodge permits people with disabilities who use a support person to bring that person with them while accessing any services in our home

7 Where admission fees are charged Copernicus Lodge provides notice ahead of time on what admission if any would be charged for a support person of a person with a disability

8 Copernicus Lodge provides notice when our facilities or services that people with disabilities rely on to access or use our services are temporarily disrupted Such notices are posted throughout the building and on the whats new page on our website

9 Copernicus Lodge provides annual training to staff volunteers contractors and any other people who interact with the public or other third parties on our behalf

10 Copernicus Lodge trains staff volunteers contractors and any other people who are involved in developing our policies practices and procedures on the provision of goods or services

11 Copernicus Lodge has established a feedback form (located at reception) for people to provide feedback on how we provide services to people with disabilities and how we respond to any feedback and take action on any complaints Copernicus Lodge makes the information about our feedback process readily available to the public

12 Copernicus Lodge documents in writing all our policies practices and procedures for providing accessible customer service

13 Copernicus Lodge posts a copy of this policy notifying customers that our policies are available upon request on our website

14 When giving documents required under the customer service standard to a person with a disability Copernicus Lodge provides the information in a format that takes into account the personrsquos disability (ie a CD disc andor hard copy sheets)

The Accessibility Bag at Reception

Located in the reception area is our Accessibility Bag which contains such things as up to date information about our services in various formats assistive devices (ie laminated communication cards magnifier glass paperpens amplifier) and copies of the feedback forms etc This bag is used by staff to ensure effective communication as required respecting a personsrsquo disability A similar bag is located in our Adult Day Program and Supportive Housing areas

ADVOCACY PROGRAMS AT COPERNICUS LODGE Copernicus Lodge promotes the philosophy of care in its standards and practices that all residents are treated with dignity respect and courtesy and have a right to know and participate fully in the operation of our home and in their own care Residents Tenants and Families have a right to express concerns within our home without the fear of reprisal

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 7

The Lodge views most seriously any type of abuse (including reprisal) of a resident tenant family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge and maintains a Zero Tolerance for any type of abuse We are here to

answer any questions or concerns you may have

empower and engage families and residents in dialogue and participate in care decisions

encourage residentfamily input to aid staff in problem solving and finding solutions and

provide support to residents tenants and families around issues and concerns at the Lodge and beyond in the community

To ensure this happens we provide the following advocacy opportunities for families and residentsrsquo to participate in the decision-making process at Copernicus Lodge

Resident Council Meetings (LTC Residents) (held every second month) Family Council (LTC Family) (held quarterly) Seniors Club Meetings (Apartment tenants) (held monthly) Family Information Sessions (held annually) Food Review Committee (held 4 timesyear) Annual TenantResidentFamily Satisfaction Surveys organized by the Continuous

Quality Improvement Committee andor Department Head (Supportive Housing and Adult Day Program)

A suggestion box located at the main entrance and at the Continuous Quality Improvement Board Forms are available at Reception for any complaints or suggestions ndash available 24 hours a day7 days a week

Copernicus Lodgersquos formal complaint procedure (posted on the ResidentFamily Information board on main floor and throughout the building)

Resident Care Conferences for each LTC resident (held 6 weeks after admission and annually thereafter or as needed)

LTC Resident Home Area (RHA) Meetings (held quarterly on each RHA) LTC Resident Bill of Rights (posted on the ResidentFamily Information Board and on

every floor next to the elevators) Task Force meetings to discuss issues related to resident abuse and neglect in LTC

homes as a response to recommendations of the Ontario Task Force on Resident Care and Safety

If you have any suggestions that will help us improve we ask that you please take advantage of these advocacy programs

If you would like further information about any of our policies or any of these

advocacy programs please feel free to contact Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

RESIDENT ADVOCATE (SOCIAL WORK SOCIAL SERVICES WORK) As part of the Resident Advocates roles and responsibilities he she act on behalf of the residents in order to support and assist them with social work social services issues He she provide emotional support to residents and family member act as a residentrsquos liaison in the community and assist to rectify issues that impact both the residents and other departments as necessary

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 8

The Resident Advocate as approved and authorized by the councils act as the Family and Resident Council Staff Assistant As the Family and Resident Council Staff Assistant the Resident Advocate takes instructions from the Councils ensure confidentiality where requested and reports to the Councils RESIDENTS COUNCIL Residents Council operates for the purpose of

Promoting communication between the residents and administration

Improving the residentsrsquo quality of life within the home by providing an opportunity for residents to air their ideas feelings and concerns through discussion

Providing a forum to identify problem solve

Fostering residentsrsquo independence and self-direction

Providing residents with the opportunity to actively participate in the decision making process within the Lodge

New members residents are always welcome Meetings are held every 3 months in the Multipurpose Room or Boardroom The current approved staff assistance for Residentsrsquo Council is Copernicus Lodgersquos Resident Advocate who is the staff assistant approved by the Residents Council In addition to the Residents Council Copernicus Lodge provides Long Term Care residents with the opportunity to participate in discussion groups Residents air their views opinions and talk about matters of concern to themselves and other Residents living at the Home The Registered Nurse together with Managers have quarterly meetings on each Resident Home Area (RHA) for all residents staff volunteers and family members

FAMILY COUNCIL

A Family Council is self-led self-determining democratic group of family members and friends of residents in Long Term Care Home that meet on a quarterly basis to provide a forum for sharing their experiences learning exchanging information and seek solutions to common problems The current approved staff assistance for Residentsrsquo Council is Copernicus Lodgersquos Social Worker A Family Council can benefit the Family Members Residents and Copernicus Lodge These benefits can include the following

Allows families to give each other ongoing mutual support and encouragement Sharing thoughts and feelings with others who are in the same situation can help families cope

Provides a forum for learning especially for families of new residents

Provides an opportunity to become knowledgeable about the Homersquos operations policies and rules This can be especially helpful for families of new Residents

Help families and the Home form a positive partnership aimed at improving resident care

Offers family members a chance to express their collective concerns ndash a ldquounited voicerdquo supporting a ldquounited effortrdquo In this way a Family Council can be a catalyst for positive changes in residentsrsquo daily lives familiesrsquo experiences and in the Home in general

A Family Council can benefit residents who are physically or mentally unable to voice their needs and concerns as well as those without family

Can benefit the Home by providing a means for staff to deal directly with families as a group and establish meaningful ongoing lines of communication

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 9

Any family members who wish to join the Family Council please contact the Copernicus Lodge Resident Advocate Meetings are quarterly in the Boardroom on the Main floor

MANDATORY AND IMMEDIATE REPORTING TO THE DIRECTOR

OF THE MINISTRY OF HEALTH

1 Copernicus Lodge immediately investigates responds and acts on every alleged suspected or witnessed incident of abuse and or neglect of a resident by anyone that Copernicus Lodge knows of or that is reported to Copernicus Lodge Chief Executive Officer (CEO) andor Director of Care (DOC) will refer to the Resident Abuse amp Neglect Decision Trees as provided by the Ministry of Health Long Term Care when assessing the allegation to determine reporting requirements to the Ministry as required by the LTCH Act

When reporting to the Director the report will include the results of every investigation and every action taken to such incidents

Reporting to the Director Copernicus Lodge or any other person who has reasonable grounds to suspect that any of the following has occurred or may occur will immediately report the suspicion and the information upon which it is based to the Director

1 Improper or incompetent treatment or care of a resident that resulted in harm or a risk of harm to the resident

2 Abuse of a resident by anyone or neglect of a resident by Copernicus Lodge or staff that resulted in harm or a risk of harm to the resident

3 Unlawful conduct that resulted in harm or a risk of harm to a resident

4 Misuse or misappropriation of a residentrsquos money

5 Misuse or misappropriation of funding provided to Copernicus Lodge under the Long Term Care Homes Act or the Local Health System Integration Act 2006

False information Any person reporting information to the Director they know to be false will be guilty of an offence

Exceptions for residents A resident may make a report but is not required to and the issue in regards to reporting

false information as an offence does not apply to residents who are incapable

Duty on practitioners and others Even if the information on which a report may be based is confidential or privileged no

action or other proceeding for making the report shall be commenced against a person (ie Physician Social Worker Pharmacist etc) who acts in accordance with reporting unless that person acts maliciously or without reasonable grounds for the suspicion

Offence of failure to report Copernicus Lodge Copernicus Lodge staff any person who provides professional

services to our residents in the areas of health social work or social services work and any person who provides professional services to Copernicus Lodge in the areas of health social work or social services work would be guilty of an offence if they fail to make a report under this policy

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 10

Offences re suppressing reports Every person who coerces or intimidates a person not to make a report andor

discourages a person from making a report andor authorizes permits or concurs in a contravention of the duty to make a report is guilty of an offence

All Mandatory reports are made to

Director Performance Improvement and Compliance Branch Ministry of Health and Long-Term Care

1075 Bay Street 11th

Floor Toronto ON M5S 2B1 1-866-434-0144

COPERNICUS LODGE COMPLAINT PROCEDURE

It is the policy of Copernicus Lodge that the following steps are taken when raising concerns lodging complaints or recommending changes

STEP 1 Speak directly to the staff member involved If you are not satisfied with their response or the issue is not resolved move on to step 2

STEP 2 Speak to the Manager of the Department involved If you are not satisfied with their response move on to step 3

STEP 3 Speak to the Chief Executive Officer If you are still not satisfied with the response given move on to step 4

STEP 4 Submit your complaintconcern in writing to the Board of Directors If you are still not satisfied with the response given move on to step 5

STEP 5 For issues related to long-term care contact

THE MINISTRY OF HEALTH LONG TERM CARE ACTION LINE

Quality care matters If you want more information have a concern or want to register a complaint about a

Long-Term Care Facility call this toll-free number

1-866-434-0144 Available 7 days a week 830AM ndash 700PM

OR Send a written letter by mail to the responsible Director at

The Ministry of Long Term care at the following address Director Performance Improvement and Compliance Branch

Ministry of Health and Long-Term Care 1075 Bay Street 11

th Floor

Toronto ON M5S 2B1

You will receive a letter or phone call to let you know that the ministry has received your complaint

The Director will refer your complaint to an inspector who will look into your matter

Please Note You may obtain a complete up to date listing of all Departments Names of Managers and their contact information in the clear folder attached to the Long Term Care Resident Family Board located on the main floor hallway

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 11

Privacy of Resident Health Information Copernicus Lodge exists to provide you with a broad variety of care services To meet your needs and serve you well Copernicus Lodge needs to know personal information about you You as an individual have a right to know how we collect use and disclose personal information You have a right to expect that to the best of our ability your personal information held by us remains accurate confidential and secure Copernicus Lodge is proud of its commitment to maintaining the confidentiality and security of personal information and weve provided this write-up to explain how we protect the privacy of individual residents information in Copernicus Lodge Copernicus Lodgersquos privacy policies comply with the Personal Health Information Protection Act (PHIPA) It is important that a trust relationship be established between you and Copernicus Lodge To this end we are pleased to share information with you The more you know about us the more confident you can feel about receiving our services Similarly the more we know about you the better we can serve you Copernicus Lodge collects and uses information about you for the following purposes only

To make decisions about the types services you need

To serve as a means to communicate with service providers

To monitor the provision of services and evaluate your response to services provided

As a legal document made in the normal course of business

To serve as a record of services provided

As proof of what was done by whom and when during a residents encounter with a provider

To be used as evidence against or for the organizations the service providers or the resident

To verify our accountability

For strategic planning decision making allocating of resources and

To meet legal and regulatory requirements

Consent Because it is important that we keep your trust we will only ask for information which we need and when we ask you for information well let you know why we need it To the best of our ability we will seek your consent to verify and supplement information collected from external sources such as Community Care Access Centerrsquos (CCAC) Physicians Social Services the Local Health Integrated Networks (LHINS) the Ministry of Health and Long Term Care (MOHLTC) and other community service providers for whom you may need service from Subject to legal or contractual requirements you can refuse to consent to our collection use or disclosure of information at any time provided the consent does not relate to certain information required for care provisions such as disclosure of information to the LHIN or MOHLTC If you refuse or withdraw your consent to the collection use or disclosure of information about you we may not be able to continue to provide you with some services you require With your consent and where laws allow this we may share your information with other service providers such as a hospital pharmacy medical specialist social worker and others who provide community services If you do not want to be contacted by these other service providers we will withhold information from them Disclosure means providing specific information about you from our records to a third party Depending on your consent disclosure can happen over the telephone by fax by computer andor be electronic data sharing Under normal circumstance we wont collect use or disclose your personal information without your consent The only exceptions to this rule are when the disclosure is permitted by law or when it is impossible or impractical to

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 12

get your consent Some examples of situations where we will not seek your consent for disclosure are

For emergency or life threatening events

Where there is legal obligation to disclose under a court or government order for instance to police

Where personal information is given to our agents and service providers for services such as laboratory and pharmacy services and

Where personal information must be given to insurers in connection with insurance services

Reviewing amp Making Corrections Except as outlined below a record is kept each time personal information is disclosed noting the nature of the disclosure that was made Individual records of disclosure are not maintained for regular and routine actions such as prescriptions sent to the pharmacy We attempt to ensure that the information we hold about you is accurate complete and up-to-date If there are changes to your information eg a new Substitute Decision Maker (SDM) has been named please notify us immediately If you believe that information in your records may be inaccurate we make it easy for you to access verify and update it If information has been provided to third parties we will convey the corrected information to them if necessary If we do not agree to change your personal information you may challenge our decision We will make a record of this challenge and if necessary disclose the challenge to third parties who also process your information To review your personal information simply ask a staff person for assistance The staff person will provide you with instructions about accessing your information There may be a charge for retrieving your information in which case you will be notified in advance and may if you like withdraw your consent You may also challenge the reasonableness of the charge Access to information may be more meaningful to you if such access is provided in the presence of a service provider who can explain terminology and the organizations policies We encourage you to invite a care provider from Copernicus Lodge to assist you in your review of your personal information Sometimes a staff person will not provide you with information about you that is within its control This can occur if your right of access is constrained pursuant to the provisions of PHIPA For example the staff person will not provide you with personal information if

It would reveal personal information about another party and your personal information cannot be separated

The information is subject to solicitor-client or litigation privilege andor if

The information is used for the detection and prevention of a criminal activity and dealings in the proceeds of crime

If a staff person refuses your request for access to personal information you will be told why unless prohibited by law You may challenge the decision Once you have the information all you have to do is check for its accuracy and let us know if there are any corrections required We will correct our records or make a note of differences If information has been provided to third parties we will convey the corrected information or note any differences to them if necessary

Complaints amp Responsibility Ultimately Department Managers and Supervisors are responsible for protecting resident information They delegate day-to-day responsibilities to others such as privacy officers within Copernicus Lodge Every staff person must take responsibility for protecting resident privacy confidentiality and security Our suppliers sign contracts that oblige them to contractually adhere to our privacy practices thus protecting the information of residents when in the possession of third parties These suppliers or third party

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 13

include lab pharmacy physicians etc There are controls over the use of computers electronic data sharing paper documents faxing activities access to personal information If you or your family has concerns or questions about the management of personal information in Copernicus Lodge or about our compliance with privacy codes and laws we invite you to direct your questions and concerns to a staff person who is providing service to you If that person is unable to effectively respond to your questions and concerns we encourage you to contact our Privacy Officer

Tracy Kamino Chief Executive Officer 416-536-7122 extension 238

Fax 416-536-8242

We trust that we will be able to resolve any issues that you have regarding the protection of personal information If our Privacy Officer Tracy Kamino is unable to satisfy your inquiries you may contact the Office of the Privacy Commissioner of Ontario

Information and Privacy Commissioner of Ontario 2 Bloor Street West Suite 1400 Toronto Ontario M4W 1A8

Tel 1-416-326-3333 or Toll Free 1-800-387-0073

LONG TERM CARE ACCOMMODATION

All rooms are furnished with bull an electric hospital bed (regular or adjustable head and foot ) and pillows bull comfortable mattress with waterproof cover bull adjustable bed rails (if required) bull loungeguest chair bull night tablelamp bull laundry basket bull garbage can

The residentrsquos name is posted outside their room Memory boxes at eye level personalize and cue residents to their room All rooms are heated and water tempered with connections for telephone and cable TV Common areas are air-conditioned All windows can open but only 4 inches wide at all times (as per legal requirements) Residentsfamiliesvolunteers are not allowed to tamper with the window locking mechanisms You may bring a radio TV andor pictures Only certain electrical appliances as discussed and permitted by the Director of Care are allowed Bar fridges are not permitted in the home unless identified for medical reasons only and under the approval of the Director of Care Call bells must meet CSA Standards and are located at the bedside in the washrooms and lounge areas Press to call for assistance Cleaning services are provided weekly or more often if necessary Additional furniture may be brought in after consulting with the Director of Care Balcony Balcony doors must be locked at all times unless residents are supervised by staff or families (or resident is competent to be there alone) Families and residents using this space are told before allowing access to ensure they close the door after themselves and ensure it is locked

Accommodation Rates

Copernicus Lodge has different classes of accommodation that have different rates The

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 14

Ministry of Health and Long-Term Care (the ldquoMinistryrdquo) sets these rates The Long Term Care Homes Act requires residents to pay homes the rate that is set for his or her class of accommodation The Ministry adjusts accommodation rates from time to time These adjustments will result in changes to the Accommodation Fees Copernicus Lodge will provide the Resident with thirty (30) days written notice in advance of any increase in Accommodation Fees The notice will include the amount of the increase and the current Accommodation Fees that the Resident must pay

A Resident who is absent from Copernicus Lodge must continue to pay Accommodation Fees for each day of his or her absence The term ldquoabsencerdquo includes a casual or vacation absence and also an absence for medical or psychiatric care or assessment

RATES ndash from September 1 2014

A Basic Accommodation (Shared washroom)

From $ 123865 per month to $ 173162 per month

Persons applying for Basic Accommodation must submit a Notice of Assessment for the current year from Canada Customs and Revenue Agency CCRA (formerly Revenue Canada) to the Accounting Department A rate reduction form will be completed and must be signed If the income is below the threshold set by the Ministry of Health then the resident will receive a rate reduction Please contact the Accountant at 416-536-71122 ext 258

B Preferred Accommodation Private $ 243881 per month (Own room with ensuite washroom)

SHORT STAY RESPITE ACCOMMODATION

Copernicus Lodge offers Short Stay Respite Care Applications are filed and processed through the Community Care Access Centre

RATES $ 3685 per day A maximum of 90 days in a calendar year is allowed (60 days consecutive)

NOTE Rates are subject to change on notification by the Ministry of Health

List of Goods and Services included with Accommodation

The following list provides information about the goods and services included in basic or

preferred accommodation

1 Nursing and personal care on a 24-hour basis the administration of medications and assistance with activities of daily living

2 Medical care and restorative care is available in the home 3 Certain medical supplies and nursing equipment that are necessary for the care of the

resident 4 Supplies and equipment for personal hygiene and grooming 5 Certain equipment for the short-term use of the resident

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 15

6 Meal and snack service (three meals daily snacks between meals and at bedtime) special and therapeutic diets dietary supplements and devices to promote independence with eating

7 Social recreational spiritual and physical activities and programs 8 Laundry including labelling 9 Bedroom furnishings bedding and linen 10 Cleaning and upkeep of accommodations 11 Maintenance of a trust account on the residentrsquos behalf 12 Information package for residents 13 Prescription pharmaceutical preparations listed in the Ontario Drug Benefit Formulary

(the government requires residents to pay a small co-payment) 14 Special preparations or medical devices that may be obtained from the Ontario Drug

Benefit Program as interim non-formulary benefits 15 Insured devices equipment supplies and services that are available to the resident

through certain programs such as the Ontario Assistive Devices Program (the government covers part of this cost and residents must pay the rest)

16 Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon request

Note The Resident (or Power of Attorney for Property Guardian Trustee on behalf of the Resident) may purchase additional goods and services from the Home or 3

rd Party Suppliers

under a separate agreement ACCOUNTING BILLING BANKING

Hours Monday 130 pm - 400 pm Wednesday 900 am - 1230 pm Last Friday of the month 900 am - 1200 noon Closed - Tuesday Thursday and Friday (except last) Other times are by appointment please call ext 258 There is a slot located on the Accounting Office door for dropping off paymentsinformation after hours

ON SITE BANKING St Stanislaus St Casimirrsquos Credit Union attends in Room G 30 every Wednesday from 930 am to 1230 pm amp 100 pm to 200 pm and the last Friday of the month from 930 am to 1230 pm amp 100 pm to 200 pm for persons wishing to do regular banking transactions

Trust Accounts may be opened in Copernicus Lodge as requested Copernicus Lodge maintains a non interest bearing account on behalf of the resident There is no charge for this service Please contact the Accountant at ext 258 between 700 am and 300 pm

Comfort Allowance - is available to persons in Basic Accommodation rooms only There is no Comfort Allowance for persons in Preferred Accommodation Monies owing to the residentlawfully authorized substitute are returned one month after discharge Copernicus Lodge does not require a resident to pay a penalty in lieu of a specific notice period prior to discharge

MEDICAL SERVICES

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 16

Medical Director Copernicus Lodge shall ensure that it has a Medical Director The Medical Director shall be a physician The Medical Director

advises Copernicus Lodge long term care on matters relating to medical care

consults with the Director of Care and other health professionals working in Copernicus Lodge

performs any other duties provided for in the regulations 2007 c 72 (3)

Attending Physicians All residents have the option to choose their own Attending Physician outside of those physicians currently servicing Copernicus Lodge provided that heshe agrees to attend the resident at the home on a weekly basis and abide by Copernicus Lodge policies and procedures Attending Physicians must sign a contract with Copernicus Lodge

1 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario 2 All Attending Physicians are appointed by the Chief Executive Officer on the advice of the Medical Director 3 Attending Physicians are accountable to the Medical Director for meeting the homes policies and standards of medical care 4 Attending Physicians assess plan implement and evaluate their residents medical care and participate in a multi-disciplinary approach to care 5 Attending Physicians document on the resident health record on each visit to maintain continuity and ongoing evaluation 6 Attending Physicians arrange for 24-hour medical coverage for residents for whom they provide medical care 7 All medical care and services provided by Physicians in Long-Term Care homes are subject to peer assessment by the College of Physicians and Surgeons of Ontario on a random basis according to College procedures 8 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario

Residents and family members should be aware that the primary contact for medical care or medical concerns is the Registered Nursing staff Attending Physicians do not have offices within the home and are not in the facility each day Attending Physicians complete regular visits to their residents and on an as needed basis Attending Physicians do not normally contact family members to provide updates on the residentrsquos condition Residents and family members are always welcome to contact the Attending Physician at their private practice The office number can be obtained from the Registered Nursing staff Due to privacy issues Registered Nursing staff will only provide general health information about a resident to the Power of Attorney for Care (POA) Information about or changes to a residentrsquos medical diagnosis is given by the Attending Physician and not the Registered Nursing Staff Psychogeriatrician

Dr Colman Nefsky (MD Psychogeriatrician) We are very pleased to have the support of our consulting Psychogeriatrician from St Josephrsquos Health Center Dr Colman Nefsky Dr Nefsky visits and completes rounds on a monthly basis

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 17

for those residents who have been referred to him Dr Nefsky provides consultations to individuals who are suffering with psychological or behavioural issues and provides treatment options to the nursing and medical staff in the home Mary Boudart RN ndash St Josephrsquos Health Center Geriatric Mental Health Outreach Team Nurse (GMHOT) Mary Boudart works in collaboration with Dr Nefsky and completes weekly rounds for any resident who has been referred to her Care Conferences An organized documented interdisciplinary care conference lasting 30 minutes in duration is held with each resident andor substitute decision maker (POA for care) if you are able and wish to attend within six (6) weeks following admission to Copernicus Lodge and annually thereafter Care Conferences are held in order to discuss review and further develop the residents plan of care and address any other matters of importance to the resident and hisher substitute decision-maker (if any) The resident the substitute decision maker if any and any person that either of you may direct are given an opportunity to participate fully in the care conference

Special Care Conferences may be held anytime at the request of the family resident or interdisciplinary team if a residents condition or any other situation arises which affects the residents status Care conferences are held in either the activity room or the conference room (behind the nursing station) located on the residents home areafloorunit If the family substitute decision maker is unable to attend in person the option of a teleconference (over the telephone meeting) is available as an option to being there in person The conference may also be held at the bedside of a bedridden resident as requested by the resident andor substitute decision maker Residents and family are reminded not to wait for this annual meeting to express any concerns or issues you have Express concerns at the time they occur directly with any one of the interdisciplinary team as it relates to any department or inform the Charge Nurse who can redirect them as appropriate

Note Care Conferences do not apply to those residents residing in short-stay beds

NURSING

Nursing care and personal care is provided on a 24-hour basis This includes care given by or under the supervision of a Registered Nurse or a Registered Practical Nurse All Registered Nursing staff is licensed by the College of Nurses of Ontario Assistance with activities of daily living (personal care) is provided by Personal Support Workers (PSWrsquos) Daily medication is administered by the Registered Nursing staff Newly admitted residents must give all of their medication from home or hospital to the Registered Nurse on duty on the day of admission A picture is taken of all new residents on the day of admission and posted on their Medication Administration Record (MAR) and in the residents chart This is done to prevent medication and treatment errors Nursing and personal care is completed through an individualized personal care approach Nursing staff complete ongoing assessments and care plans which detail each residentrsquos individual care needs

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 18

Nursing staff can be reached by pressing the call-bells for assistance These are located in the resident bedroom bathrooms and lounge areas Call bells are responded to as quickly as possible

Pharmacy Copernicus Lodge utilizes a local pharmacy for all of its medicationpharmaceutical requirements At no time should residents or families bring in medications not approved by the medical nursing staff Medications are not to be left in resident rooms IMPORTANT All medications must be left with the Registered Nursing staff on duty

Medical supplies and nursing equipment

Medical supplies and nursing equipment necessary for the care of residents is provided by the home including supplies for the prevention or care of skin disorders continence care products infection control and sterile procedures

Medical devices such as catheters colostomy and ileostomy devices

Supplies and equipment for personal hygiene and grooming including skin care lotions and powders shampoos soap deodorant toothpaste toothbrushes denture cups and cleansers toilet tissue facial tissue hair brushes combs razorsshavers shaving cream feminine hygiene and incontinence products

Equipment for the general use of residents such as toilet aids and other self-help aids for the activities of daily living

Equipment for the general use of residents including wheelchairs geriatric chairs canes walkers are provided for short term use only (maximum 3 ndash 4 weeks) Should a resident require equipment for longer than 3-4 weeks the residentfamilysubstitute decision maker will be required to purchasecover all costs for such items Prescription pharmaceutical preparations listed in the Drug Benefit Formulary

bull Special preparations or medical devices which may be obtained from the Ontario Drug Benefit Program as interim non-formulary benefits

bull Insured devices equipment supplies and services available to residents through other programs such as the Home Care Program and Assistive Devices Program (ADP) ACHIEVA HEALTH provides ADP Seating and Mobility Assessments at NO COST to the Residents at Copernicus Lodge

bull Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon requisition If you have any questions or concerns regarding the nursing care or service please speak to the Charge Nurse

TAG SYSTEM

PURPOSE TO IDENTIFY RESIDENTS WITH BEHAVIOURAL ISSUES AND DIETARY RESTRICTIONS AS PART OF FALLS PREVENTION PROGRAM

As part of the Falls Prevention Program cards are mounted onto the residentrsquos mobility aids (where applicable) identifying that

a resident is at risk for falls

these cards are COLOUR-CODED to match the residents current behavioural risk level (ie Green Yellow or Pink as detailed in Section D)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 19

cards have a picture of food that is crossed out to identify that residents have a dietary restriction

On a quarterly basis or more often as necessary based on changes to a residentrsquos falls risk or behavioural risk level it is the responsibility of the RN RPN on each unit to review these cards and change them in order to correspond with the residentrsquos current condition

If the Dietician notes that there are changes to a residents swallowing meal consistency etc which warrant dietary restrictions it is the responsibility of the Dietician Manager of Dietary Services or Food Services Supervisor to change these cards on the residents mobility aid

There are 4 types of cards These are

I Colour-coded cards with only the residents unit identified ndash these individuals are not at risk for falls and do not have dietary restrictions however staff can clearly identify the residents behavioural risk level

II Colour-coded cards with the residents unit and Falls Symbol ndash this identifies that a resident is at risk for falls and also identifies the residents behavioural risk level

III Colour-coded cards with residents unit Falls symbol and Dietary Restriction symbol ndash this identifies that the resident is at risk for falls and has dietary restrictions as well as the residents behavioural risk level

IV Colour-coded cards with residents unit and Dietary Restriction Symbol ndash this identifies that a resident has dietary restrictions to be aware of as well as the residents behavioural risk level

Prevention of Needlestick Injuries

Copernicus Lodge thrives to maintain the health and safety of all residents staff and visitors to our home Needlestick Injury Prevention is a serious concern for the employees of our home In order to take a proactive approach regarding the prevention of needlestick injuries we would like to outline some important information for you ALL NEW ADMISSIONS TO LONG TERM CARE

1 Please note that when residents move into our Long Term Care Home that the nursing staff will take on the responsibility of completing diabetic glucose testing along with insulin injections Residents are NOT to self test themselves if they are diabetic This practice allows the nursing staff to safely dispose the needles as required into the Yellow Disposable Needle Containers - in every circumstance

2 We would kindly ask that families POArsquos please take any glucometer testing units syringes home Please do not leave any of these items in the residents room or by the bedside

FAMILIES AND VISITORS If any family member or visitor must test themselves while at Copernicus Lodge please ensure that you speak with the nursing staff RN RPN on the unit so that you can safely discard any needles used into one of the Yellow Disposable Needle Containers available on the Resident Home Area units

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 20

RESTRAINT USE AT COPERNICUS LODGE Copernicus Lodge uses the Least Restraint practice which means that the least restrictive measure is used for the shortest duration possible This allows for the maximum freedom of movement andor residentrsquos control The types of restraints currently used within Copernicus Lodge are as follows

a) Chemical Restraints - a pharmaceutical agent given with the specific purpose of inhibiting or controlling behaviour or movement

b) Physical RestraintsDevices - any appliance device apparatus or equipment attached or adjacent to a residents body that the individual cannot remove easily and which restricts movement The Physical Restraints currently used at Copernicus Lodge are Lapbelts Seatbelts Table Tops and Full Bedrails (both up at the same time)

c) Environmental Restraints - A barrier to free personal movement which serves to confine a resident to a specific geographic area (ie 2 North Special Care Unit which has a wanderguard alarm installed for residents with exit-seeking behaviours)

Note Under no circumstances can two restraints be applied at the same time (for example a lap tray cannot be used at the same time as a seatbelt)

The following devices are Prohibited and NOT permitted to be used in Copernicus Lodge

1 Roller bars on wheelchairs and commodes or toilets

2 Vest or jacket restraints

3 Any device with locks that can only be released by a separate device such as a key or magnet

4 Four point extremity restraints

5 Any device used to restrain a resident to a commode or toilet

6 Any device that cannot be immediately released by staff

7 Sheets wraps tensors or other types of strips or bandages used other than for a therapeutic purpose

Copernicus Lodgersquos Restraint Policy involves an interdisciplinary approach to restraint use and we document all steps of the restraining process

Our Restraint Policy includes the following requirements

1 Staff only applies a physical device that has been ordered and approved by the Attending Physician and where there is a signed consent by the resident (if competent) andor Substitute Decision Maker and an understanding of the reason for the use of the device

2 Staff consider alternatives to the use of physical devices including how these alternatives are planned developed and implemented (ie one way-gliders assist to prevent residents from sliding as does the tilt mechanism on many wheelchairs)

3 That the need for the restraint is clearly documented in the resident plan of care

4 Staff applies the physical device only in accordance with any manufacturerrsquos instructions and the instructions of the Attending Physician

5 Staff ensures that the physical device is well maintained

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 21

6 Staff ensures that the physical device is not altered except for routine adjustments in accordance with any manufacturerrsquos instructions

7 Registered staff and PSW staff monitor the resident while restrained at least every hour

8 Staff ensures that the resident is released from the physical device and repositioned at least once every two hours (this requirement does not apply when bed rails are being used if the resident is able to reposition himself or herself)

9 Staff ensures that the resident is released and repositioned any other time when necessary based on the residentrsquos condition or circumstances

10 The residentrsquos condition is reassessed and the effectiveness of the restraining is evaluated by the Registered Nurse every eight hours and at any other time when necessary based on the residentrsquos condition or circumstances

11 Upon removal of a physical device post-restraining care is provided to ensure the safety and comfort of the resident

Copernicus Lodge also reserves the right to restrain a resident by physical means when immediate action is necessary to prevent serious bodily harm to the resident or to others In the event such action is required

1 The resident is monitored or supervised on an ongoing basis and released from the physical device and repositioned when necessary based on the residentrsquos condition or circumstances

2 Ongoing assessment of the residentrsquos condition is reassessed by the registered nursing staff

3 The restraint is discontinued when the immediate action is no longer necessary

4 When the application of a physical restraint is required for to prevent serious injury to a resident or others the reason for the use of the physical device will be explained to the resident or the residentrsquos substitute decision maker where the resident is incapable

Environmental Restraints Dementia Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentrsquos plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

Evaluation Through our continuous quality improvement efforts Copernicus Lodge annually evaluates the effectiveness of our restraint policy and identifies what changes and improvements are required

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 22

to minimize restraining and to ensure that any restraining that is necessary is done in accordance with legislative requirements Any changes or improvements are to be promptly implemented

Although there will always be residents who require or feel more secure with restraints we hope that everyone will work with us to try to keep our home as RESTRAINT FREE AS POSSIBLE

To receive a copy of the full restraint policy please feel free to speak to our Director of Care at 416-536-7122 ext 240

Copernicus Lodgersquos Resident Abuse and Neglect Policy Copernicus Lodge promotes in its standards and practices the philosophy of care that all residents are treated with dignity respect and courtesy The Lodge views most seriously any type of abuse or neglect of a resident by any staff volunteer family substitute decision-maker visitor or any other persons who enter the premises at Copernicus Lodge

Definitions of Abuse

Copernicus Lodge defines ldquoabuserdquo (in accordance with our policy and subsection 2 (1) of the Long Term Care Homes Act) as the following

Emotional Abuse

(a) any threatening insulting intimidating or humiliating gestures actions behaviour or remarks including imposed social isolation shunning ignoring lack of acknowledgement or infantilization that are performed by anyone other than a resident or

(b) any threatening or intimidating gestures actions behaviour or remarks by a resident that causes alarm or fear to another resident where the resident performing the gestures actions behaviour or remarks understands and appreciates their consequences

Financial Abuse

(a) any misappropriation or misuse of a residentrsquos money or property

Physical Abuse

(a) the use of physical force by anyone other than a resident that causes physical injury or pain

(b) administering or withholding a drug for an inappropriate purpose or

(c) the use of physical force by a resident that causes physical injury to another resident

(Note Physical Abuse does not include the use of force that is appropriate to the provision of care or assisting a resident with activities of daily living unless the force used is excessive in the circumstance)

Sexual Abuse

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 23

(a) subject to subsection (3) any consensual or non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation that is directed towards a resident by a licensee or staff member or

(b) any non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation directed towards a resident by a person other than a licensee or staff member

(Note Sexual Abuse does not include

(a) touching behaviour or remarks of a clinical nature that are appropriate to the provision of care or assisting a resident with activities of daily living or

(b) consensual touching behaviour or remarks of a sexual nature between a resident and a licensee or staff member that is in the course of a sexual relationship that began before the resident was admitted to the long-term care home or before the licensee or staff member became a licensee or staff member)

Verbal Abuse

(a) any form of verbal communication of a threatening or intimidating nature or any form of verbal communication of a belittling or degrading nature which diminishes a residentrsquos sense of well-being dignity or self-worth that is made by anyone other than a resident or

(b) any form of verbal communication of a threatening or intimidating nature made by a resident that leads another resident to fear for his or her safety where the resident making the communication understands and appreciates its consequences

Neglect

(a) the failure to provide a resident with the treatment care services or assistance required for health safety or well-being and includes inaction or a pattern of inaction that jeopardizes the health safety or well-being of one or more residents

Copernicus Lodgersquos established Resident Abuse Policy and Procedure encompasses

A Definitions of what constitutes Resident Abuse and Neglect

B A Resident Abuse Incident Reporting System

C A Resident Abuse Incident Investigation System

D Support for the person abused

E EducationTraining that supports prevention of resident abuse and neglect and

F Evaluation of our 0 tolerance program

Copernicus Lodge maintains a Zero Tolerance for any type of abuse of a resident family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 8: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 7

The Lodge views most seriously any type of abuse (including reprisal) of a resident tenant family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge and maintains a Zero Tolerance for any type of abuse We are here to

answer any questions or concerns you may have

empower and engage families and residents in dialogue and participate in care decisions

encourage residentfamily input to aid staff in problem solving and finding solutions and

provide support to residents tenants and families around issues and concerns at the Lodge and beyond in the community

To ensure this happens we provide the following advocacy opportunities for families and residentsrsquo to participate in the decision-making process at Copernicus Lodge

Resident Council Meetings (LTC Residents) (held every second month) Family Council (LTC Family) (held quarterly) Seniors Club Meetings (Apartment tenants) (held monthly) Family Information Sessions (held annually) Food Review Committee (held 4 timesyear) Annual TenantResidentFamily Satisfaction Surveys organized by the Continuous

Quality Improvement Committee andor Department Head (Supportive Housing and Adult Day Program)

A suggestion box located at the main entrance and at the Continuous Quality Improvement Board Forms are available at Reception for any complaints or suggestions ndash available 24 hours a day7 days a week

Copernicus Lodgersquos formal complaint procedure (posted on the ResidentFamily Information board on main floor and throughout the building)

Resident Care Conferences for each LTC resident (held 6 weeks after admission and annually thereafter or as needed)

LTC Resident Home Area (RHA) Meetings (held quarterly on each RHA) LTC Resident Bill of Rights (posted on the ResidentFamily Information Board and on

every floor next to the elevators) Task Force meetings to discuss issues related to resident abuse and neglect in LTC

homes as a response to recommendations of the Ontario Task Force on Resident Care and Safety

If you have any suggestions that will help us improve we ask that you please take advantage of these advocacy programs

If you would like further information about any of our policies or any of these

advocacy programs please feel free to contact Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

RESIDENT ADVOCATE (SOCIAL WORK SOCIAL SERVICES WORK) As part of the Resident Advocates roles and responsibilities he she act on behalf of the residents in order to support and assist them with social work social services issues He she provide emotional support to residents and family member act as a residentrsquos liaison in the community and assist to rectify issues that impact both the residents and other departments as necessary

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 8

The Resident Advocate as approved and authorized by the councils act as the Family and Resident Council Staff Assistant As the Family and Resident Council Staff Assistant the Resident Advocate takes instructions from the Councils ensure confidentiality where requested and reports to the Councils RESIDENTS COUNCIL Residents Council operates for the purpose of

Promoting communication between the residents and administration

Improving the residentsrsquo quality of life within the home by providing an opportunity for residents to air their ideas feelings and concerns through discussion

Providing a forum to identify problem solve

Fostering residentsrsquo independence and self-direction

Providing residents with the opportunity to actively participate in the decision making process within the Lodge

New members residents are always welcome Meetings are held every 3 months in the Multipurpose Room or Boardroom The current approved staff assistance for Residentsrsquo Council is Copernicus Lodgersquos Resident Advocate who is the staff assistant approved by the Residents Council In addition to the Residents Council Copernicus Lodge provides Long Term Care residents with the opportunity to participate in discussion groups Residents air their views opinions and talk about matters of concern to themselves and other Residents living at the Home The Registered Nurse together with Managers have quarterly meetings on each Resident Home Area (RHA) for all residents staff volunteers and family members

FAMILY COUNCIL

A Family Council is self-led self-determining democratic group of family members and friends of residents in Long Term Care Home that meet on a quarterly basis to provide a forum for sharing their experiences learning exchanging information and seek solutions to common problems The current approved staff assistance for Residentsrsquo Council is Copernicus Lodgersquos Social Worker A Family Council can benefit the Family Members Residents and Copernicus Lodge These benefits can include the following

Allows families to give each other ongoing mutual support and encouragement Sharing thoughts and feelings with others who are in the same situation can help families cope

Provides a forum for learning especially for families of new residents

Provides an opportunity to become knowledgeable about the Homersquos operations policies and rules This can be especially helpful for families of new Residents

Help families and the Home form a positive partnership aimed at improving resident care

Offers family members a chance to express their collective concerns ndash a ldquounited voicerdquo supporting a ldquounited effortrdquo In this way a Family Council can be a catalyst for positive changes in residentsrsquo daily lives familiesrsquo experiences and in the Home in general

A Family Council can benefit residents who are physically or mentally unable to voice their needs and concerns as well as those without family

Can benefit the Home by providing a means for staff to deal directly with families as a group and establish meaningful ongoing lines of communication

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 9

Any family members who wish to join the Family Council please contact the Copernicus Lodge Resident Advocate Meetings are quarterly in the Boardroom on the Main floor

MANDATORY AND IMMEDIATE REPORTING TO THE DIRECTOR

OF THE MINISTRY OF HEALTH

1 Copernicus Lodge immediately investigates responds and acts on every alleged suspected or witnessed incident of abuse and or neglect of a resident by anyone that Copernicus Lodge knows of or that is reported to Copernicus Lodge Chief Executive Officer (CEO) andor Director of Care (DOC) will refer to the Resident Abuse amp Neglect Decision Trees as provided by the Ministry of Health Long Term Care when assessing the allegation to determine reporting requirements to the Ministry as required by the LTCH Act

When reporting to the Director the report will include the results of every investigation and every action taken to such incidents

Reporting to the Director Copernicus Lodge or any other person who has reasonable grounds to suspect that any of the following has occurred or may occur will immediately report the suspicion and the information upon which it is based to the Director

1 Improper or incompetent treatment or care of a resident that resulted in harm or a risk of harm to the resident

2 Abuse of a resident by anyone or neglect of a resident by Copernicus Lodge or staff that resulted in harm or a risk of harm to the resident

3 Unlawful conduct that resulted in harm or a risk of harm to a resident

4 Misuse or misappropriation of a residentrsquos money

5 Misuse or misappropriation of funding provided to Copernicus Lodge under the Long Term Care Homes Act or the Local Health System Integration Act 2006

False information Any person reporting information to the Director they know to be false will be guilty of an offence

Exceptions for residents A resident may make a report but is not required to and the issue in regards to reporting

false information as an offence does not apply to residents who are incapable

Duty on practitioners and others Even if the information on which a report may be based is confidential or privileged no

action or other proceeding for making the report shall be commenced against a person (ie Physician Social Worker Pharmacist etc) who acts in accordance with reporting unless that person acts maliciously or without reasonable grounds for the suspicion

Offence of failure to report Copernicus Lodge Copernicus Lodge staff any person who provides professional

services to our residents in the areas of health social work or social services work and any person who provides professional services to Copernicus Lodge in the areas of health social work or social services work would be guilty of an offence if they fail to make a report under this policy

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 10

Offences re suppressing reports Every person who coerces or intimidates a person not to make a report andor

discourages a person from making a report andor authorizes permits or concurs in a contravention of the duty to make a report is guilty of an offence

All Mandatory reports are made to

Director Performance Improvement and Compliance Branch Ministry of Health and Long-Term Care

1075 Bay Street 11th

Floor Toronto ON M5S 2B1 1-866-434-0144

COPERNICUS LODGE COMPLAINT PROCEDURE

It is the policy of Copernicus Lodge that the following steps are taken when raising concerns lodging complaints or recommending changes

STEP 1 Speak directly to the staff member involved If you are not satisfied with their response or the issue is not resolved move on to step 2

STEP 2 Speak to the Manager of the Department involved If you are not satisfied with their response move on to step 3

STEP 3 Speak to the Chief Executive Officer If you are still not satisfied with the response given move on to step 4

STEP 4 Submit your complaintconcern in writing to the Board of Directors If you are still not satisfied with the response given move on to step 5

STEP 5 For issues related to long-term care contact

THE MINISTRY OF HEALTH LONG TERM CARE ACTION LINE

Quality care matters If you want more information have a concern or want to register a complaint about a

Long-Term Care Facility call this toll-free number

1-866-434-0144 Available 7 days a week 830AM ndash 700PM

OR Send a written letter by mail to the responsible Director at

The Ministry of Long Term care at the following address Director Performance Improvement and Compliance Branch

Ministry of Health and Long-Term Care 1075 Bay Street 11

th Floor

Toronto ON M5S 2B1

You will receive a letter or phone call to let you know that the ministry has received your complaint

The Director will refer your complaint to an inspector who will look into your matter

Please Note You may obtain a complete up to date listing of all Departments Names of Managers and their contact information in the clear folder attached to the Long Term Care Resident Family Board located on the main floor hallway

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 11

Privacy of Resident Health Information Copernicus Lodge exists to provide you with a broad variety of care services To meet your needs and serve you well Copernicus Lodge needs to know personal information about you You as an individual have a right to know how we collect use and disclose personal information You have a right to expect that to the best of our ability your personal information held by us remains accurate confidential and secure Copernicus Lodge is proud of its commitment to maintaining the confidentiality and security of personal information and weve provided this write-up to explain how we protect the privacy of individual residents information in Copernicus Lodge Copernicus Lodgersquos privacy policies comply with the Personal Health Information Protection Act (PHIPA) It is important that a trust relationship be established between you and Copernicus Lodge To this end we are pleased to share information with you The more you know about us the more confident you can feel about receiving our services Similarly the more we know about you the better we can serve you Copernicus Lodge collects and uses information about you for the following purposes only

To make decisions about the types services you need

To serve as a means to communicate with service providers

To monitor the provision of services and evaluate your response to services provided

As a legal document made in the normal course of business

To serve as a record of services provided

As proof of what was done by whom and when during a residents encounter with a provider

To be used as evidence against or for the organizations the service providers or the resident

To verify our accountability

For strategic planning decision making allocating of resources and

To meet legal and regulatory requirements

Consent Because it is important that we keep your trust we will only ask for information which we need and when we ask you for information well let you know why we need it To the best of our ability we will seek your consent to verify and supplement information collected from external sources such as Community Care Access Centerrsquos (CCAC) Physicians Social Services the Local Health Integrated Networks (LHINS) the Ministry of Health and Long Term Care (MOHLTC) and other community service providers for whom you may need service from Subject to legal or contractual requirements you can refuse to consent to our collection use or disclosure of information at any time provided the consent does not relate to certain information required for care provisions such as disclosure of information to the LHIN or MOHLTC If you refuse or withdraw your consent to the collection use or disclosure of information about you we may not be able to continue to provide you with some services you require With your consent and where laws allow this we may share your information with other service providers such as a hospital pharmacy medical specialist social worker and others who provide community services If you do not want to be contacted by these other service providers we will withhold information from them Disclosure means providing specific information about you from our records to a third party Depending on your consent disclosure can happen over the telephone by fax by computer andor be electronic data sharing Under normal circumstance we wont collect use or disclose your personal information without your consent The only exceptions to this rule are when the disclosure is permitted by law or when it is impossible or impractical to

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 12

get your consent Some examples of situations where we will not seek your consent for disclosure are

For emergency or life threatening events

Where there is legal obligation to disclose under a court or government order for instance to police

Where personal information is given to our agents and service providers for services such as laboratory and pharmacy services and

Where personal information must be given to insurers in connection with insurance services

Reviewing amp Making Corrections Except as outlined below a record is kept each time personal information is disclosed noting the nature of the disclosure that was made Individual records of disclosure are not maintained for regular and routine actions such as prescriptions sent to the pharmacy We attempt to ensure that the information we hold about you is accurate complete and up-to-date If there are changes to your information eg a new Substitute Decision Maker (SDM) has been named please notify us immediately If you believe that information in your records may be inaccurate we make it easy for you to access verify and update it If information has been provided to third parties we will convey the corrected information to them if necessary If we do not agree to change your personal information you may challenge our decision We will make a record of this challenge and if necessary disclose the challenge to third parties who also process your information To review your personal information simply ask a staff person for assistance The staff person will provide you with instructions about accessing your information There may be a charge for retrieving your information in which case you will be notified in advance and may if you like withdraw your consent You may also challenge the reasonableness of the charge Access to information may be more meaningful to you if such access is provided in the presence of a service provider who can explain terminology and the organizations policies We encourage you to invite a care provider from Copernicus Lodge to assist you in your review of your personal information Sometimes a staff person will not provide you with information about you that is within its control This can occur if your right of access is constrained pursuant to the provisions of PHIPA For example the staff person will not provide you with personal information if

It would reveal personal information about another party and your personal information cannot be separated

The information is subject to solicitor-client or litigation privilege andor if

The information is used for the detection and prevention of a criminal activity and dealings in the proceeds of crime

If a staff person refuses your request for access to personal information you will be told why unless prohibited by law You may challenge the decision Once you have the information all you have to do is check for its accuracy and let us know if there are any corrections required We will correct our records or make a note of differences If information has been provided to third parties we will convey the corrected information or note any differences to them if necessary

Complaints amp Responsibility Ultimately Department Managers and Supervisors are responsible for protecting resident information They delegate day-to-day responsibilities to others such as privacy officers within Copernicus Lodge Every staff person must take responsibility for protecting resident privacy confidentiality and security Our suppliers sign contracts that oblige them to contractually adhere to our privacy practices thus protecting the information of residents when in the possession of third parties These suppliers or third party

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 13

include lab pharmacy physicians etc There are controls over the use of computers electronic data sharing paper documents faxing activities access to personal information If you or your family has concerns or questions about the management of personal information in Copernicus Lodge or about our compliance with privacy codes and laws we invite you to direct your questions and concerns to a staff person who is providing service to you If that person is unable to effectively respond to your questions and concerns we encourage you to contact our Privacy Officer

Tracy Kamino Chief Executive Officer 416-536-7122 extension 238

Fax 416-536-8242

We trust that we will be able to resolve any issues that you have regarding the protection of personal information If our Privacy Officer Tracy Kamino is unable to satisfy your inquiries you may contact the Office of the Privacy Commissioner of Ontario

Information and Privacy Commissioner of Ontario 2 Bloor Street West Suite 1400 Toronto Ontario M4W 1A8

Tel 1-416-326-3333 or Toll Free 1-800-387-0073

LONG TERM CARE ACCOMMODATION

All rooms are furnished with bull an electric hospital bed (regular or adjustable head and foot ) and pillows bull comfortable mattress with waterproof cover bull adjustable bed rails (if required) bull loungeguest chair bull night tablelamp bull laundry basket bull garbage can

The residentrsquos name is posted outside their room Memory boxes at eye level personalize and cue residents to their room All rooms are heated and water tempered with connections for telephone and cable TV Common areas are air-conditioned All windows can open but only 4 inches wide at all times (as per legal requirements) Residentsfamiliesvolunteers are not allowed to tamper with the window locking mechanisms You may bring a radio TV andor pictures Only certain electrical appliances as discussed and permitted by the Director of Care are allowed Bar fridges are not permitted in the home unless identified for medical reasons only and under the approval of the Director of Care Call bells must meet CSA Standards and are located at the bedside in the washrooms and lounge areas Press to call for assistance Cleaning services are provided weekly or more often if necessary Additional furniture may be brought in after consulting with the Director of Care Balcony Balcony doors must be locked at all times unless residents are supervised by staff or families (or resident is competent to be there alone) Families and residents using this space are told before allowing access to ensure they close the door after themselves and ensure it is locked

Accommodation Rates

Copernicus Lodge has different classes of accommodation that have different rates The

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 14

Ministry of Health and Long-Term Care (the ldquoMinistryrdquo) sets these rates The Long Term Care Homes Act requires residents to pay homes the rate that is set for his or her class of accommodation The Ministry adjusts accommodation rates from time to time These adjustments will result in changes to the Accommodation Fees Copernicus Lodge will provide the Resident with thirty (30) days written notice in advance of any increase in Accommodation Fees The notice will include the amount of the increase and the current Accommodation Fees that the Resident must pay

A Resident who is absent from Copernicus Lodge must continue to pay Accommodation Fees for each day of his or her absence The term ldquoabsencerdquo includes a casual or vacation absence and also an absence for medical or psychiatric care or assessment

RATES ndash from September 1 2014

A Basic Accommodation (Shared washroom)

From $ 123865 per month to $ 173162 per month

Persons applying for Basic Accommodation must submit a Notice of Assessment for the current year from Canada Customs and Revenue Agency CCRA (formerly Revenue Canada) to the Accounting Department A rate reduction form will be completed and must be signed If the income is below the threshold set by the Ministry of Health then the resident will receive a rate reduction Please contact the Accountant at 416-536-71122 ext 258

B Preferred Accommodation Private $ 243881 per month (Own room with ensuite washroom)

SHORT STAY RESPITE ACCOMMODATION

Copernicus Lodge offers Short Stay Respite Care Applications are filed and processed through the Community Care Access Centre

RATES $ 3685 per day A maximum of 90 days in a calendar year is allowed (60 days consecutive)

NOTE Rates are subject to change on notification by the Ministry of Health

List of Goods and Services included with Accommodation

The following list provides information about the goods and services included in basic or

preferred accommodation

1 Nursing and personal care on a 24-hour basis the administration of medications and assistance with activities of daily living

2 Medical care and restorative care is available in the home 3 Certain medical supplies and nursing equipment that are necessary for the care of the

resident 4 Supplies and equipment for personal hygiene and grooming 5 Certain equipment for the short-term use of the resident

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 15

6 Meal and snack service (three meals daily snacks between meals and at bedtime) special and therapeutic diets dietary supplements and devices to promote independence with eating

7 Social recreational spiritual and physical activities and programs 8 Laundry including labelling 9 Bedroom furnishings bedding and linen 10 Cleaning and upkeep of accommodations 11 Maintenance of a trust account on the residentrsquos behalf 12 Information package for residents 13 Prescription pharmaceutical preparations listed in the Ontario Drug Benefit Formulary

(the government requires residents to pay a small co-payment) 14 Special preparations or medical devices that may be obtained from the Ontario Drug

Benefit Program as interim non-formulary benefits 15 Insured devices equipment supplies and services that are available to the resident

through certain programs such as the Ontario Assistive Devices Program (the government covers part of this cost and residents must pay the rest)

16 Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon request

Note The Resident (or Power of Attorney for Property Guardian Trustee on behalf of the Resident) may purchase additional goods and services from the Home or 3

rd Party Suppliers

under a separate agreement ACCOUNTING BILLING BANKING

Hours Monday 130 pm - 400 pm Wednesday 900 am - 1230 pm Last Friday of the month 900 am - 1200 noon Closed - Tuesday Thursday and Friday (except last) Other times are by appointment please call ext 258 There is a slot located on the Accounting Office door for dropping off paymentsinformation after hours

ON SITE BANKING St Stanislaus St Casimirrsquos Credit Union attends in Room G 30 every Wednesday from 930 am to 1230 pm amp 100 pm to 200 pm and the last Friday of the month from 930 am to 1230 pm amp 100 pm to 200 pm for persons wishing to do regular banking transactions

Trust Accounts may be opened in Copernicus Lodge as requested Copernicus Lodge maintains a non interest bearing account on behalf of the resident There is no charge for this service Please contact the Accountant at ext 258 between 700 am and 300 pm

Comfort Allowance - is available to persons in Basic Accommodation rooms only There is no Comfort Allowance for persons in Preferred Accommodation Monies owing to the residentlawfully authorized substitute are returned one month after discharge Copernicus Lodge does not require a resident to pay a penalty in lieu of a specific notice period prior to discharge

MEDICAL SERVICES

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 16

Medical Director Copernicus Lodge shall ensure that it has a Medical Director The Medical Director shall be a physician The Medical Director

advises Copernicus Lodge long term care on matters relating to medical care

consults with the Director of Care and other health professionals working in Copernicus Lodge

performs any other duties provided for in the regulations 2007 c 72 (3)

Attending Physicians All residents have the option to choose their own Attending Physician outside of those physicians currently servicing Copernicus Lodge provided that heshe agrees to attend the resident at the home on a weekly basis and abide by Copernicus Lodge policies and procedures Attending Physicians must sign a contract with Copernicus Lodge

1 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario 2 All Attending Physicians are appointed by the Chief Executive Officer on the advice of the Medical Director 3 Attending Physicians are accountable to the Medical Director for meeting the homes policies and standards of medical care 4 Attending Physicians assess plan implement and evaluate their residents medical care and participate in a multi-disciplinary approach to care 5 Attending Physicians document on the resident health record on each visit to maintain continuity and ongoing evaluation 6 Attending Physicians arrange for 24-hour medical coverage for residents for whom they provide medical care 7 All medical care and services provided by Physicians in Long-Term Care homes are subject to peer assessment by the College of Physicians and Surgeons of Ontario on a random basis according to College procedures 8 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario

Residents and family members should be aware that the primary contact for medical care or medical concerns is the Registered Nursing staff Attending Physicians do not have offices within the home and are not in the facility each day Attending Physicians complete regular visits to their residents and on an as needed basis Attending Physicians do not normally contact family members to provide updates on the residentrsquos condition Residents and family members are always welcome to contact the Attending Physician at their private practice The office number can be obtained from the Registered Nursing staff Due to privacy issues Registered Nursing staff will only provide general health information about a resident to the Power of Attorney for Care (POA) Information about or changes to a residentrsquos medical diagnosis is given by the Attending Physician and not the Registered Nursing Staff Psychogeriatrician

Dr Colman Nefsky (MD Psychogeriatrician) We are very pleased to have the support of our consulting Psychogeriatrician from St Josephrsquos Health Center Dr Colman Nefsky Dr Nefsky visits and completes rounds on a monthly basis

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 17

for those residents who have been referred to him Dr Nefsky provides consultations to individuals who are suffering with psychological or behavioural issues and provides treatment options to the nursing and medical staff in the home Mary Boudart RN ndash St Josephrsquos Health Center Geriatric Mental Health Outreach Team Nurse (GMHOT) Mary Boudart works in collaboration with Dr Nefsky and completes weekly rounds for any resident who has been referred to her Care Conferences An organized documented interdisciplinary care conference lasting 30 minutes in duration is held with each resident andor substitute decision maker (POA for care) if you are able and wish to attend within six (6) weeks following admission to Copernicus Lodge and annually thereafter Care Conferences are held in order to discuss review and further develop the residents plan of care and address any other matters of importance to the resident and hisher substitute decision-maker (if any) The resident the substitute decision maker if any and any person that either of you may direct are given an opportunity to participate fully in the care conference

Special Care Conferences may be held anytime at the request of the family resident or interdisciplinary team if a residents condition or any other situation arises which affects the residents status Care conferences are held in either the activity room or the conference room (behind the nursing station) located on the residents home areafloorunit If the family substitute decision maker is unable to attend in person the option of a teleconference (over the telephone meeting) is available as an option to being there in person The conference may also be held at the bedside of a bedridden resident as requested by the resident andor substitute decision maker Residents and family are reminded not to wait for this annual meeting to express any concerns or issues you have Express concerns at the time they occur directly with any one of the interdisciplinary team as it relates to any department or inform the Charge Nurse who can redirect them as appropriate

Note Care Conferences do not apply to those residents residing in short-stay beds

NURSING

Nursing care and personal care is provided on a 24-hour basis This includes care given by or under the supervision of a Registered Nurse or a Registered Practical Nurse All Registered Nursing staff is licensed by the College of Nurses of Ontario Assistance with activities of daily living (personal care) is provided by Personal Support Workers (PSWrsquos) Daily medication is administered by the Registered Nursing staff Newly admitted residents must give all of their medication from home or hospital to the Registered Nurse on duty on the day of admission A picture is taken of all new residents on the day of admission and posted on their Medication Administration Record (MAR) and in the residents chart This is done to prevent medication and treatment errors Nursing and personal care is completed through an individualized personal care approach Nursing staff complete ongoing assessments and care plans which detail each residentrsquos individual care needs

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 18

Nursing staff can be reached by pressing the call-bells for assistance These are located in the resident bedroom bathrooms and lounge areas Call bells are responded to as quickly as possible

Pharmacy Copernicus Lodge utilizes a local pharmacy for all of its medicationpharmaceutical requirements At no time should residents or families bring in medications not approved by the medical nursing staff Medications are not to be left in resident rooms IMPORTANT All medications must be left with the Registered Nursing staff on duty

Medical supplies and nursing equipment

Medical supplies and nursing equipment necessary for the care of residents is provided by the home including supplies for the prevention or care of skin disorders continence care products infection control and sterile procedures

Medical devices such as catheters colostomy and ileostomy devices

Supplies and equipment for personal hygiene and grooming including skin care lotions and powders shampoos soap deodorant toothpaste toothbrushes denture cups and cleansers toilet tissue facial tissue hair brushes combs razorsshavers shaving cream feminine hygiene and incontinence products

Equipment for the general use of residents such as toilet aids and other self-help aids for the activities of daily living

Equipment for the general use of residents including wheelchairs geriatric chairs canes walkers are provided for short term use only (maximum 3 ndash 4 weeks) Should a resident require equipment for longer than 3-4 weeks the residentfamilysubstitute decision maker will be required to purchasecover all costs for such items Prescription pharmaceutical preparations listed in the Drug Benefit Formulary

bull Special preparations or medical devices which may be obtained from the Ontario Drug Benefit Program as interim non-formulary benefits

bull Insured devices equipment supplies and services available to residents through other programs such as the Home Care Program and Assistive Devices Program (ADP) ACHIEVA HEALTH provides ADP Seating and Mobility Assessments at NO COST to the Residents at Copernicus Lodge

bull Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon requisition If you have any questions or concerns regarding the nursing care or service please speak to the Charge Nurse

TAG SYSTEM

PURPOSE TO IDENTIFY RESIDENTS WITH BEHAVIOURAL ISSUES AND DIETARY RESTRICTIONS AS PART OF FALLS PREVENTION PROGRAM

As part of the Falls Prevention Program cards are mounted onto the residentrsquos mobility aids (where applicable) identifying that

a resident is at risk for falls

these cards are COLOUR-CODED to match the residents current behavioural risk level (ie Green Yellow or Pink as detailed in Section D)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 19

cards have a picture of food that is crossed out to identify that residents have a dietary restriction

On a quarterly basis or more often as necessary based on changes to a residentrsquos falls risk or behavioural risk level it is the responsibility of the RN RPN on each unit to review these cards and change them in order to correspond with the residentrsquos current condition

If the Dietician notes that there are changes to a residents swallowing meal consistency etc which warrant dietary restrictions it is the responsibility of the Dietician Manager of Dietary Services or Food Services Supervisor to change these cards on the residents mobility aid

There are 4 types of cards These are

I Colour-coded cards with only the residents unit identified ndash these individuals are not at risk for falls and do not have dietary restrictions however staff can clearly identify the residents behavioural risk level

II Colour-coded cards with the residents unit and Falls Symbol ndash this identifies that a resident is at risk for falls and also identifies the residents behavioural risk level

III Colour-coded cards with residents unit Falls symbol and Dietary Restriction symbol ndash this identifies that the resident is at risk for falls and has dietary restrictions as well as the residents behavioural risk level

IV Colour-coded cards with residents unit and Dietary Restriction Symbol ndash this identifies that a resident has dietary restrictions to be aware of as well as the residents behavioural risk level

Prevention of Needlestick Injuries

Copernicus Lodge thrives to maintain the health and safety of all residents staff and visitors to our home Needlestick Injury Prevention is a serious concern for the employees of our home In order to take a proactive approach regarding the prevention of needlestick injuries we would like to outline some important information for you ALL NEW ADMISSIONS TO LONG TERM CARE

1 Please note that when residents move into our Long Term Care Home that the nursing staff will take on the responsibility of completing diabetic glucose testing along with insulin injections Residents are NOT to self test themselves if they are diabetic This practice allows the nursing staff to safely dispose the needles as required into the Yellow Disposable Needle Containers - in every circumstance

2 We would kindly ask that families POArsquos please take any glucometer testing units syringes home Please do not leave any of these items in the residents room or by the bedside

FAMILIES AND VISITORS If any family member or visitor must test themselves while at Copernicus Lodge please ensure that you speak with the nursing staff RN RPN on the unit so that you can safely discard any needles used into one of the Yellow Disposable Needle Containers available on the Resident Home Area units

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 20

RESTRAINT USE AT COPERNICUS LODGE Copernicus Lodge uses the Least Restraint practice which means that the least restrictive measure is used for the shortest duration possible This allows for the maximum freedom of movement andor residentrsquos control The types of restraints currently used within Copernicus Lodge are as follows

a) Chemical Restraints - a pharmaceutical agent given with the specific purpose of inhibiting or controlling behaviour or movement

b) Physical RestraintsDevices - any appliance device apparatus or equipment attached or adjacent to a residents body that the individual cannot remove easily and which restricts movement The Physical Restraints currently used at Copernicus Lodge are Lapbelts Seatbelts Table Tops and Full Bedrails (both up at the same time)

c) Environmental Restraints - A barrier to free personal movement which serves to confine a resident to a specific geographic area (ie 2 North Special Care Unit which has a wanderguard alarm installed for residents with exit-seeking behaviours)

Note Under no circumstances can two restraints be applied at the same time (for example a lap tray cannot be used at the same time as a seatbelt)

The following devices are Prohibited and NOT permitted to be used in Copernicus Lodge

1 Roller bars on wheelchairs and commodes or toilets

2 Vest or jacket restraints

3 Any device with locks that can only be released by a separate device such as a key or magnet

4 Four point extremity restraints

5 Any device used to restrain a resident to a commode or toilet

6 Any device that cannot be immediately released by staff

7 Sheets wraps tensors or other types of strips or bandages used other than for a therapeutic purpose

Copernicus Lodgersquos Restraint Policy involves an interdisciplinary approach to restraint use and we document all steps of the restraining process

Our Restraint Policy includes the following requirements

1 Staff only applies a physical device that has been ordered and approved by the Attending Physician and where there is a signed consent by the resident (if competent) andor Substitute Decision Maker and an understanding of the reason for the use of the device

2 Staff consider alternatives to the use of physical devices including how these alternatives are planned developed and implemented (ie one way-gliders assist to prevent residents from sliding as does the tilt mechanism on many wheelchairs)

3 That the need for the restraint is clearly documented in the resident plan of care

4 Staff applies the physical device only in accordance with any manufacturerrsquos instructions and the instructions of the Attending Physician

5 Staff ensures that the physical device is well maintained

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 21

6 Staff ensures that the physical device is not altered except for routine adjustments in accordance with any manufacturerrsquos instructions

7 Registered staff and PSW staff monitor the resident while restrained at least every hour

8 Staff ensures that the resident is released from the physical device and repositioned at least once every two hours (this requirement does not apply when bed rails are being used if the resident is able to reposition himself or herself)

9 Staff ensures that the resident is released and repositioned any other time when necessary based on the residentrsquos condition or circumstances

10 The residentrsquos condition is reassessed and the effectiveness of the restraining is evaluated by the Registered Nurse every eight hours and at any other time when necessary based on the residentrsquos condition or circumstances

11 Upon removal of a physical device post-restraining care is provided to ensure the safety and comfort of the resident

Copernicus Lodge also reserves the right to restrain a resident by physical means when immediate action is necessary to prevent serious bodily harm to the resident or to others In the event such action is required

1 The resident is monitored or supervised on an ongoing basis and released from the physical device and repositioned when necessary based on the residentrsquos condition or circumstances

2 Ongoing assessment of the residentrsquos condition is reassessed by the registered nursing staff

3 The restraint is discontinued when the immediate action is no longer necessary

4 When the application of a physical restraint is required for to prevent serious injury to a resident or others the reason for the use of the physical device will be explained to the resident or the residentrsquos substitute decision maker where the resident is incapable

Environmental Restraints Dementia Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentrsquos plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

Evaluation Through our continuous quality improvement efforts Copernicus Lodge annually evaluates the effectiveness of our restraint policy and identifies what changes and improvements are required

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 22

to minimize restraining and to ensure that any restraining that is necessary is done in accordance with legislative requirements Any changes or improvements are to be promptly implemented

Although there will always be residents who require or feel more secure with restraints we hope that everyone will work with us to try to keep our home as RESTRAINT FREE AS POSSIBLE

To receive a copy of the full restraint policy please feel free to speak to our Director of Care at 416-536-7122 ext 240

Copernicus Lodgersquos Resident Abuse and Neglect Policy Copernicus Lodge promotes in its standards and practices the philosophy of care that all residents are treated with dignity respect and courtesy The Lodge views most seriously any type of abuse or neglect of a resident by any staff volunteer family substitute decision-maker visitor or any other persons who enter the premises at Copernicus Lodge

Definitions of Abuse

Copernicus Lodge defines ldquoabuserdquo (in accordance with our policy and subsection 2 (1) of the Long Term Care Homes Act) as the following

Emotional Abuse

(a) any threatening insulting intimidating or humiliating gestures actions behaviour or remarks including imposed social isolation shunning ignoring lack of acknowledgement or infantilization that are performed by anyone other than a resident or

(b) any threatening or intimidating gestures actions behaviour or remarks by a resident that causes alarm or fear to another resident where the resident performing the gestures actions behaviour or remarks understands and appreciates their consequences

Financial Abuse

(a) any misappropriation or misuse of a residentrsquos money or property

Physical Abuse

(a) the use of physical force by anyone other than a resident that causes physical injury or pain

(b) administering or withholding a drug for an inappropriate purpose or

(c) the use of physical force by a resident that causes physical injury to another resident

(Note Physical Abuse does not include the use of force that is appropriate to the provision of care or assisting a resident with activities of daily living unless the force used is excessive in the circumstance)

Sexual Abuse

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 23

(a) subject to subsection (3) any consensual or non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation that is directed towards a resident by a licensee or staff member or

(b) any non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation directed towards a resident by a person other than a licensee or staff member

(Note Sexual Abuse does not include

(a) touching behaviour or remarks of a clinical nature that are appropriate to the provision of care or assisting a resident with activities of daily living or

(b) consensual touching behaviour or remarks of a sexual nature between a resident and a licensee or staff member that is in the course of a sexual relationship that began before the resident was admitted to the long-term care home or before the licensee or staff member became a licensee or staff member)

Verbal Abuse

(a) any form of verbal communication of a threatening or intimidating nature or any form of verbal communication of a belittling or degrading nature which diminishes a residentrsquos sense of well-being dignity or self-worth that is made by anyone other than a resident or

(b) any form of verbal communication of a threatening or intimidating nature made by a resident that leads another resident to fear for his or her safety where the resident making the communication understands and appreciates its consequences

Neglect

(a) the failure to provide a resident with the treatment care services or assistance required for health safety or well-being and includes inaction or a pattern of inaction that jeopardizes the health safety or well-being of one or more residents

Copernicus Lodgersquos established Resident Abuse Policy and Procedure encompasses

A Definitions of what constitutes Resident Abuse and Neglect

B A Resident Abuse Incident Reporting System

C A Resident Abuse Incident Investigation System

D Support for the person abused

E EducationTraining that supports prevention of resident abuse and neglect and

F Evaluation of our 0 tolerance program

Copernicus Lodge maintains a Zero Tolerance for any type of abuse of a resident family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 9: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 8

The Resident Advocate as approved and authorized by the councils act as the Family and Resident Council Staff Assistant As the Family and Resident Council Staff Assistant the Resident Advocate takes instructions from the Councils ensure confidentiality where requested and reports to the Councils RESIDENTS COUNCIL Residents Council operates for the purpose of

Promoting communication between the residents and administration

Improving the residentsrsquo quality of life within the home by providing an opportunity for residents to air their ideas feelings and concerns through discussion

Providing a forum to identify problem solve

Fostering residentsrsquo independence and self-direction

Providing residents with the opportunity to actively participate in the decision making process within the Lodge

New members residents are always welcome Meetings are held every 3 months in the Multipurpose Room or Boardroom The current approved staff assistance for Residentsrsquo Council is Copernicus Lodgersquos Resident Advocate who is the staff assistant approved by the Residents Council In addition to the Residents Council Copernicus Lodge provides Long Term Care residents with the opportunity to participate in discussion groups Residents air their views opinions and talk about matters of concern to themselves and other Residents living at the Home The Registered Nurse together with Managers have quarterly meetings on each Resident Home Area (RHA) for all residents staff volunteers and family members

FAMILY COUNCIL

A Family Council is self-led self-determining democratic group of family members and friends of residents in Long Term Care Home that meet on a quarterly basis to provide a forum for sharing their experiences learning exchanging information and seek solutions to common problems The current approved staff assistance for Residentsrsquo Council is Copernicus Lodgersquos Social Worker A Family Council can benefit the Family Members Residents and Copernicus Lodge These benefits can include the following

Allows families to give each other ongoing mutual support and encouragement Sharing thoughts and feelings with others who are in the same situation can help families cope

Provides a forum for learning especially for families of new residents

Provides an opportunity to become knowledgeable about the Homersquos operations policies and rules This can be especially helpful for families of new Residents

Help families and the Home form a positive partnership aimed at improving resident care

Offers family members a chance to express their collective concerns ndash a ldquounited voicerdquo supporting a ldquounited effortrdquo In this way a Family Council can be a catalyst for positive changes in residentsrsquo daily lives familiesrsquo experiences and in the Home in general

A Family Council can benefit residents who are physically or mentally unable to voice their needs and concerns as well as those without family

Can benefit the Home by providing a means for staff to deal directly with families as a group and establish meaningful ongoing lines of communication

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 9

Any family members who wish to join the Family Council please contact the Copernicus Lodge Resident Advocate Meetings are quarterly in the Boardroom on the Main floor

MANDATORY AND IMMEDIATE REPORTING TO THE DIRECTOR

OF THE MINISTRY OF HEALTH

1 Copernicus Lodge immediately investigates responds and acts on every alleged suspected or witnessed incident of abuse and or neglect of a resident by anyone that Copernicus Lodge knows of or that is reported to Copernicus Lodge Chief Executive Officer (CEO) andor Director of Care (DOC) will refer to the Resident Abuse amp Neglect Decision Trees as provided by the Ministry of Health Long Term Care when assessing the allegation to determine reporting requirements to the Ministry as required by the LTCH Act

When reporting to the Director the report will include the results of every investigation and every action taken to such incidents

Reporting to the Director Copernicus Lodge or any other person who has reasonable grounds to suspect that any of the following has occurred or may occur will immediately report the suspicion and the information upon which it is based to the Director

1 Improper or incompetent treatment or care of a resident that resulted in harm or a risk of harm to the resident

2 Abuse of a resident by anyone or neglect of a resident by Copernicus Lodge or staff that resulted in harm or a risk of harm to the resident

3 Unlawful conduct that resulted in harm or a risk of harm to a resident

4 Misuse or misappropriation of a residentrsquos money

5 Misuse or misappropriation of funding provided to Copernicus Lodge under the Long Term Care Homes Act or the Local Health System Integration Act 2006

False information Any person reporting information to the Director they know to be false will be guilty of an offence

Exceptions for residents A resident may make a report but is not required to and the issue in regards to reporting

false information as an offence does not apply to residents who are incapable

Duty on practitioners and others Even if the information on which a report may be based is confidential or privileged no

action or other proceeding for making the report shall be commenced against a person (ie Physician Social Worker Pharmacist etc) who acts in accordance with reporting unless that person acts maliciously or without reasonable grounds for the suspicion

Offence of failure to report Copernicus Lodge Copernicus Lodge staff any person who provides professional

services to our residents in the areas of health social work or social services work and any person who provides professional services to Copernicus Lodge in the areas of health social work or social services work would be guilty of an offence if they fail to make a report under this policy

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 10

Offences re suppressing reports Every person who coerces or intimidates a person not to make a report andor

discourages a person from making a report andor authorizes permits or concurs in a contravention of the duty to make a report is guilty of an offence

All Mandatory reports are made to

Director Performance Improvement and Compliance Branch Ministry of Health and Long-Term Care

1075 Bay Street 11th

Floor Toronto ON M5S 2B1 1-866-434-0144

COPERNICUS LODGE COMPLAINT PROCEDURE

It is the policy of Copernicus Lodge that the following steps are taken when raising concerns lodging complaints or recommending changes

STEP 1 Speak directly to the staff member involved If you are not satisfied with their response or the issue is not resolved move on to step 2

STEP 2 Speak to the Manager of the Department involved If you are not satisfied with their response move on to step 3

STEP 3 Speak to the Chief Executive Officer If you are still not satisfied with the response given move on to step 4

STEP 4 Submit your complaintconcern in writing to the Board of Directors If you are still not satisfied with the response given move on to step 5

STEP 5 For issues related to long-term care contact

THE MINISTRY OF HEALTH LONG TERM CARE ACTION LINE

Quality care matters If you want more information have a concern or want to register a complaint about a

Long-Term Care Facility call this toll-free number

1-866-434-0144 Available 7 days a week 830AM ndash 700PM

OR Send a written letter by mail to the responsible Director at

The Ministry of Long Term care at the following address Director Performance Improvement and Compliance Branch

Ministry of Health and Long-Term Care 1075 Bay Street 11

th Floor

Toronto ON M5S 2B1

You will receive a letter or phone call to let you know that the ministry has received your complaint

The Director will refer your complaint to an inspector who will look into your matter

Please Note You may obtain a complete up to date listing of all Departments Names of Managers and their contact information in the clear folder attached to the Long Term Care Resident Family Board located on the main floor hallway

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 11

Privacy of Resident Health Information Copernicus Lodge exists to provide you with a broad variety of care services To meet your needs and serve you well Copernicus Lodge needs to know personal information about you You as an individual have a right to know how we collect use and disclose personal information You have a right to expect that to the best of our ability your personal information held by us remains accurate confidential and secure Copernicus Lodge is proud of its commitment to maintaining the confidentiality and security of personal information and weve provided this write-up to explain how we protect the privacy of individual residents information in Copernicus Lodge Copernicus Lodgersquos privacy policies comply with the Personal Health Information Protection Act (PHIPA) It is important that a trust relationship be established between you and Copernicus Lodge To this end we are pleased to share information with you The more you know about us the more confident you can feel about receiving our services Similarly the more we know about you the better we can serve you Copernicus Lodge collects and uses information about you for the following purposes only

To make decisions about the types services you need

To serve as a means to communicate with service providers

To monitor the provision of services and evaluate your response to services provided

As a legal document made in the normal course of business

To serve as a record of services provided

As proof of what was done by whom and when during a residents encounter with a provider

To be used as evidence against or for the organizations the service providers or the resident

To verify our accountability

For strategic planning decision making allocating of resources and

To meet legal and regulatory requirements

Consent Because it is important that we keep your trust we will only ask for information which we need and when we ask you for information well let you know why we need it To the best of our ability we will seek your consent to verify and supplement information collected from external sources such as Community Care Access Centerrsquos (CCAC) Physicians Social Services the Local Health Integrated Networks (LHINS) the Ministry of Health and Long Term Care (MOHLTC) and other community service providers for whom you may need service from Subject to legal or contractual requirements you can refuse to consent to our collection use or disclosure of information at any time provided the consent does not relate to certain information required for care provisions such as disclosure of information to the LHIN or MOHLTC If you refuse or withdraw your consent to the collection use or disclosure of information about you we may not be able to continue to provide you with some services you require With your consent and where laws allow this we may share your information with other service providers such as a hospital pharmacy medical specialist social worker and others who provide community services If you do not want to be contacted by these other service providers we will withhold information from them Disclosure means providing specific information about you from our records to a third party Depending on your consent disclosure can happen over the telephone by fax by computer andor be electronic data sharing Under normal circumstance we wont collect use or disclose your personal information without your consent The only exceptions to this rule are when the disclosure is permitted by law or when it is impossible or impractical to

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 12

get your consent Some examples of situations where we will not seek your consent for disclosure are

For emergency or life threatening events

Where there is legal obligation to disclose under a court or government order for instance to police

Where personal information is given to our agents and service providers for services such as laboratory and pharmacy services and

Where personal information must be given to insurers in connection with insurance services

Reviewing amp Making Corrections Except as outlined below a record is kept each time personal information is disclosed noting the nature of the disclosure that was made Individual records of disclosure are not maintained for regular and routine actions such as prescriptions sent to the pharmacy We attempt to ensure that the information we hold about you is accurate complete and up-to-date If there are changes to your information eg a new Substitute Decision Maker (SDM) has been named please notify us immediately If you believe that information in your records may be inaccurate we make it easy for you to access verify and update it If information has been provided to third parties we will convey the corrected information to them if necessary If we do not agree to change your personal information you may challenge our decision We will make a record of this challenge and if necessary disclose the challenge to third parties who also process your information To review your personal information simply ask a staff person for assistance The staff person will provide you with instructions about accessing your information There may be a charge for retrieving your information in which case you will be notified in advance and may if you like withdraw your consent You may also challenge the reasonableness of the charge Access to information may be more meaningful to you if such access is provided in the presence of a service provider who can explain terminology and the organizations policies We encourage you to invite a care provider from Copernicus Lodge to assist you in your review of your personal information Sometimes a staff person will not provide you with information about you that is within its control This can occur if your right of access is constrained pursuant to the provisions of PHIPA For example the staff person will not provide you with personal information if

It would reveal personal information about another party and your personal information cannot be separated

The information is subject to solicitor-client or litigation privilege andor if

The information is used for the detection and prevention of a criminal activity and dealings in the proceeds of crime

If a staff person refuses your request for access to personal information you will be told why unless prohibited by law You may challenge the decision Once you have the information all you have to do is check for its accuracy and let us know if there are any corrections required We will correct our records or make a note of differences If information has been provided to third parties we will convey the corrected information or note any differences to them if necessary

Complaints amp Responsibility Ultimately Department Managers and Supervisors are responsible for protecting resident information They delegate day-to-day responsibilities to others such as privacy officers within Copernicus Lodge Every staff person must take responsibility for protecting resident privacy confidentiality and security Our suppliers sign contracts that oblige them to contractually adhere to our privacy practices thus protecting the information of residents when in the possession of third parties These suppliers or third party

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 13

include lab pharmacy physicians etc There are controls over the use of computers electronic data sharing paper documents faxing activities access to personal information If you or your family has concerns or questions about the management of personal information in Copernicus Lodge or about our compliance with privacy codes and laws we invite you to direct your questions and concerns to a staff person who is providing service to you If that person is unable to effectively respond to your questions and concerns we encourage you to contact our Privacy Officer

Tracy Kamino Chief Executive Officer 416-536-7122 extension 238

Fax 416-536-8242

We trust that we will be able to resolve any issues that you have regarding the protection of personal information If our Privacy Officer Tracy Kamino is unable to satisfy your inquiries you may contact the Office of the Privacy Commissioner of Ontario

Information and Privacy Commissioner of Ontario 2 Bloor Street West Suite 1400 Toronto Ontario M4W 1A8

Tel 1-416-326-3333 or Toll Free 1-800-387-0073

LONG TERM CARE ACCOMMODATION

All rooms are furnished with bull an electric hospital bed (regular or adjustable head and foot ) and pillows bull comfortable mattress with waterproof cover bull adjustable bed rails (if required) bull loungeguest chair bull night tablelamp bull laundry basket bull garbage can

The residentrsquos name is posted outside their room Memory boxes at eye level personalize and cue residents to their room All rooms are heated and water tempered with connections for telephone and cable TV Common areas are air-conditioned All windows can open but only 4 inches wide at all times (as per legal requirements) Residentsfamiliesvolunteers are not allowed to tamper with the window locking mechanisms You may bring a radio TV andor pictures Only certain electrical appliances as discussed and permitted by the Director of Care are allowed Bar fridges are not permitted in the home unless identified for medical reasons only and under the approval of the Director of Care Call bells must meet CSA Standards and are located at the bedside in the washrooms and lounge areas Press to call for assistance Cleaning services are provided weekly or more often if necessary Additional furniture may be brought in after consulting with the Director of Care Balcony Balcony doors must be locked at all times unless residents are supervised by staff or families (or resident is competent to be there alone) Families and residents using this space are told before allowing access to ensure they close the door after themselves and ensure it is locked

Accommodation Rates

Copernicus Lodge has different classes of accommodation that have different rates The

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 14

Ministry of Health and Long-Term Care (the ldquoMinistryrdquo) sets these rates The Long Term Care Homes Act requires residents to pay homes the rate that is set for his or her class of accommodation The Ministry adjusts accommodation rates from time to time These adjustments will result in changes to the Accommodation Fees Copernicus Lodge will provide the Resident with thirty (30) days written notice in advance of any increase in Accommodation Fees The notice will include the amount of the increase and the current Accommodation Fees that the Resident must pay

A Resident who is absent from Copernicus Lodge must continue to pay Accommodation Fees for each day of his or her absence The term ldquoabsencerdquo includes a casual or vacation absence and also an absence for medical or psychiatric care or assessment

RATES ndash from September 1 2014

A Basic Accommodation (Shared washroom)

From $ 123865 per month to $ 173162 per month

Persons applying for Basic Accommodation must submit a Notice of Assessment for the current year from Canada Customs and Revenue Agency CCRA (formerly Revenue Canada) to the Accounting Department A rate reduction form will be completed and must be signed If the income is below the threshold set by the Ministry of Health then the resident will receive a rate reduction Please contact the Accountant at 416-536-71122 ext 258

B Preferred Accommodation Private $ 243881 per month (Own room with ensuite washroom)

SHORT STAY RESPITE ACCOMMODATION

Copernicus Lodge offers Short Stay Respite Care Applications are filed and processed through the Community Care Access Centre

RATES $ 3685 per day A maximum of 90 days in a calendar year is allowed (60 days consecutive)

NOTE Rates are subject to change on notification by the Ministry of Health

List of Goods and Services included with Accommodation

The following list provides information about the goods and services included in basic or

preferred accommodation

1 Nursing and personal care on a 24-hour basis the administration of medications and assistance with activities of daily living

2 Medical care and restorative care is available in the home 3 Certain medical supplies and nursing equipment that are necessary for the care of the

resident 4 Supplies and equipment for personal hygiene and grooming 5 Certain equipment for the short-term use of the resident

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 15

6 Meal and snack service (three meals daily snacks between meals and at bedtime) special and therapeutic diets dietary supplements and devices to promote independence with eating

7 Social recreational spiritual and physical activities and programs 8 Laundry including labelling 9 Bedroom furnishings bedding and linen 10 Cleaning and upkeep of accommodations 11 Maintenance of a trust account on the residentrsquos behalf 12 Information package for residents 13 Prescription pharmaceutical preparations listed in the Ontario Drug Benefit Formulary

(the government requires residents to pay a small co-payment) 14 Special preparations or medical devices that may be obtained from the Ontario Drug

Benefit Program as interim non-formulary benefits 15 Insured devices equipment supplies and services that are available to the resident

through certain programs such as the Ontario Assistive Devices Program (the government covers part of this cost and residents must pay the rest)

16 Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon request

Note The Resident (or Power of Attorney for Property Guardian Trustee on behalf of the Resident) may purchase additional goods and services from the Home or 3

rd Party Suppliers

under a separate agreement ACCOUNTING BILLING BANKING

Hours Monday 130 pm - 400 pm Wednesday 900 am - 1230 pm Last Friday of the month 900 am - 1200 noon Closed - Tuesday Thursday and Friday (except last) Other times are by appointment please call ext 258 There is a slot located on the Accounting Office door for dropping off paymentsinformation after hours

ON SITE BANKING St Stanislaus St Casimirrsquos Credit Union attends in Room G 30 every Wednesday from 930 am to 1230 pm amp 100 pm to 200 pm and the last Friday of the month from 930 am to 1230 pm amp 100 pm to 200 pm for persons wishing to do regular banking transactions

Trust Accounts may be opened in Copernicus Lodge as requested Copernicus Lodge maintains a non interest bearing account on behalf of the resident There is no charge for this service Please contact the Accountant at ext 258 between 700 am and 300 pm

Comfort Allowance - is available to persons in Basic Accommodation rooms only There is no Comfort Allowance for persons in Preferred Accommodation Monies owing to the residentlawfully authorized substitute are returned one month after discharge Copernicus Lodge does not require a resident to pay a penalty in lieu of a specific notice period prior to discharge

MEDICAL SERVICES

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 16

Medical Director Copernicus Lodge shall ensure that it has a Medical Director The Medical Director shall be a physician The Medical Director

advises Copernicus Lodge long term care on matters relating to medical care

consults with the Director of Care and other health professionals working in Copernicus Lodge

performs any other duties provided for in the regulations 2007 c 72 (3)

Attending Physicians All residents have the option to choose their own Attending Physician outside of those physicians currently servicing Copernicus Lodge provided that heshe agrees to attend the resident at the home on a weekly basis and abide by Copernicus Lodge policies and procedures Attending Physicians must sign a contract with Copernicus Lodge

1 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario 2 All Attending Physicians are appointed by the Chief Executive Officer on the advice of the Medical Director 3 Attending Physicians are accountable to the Medical Director for meeting the homes policies and standards of medical care 4 Attending Physicians assess plan implement and evaluate their residents medical care and participate in a multi-disciplinary approach to care 5 Attending Physicians document on the resident health record on each visit to maintain continuity and ongoing evaluation 6 Attending Physicians arrange for 24-hour medical coverage for residents for whom they provide medical care 7 All medical care and services provided by Physicians in Long-Term Care homes are subject to peer assessment by the College of Physicians and Surgeons of Ontario on a random basis according to College procedures 8 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario

Residents and family members should be aware that the primary contact for medical care or medical concerns is the Registered Nursing staff Attending Physicians do not have offices within the home and are not in the facility each day Attending Physicians complete regular visits to their residents and on an as needed basis Attending Physicians do not normally contact family members to provide updates on the residentrsquos condition Residents and family members are always welcome to contact the Attending Physician at their private practice The office number can be obtained from the Registered Nursing staff Due to privacy issues Registered Nursing staff will only provide general health information about a resident to the Power of Attorney for Care (POA) Information about or changes to a residentrsquos medical diagnosis is given by the Attending Physician and not the Registered Nursing Staff Psychogeriatrician

Dr Colman Nefsky (MD Psychogeriatrician) We are very pleased to have the support of our consulting Psychogeriatrician from St Josephrsquos Health Center Dr Colman Nefsky Dr Nefsky visits and completes rounds on a monthly basis

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 17

for those residents who have been referred to him Dr Nefsky provides consultations to individuals who are suffering with psychological or behavioural issues and provides treatment options to the nursing and medical staff in the home Mary Boudart RN ndash St Josephrsquos Health Center Geriatric Mental Health Outreach Team Nurse (GMHOT) Mary Boudart works in collaboration with Dr Nefsky and completes weekly rounds for any resident who has been referred to her Care Conferences An organized documented interdisciplinary care conference lasting 30 minutes in duration is held with each resident andor substitute decision maker (POA for care) if you are able and wish to attend within six (6) weeks following admission to Copernicus Lodge and annually thereafter Care Conferences are held in order to discuss review and further develop the residents plan of care and address any other matters of importance to the resident and hisher substitute decision-maker (if any) The resident the substitute decision maker if any and any person that either of you may direct are given an opportunity to participate fully in the care conference

Special Care Conferences may be held anytime at the request of the family resident or interdisciplinary team if a residents condition or any other situation arises which affects the residents status Care conferences are held in either the activity room or the conference room (behind the nursing station) located on the residents home areafloorunit If the family substitute decision maker is unable to attend in person the option of a teleconference (over the telephone meeting) is available as an option to being there in person The conference may also be held at the bedside of a bedridden resident as requested by the resident andor substitute decision maker Residents and family are reminded not to wait for this annual meeting to express any concerns or issues you have Express concerns at the time they occur directly with any one of the interdisciplinary team as it relates to any department or inform the Charge Nurse who can redirect them as appropriate

Note Care Conferences do not apply to those residents residing in short-stay beds

NURSING

Nursing care and personal care is provided on a 24-hour basis This includes care given by or under the supervision of a Registered Nurse or a Registered Practical Nurse All Registered Nursing staff is licensed by the College of Nurses of Ontario Assistance with activities of daily living (personal care) is provided by Personal Support Workers (PSWrsquos) Daily medication is administered by the Registered Nursing staff Newly admitted residents must give all of their medication from home or hospital to the Registered Nurse on duty on the day of admission A picture is taken of all new residents on the day of admission and posted on their Medication Administration Record (MAR) and in the residents chart This is done to prevent medication and treatment errors Nursing and personal care is completed through an individualized personal care approach Nursing staff complete ongoing assessments and care plans which detail each residentrsquos individual care needs

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 18

Nursing staff can be reached by pressing the call-bells for assistance These are located in the resident bedroom bathrooms and lounge areas Call bells are responded to as quickly as possible

Pharmacy Copernicus Lodge utilizes a local pharmacy for all of its medicationpharmaceutical requirements At no time should residents or families bring in medications not approved by the medical nursing staff Medications are not to be left in resident rooms IMPORTANT All medications must be left with the Registered Nursing staff on duty

Medical supplies and nursing equipment

Medical supplies and nursing equipment necessary for the care of residents is provided by the home including supplies for the prevention or care of skin disorders continence care products infection control and sterile procedures

Medical devices such as catheters colostomy and ileostomy devices

Supplies and equipment for personal hygiene and grooming including skin care lotions and powders shampoos soap deodorant toothpaste toothbrushes denture cups and cleansers toilet tissue facial tissue hair brushes combs razorsshavers shaving cream feminine hygiene and incontinence products

Equipment for the general use of residents such as toilet aids and other self-help aids for the activities of daily living

Equipment for the general use of residents including wheelchairs geriatric chairs canes walkers are provided for short term use only (maximum 3 ndash 4 weeks) Should a resident require equipment for longer than 3-4 weeks the residentfamilysubstitute decision maker will be required to purchasecover all costs for such items Prescription pharmaceutical preparations listed in the Drug Benefit Formulary

bull Special preparations or medical devices which may be obtained from the Ontario Drug Benefit Program as interim non-formulary benefits

bull Insured devices equipment supplies and services available to residents through other programs such as the Home Care Program and Assistive Devices Program (ADP) ACHIEVA HEALTH provides ADP Seating and Mobility Assessments at NO COST to the Residents at Copernicus Lodge

bull Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon requisition If you have any questions or concerns regarding the nursing care or service please speak to the Charge Nurse

TAG SYSTEM

PURPOSE TO IDENTIFY RESIDENTS WITH BEHAVIOURAL ISSUES AND DIETARY RESTRICTIONS AS PART OF FALLS PREVENTION PROGRAM

As part of the Falls Prevention Program cards are mounted onto the residentrsquos mobility aids (where applicable) identifying that

a resident is at risk for falls

these cards are COLOUR-CODED to match the residents current behavioural risk level (ie Green Yellow or Pink as detailed in Section D)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 19

cards have a picture of food that is crossed out to identify that residents have a dietary restriction

On a quarterly basis or more often as necessary based on changes to a residentrsquos falls risk or behavioural risk level it is the responsibility of the RN RPN on each unit to review these cards and change them in order to correspond with the residentrsquos current condition

If the Dietician notes that there are changes to a residents swallowing meal consistency etc which warrant dietary restrictions it is the responsibility of the Dietician Manager of Dietary Services or Food Services Supervisor to change these cards on the residents mobility aid

There are 4 types of cards These are

I Colour-coded cards with only the residents unit identified ndash these individuals are not at risk for falls and do not have dietary restrictions however staff can clearly identify the residents behavioural risk level

II Colour-coded cards with the residents unit and Falls Symbol ndash this identifies that a resident is at risk for falls and also identifies the residents behavioural risk level

III Colour-coded cards with residents unit Falls symbol and Dietary Restriction symbol ndash this identifies that the resident is at risk for falls and has dietary restrictions as well as the residents behavioural risk level

IV Colour-coded cards with residents unit and Dietary Restriction Symbol ndash this identifies that a resident has dietary restrictions to be aware of as well as the residents behavioural risk level

Prevention of Needlestick Injuries

Copernicus Lodge thrives to maintain the health and safety of all residents staff and visitors to our home Needlestick Injury Prevention is a serious concern for the employees of our home In order to take a proactive approach regarding the prevention of needlestick injuries we would like to outline some important information for you ALL NEW ADMISSIONS TO LONG TERM CARE

1 Please note that when residents move into our Long Term Care Home that the nursing staff will take on the responsibility of completing diabetic glucose testing along with insulin injections Residents are NOT to self test themselves if they are diabetic This practice allows the nursing staff to safely dispose the needles as required into the Yellow Disposable Needle Containers - in every circumstance

2 We would kindly ask that families POArsquos please take any glucometer testing units syringes home Please do not leave any of these items in the residents room or by the bedside

FAMILIES AND VISITORS If any family member or visitor must test themselves while at Copernicus Lodge please ensure that you speak with the nursing staff RN RPN on the unit so that you can safely discard any needles used into one of the Yellow Disposable Needle Containers available on the Resident Home Area units

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 20

RESTRAINT USE AT COPERNICUS LODGE Copernicus Lodge uses the Least Restraint practice which means that the least restrictive measure is used for the shortest duration possible This allows for the maximum freedom of movement andor residentrsquos control The types of restraints currently used within Copernicus Lodge are as follows

a) Chemical Restraints - a pharmaceutical agent given with the specific purpose of inhibiting or controlling behaviour or movement

b) Physical RestraintsDevices - any appliance device apparatus or equipment attached or adjacent to a residents body that the individual cannot remove easily and which restricts movement The Physical Restraints currently used at Copernicus Lodge are Lapbelts Seatbelts Table Tops and Full Bedrails (both up at the same time)

c) Environmental Restraints - A barrier to free personal movement which serves to confine a resident to a specific geographic area (ie 2 North Special Care Unit which has a wanderguard alarm installed for residents with exit-seeking behaviours)

Note Under no circumstances can two restraints be applied at the same time (for example a lap tray cannot be used at the same time as a seatbelt)

The following devices are Prohibited and NOT permitted to be used in Copernicus Lodge

1 Roller bars on wheelchairs and commodes or toilets

2 Vest or jacket restraints

3 Any device with locks that can only be released by a separate device such as a key or magnet

4 Four point extremity restraints

5 Any device used to restrain a resident to a commode or toilet

6 Any device that cannot be immediately released by staff

7 Sheets wraps tensors or other types of strips or bandages used other than for a therapeutic purpose

Copernicus Lodgersquos Restraint Policy involves an interdisciplinary approach to restraint use and we document all steps of the restraining process

Our Restraint Policy includes the following requirements

1 Staff only applies a physical device that has been ordered and approved by the Attending Physician and where there is a signed consent by the resident (if competent) andor Substitute Decision Maker and an understanding of the reason for the use of the device

2 Staff consider alternatives to the use of physical devices including how these alternatives are planned developed and implemented (ie one way-gliders assist to prevent residents from sliding as does the tilt mechanism on many wheelchairs)

3 That the need for the restraint is clearly documented in the resident plan of care

4 Staff applies the physical device only in accordance with any manufacturerrsquos instructions and the instructions of the Attending Physician

5 Staff ensures that the physical device is well maintained

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 21

6 Staff ensures that the physical device is not altered except for routine adjustments in accordance with any manufacturerrsquos instructions

7 Registered staff and PSW staff monitor the resident while restrained at least every hour

8 Staff ensures that the resident is released from the physical device and repositioned at least once every two hours (this requirement does not apply when bed rails are being used if the resident is able to reposition himself or herself)

9 Staff ensures that the resident is released and repositioned any other time when necessary based on the residentrsquos condition or circumstances

10 The residentrsquos condition is reassessed and the effectiveness of the restraining is evaluated by the Registered Nurse every eight hours and at any other time when necessary based on the residentrsquos condition or circumstances

11 Upon removal of a physical device post-restraining care is provided to ensure the safety and comfort of the resident

Copernicus Lodge also reserves the right to restrain a resident by physical means when immediate action is necessary to prevent serious bodily harm to the resident or to others In the event such action is required

1 The resident is monitored or supervised on an ongoing basis and released from the physical device and repositioned when necessary based on the residentrsquos condition or circumstances

2 Ongoing assessment of the residentrsquos condition is reassessed by the registered nursing staff

3 The restraint is discontinued when the immediate action is no longer necessary

4 When the application of a physical restraint is required for to prevent serious injury to a resident or others the reason for the use of the physical device will be explained to the resident or the residentrsquos substitute decision maker where the resident is incapable

Environmental Restraints Dementia Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentrsquos plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

Evaluation Through our continuous quality improvement efforts Copernicus Lodge annually evaluates the effectiveness of our restraint policy and identifies what changes and improvements are required

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 22

to minimize restraining and to ensure that any restraining that is necessary is done in accordance with legislative requirements Any changes or improvements are to be promptly implemented

Although there will always be residents who require or feel more secure with restraints we hope that everyone will work with us to try to keep our home as RESTRAINT FREE AS POSSIBLE

To receive a copy of the full restraint policy please feel free to speak to our Director of Care at 416-536-7122 ext 240

Copernicus Lodgersquos Resident Abuse and Neglect Policy Copernicus Lodge promotes in its standards and practices the philosophy of care that all residents are treated with dignity respect and courtesy The Lodge views most seriously any type of abuse or neglect of a resident by any staff volunteer family substitute decision-maker visitor or any other persons who enter the premises at Copernicus Lodge

Definitions of Abuse

Copernicus Lodge defines ldquoabuserdquo (in accordance with our policy and subsection 2 (1) of the Long Term Care Homes Act) as the following

Emotional Abuse

(a) any threatening insulting intimidating or humiliating gestures actions behaviour or remarks including imposed social isolation shunning ignoring lack of acknowledgement or infantilization that are performed by anyone other than a resident or

(b) any threatening or intimidating gestures actions behaviour or remarks by a resident that causes alarm or fear to another resident where the resident performing the gestures actions behaviour or remarks understands and appreciates their consequences

Financial Abuse

(a) any misappropriation or misuse of a residentrsquos money or property

Physical Abuse

(a) the use of physical force by anyone other than a resident that causes physical injury or pain

(b) administering or withholding a drug for an inappropriate purpose or

(c) the use of physical force by a resident that causes physical injury to another resident

(Note Physical Abuse does not include the use of force that is appropriate to the provision of care or assisting a resident with activities of daily living unless the force used is excessive in the circumstance)

Sexual Abuse

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 23

(a) subject to subsection (3) any consensual or non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation that is directed towards a resident by a licensee or staff member or

(b) any non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation directed towards a resident by a person other than a licensee or staff member

(Note Sexual Abuse does not include

(a) touching behaviour or remarks of a clinical nature that are appropriate to the provision of care or assisting a resident with activities of daily living or

(b) consensual touching behaviour or remarks of a sexual nature between a resident and a licensee or staff member that is in the course of a sexual relationship that began before the resident was admitted to the long-term care home or before the licensee or staff member became a licensee or staff member)

Verbal Abuse

(a) any form of verbal communication of a threatening or intimidating nature or any form of verbal communication of a belittling or degrading nature which diminishes a residentrsquos sense of well-being dignity or self-worth that is made by anyone other than a resident or

(b) any form of verbal communication of a threatening or intimidating nature made by a resident that leads another resident to fear for his or her safety where the resident making the communication understands and appreciates its consequences

Neglect

(a) the failure to provide a resident with the treatment care services or assistance required for health safety or well-being and includes inaction or a pattern of inaction that jeopardizes the health safety or well-being of one or more residents

Copernicus Lodgersquos established Resident Abuse Policy and Procedure encompasses

A Definitions of what constitutes Resident Abuse and Neglect

B A Resident Abuse Incident Reporting System

C A Resident Abuse Incident Investigation System

D Support for the person abused

E EducationTraining that supports prevention of resident abuse and neglect and

F Evaluation of our 0 tolerance program

Copernicus Lodge maintains a Zero Tolerance for any type of abuse of a resident family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 10: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 9

Any family members who wish to join the Family Council please contact the Copernicus Lodge Resident Advocate Meetings are quarterly in the Boardroom on the Main floor

MANDATORY AND IMMEDIATE REPORTING TO THE DIRECTOR

OF THE MINISTRY OF HEALTH

1 Copernicus Lodge immediately investigates responds and acts on every alleged suspected or witnessed incident of abuse and or neglect of a resident by anyone that Copernicus Lodge knows of or that is reported to Copernicus Lodge Chief Executive Officer (CEO) andor Director of Care (DOC) will refer to the Resident Abuse amp Neglect Decision Trees as provided by the Ministry of Health Long Term Care when assessing the allegation to determine reporting requirements to the Ministry as required by the LTCH Act

When reporting to the Director the report will include the results of every investigation and every action taken to such incidents

Reporting to the Director Copernicus Lodge or any other person who has reasonable grounds to suspect that any of the following has occurred or may occur will immediately report the suspicion and the information upon which it is based to the Director

1 Improper or incompetent treatment or care of a resident that resulted in harm or a risk of harm to the resident

2 Abuse of a resident by anyone or neglect of a resident by Copernicus Lodge or staff that resulted in harm or a risk of harm to the resident

3 Unlawful conduct that resulted in harm or a risk of harm to a resident

4 Misuse or misappropriation of a residentrsquos money

5 Misuse or misappropriation of funding provided to Copernicus Lodge under the Long Term Care Homes Act or the Local Health System Integration Act 2006

False information Any person reporting information to the Director they know to be false will be guilty of an offence

Exceptions for residents A resident may make a report but is not required to and the issue in regards to reporting

false information as an offence does not apply to residents who are incapable

Duty on practitioners and others Even if the information on which a report may be based is confidential or privileged no

action or other proceeding for making the report shall be commenced against a person (ie Physician Social Worker Pharmacist etc) who acts in accordance with reporting unless that person acts maliciously or without reasonable grounds for the suspicion

Offence of failure to report Copernicus Lodge Copernicus Lodge staff any person who provides professional

services to our residents in the areas of health social work or social services work and any person who provides professional services to Copernicus Lodge in the areas of health social work or social services work would be guilty of an offence if they fail to make a report under this policy

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 10

Offences re suppressing reports Every person who coerces or intimidates a person not to make a report andor

discourages a person from making a report andor authorizes permits or concurs in a contravention of the duty to make a report is guilty of an offence

All Mandatory reports are made to

Director Performance Improvement and Compliance Branch Ministry of Health and Long-Term Care

1075 Bay Street 11th

Floor Toronto ON M5S 2B1 1-866-434-0144

COPERNICUS LODGE COMPLAINT PROCEDURE

It is the policy of Copernicus Lodge that the following steps are taken when raising concerns lodging complaints or recommending changes

STEP 1 Speak directly to the staff member involved If you are not satisfied with their response or the issue is not resolved move on to step 2

STEP 2 Speak to the Manager of the Department involved If you are not satisfied with their response move on to step 3

STEP 3 Speak to the Chief Executive Officer If you are still not satisfied with the response given move on to step 4

STEP 4 Submit your complaintconcern in writing to the Board of Directors If you are still not satisfied with the response given move on to step 5

STEP 5 For issues related to long-term care contact

THE MINISTRY OF HEALTH LONG TERM CARE ACTION LINE

Quality care matters If you want more information have a concern or want to register a complaint about a

Long-Term Care Facility call this toll-free number

1-866-434-0144 Available 7 days a week 830AM ndash 700PM

OR Send a written letter by mail to the responsible Director at

The Ministry of Long Term care at the following address Director Performance Improvement and Compliance Branch

Ministry of Health and Long-Term Care 1075 Bay Street 11

th Floor

Toronto ON M5S 2B1

You will receive a letter or phone call to let you know that the ministry has received your complaint

The Director will refer your complaint to an inspector who will look into your matter

Please Note You may obtain a complete up to date listing of all Departments Names of Managers and their contact information in the clear folder attached to the Long Term Care Resident Family Board located on the main floor hallway

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 11

Privacy of Resident Health Information Copernicus Lodge exists to provide you with a broad variety of care services To meet your needs and serve you well Copernicus Lodge needs to know personal information about you You as an individual have a right to know how we collect use and disclose personal information You have a right to expect that to the best of our ability your personal information held by us remains accurate confidential and secure Copernicus Lodge is proud of its commitment to maintaining the confidentiality and security of personal information and weve provided this write-up to explain how we protect the privacy of individual residents information in Copernicus Lodge Copernicus Lodgersquos privacy policies comply with the Personal Health Information Protection Act (PHIPA) It is important that a trust relationship be established between you and Copernicus Lodge To this end we are pleased to share information with you The more you know about us the more confident you can feel about receiving our services Similarly the more we know about you the better we can serve you Copernicus Lodge collects and uses information about you for the following purposes only

To make decisions about the types services you need

To serve as a means to communicate with service providers

To monitor the provision of services and evaluate your response to services provided

As a legal document made in the normal course of business

To serve as a record of services provided

As proof of what was done by whom and when during a residents encounter with a provider

To be used as evidence against or for the organizations the service providers or the resident

To verify our accountability

For strategic planning decision making allocating of resources and

To meet legal and regulatory requirements

Consent Because it is important that we keep your trust we will only ask for information which we need and when we ask you for information well let you know why we need it To the best of our ability we will seek your consent to verify and supplement information collected from external sources such as Community Care Access Centerrsquos (CCAC) Physicians Social Services the Local Health Integrated Networks (LHINS) the Ministry of Health and Long Term Care (MOHLTC) and other community service providers for whom you may need service from Subject to legal or contractual requirements you can refuse to consent to our collection use or disclosure of information at any time provided the consent does not relate to certain information required for care provisions such as disclosure of information to the LHIN or MOHLTC If you refuse or withdraw your consent to the collection use or disclosure of information about you we may not be able to continue to provide you with some services you require With your consent and where laws allow this we may share your information with other service providers such as a hospital pharmacy medical specialist social worker and others who provide community services If you do not want to be contacted by these other service providers we will withhold information from them Disclosure means providing specific information about you from our records to a third party Depending on your consent disclosure can happen over the telephone by fax by computer andor be electronic data sharing Under normal circumstance we wont collect use or disclose your personal information without your consent The only exceptions to this rule are when the disclosure is permitted by law or when it is impossible or impractical to

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 12

get your consent Some examples of situations where we will not seek your consent for disclosure are

For emergency or life threatening events

Where there is legal obligation to disclose under a court or government order for instance to police

Where personal information is given to our agents and service providers for services such as laboratory and pharmacy services and

Where personal information must be given to insurers in connection with insurance services

Reviewing amp Making Corrections Except as outlined below a record is kept each time personal information is disclosed noting the nature of the disclosure that was made Individual records of disclosure are not maintained for regular and routine actions such as prescriptions sent to the pharmacy We attempt to ensure that the information we hold about you is accurate complete and up-to-date If there are changes to your information eg a new Substitute Decision Maker (SDM) has been named please notify us immediately If you believe that information in your records may be inaccurate we make it easy for you to access verify and update it If information has been provided to third parties we will convey the corrected information to them if necessary If we do not agree to change your personal information you may challenge our decision We will make a record of this challenge and if necessary disclose the challenge to third parties who also process your information To review your personal information simply ask a staff person for assistance The staff person will provide you with instructions about accessing your information There may be a charge for retrieving your information in which case you will be notified in advance and may if you like withdraw your consent You may also challenge the reasonableness of the charge Access to information may be more meaningful to you if such access is provided in the presence of a service provider who can explain terminology and the organizations policies We encourage you to invite a care provider from Copernicus Lodge to assist you in your review of your personal information Sometimes a staff person will not provide you with information about you that is within its control This can occur if your right of access is constrained pursuant to the provisions of PHIPA For example the staff person will not provide you with personal information if

It would reveal personal information about another party and your personal information cannot be separated

The information is subject to solicitor-client or litigation privilege andor if

The information is used for the detection and prevention of a criminal activity and dealings in the proceeds of crime

If a staff person refuses your request for access to personal information you will be told why unless prohibited by law You may challenge the decision Once you have the information all you have to do is check for its accuracy and let us know if there are any corrections required We will correct our records or make a note of differences If information has been provided to third parties we will convey the corrected information or note any differences to them if necessary

Complaints amp Responsibility Ultimately Department Managers and Supervisors are responsible for protecting resident information They delegate day-to-day responsibilities to others such as privacy officers within Copernicus Lodge Every staff person must take responsibility for protecting resident privacy confidentiality and security Our suppliers sign contracts that oblige them to contractually adhere to our privacy practices thus protecting the information of residents when in the possession of third parties These suppliers or third party

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 13

include lab pharmacy physicians etc There are controls over the use of computers electronic data sharing paper documents faxing activities access to personal information If you or your family has concerns or questions about the management of personal information in Copernicus Lodge or about our compliance with privacy codes and laws we invite you to direct your questions and concerns to a staff person who is providing service to you If that person is unable to effectively respond to your questions and concerns we encourage you to contact our Privacy Officer

Tracy Kamino Chief Executive Officer 416-536-7122 extension 238

Fax 416-536-8242

We trust that we will be able to resolve any issues that you have regarding the protection of personal information If our Privacy Officer Tracy Kamino is unable to satisfy your inquiries you may contact the Office of the Privacy Commissioner of Ontario

Information and Privacy Commissioner of Ontario 2 Bloor Street West Suite 1400 Toronto Ontario M4W 1A8

Tel 1-416-326-3333 or Toll Free 1-800-387-0073

LONG TERM CARE ACCOMMODATION

All rooms are furnished with bull an electric hospital bed (regular or adjustable head and foot ) and pillows bull comfortable mattress with waterproof cover bull adjustable bed rails (if required) bull loungeguest chair bull night tablelamp bull laundry basket bull garbage can

The residentrsquos name is posted outside their room Memory boxes at eye level personalize and cue residents to their room All rooms are heated and water tempered with connections for telephone and cable TV Common areas are air-conditioned All windows can open but only 4 inches wide at all times (as per legal requirements) Residentsfamiliesvolunteers are not allowed to tamper with the window locking mechanisms You may bring a radio TV andor pictures Only certain electrical appliances as discussed and permitted by the Director of Care are allowed Bar fridges are not permitted in the home unless identified for medical reasons only and under the approval of the Director of Care Call bells must meet CSA Standards and are located at the bedside in the washrooms and lounge areas Press to call for assistance Cleaning services are provided weekly or more often if necessary Additional furniture may be brought in after consulting with the Director of Care Balcony Balcony doors must be locked at all times unless residents are supervised by staff or families (or resident is competent to be there alone) Families and residents using this space are told before allowing access to ensure they close the door after themselves and ensure it is locked

Accommodation Rates

Copernicus Lodge has different classes of accommodation that have different rates The

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 14

Ministry of Health and Long-Term Care (the ldquoMinistryrdquo) sets these rates The Long Term Care Homes Act requires residents to pay homes the rate that is set for his or her class of accommodation The Ministry adjusts accommodation rates from time to time These adjustments will result in changes to the Accommodation Fees Copernicus Lodge will provide the Resident with thirty (30) days written notice in advance of any increase in Accommodation Fees The notice will include the amount of the increase and the current Accommodation Fees that the Resident must pay

A Resident who is absent from Copernicus Lodge must continue to pay Accommodation Fees for each day of his or her absence The term ldquoabsencerdquo includes a casual or vacation absence and also an absence for medical or psychiatric care or assessment

RATES ndash from September 1 2014

A Basic Accommodation (Shared washroom)

From $ 123865 per month to $ 173162 per month

Persons applying for Basic Accommodation must submit a Notice of Assessment for the current year from Canada Customs and Revenue Agency CCRA (formerly Revenue Canada) to the Accounting Department A rate reduction form will be completed and must be signed If the income is below the threshold set by the Ministry of Health then the resident will receive a rate reduction Please contact the Accountant at 416-536-71122 ext 258

B Preferred Accommodation Private $ 243881 per month (Own room with ensuite washroom)

SHORT STAY RESPITE ACCOMMODATION

Copernicus Lodge offers Short Stay Respite Care Applications are filed and processed through the Community Care Access Centre

RATES $ 3685 per day A maximum of 90 days in a calendar year is allowed (60 days consecutive)

NOTE Rates are subject to change on notification by the Ministry of Health

List of Goods and Services included with Accommodation

The following list provides information about the goods and services included in basic or

preferred accommodation

1 Nursing and personal care on a 24-hour basis the administration of medications and assistance with activities of daily living

2 Medical care and restorative care is available in the home 3 Certain medical supplies and nursing equipment that are necessary for the care of the

resident 4 Supplies and equipment for personal hygiene and grooming 5 Certain equipment for the short-term use of the resident

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 15

6 Meal and snack service (three meals daily snacks between meals and at bedtime) special and therapeutic diets dietary supplements and devices to promote independence with eating

7 Social recreational spiritual and physical activities and programs 8 Laundry including labelling 9 Bedroom furnishings bedding and linen 10 Cleaning and upkeep of accommodations 11 Maintenance of a trust account on the residentrsquos behalf 12 Information package for residents 13 Prescription pharmaceutical preparations listed in the Ontario Drug Benefit Formulary

(the government requires residents to pay a small co-payment) 14 Special preparations or medical devices that may be obtained from the Ontario Drug

Benefit Program as interim non-formulary benefits 15 Insured devices equipment supplies and services that are available to the resident

through certain programs such as the Ontario Assistive Devices Program (the government covers part of this cost and residents must pay the rest)

16 Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon request

Note The Resident (or Power of Attorney for Property Guardian Trustee on behalf of the Resident) may purchase additional goods and services from the Home or 3

rd Party Suppliers

under a separate agreement ACCOUNTING BILLING BANKING

Hours Monday 130 pm - 400 pm Wednesday 900 am - 1230 pm Last Friday of the month 900 am - 1200 noon Closed - Tuesday Thursday and Friday (except last) Other times are by appointment please call ext 258 There is a slot located on the Accounting Office door for dropping off paymentsinformation after hours

ON SITE BANKING St Stanislaus St Casimirrsquos Credit Union attends in Room G 30 every Wednesday from 930 am to 1230 pm amp 100 pm to 200 pm and the last Friday of the month from 930 am to 1230 pm amp 100 pm to 200 pm for persons wishing to do regular banking transactions

Trust Accounts may be opened in Copernicus Lodge as requested Copernicus Lodge maintains a non interest bearing account on behalf of the resident There is no charge for this service Please contact the Accountant at ext 258 between 700 am and 300 pm

Comfort Allowance - is available to persons in Basic Accommodation rooms only There is no Comfort Allowance for persons in Preferred Accommodation Monies owing to the residentlawfully authorized substitute are returned one month after discharge Copernicus Lodge does not require a resident to pay a penalty in lieu of a specific notice period prior to discharge

MEDICAL SERVICES

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 16

Medical Director Copernicus Lodge shall ensure that it has a Medical Director The Medical Director shall be a physician The Medical Director

advises Copernicus Lodge long term care on matters relating to medical care

consults with the Director of Care and other health professionals working in Copernicus Lodge

performs any other duties provided for in the regulations 2007 c 72 (3)

Attending Physicians All residents have the option to choose their own Attending Physician outside of those physicians currently servicing Copernicus Lodge provided that heshe agrees to attend the resident at the home on a weekly basis and abide by Copernicus Lodge policies and procedures Attending Physicians must sign a contract with Copernicus Lodge

1 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario 2 All Attending Physicians are appointed by the Chief Executive Officer on the advice of the Medical Director 3 Attending Physicians are accountable to the Medical Director for meeting the homes policies and standards of medical care 4 Attending Physicians assess plan implement and evaluate their residents medical care and participate in a multi-disciplinary approach to care 5 Attending Physicians document on the resident health record on each visit to maintain continuity and ongoing evaluation 6 Attending Physicians arrange for 24-hour medical coverage for residents for whom they provide medical care 7 All medical care and services provided by Physicians in Long-Term Care homes are subject to peer assessment by the College of Physicians and Surgeons of Ontario on a random basis according to College procedures 8 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario

Residents and family members should be aware that the primary contact for medical care or medical concerns is the Registered Nursing staff Attending Physicians do not have offices within the home and are not in the facility each day Attending Physicians complete regular visits to their residents and on an as needed basis Attending Physicians do not normally contact family members to provide updates on the residentrsquos condition Residents and family members are always welcome to contact the Attending Physician at their private practice The office number can be obtained from the Registered Nursing staff Due to privacy issues Registered Nursing staff will only provide general health information about a resident to the Power of Attorney for Care (POA) Information about or changes to a residentrsquos medical diagnosis is given by the Attending Physician and not the Registered Nursing Staff Psychogeriatrician

Dr Colman Nefsky (MD Psychogeriatrician) We are very pleased to have the support of our consulting Psychogeriatrician from St Josephrsquos Health Center Dr Colman Nefsky Dr Nefsky visits and completes rounds on a monthly basis

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 17

for those residents who have been referred to him Dr Nefsky provides consultations to individuals who are suffering with psychological or behavioural issues and provides treatment options to the nursing and medical staff in the home Mary Boudart RN ndash St Josephrsquos Health Center Geriatric Mental Health Outreach Team Nurse (GMHOT) Mary Boudart works in collaboration with Dr Nefsky and completes weekly rounds for any resident who has been referred to her Care Conferences An organized documented interdisciplinary care conference lasting 30 minutes in duration is held with each resident andor substitute decision maker (POA for care) if you are able and wish to attend within six (6) weeks following admission to Copernicus Lodge and annually thereafter Care Conferences are held in order to discuss review and further develop the residents plan of care and address any other matters of importance to the resident and hisher substitute decision-maker (if any) The resident the substitute decision maker if any and any person that either of you may direct are given an opportunity to participate fully in the care conference

Special Care Conferences may be held anytime at the request of the family resident or interdisciplinary team if a residents condition or any other situation arises which affects the residents status Care conferences are held in either the activity room or the conference room (behind the nursing station) located on the residents home areafloorunit If the family substitute decision maker is unable to attend in person the option of a teleconference (over the telephone meeting) is available as an option to being there in person The conference may also be held at the bedside of a bedridden resident as requested by the resident andor substitute decision maker Residents and family are reminded not to wait for this annual meeting to express any concerns or issues you have Express concerns at the time they occur directly with any one of the interdisciplinary team as it relates to any department or inform the Charge Nurse who can redirect them as appropriate

Note Care Conferences do not apply to those residents residing in short-stay beds

NURSING

Nursing care and personal care is provided on a 24-hour basis This includes care given by or under the supervision of a Registered Nurse or a Registered Practical Nurse All Registered Nursing staff is licensed by the College of Nurses of Ontario Assistance with activities of daily living (personal care) is provided by Personal Support Workers (PSWrsquos) Daily medication is administered by the Registered Nursing staff Newly admitted residents must give all of their medication from home or hospital to the Registered Nurse on duty on the day of admission A picture is taken of all new residents on the day of admission and posted on their Medication Administration Record (MAR) and in the residents chart This is done to prevent medication and treatment errors Nursing and personal care is completed through an individualized personal care approach Nursing staff complete ongoing assessments and care plans which detail each residentrsquos individual care needs

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 18

Nursing staff can be reached by pressing the call-bells for assistance These are located in the resident bedroom bathrooms and lounge areas Call bells are responded to as quickly as possible

Pharmacy Copernicus Lodge utilizes a local pharmacy for all of its medicationpharmaceutical requirements At no time should residents or families bring in medications not approved by the medical nursing staff Medications are not to be left in resident rooms IMPORTANT All medications must be left with the Registered Nursing staff on duty

Medical supplies and nursing equipment

Medical supplies and nursing equipment necessary for the care of residents is provided by the home including supplies for the prevention or care of skin disorders continence care products infection control and sterile procedures

Medical devices such as catheters colostomy and ileostomy devices

Supplies and equipment for personal hygiene and grooming including skin care lotions and powders shampoos soap deodorant toothpaste toothbrushes denture cups and cleansers toilet tissue facial tissue hair brushes combs razorsshavers shaving cream feminine hygiene and incontinence products

Equipment for the general use of residents such as toilet aids and other self-help aids for the activities of daily living

Equipment for the general use of residents including wheelchairs geriatric chairs canes walkers are provided for short term use only (maximum 3 ndash 4 weeks) Should a resident require equipment for longer than 3-4 weeks the residentfamilysubstitute decision maker will be required to purchasecover all costs for such items Prescription pharmaceutical preparations listed in the Drug Benefit Formulary

bull Special preparations or medical devices which may be obtained from the Ontario Drug Benefit Program as interim non-formulary benefits

bull Insured devices equipment supplies and services available to residents through other programs such as the Home Care Program and Assistive Devices Program (ADP) ACHIEVA HEALTH provides ADP Seating and Mobility Assessments at NO COST to the Residents at Copernicus Lodge

bull Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon requisition If you have any questions or concerns regarding the nursing care or service please speak to the Charge Nurse

TAG SYSTEM

PURPOSE TO IDENTIFY RESIDENTS WITH BEHAVIOURAL ISSUES AND DIETARY RESTRICTIONS AS PART OF FALLS PREVENTION PROGRAM

As part of the Falls Prevention Program cards are mounted onto the residentrsquos mobility aids (where applicable) identifying that

a resident is at risk for falls

these cards are COLOUR-CODED to match the residents current behavioural risk level (ie Green Yellow or Pink as detailed in Section D)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 19

cards have a picture of food that is crossed out to identify that residents have a dietary restriction

On a quarterly basis or more often as necessary based on changes to a residentrsquos falls risk or behavioural risk level it is the responsibility of the RN RPN on each unit to review these cards and change them in order to correspond with the residentrsquos current condition

If the Dietician notes that there are changes to a residents swallowing meal consistency etc which warrant dietary restrictions it is the responsibility of the Dietician Manager of Dietary Services or Food Services Supervisor to change these cards on the residents mobility aid

There are 4 types of cards These are

I Colour-coded cards with only the residents unit identified ndash these individuals are not at risk for falls and do not have dietary restrictions however staff can clearly identify the residents behavioural risk level

II Colour-coded cards with the residents unit and Falls Symbol ndash this identifies that a resident is at risk for falls and also identifies the residents behavioural risk level

III Colour-coded cards with residents unit Falls symbol and Dietary Restriction symbol ndash this identifies that the resident is at risk for falls and has dietary restrictions as well as the residents behavioural risk level

IV Colour-coded cards with residents unit and Dietary Restriction Symbol ndash this identifies that a resident has dietary restrictions to be aware of as well as the residents behavioural risk level

Prevention of Needlestick Injuries

Copernicus Lodge thrives to maintain the health and safety of all residents staff and visitors to our home Needlestick Injury Prevention is a serious concern for the employees of our home In order to take a proactive approach regarding the prevention of needlestick injuries we would like to outline some important information for you ALL NEW ADMISSIONS TO LONG TERM CARE

1 Please note that when residents move into our Long Term Care Home that the nursing staff will take on the responsibility of completing diabetic glucose testing along with insulin injections Residents are NOT to self test themselves if they are diabetic This practice allows the nursing staff to safely dispose the needles as required into the Yellow Disposable Needle Containers - in every circumstance

2 We would kindly ask that families POArsquos please take any glucometer testing units syringes home Please do not leave any of these items in the residents room or by the bedside

FAMILIES AND VISITORS If any family member or visitor must test themselves while at Copernicus Lodge please ensure that you speak with the nursing staff RN RPN on the unit so that you can safely discard any needles used into one of the Yellow Disposable Needle Containers available on the Resident Home Area units

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 20

RESTRAINT USE AT COPERNICUS LODGE Copernicus Lodge uses the Least Restraint practice which means that the least restrictive measure is used for the shortest duration possible This allows for the maximum freedom of movement andor residentrsquos control The types of restraints currently used within Copernicus Lodge are as follows

a) Chemical Restraints - a pharmaceutical agent given with the specific purpose of inhibiting or controlling behaviour or movement

b) Physical RestraintsDevices - any appliance device apparatus or equipment attached or adjacent to a residents body that the individual cannot remove easily and which restricts movement The Physical Restraints currently used at Copernicus Lodge are Lapbelts Seatbelts Table Tops and Full Bedrails (both up at the same time)

c) Environmental Restraints - A barrier to free personal movement which serves to confine a resident to a specific geographic area (ie 2 North Special Care Unit which has a wanderguard alarm installed for residents with exit-seeking behaviours)

Note Under no circumstances can two restraints be applied at the same time (for example a lap tray cannot be used at the same time as a seatbelt)

The following devices are Prohibited and NOT permitted to be used in Copernicus Lodge

1 Roller bars on wheelchairs and commodes or toilets

2 Vest or jacket restraints

3 Any device with locks that can only be released by a separate device such as a key or magnet

4 Four point extremity restraints

5 Any device used to restrain a resident to a commode or toilet

6 Any device that cannot be immediately released by staff

7 Sheets wraps tensors or other types of strips or bandages used other than for a therapeutic purpose

Copernicus Lodgersquos Restraint Policy involves an interdisciplinary approach to restraint use and we document all steps of the restraining process

Our Restraint Policy includes the following requirements

1 Staff only applies a physical device that has been ordered and approved by the Attending Physician and where there is a signed consent by the resident (if competent) andor Substitute Decision Maker and an understanding of the reason for the use of the device

2 Staff consider alternatives to the use of physical devices including how these alternatives are planned developed and implemented (ie one way-gliders assist to prevent residents from sliding as does the tilt mechanism on many wheelchairs)

3 That the need for the restraint is clearly documented in the resident plan of care

4 Staff applies the physical device only in accordance with any manufacturerrsquos instructions and the instructions of the Attending Physician

5 Staff ensures that the physical device is well maintained

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 21

6 Staff ensures that the physical device is not altered except for routine adjustments in accordance with any manufacturerrsquos instructions

7 Registered staff and PSW staff monitor the resident while restrained at least every hour

8 Staff ensures that the resident is released from the physical device and repositioned at least once every two hours (this requirement does not apply when bed rails are being used if the resident is able to reposition himself or herself)

9 Staff ensures that the resident is released and repositioned any other time when necessary based on the residentrsquos condition or circumstances

10 The residentrsquos condition is reassessed and the effectiveness of the restraining is evaluated by the Registered Nurse every eight hours and at any other time when necessary based on the residentrsquos condition or circumstances

11 Upon removal of a physical device post-restraining care is provided to ensure the safety and comfort of the resident

Copernicus Lodge also reserves the right to restrain a resident by physical means when immediate action is necessary to prevent serious bodily harm to the resident or to others In the event such action is required

1 The resident is monitored or supervised on an ongoing basis and released from the physical device and repositioned when necessary based on the residentrsquos condition or circumstances

2 Ongoing assessment of the residentrsquos condition is reassessed by the registered nursing staff

3 The restraint is discontinued when the immediate action is no longer necessary

4 When the application of a physical restraint is required for to prevent serious injury to a resident or others the reason for the use of the physical device will be explained to the resident or the residentrsquos substitute decision maker where the resident is incapable

Environmental Restraints Dementia Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentrsquos plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

Evaluation Through our continuous quality improvement efforts Copernicus Lodge annually evaluates the effectiveness of our restraint policy and identifies what changes and improvements are required

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 22

to minimize restraining and to ensure that any restraining that is necessary is done in accordance with legislative requirements Any changes or improvements are to be promptly implemented

Although there will always be residents who require or feel more secure with restraints we hope that everyone will work with us to try to keep our home as RESTRAINT FREE AS POSSIBLE

To receive a copy of the full restraint policy please feel free to speak to our Director of Care at 416-536-7122 ext 240

Copernicus Lodgersquos Resident Abuse and Neglect Policy Copernicus Lodge promotes in its standards and practices the philosophy of care that all residents are treated with dignity respect and courtesy The Lodge views most seriously any type of abuse or neglect of a resident by any staff volunteer family substitute decision-maker visitor or any other persons who enter the premises at Copernicus Lodge

Definitions of Abuse

Copernicus Lodge defines ldquoabuserdquo (in accordance with our policy and subsection 2 (1) of the Long Term Care Homes Act) as the following

Emotional Abuse

(a) any threatening insulting intimidating or humiliating gestures actions behaviour or remarks including imposed social isolation shunning ignoring lack of acknowledgement or infantilization that are performed by anyone other than a resident or

(b) any threatening or intimidating gestures actions behaviour or remarks by a resident that causes alarm or fear to another resident where the resident performing the gestures actions behaviour or remarks understands and appreciates their consequences

Financial Abuse

(a) any misappropriation or misuse of a residentrsquos money or property

Physical Abuse

(a) the use of physical force by anyone other than a resident that causes physical injury or pain

(b) administering or withholding a drug for an inappropriate purpose or

(c) the use of physical force by a resident that causes physical injury to another resident

(Note Physical Abuse does not include the use of force that is appropriate to the provision of care or assisting a resident with activities of daily living unless the force used is excessive in the circumstance)

Sexual Abuse

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 23

(a) subject to subsection (3) any consensual or non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation that is directed towards a resident by a licensee or staff member or

(b) any non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation directed towards a resident by a person other than a licensee or staff member

(Note Sexual Abuse does not include

(a) touching behaviour or remarks of a clinical nature that are appropriate to the provision of care or assisting a resident with activities of daily living or

(b) consensual touching behaviour or remarks of a sexual nature between a resident and a licensee or staff member that is in the course of a sexual relationship that began before the resident was admitted to the long-term care home or before the licensee or staff member became a licensee or staff member)

Verbal Abuse

(a) any form of verbal communication of a threatening or intimidating nature or any form of verbal communication of a belittling or degrading nature which diminishes a residentrsquos sense of well-being dignity or self-worth that is made by anyone other than a resident or

(b) any form of verbal communication of a threatening or intimidating nature made by a resident that leads another resident to fear for his or her safety where the resident making the communication understands and appreciates its consequences

Neglect

(a) the failure to provide a resident with the treatment care services or assistance required for health safety or well-being and includes inaction or a pattern of inaction that jeopardizes the health safety or well-being of one or more residents

Copernicus Lodgersquos established Resident Abuse Policy and Procedure encompasses

A Definitions of what constitutes Resident Abuse and Neglect

B A Resident Abuse Incident Reporting System

C A Resident Abuse Incident Investigation System

D Support for the person abused

E EducationTraining that supports prevention of resident abuse and neglect and

F Evaluation of our 0 tolerance program

Copernicus Lodge maintains a Zero Tolerance for any type of abuse of a resident family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 11: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 10

Offences re suppressing reports Every person who coerces or intimidates a person not to make a report andor

discourages a person from making a report andor authorizes permits or concurs in a contravention of the duty to make a report is guilty of an offence

All Mandatory reports are made to

Director Performance Improvement and Compliance Branch Ministry of Health and Long-Term Care

1075 Bay Street 11th

Floor Toronto ON M5S 2B1 1-866-434-0144

COPERNICUS LODGE COMPLAINT PROCEDURE

It is the policy of Copernicus Lodge that the following steps are taken when raising concerns lodging complaints or recommending changes

STEP 1 Speak directly to the staff member involved If you are not satisfied with their response or the issue is not resolved move on to step 2

STEP 2 Speak to the Manager of the Department involved If you are not satisfied with their response move on to step 3

STEP 3 Speak to the Chief Executive Officer If you are still not satisfied with the response given move on to step 4

STEP 4 Submit your complaintconcern in writing to the Board of Directors If you are still not satisfied with the response given move on to step 5

STEP 5 For issues related to long-term care contact

THE MINISTRY OF HEALTH LONG TERM CARE ACTION LINE

Quality care matters If you want more information have a concern or want to register a complaint about a

Long-Term Care Facility call this toll-free number

1-866-434-0144 Available 7 days a week 830AM ndash 700PM

OR Send a written letter by mail to the responsible Director at

The Ministry of Long Term care at the following address Director Performance Improvement and Compliance Branch

Ministry of Health and Long-Term Care 1075 Bay Street 11

th Floor

Toronto ON M5S 2B1

You will receive a letter or phone call to let you know that the ministry has received your complaint

The Director will refer your complaint to an inspector who will look into your matter

Please Note You may obtain a complete up to date listing of all Departments Names of Managers and their contact information in the clear folder attached to the Long Term Care Resident Family Board located on the main floor hallway

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 11

Privacy of Resident Health Information Copernicus Lodge exists to provide you with a broad variety of care services To meet your needs and serve you well Copernicus Lodge needs to know personal information about you You as an individual have a right to know how we collect use and disclose personal information You have a right to expect that to the best of our ability your personal information held by us remains accurate confidential and secure Copernicus Lodge is proud of its commitment to maintaining the confidentiality and security of personal information and weve provided this write-up to explain how we protect the privacy of individual residents information in Copernicus Lodge Copernicus Lodgersquos privacy policies comply with the Personal Health Information Protection Act (PHIPA) It is important that a trust relationship be established between you and Copernicus Lodge To this end we are pleased to share information with you The more you know about us the more confident you can feel about receiving our services Similarly the more we know about you the better we can serve you Copernicus Lodge collects and uses information about you for the following purposes only

To make decisions about the types services you need

To serve as a means to communicate with service providers

To monitor the provision of services and evaluate your response to services provided

As a legal document made in the normal course of business

To serve as a record of services provided

As proof of what was done by whom and when during a residents encounter with a provider

To be used as evidence against or for the organizations the service providers or the resident

To verify our accountability

For strategic planning decision making allocating of resources and

To meet legal and regulatory requirements

Consent Because it is important that we keep your trust we will only ask for information which we need and when we ask you for information well let you know why we need it To the best of our ability we will seek your consent to verify and supplement information collected from external sources such as Community Care Access Centerrsquos (CCAC) Physicians Social Services the Local Health Integrated Networks (LHINS) the Ministry of Health and Long Term Care (MOHLTC) and other community service providers for whom you may need service from Subject to legal or contractual requirements you can refuse to consent to our collection use or disclosure of information at any time provided the consent does not relate to certain information required for care provisions such as disclosure of information to the LHIN or MOHLTC If you refuse or withdraw your consent to the collection use or disclosure of information about you we may not be able to continue to provide you with some services you require With your consent and where laws allow this we may share your information with other service providers such as a hospital pharmacy medical specialist social worker and others who provide community services If you do not want to be contacted by these other service providers we will withhold information from them Disclosure means providing specific information about you from our records to a third party Depending on your consent disclosure can happen over the telephone by fax by computer andor be electronic data sharing Under normal circumstance we wont collect use or disclose your personal information without your consent The only exceptions to this rule are when the disclosure is permitted by law or when it is impossible or impractical to

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 12

get your consent Some examples of situations where we will not seek your consent for disclosure are

For emergency or life threatening events

Where there is legal obligation to disclose under a court or government order for instance to police

Where personal information is given to our agents and service providers for services such as laboratory and pharmacy services and

Where personal information must be given to insurers in connection with insurance services

Reviewing amp Making Corrections Except as outlined below a record is kept each time personal information is disclosed noting the nature of the disclosure that was made Individual records of disclosure are not maintained for regular and routine actions such as prescriptions sent to the pharmacy We attempt to ensure that the information we hold about you is accurate complete and up-to-date If there are changes to your information eg a new Substitute Decision Maker (SDM) has been named please notify us immediately If you believe that information in your records may be inaccurate we make it easy for you to access verify and update it If information has been provided to third parties we will convey the corrected information to them if necessary If we do not agree to change your personal information you may challenge our decision We will make a record of this challenge and if necessary disclose the challenge to third parties who also process your information To review your personal information simply ask a staff person for assistance The staff person will provide you with instructions about accessing your information There may be a charge for retrieving your information in which case you will be notified in advance and may if you like withdraw your consent You may also challenge the reasonableness of the charge Access to information may be more meaningful to you if such access is provided in the presence of a service provider who can explain terminology and the organizations policies We encourage you to invite a care provider from Copernicus Lodge to assist you in your review of your personal information Sometimes a staff person will not provide you with information about you that is within its control This can occur if your right of access is constrained pursuant to the provisions of PHIPA For example the staff person will not provide you with personal information if

It would reveal personal information about another party and your personal information cannot be separated

The information is subject to solicitor-client or litigation privilege andor if

The information is used for the detection and prevention of a criminal activity and dealings in the proceeds of crime

If a staff person refuses your request for access to personal information you will be told why unless prohibited by law You may challenge the decision Once you have the information all you have to do is check for its accuracy and let us know if there are any corrections required We will correct our records or make a note of differences If information has been provided to third parties we will convey the corrected information or note any differences to them if necessary

Complaints amp Responsibility Ultimately Department Managers and Supervisors are responsible for protecting resident information They delegate day-to-day responsibilities to others such as privacy officers within Copernicus Lodge Every staff person must take responsibility for protecting resident privacy confidentiality and security Our suppliers sign contracts that oblige them to contractually adhere to our privacy practices thus protecting the information of residents when in the possession of third parties These suppliers or third party

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 13

include lab pharmacy physicians etc There are controls over the use of computers electronic data sharing paper documents faxing activities access to personal information If you or your family has concerns or questions about the management of personal information in Copernicus Lodge or about our compliance with privacy codes and laws we invite you to direct your questions and concerns to a staff person who is providing service to you If that person is unable to effectively respond to your questions and concerns we encourage you to contact our Privacy Officer

Tracy Kamino Chief Executive Officer 416-536-7122 extension 238

Fax 416-536-8242

We trust that we will be able to resolve any issues that you have regarding the protection of personal information If our Privacy Officer Tracy Kamino is unable to satisfy your inquiries you may contact the Office of the Privacy Commissioner of Ontario

Information and Privacy Commissioner of Ontario 2 Bloor Street West Suite 1400 Toronto Ontario M4W 1A8

Tel 1-416-326-3333 or Toll Free 1-800-387-0073

LONG TERM CARE ACCOMMODATION

All rooms are furnished with bull an electric hospital bed (regular or adjustable head and foot ) and pillows bull comfortable mattress with waterproof cover bull adjustable bed rails (if required) bull loungeguest chair bull night tablelamp bull laundry basket bull garbage can

The residentrsquos name is posted outside their room Memory boxes at eye level personalize and cue residents to their room All rooms are heated and water tempered with connections for telephone and cable TV Common areas are air-conditioned All windows can open but only 4 inches wide at all times (as per legal requirements) Residentsfamiliesvolunteers are not allowed to tamper with the window locking mechanisms You may bring a radio TV andor pictures Only certain electrical appliances as discussed and permitted by the Director of Care are allowed Bar fridges are not permitted in the home unless identified for medical reasons only and under the approval of the Director of Care Call bells must meet CSA Standards and are located at the bedside in the washrooms and lounge areas Press to call for assistance Cleaning services are provided weekly or more often if necessary Additional furniture may be brought in after consulting with the Director of Care Balcony Balcony doors must be locked at all times unless residents are supervised by staff or families (or resident is competent to be there alone) Families and residents using this space are told before allowing access to ensure they close the door after themselves and ensure it is locked

Accommodation Rates

Copernicus Lodge has different classes of accommodation that have different rates The

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 14

Ministry of Health and Long-Term Care (the ldquoMinistryrdquo) sets these rates The Long Term Care Homes Act requires residents to pay homes the rate that is set for his or her class of accommodation The Ministry adjusts accommodation rates from time to time These adjustments will result in changes to the Accommodation Fees Copernicus Lodge will provide the Resident with thirty (30) days written notice in advance of any increase in Accommodation Fees The notice will include the amount of the increase and the current Accommodation Fees that the Resident must pay

A Resident who is absent from Copernicus Lodge must continue to pay Accommodation Fees for each day of his or her absence The term ldquoabsencerdquo includes a casual or vacation absence and also an absence for medical or psychiatric care or assessment

RATES ndash from September 1 2014

A Basic Accommodation (Shared washroom)

From $ 123865 per month to $ 173162 per month

Persons applying for Basic Accommodation must submit a Notice of Assessment for the current year from Canada Customs and Revenue Agency CCRA (formerly Revenue Canada) to the Accounting Department A rate reduction form will be completed and must be signed If the income is below the threshold set by the Ministry of Health then the resident will receive a rate reduction Please contact the Accountant at 416-536-71122 ext 258

B Preferred Accommodation Private $ 243881 per month (Own room with ensuite washroom)

SHORT STAY RESPITE ACCOMMODATION

Copernicus Lodge offers Short Stay Respite Care Applications are filed and processed through the Community Care Access Centre

RATES $ 3685 per day A maximum of 90 days in a calendar year is allowed (60 days consecutive)

NOTE Rates are subject to change on notification by the Ministry of Health

List of Goods and Services included with Accommodation

The following list provides information about the goods and services included in basic or

preferred accommodation

1 Nursing and personal care on a 24-hour basis the administration of medications and assistance with activities of daily living

2 Medical care and restorative care is available in the home 3 Certain medical supplies and nursing equipment that are necessary for the care of the

resident 4 Supplies and equipment for personal hygiene and grooming 5 Certain equipment for the short-term use of the resident

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 15

6 Meal and snack service (three meals daily snacks between meals and at bedtime) special and therapeutic diets dietary supplements and devices to promote independence with eating

7 Social recreational spiritual and physical activities and programs 8 Laundry including labelling 9 Bedroom furnishings bedding and linen 10 Cleaning and upkeep of accommodations 11 Maintenance of a trust account on the residentrsquos behalf 12 Information package for residents 13 Prescription pharmaceutical preparations listed in the Ontario Drug Benefit Formulary

(the government requires residents to pay a small co-payment) 14 Special preparations or medical devices that may be obtained from the Ontario Drug

Benefit Program as interim non-formulary benefits 15 Insured devices equipment supplies and services that are available to the resident

through certain programs such as the Ontario Assistive Devices Program (the government covers part of this cost and residents must pay the rest)

16 Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon request

Note The Resident (or Power of Attorney for Property Guardian Trustee on behalf of the Resident) may purchase additional goods and services from the Home or 3

rd Party Suppliers

under a separate agreement ACCOUNTING BILLING BANKING

Hours Monday 130 pm - 400 pm Wednesday 900 am - 1230 pm Last Friday of the month 900 am - 1200 noon Closed - Tuesday Thursday and Friday (except last) Other times are by appointment please call ext 258 There is a slot located on the Accounting Office door for dropping off paymentsinformation after hours

ON SITE BANKING St Stanislaus St Casimirrsquos Credit Union attends in Room G 30 every Wednesday from 930 am to 1230 pm amp 100 pm to 200 pm and the last Friday of the month from 930 am to 1230 pm amp 100 pm to 200 pm for persons wishing to do regular banking transactions

Trust Accounts may be opened in Copernicus Lodge as requested Copernicus Lodge maintains a non interest bearing account on behalf of the resident There is no charge for this service Please contact the Accountant at ext 258 between 700 am and 300 pm

Comfort Allowance - is available to persons in Basic Accommodation rooms only There is no Comfort Allowance for persons in Preferred Accommodation Monies owing to the residentlawfully authorized substitute are returned one month after discharge Copernicus Lodge does not require a resident to pay a penalty in lieu of a specific notice period prior to discharge

MEDICAL SERVICES

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 16

Medical Director Copernicus Lodge shall ensure that it has a Medical Director The Medical Director shall be a physician The Medical Director

advises Copernicus Lodge long term care on matters relating to medical care

consults with the Director of Care and other health professionals working in Copernicus Lodge

performs any other duties provided for in the regulations 2007 c 72 (3)

Attending Physicians All residents have the option to choose their own Attending Physician outside of those physicians currently servicing Copernicus Lodge provided that heshe agrees to attend the resident at the home on a weekly basis and abide by Copernicus Lodge policies and procedures Attending Physicians must sign a contract with Copernicus Lodge

1 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario 2 All Attending Physicians are appointed by the Chief Executive Officer on the advice of the Medical Director 3 Attending Physicians are accountable to the Medical Director for meeting the homes policies and standards of medical care 4 Attending Physicians assess plan implement and evaluate their residents medical care and participate in a multi-disciplinary approach to care 5 Attending Physicians document on the resident health record on each visit to maintain continuity and ongoing evaluation 6 Attending Physicians arrange for 24-hour medical coverage for residents for whom they provide medical care 7 All medical care and services provided by Physicians in Long-Term Care homes are subject to peer assessment by the College of Physicians and Surgeons of Ontario on a random basis according to College procedures 8 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario

Residents and family members should be aware that the primary contact for medical care or medical concerns is the Registered Nursing staff Attending Physicians do not have offices within the home and are not in the facility each day Attending Physicians complete regular visits to their residents and on an as needed basis Attending Physicians do not normally contact family members to provide updates on the residentrsquos condition Residents and family members are always welcome to contact the Attending Physician at their private practice The office number can be obtained from the Registered Nursing staff Due to privacy issues Registered Nursing staff will only provide general health information about a resident to the Power of Attorney for Care (POA) Information about or changes to a residentrsquos medical diagnosis is given by the Attending Physician and not the Registered Nursing Staff Psychogeriatrician

Dr Colman Nefsky (MD Psychogeriatrician) We are very pleased to have the support of our consulting Psychogeriatrician from St Josephrsquos Health Center Dr Colman Nefsky Dr Nefsky visits and completes rounds on a monthly basis

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 17

for those residents who have been referred to him Dr Nefsky provides consultations to individuals who are suffering with psychological or behavioural issues and provides treatment options to the nursing and medical staff in the home Mary Boudart RN ndash St Josephrsquos Health Center Geriatric Mental Health Outreach Team Nurse (GMHOT) Mary Boudart works in collaboration with Dr Nefsky and completes weekly rounds for any resident who has been referred to her Care Conferences An organized documented interdisciplinary care conference lasting 30 minutes in duration is held with each resident andor substitute decision maker (POA for care) if you are able and wish to attend within six (6) weeks following admission to Copernicus Lodge and annually thereafter Care Conferences are held in order to discuss review and further develop the residents plan of care and address any other matters of importance to the resident and hisher substitute decision-maker (if any) The resident the substitute decision maker if any and any person that either of you may direct are given an opportunity to participate fully in the care conference

Special Care Conferences may be held anytime at the request of the family resident or interdisciplinary team if a residents condition or any other situation arises which affects the residents status Care conferences are held in either the activity room or the conference room (behind the nursing station) located on the residents home areafloorunit If the family substitute decision maker is unable to attend in person the option of a teleconference (over the telephone meeting) is available as an option to being there in person The conference may also be held at the bedside of a bedridden resident as requested by the resident andor substitute decision maker Residents and family are reminded not to wait for this annual meeting to express any concerns or issues you have Express concerns at the time they occur directly with any one of the interdisciplinary team as it relates to any department or inform the Charge Nurse who can redirect them as appropriate

Note Care Conferences do not apply to those residents residing in short-stay beds

NURSING

Nursing care and personal care is provided on a 24-hour basis This includes care given by or under the supervision of a Registered Nurse or a Registered Practical Nurse All Registered Nursing staff is licensed by the College of Nurses of Ontario Assistance with activities of daily living (personal care) is provided by Personal Support Workers (PSWrsquos) Daily medication is administered by the Registered Nursing staff Newly admitted residents must give all of their medication from home or hospital to the Registered Nurse on duty on the day of admission A picture is taken of all new residents on the day of admission and posted on their Medication Administration Record (MAR) and in the residents chart This is done to prevent medication and treatment errors Nursing and personal care is completed through an individualized personal care approach Nursing staff complete ongoing assessments and care plans which detail each residentrsquos individual care needs

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 18

Nursing staff can be reached by pressing the call-bells for assistance These are located in the resident bedroom bathrooms and lounge areas Call bells are responded to as quickly as possible

Pharmacy Copernicus Lodge utilizes a local pharmacy for all of its medicationpharmaceutical requirements At no time should residents or families bring in medications not approved by the medical nursing staff Medications are not to be left in resident rooms IMPORTANT All medications must be left with the Registered Nursing staff on duty

Medical supplies and nursing equipment

Medical supplies and nursing equipment necessary for the care of residents is provided by the home including supplies for the prevention or care of skin disorders continence care products infection control and sterile procedures

Medical devices such as catheters colostomy and ileostomy devices

Supplies and equipment for personal hygiene and grooming including skin care lotions and powders shampoos soap deodorant toothpaste toothbrushes denture cups and cleansers toilet tissue facial tissue hair brushes combs razorsshavers shaving cream feminine hygiene and incontinence products

Equipment for the general use of residents such as toilet aids and other self-help aids for the activities of daily living

Equipment for the general use of residents including wheelchairs geriatric chairs canes walkers are provided for short term use only (maximum 3 ndash 4 weeks) Should a resident require equipment for longer than 3-4 weeks the residentfamilysubstitute decision maker will be required to purchasecover all costs for such items Prescription pharmaceutical preparations listed in the Drug Benefit Formulary

bull Special preparations or medical devices which may be obtained from the Ontario Drug Benefit Program as interim non-formulary benefits

bull Insured devices equipment supplies and services available to residents through other programs such as the Home Care Program and Assistive Devices Program (ADP) ACHIEVA HEALTH provides ADP Seating and Mobility Assessments at NO COST to the Residents at Copernicus Lodge

bull Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon requisition If you have any questions or concerns regarding the nursing care or service please speak to the Charge Nurse

TAG SYSTEM

PURPOSE TO IDENTIFY RESIDENTS WITH BEHAVIOURAL ISSUES AND DIETARY RESTRICTIONS AS PART OF FALLS PREVENTION PROGRAM

As part of the Falls Prevention Program cards are mounted onto the residentrsquos mobility aids (where applicable) identifying that

a resident is at risk for falls

these cards are COLOUR-CODED to match the residents current behavioural risk level (ie Green Yellow or Pink as detailed in Section D)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 19

cards have a picture of food that is crossed out to identify that residents have a dietary restriction

On a quarterly basis or more often as necessary based on changes to a residentrsquos falls risk or behavioural risk level it is the responsibility of the RN RPN on each unit to review these cards and change them in order to correspond with the residentrsquos current condition

If the Dietician notes that there are changes to a residents swallowing meal consistency etc which warrant dietary restrictions it is the responsibility of the Dietician Manager of Dietary Services or Food Services Supervisor to change these cards on the residents mobility aid

There are 4 types of cards These are

I Colour-coded cards with only the residents unit identified ndash these individuals are not at risk for falls and do not have dietary restrictions however staff can clearly identify the residents behavioural risk level

II Colour-coded cards with the residents unit and Falls Symbol ndash this identifies that a resident is at risk for falls and also identifies the residents behavioural risk level

III Colour-coded cards with residents unit Falls symbol and Dietary Restriction symbol ndash this identifies that the resident is at risk for falls and has dietary restrictions as well as the residents behavioural risk level

IV Colour-coded cards with residents unit and Dietary Restriction Symbol ndash this identifies that a resident has dietary restrictions to be aware of as well as the residents behavioural risk level

Prevention of Needlestick Injuries

Copernicus Lodge thrives to maintain the health and safety of all residents staff and visitors to our home Needlestick Injury Prevention is a serious concern for the employees of our home In order to take a proactive approach regarding the prevention of needlestick injuries we would like to outline some important information for you ALL NEW ADMISSIONS TO LONG TERM CARE

1 Please note that when residents move into our Long Term Care Home that the nursing staff will take on the responsibility of completing diabetic glucose testing along with insulin injections Residents are NOT to self test themselves if they are diabetic This practice allows the nursing staff to safely dispose the needles as required into the Yellow Disposable Needle Containers - in every circumstance

2 We would kindly ask that families POArsquos please take any glucometer testing units syringes home Please do not leave any of these items in the residents room or by the bedside

FAMILIES AND VISITORS If any family member or visitor must test themselves while at Copernicus Lodge please ensure that you speak with the nursing staff RN RPN on the unit so that you can safely discard any needles used into one of the Yellow Disposable Needle Containers available on the Resident Home Area units

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Page | 20

RESTRAINT USE AT COPERNICUS LODGE Copernicus Lodge uses the Least Restraint practice which means that the least restrictive measure is used for the shortest duration possible This allows for the maximum freedom of movement andor residentrsquos control The types of restraints currently used within Copernicus Lodge are as follows

a) Chemical Restraints - a pharmaceutical agent given with the specific purpose of inhibiting or controlling behaviour or movement

b) Physical RestraintsDevices - any appliance device apparatus or equipment attached or adjacent to a residents body that the individual cannot remove easily and which restricts movement The Physical Restraints currently used at Copernicus Lodge are Lapbelts Seatbelts Table Tops and Full Bedrails (both up at the same time)

c) Environmental Restraints - A barrier to free personal movement which serves to confine a resident to a specific geographic area (ie 2 North Special Care Unit which has a wanderguard alarm installed for residents with exit-seeking behaviours)

Note Under no circumstances can two restraints be applied at the same time (for example a lap tray cannot be used at the same time as a seatbelt)

The following devices are Prohibited and NOT permitted to be used in Copernicus Lodge

1 Roller bars on wheelchairs and commodes or toilets

2 Vest or jacket restraints

3 Any device with locks that can only be released by a separate device such as a key or magnet

4 Four point extremity restraints

5 Any device used to restrain a resident to a commode or toilet

6 Any device that cannot be immediately released by staff

7 Sheets wraps tensors or other types of strips or bandages used other than for a therapeutic purpose

Copernicus Lodgersquos Restraint Policy involves an interdisciplinary approach to restraint use and we document all steps of the restraining process

Our Restraint Policy includes the following requirements

1 Staff only applies a physical device that has been ordered and approved by the Attending Physician and where there is a signed consent by the resident (if competent) andor Substitute Decision Maker and an understanding of the reason for the use of the device

2 Staff consider alternatives to the use of physical devices including how these alternatives are planned developed and implemented (ie one way-gliders assist to prevent residents from sliding as does the tilt mechanism on many wheelchairs)

3 That the need for the restraint is clearly documented in the resident plan of care

4 Staff applies the physical device only in accordance with any manufacturerrsquos instructions and the instructions of the Attending Physician

5 Staff ensures that the physical device is well maintained

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Page | 21

6 Staff ensures that the physical device is not altered except for routine adjustments in accordance with any manufacturerrsquos instructions

7 Registered staff and PSW staff monitor the resident while restrained at least every hour

8 Staff ensures that the resident is released from the physical device and repositioned at least once every two hours (this requirement does not apply when bed rails are being used if the resident is able to reposition himself or herself)

9 Staff ensures that the resident is released and repositioned any other time when necessary based on the residentrsquos condition or circumstances

10 The residentrsquos condition is reassessed and the effectiveness of the restraining is evaluated by the Registered Nurse every eight hours and at any other time when necessary based on the residentrsquos condition or circumstances

11 Upon removal of a physical device post-restraining care is provided to ensure the safety and comfort of the resident

Copernicus Lodge also reserves the right to restrain a resident by physical means when immediate action is necessary to prevent serious bodily harm to the resident or to others In the event such action is required

1 The resident is monitored or supervised on an ongoing basis and released from the physical device and repositioned when necessary based on the residentrsquos condition or circumstances

2 Ongoing assessment of the residentrsquos condition is reassessed by the registered nursing staff

3 The restraint is discontinued when the immediate action is no longer necessary

4 When the application of a physical restraint is required for to prevent serious injury to a resident or others the reason for the use of the physical device will be explained to the resident or the residentrsquos substitute decision maker where the resident is incapable

Environmental Restraints Dementia Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentrsquos plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

Evaluation Through our continuous quality improvement efforts Copernicus Lodge annually evaluates the effectiveness of our restraint policy and identifies what changes and improvements are required

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 22

to minimize restraining and to ensure that any restraining that is necessary is done in accordance with legislative requirements Any changes or improvements are to be promptly implemented

Although there will always be residents who require or feel more secure with restraints we hope that everyone will work with us to try to keep our home as RESTRAINT FREE AS POSSIBLE

To receive a copy of the full restraint policy please feel free to speak to our Director of Care at 416-536-7122 ext 240

Copernicus Lodgersquos Resident Abuse and Neglect Policy Copernicus Lodge promotes in its standards and practices the philosophy of care that all residents are treated with dignity respect and courtesy The Lodge views most seriously any type of abuse or neglect of a resident by any staff volunteer family substitute decision-maker visitor or any other persons who enter the premises at Copernicus Lodge

Definitions of Abuse

Copernicus Lodge defines ldquoabuserdquo (in accordance with our policy and subsection 2 (1) of the Long Term Care Homes Act) as the following

Emotional Abuse

(a) any threatening insulting intimidating or humiliating gestures actions behaviour or remarks including imposed social isolation shunning ignoring lack of acknowledgement or infantilization that are performed by anyone other than a resident or

(b) any threatening or intimidating gestures actions behaviour or remarks by a resident that causes alarm or fear to another resident where the resident performing the gestures actions behaviour or remarks understands and appreciates their consequences

Financial Abuse

(a) any misappropriation or misuse of a residentrsquos money or property

Physical Abuse

(a) the use of physical force by anyone other than a resident that causes physical injury or pain

(b) administering or withholding a drug for an inappropriate purpose or

(c) the use of physical force by a resident that causes physical injury to another resident

(Note Physical Abuse does not include the use of force that is appropriate to the provision of care or assisting a resident with activities of daily living unless the force used is excessive in the circumstance)

Sexual Abuse

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 23

(a) subject to subsection (3) any consensual or non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation that is directed towards a resident by a licensee or staff member or

(b) any non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation directed towards a resident by a person other than a licensee or staff member

(Note Sexual Abuse does not include

(a) touching behaviour or remarks of a clinical nature that are appropriate to the provision of care or assisting a resident with activities of daily living or

(b) consensual touching behaviour or remarks of a sexual nature between a resident and a licensee or staff member that is in the course of a sexual relationship that began before the resident was admitted to the long-term care home or before the licensee or staff member became a licensee or staff member)

Verbal Abuse

(a) any form of verbal communication of a threatening or intimidating nature or any form of verbal communication of a belittling or degrading nature which diminishes a residentrsquos sense of well-being dignity or self-worth that is made by anyone other than a resident or

(b) any form of verbal communication of a threatening or intimidating nature made by a resident that leads another resident to fear for his or her safety where the resident making the communication understands and appreciates its consequences

Neglect

(a) the failure to provide a resident with the treatment care services or assistance required for health safety or well-being and includes inaction or a pattern of inaction that jeopardizes the health safety or well-being of one or more residents

Copernicus Lodgersquos established Resident Abuse Policy and Procedure encompasses

A Definitions of what constitutes Resident Abuse and Neglect

B A Resident Abuse Incident Reporting System

C A Resident Abuse Incident Investigation System

D Support for the person abused

E EducationTraining that supports prevention of resident abuse and neglect and

F Evaluation of our 0 tolerance program

Copernicus Lodge maintains a Zero Tolerance for any type of abuse of a resident family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

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SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 12: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 11

Privacy of Resident Health Information Copernicus Lodge exists to provide you with a broad variety of care services To meet your needs and serve you well Copernicus Lodge needs to know personal information about you You as an individual have a right to know how we collect use and disclose personal information You have a right to expect that to the best of our ability your personal information held by us remains accurate confidential and secure Copernicus Lodge is proud of its commitment to maintaining the confidentiality and security of personal information and weve provided this write-up to explain how we protect the privacy of individual residents information in Copernicus Lodge Copernicus Lodgersquos privacy policies comply with the Personal Health Information Protection Act (PHIPA) It is important that a trust relationship be established between you and Copernicus Lodge To this end we are pleased to share information with you The more you know about us the more confident you can feel about receiving our services Similarly the more we know about you the better we can serve you Copernicus Lodge collects and uses information about you for the following purposes only

To make decisions about the types services you need

To serve as a means to communicate with service providers

To monitor the provision of services and evaluate your response to services provided

As a legal document made in the normal course of business

To serve as a record of services provided

As proof of what was done by whom and when during a residents encounter with a provider

To be used as evidence against or for the organizations the service providers or the resident

To verify our accountability

For strategic planning decision making allocating of resources and

To meet legal and regulatory requirements

Consent Because it is important that we keep your trust we will only ask for information which we need and when we ask you for information well let you know why we need it To the best of our ability we will seek your consent to verify and supplement information collected from external sources such as Community Care Access Centerrsquos (CCAC) Physicians Social Services the Local Health Integrated Networks (LHINS) the Ministry of Health and Long Term Care (MOHLTC) and other community service providers for whom you may need service from Subject to legal or contractual requirements you can refuse to consent to our collection use or disclosure of information at any time provided the consent does not relate to certain information required for care provisions such as disclosure of information to the LHIN or MOHLTC If you refuse or withdraw your consent to the collection use or disclosure of information about you we may not be able to continue to provide you with some services you require With your consent and where laws allow this we may share your information with other service providers such as a hospital pharmacy medical specialist social worker and others who provide community services If you do not want to be contacted by these other service providers we will withhold information from them Disclosure means providing specific information about you from our records to a third party Depending on your consent disclosure can happen over the telephone by fax by computer andor be electronic data sharing Under normal circumstance we wont collect use or disclose your personal information without your consent The only exceptions to this rule are when the disclosure is permitted by law or when it is impossible or impractical to

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 12

get your consent Some examples of situations where we will not seek your consent for disclosure are

For emergency or life threatening events

Where there is legal obligation to disclose under a court or government order for instance to police

Where personal information is given to our agents and service providers for services such as laboratory and pharmacy services and

Where personal information must be given to insurers in connection with insurance services

Reviewing amp Making Corrections Except as outlined below a record is kept each time personal information is disclosed noting the nature of the disclosure that was made Individual records of disclosure are not maintained for regular and routine actions such as prescriptions sent to the pharmacy We attempt to ensure that the information we hold about you is accurate complete and up-to-date If there are changes to your information eg a new Substitute Decision Maker (SDM) has been named please notify us immediately If you believe that information in your records may be inaccurate we make it easy for you to access verify and update it If information has been provided to third parties we will convey the corrected information to them if necessary If we do not agree to change your personal information you may challenge our decision We will make a record of this challenge and if necessary disclose the challenge to third parties who also process your information To review your personal information simply ask a staff person for assistance The staff person will provide you with instructions about accessing your information There may be a charge for retrieving your information in which case you will be notified in advance and may if you like withdraw your consent You may also challenge the reasonableness of the charge Access to information may be more meaningful to you if such access is provided in the presence of a service provider who can explain terminology and the organizations policies We encourage you to invite a care provider from Copernicus Lodge to assist you in your review of your personal information Sometimes a staff person will not provide you with information about you that is within its control This can occur if your right of access is constrained pursuant to the provisions of PHIPA For example the staff person will not provide you with personal information if

It would reveal personal information about another party and your personal information cannot be separated

The information is subject to solicitor-client or litigation privilege andor if

The information is used for the detection and prevention of a criminal activity and dealings in the proceeds of crime

If a staff person refuses your request for access to personal information you will be told why unless prohibited by law You may challenge the decision Once you have the information all you have to do is check for its accuracy and let us know if there are any corrections required We will correct our records or make a note of differences If information has been provided to third parties we will convey the corrected information or note any differences to them if necessary

Complaints amp Responsibility Ultimately Department Managers and Supervisors are responsible for protecting resident information They delegate day-to-day responsibilities to others such as privacy officers within Copernicus Lodge Every staff person must take responsibility for protecting resident privacy confidentiality and security Our suppliers sign contracts that oblige them to contractually adhere to our privacy practices thus protecting the information of residents when in the possession of third parties These suppliers or third party

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 13

include lab pharmacy physicians etc There are controls over the use of computers electronic data sharing paper documents faxing activities access to personal information If you or your family has concerns or questions about the management of personal information in Copernicus Lodge or about our compliance with privacy codes and laws we invite you to direct your questions and concerns to a staff person who is providing service to you If that person is unable to effectively respond to your questions and concerns we encourage you to contact our Privacy Officer

Tracy Kamino Chief Executive Officer 416-536-7122 extension 238

Fax 416-536-8242

We trust that we will be able to resolve any issues that you have regarding the protection of personal information If our Privacy Officer Tracy Kamino is unable to satisfy your inquiries you may contact the Office of the Privacy Commissioner of Ontario

Information and Privacy Commissioner of Ontario 2 Bloor Street West Suite 1400 Toronto Ontario M4W 1A8

Tel 1-416-326-3333 or Toll Free 1-800-387-0073

LONG TERM CARE ACCOMMODATION

All rooms are furnished with bull an electric hospital bed (regular or adjustable head and foot ) and pillows bull comfortable mattress with waterproof cover bull adjustable bed rails (if required) bull loungeguest chair bull night tablelamp bull laundry basket bull garbage can

The residentrsquos name is posted outside their room Memory boxes at eye level personalize and cue residents to their room All rooms are heated and water tempered with connections for telephone and cable TV Common areas are air-conditioned All windows can open but only 4 inches wide at all times (as per legal requirements) Residentsfamiliesvolunteers are not allowed to tamper with the window locking mechanisms You may bring a radio TV andor pictures Only certain electrical appliances as discussed and permitted by the Director of Care are allowed Bar fridges are not permitted in the home unless identified for medical reasons only and under the approval of the Director of Care Call bells must meet CSA Standards and are located at the bedside in the washrooms and lounge areas Press to call for assistance Cleaning services are provided weekly or more often if necessary Additional furniture may be brought in after consulting with the Director of Care Balcony Balcony doors must be locked at all times unless residents are supervised by staff or families (or resident is competent to be there alone) Families and residents using this space are told before allowing access to ensure they close the door after themselves and ensure it is locked

Accommodation Rates

Copernicus Lodge has different classes of accommodation that have different rates The

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 14

Ministry of Health and Long-Term Care (the ldquoMinistryrdquo) sets these rates The Long Term Care Homes Act requires residents to pay homes the rate that is set for his or her class of accommodation The Ministry adjusts accommodation rates from time to time These adjustments will result in changes to the Accommodation Fees Copernicus Lodge will provide the Resident with thirty (30) days written notice in advance of any increase in Accommodation Fees The notice will include the amount of the increase and the current Accommodation Fees that the Resident must pay

A Resident who is absent from Copernicus Lodge must continue to pay Accommodation Fees for each day of his or her absence The term ldquoabsencerdquo includes a casual or vacation absence and also an absence for medical or psychiatric care or assessment

RATES ndash from September 1 2014

A Basic Accommodation (Shared washroom)

From $ 123865 per month to $ 173162 per month

Persons applying for Basic Accommodation must submit a Notice of Assessment for the current year from Canada Customs and Revenue Agency CCRA (formerly Revenue Canada) to the Accounting Department A rate reduction form will be completed and must be signed If the income is below the threshold set by the Ministry of Health then the resident will receive a rate reduction Please contact the Accountant at 416-536-71122 ext 258

B Preferred Accommodation Private $ 243881 per month (Own room with ensuite washroom)

SHORT STAY RESPITE ACCOMMODATION

Copernicus Lodge offers Short Stay Respite Care Applications are filed and processed through the Community Care Access Centre

RATES $ 3685 per day A maximum of 90 days in a calendar year is allowed (60 days consecutive)

NOTE Rates are subject to change on notification by the Ministry of Health

List of Goods and Services included with Accommodation

The following list provides information about the goods and services included in basic or

preferred accommodation

1 Nursing and personal care on a 24-hour basis the administration of medications and assistance with activities of daily living

2 Medical care and restorative care is available in the home 3 Certain medical supplies and nursing equipment that are necessary for the care of the

resident 4 Supplies and equipment for personal hygiene and grooming 5 Certain equipment for the short-term use of the resident

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 15

6 Meal and snack service (three meals daily snacks between meals and at bedtime) special and therapeutic diets dietary supplements and devices to promote independence with eating

7 Social recreational spiritual and physical activities and programs 8 Laundry including labelling 9 Bedroom furnishings bedding and linen 10 Cleaning and upkeep of accommodations 11 Maintenance of a trust account on the residentrsquos behalf 12 Information package for residents 13 Prescription pharmaceutical preparations listed in the Ontario Drug Benefit Formulary

(the government requires residents to pay a small co-payment) 14 Special preparations or medical devices that may be obtained from the Ontario Drug

Benefit Program as interim non-formulary benefits 15 Insured devices equipment supplies and services that are available to the resident

through certain programs such as the Ontario Assistive Devices Program (the government covers part of this cost and residents must pay the rest)

16 Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon request

Note The Resident (or Power of Attorney for Property Guardian Trustee on behalf of the Resident) may purchase additional goods and services from the Home or 3

rd Party Suppliers

under a separate agreement ACCOUNTING BILLING BANKING

Hours Monday 130 pm - 400 pm Wednesday 900 am - 1230 pm Last Friday of the month 900 am - 1200 noon Closed - Tuesday Thursday and Friday (except last) Other times are by appointment please call ext 258 There is a slot located on the Accounting Office door for dropping off paymentsinformation after hours

ON SITE BANKING St Stanislaus St Casimirrsquos Credit Union attends in Room G 30 every Wednesday from 930 am to 1230 pm amp 100 pm to 200 pm and the last Friday of the month from 930 am to 1230 pm amp 100 pm to 200 pm for persons wishing to do regular banking transactions

Trust Accounts may be opened in Copernicus Lodge as requested Copernicus Lodge maintains a non interest bearing account on behalf of the resident There is no charge for this service Please contact the Accountant at ext 258 between 700 am and 300 pm

Comfort Allowance - is available to persons in Basic Accommodation rooms only There is no Comfort Allowance for persons in Preferred Accommodation Monies owing to the residentlawfully authorized substitute are returned one month after discharge Copernicus Lodge does not require a resident to pay a penalty in lieu of a specific notice period prior to discharge

MEDICAL SERVICES

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 16

Medical Director Copernicus Lodge shall ensure that it has a Medical Director The Medical Director shall be a physician The Medical Director

advises Copernicus Lodge long term care on matters relating to medical care

consults with the Director of Care and other health professionals working in Copernicus Lodge

performs any other duties provided for in the regulations 2007 c 72 (3)

Attending Physicians All residents have the option to choose their own Attending Physician outside of those physicians currently servicing Copernicus Lodge provided that heshe agrees to attend the resident at the home on a weekly basis and abide by Copernicus Lodge policies and procedures Attending Physicians must sign a contract with Copernicus Lodge

1 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario 2 All Attending Physicians are appointed by the Chief Executive Officer on the advice of the Medical Director 3 Attending Physicians are accountable to the Medical Director for meeting the homes policies and standards of medical care 4 Attending Physicians assess plan implement and evaluate their residents medical care and participate in a multi-disciplinary approach to care 5 Attending Physicians document on the resident health record on each visit to maintain continuity and ongoing evaluation 6 Attending Physicians arrange for 24-hour medical coverage for residents for whom they provide medical care 7 All medical care and services provided by Physicians in Long-Term Care homes are subject to peer assessment by the College of Physicians and Surgeons of Ontario on a random basis according to College procedures 8 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario

Residents and family members should be aware that the primary contact for medical care or medical concerns is the Registered Nursing staff Attending Physicians do not have offices within the home and are not in the facility each day Attending Physicians complete regular visits to their residents and on an as needed basis Attending Physicians do not normally contact family members to provide updates on the residentrsquos condition Residents and family members are always welcome to contact the Attending Physician at their private practice The office number can be obtained from the Registered Nursing staff Due to privacy issues Registered Nursing staff will only provide general health information about a resident to the Power of Attorney for Care (POA) Information about or changes to a residentrsquos medical diagnosis is given by the Attending Physician and not the Registered Nursing Staff Psychogeriatrician

Dr Colman Nefsky (MD Psychogeriatrician) We are very pleased to have the support of our consulting Psychogeriatrician from St Josephrsquos Health Center Dr Colman Nefsky Dr Nefsky visits and completes rounds on a monthly basis

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 17

for those residents who have been referred to him Dr Nefsky provides consultations to individuals who are suffering with psychological or behavioural issues and provides treatment options to the nursing and medical staff in the home Mary Boudart RN ndash St Josephrsquos Health Center Geriatric Mental Health Outreach Team Nurse (GMHOT) Mary Boudart works in collaboration with Dr Nefsky and completes weekly rounds for any resident who has been referred to her Care Conferences An organized documented interdisciplinary care conference lasting 30 minutes in duration is held with each resident andor substitute decision maker (POA for care) if you are able and wish to attend within six (6) weeks following admission to Copernicus Lodge and annually thereafter Care Conferences are held in order to discuss review and further develop the residents plan of care and address any other matters of importance to the resident and hisher substitute decision-maker (if any) The resident the substitute decision maker if any and any person that either of you may direct are given an opportunity to participate fully in the care conference

Special Care Conferences may be held anytime at the request of the family resident or interdisciplinary team if a residents condition or any other situation arises which affects the residents status Care conferences are held in either the activity room or the conference room (behind the nursing station) located on the residents home areafloorunit If the family substitute decision maker is unable to attend in person the option of a teleconference (over the telephone meeting) is available as an option to being there in person The conference may also be held at the bedside of a bedridden resident as requested by the resident andor substitute decision maker Residents and family are reminded not to wait for this annual meeting to express any concerns or issues you have Express concerns at the time they occur directly with any one of the interdisciplinary team as it relates to any department or inform the Charge Nurse who can redirect them as appropriate

Note Care Conferences do not apply to those residents residing in short-stay beds

NURSING

Nursing care and personal care is provided on a 24-hour basis This includes care given by or under the supervision of a Registered Nurse or a Registered Practical Nurse All Registered Nursing staff is licensed by the College of Nurses of Ontario Assistance with activities of daily living (personal care) is provided by Personal Support Workers (PSWrsquos) Daily medication is administered by the Registered Nursing staff Newly admitted residents must give all of their medication from home or hospital to the Registered Nurse on duty on the day of admission A picture is taken of all new residents on the day of admission and posted on their Medication Administration Record (MAR) and in the residents chart This is done to prevent medication and treatment errors Nursing and personal care is completed through an individualized personal care approach Nursing staff complete ongoing assessments and care plans which detail each residentrsquos individual care needs

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 18

Nursing staff can be reached by pressing the call-bells for assistance These are located in the resident bedroom bathrooms and lounge areas Call bells are responded to as quickly as possible

Pharmacy Copernicus Lodge utilizes a local pharmacy for all of its medicationpharmaceutical requirements At no time should residents or families bring in medications not approved by the medical nursing staff Medications are not to be left in resident rooms IMPORTANT All medications must be left with the Registered Nursing staff on duty

Medical supplies and nursing equipment

Medical supplies and nursing equipment necessary for the care of residents is provided by the home including supplies for the prevention or care of skin disorders continence care products infection control and sterile procedures

Medical devices such as catheters colostomy and ileostomy devices

Supplies and equipment for personal hygiene and grooming including skin care lotions and powders shampoos soap deodorant toothpaste toothbrushes denture cups and cleansers toilet tissue facial tissue hair brushes combs razorsshavers shaving cream feminine hygiene and incontinence products

Equipment for the general use of residents such as toilet aids and other self-help aids for the activities of daily living

Equipment for the general use of residents including wheelchairs geriatric chairs canes walkers are provided for short term use only (maximum 3 ndash 4 weeks) Should a resident require equipment for longer than 3-4 weeks the residentfamilysubstitute decision maker will be required to purchasecover all costs for such items Prescription pharmaceutical preparations listed in the Drug Benefit Formulary

bull Special preparations or medical devices which may be obtained from the Ontario Drug Benefit Program as interim non-formulary benefits

bull Insured devices equipment supplies and services available to residents through other programs such as the Home Care Program and Assistive Devices Program (ADP) ACHIEVA HEALTH provides ADP Seating and Mobility Assessments at NO COST to the Residents at Copernicus Lodge

bull Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon requisition If you have any questions or concerns regarding the nursing care or service please speak to the Charge Nurse

TAG SYSTEM

PURPOSE TO IDENTIFY RESIDENTS WITH BEHAVIOURAL ISSUES AND DIETARY RESTRICTIONS AS PART OF FALLS PREVENTION PROGRAM

As part of the Falls Prevention Program cards are mounted onto the residentrsquos mobility aids (where applicable) identifying that

a resident is at risk for falls

these cards are COLOUR-CODED to match the residents current behavioural risk level (ie Green Yellow or Pink as detailed in Section D)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 19

cards have a picture of food that is crossed out to identify that residents have a dietary restriction

On a quarterly basis or more often as necessary based on changes to a residentrsquos falls risk or behavioural risk level it is the responsibility of the RN RPN on each unit to review these cards and change them in order to correspond with the residentrsquos current condition

If the Dietician notes that there are changes to a residents swallowing meal consistency etc which warrant dietary restrictions it is the responsibility of the Dietician Manager of Dietary Services or Food Services Supervisor to change these cards on the residents mobility aid

There are 4 types of cards These are

I Colour-coded cards with only the residents unit identified ndash these individuals are not at risk for falls and do not have dietary restrictions however staff can clearly identify the residents behavioural risk level

II Colour-coded cards with the residents unit and Falls Symbol ndash this identifies that a resident is at risk for falls and also identifies the residents behavioural risk level

III Colour-coded cards with residents unit Falls symbol and Dietary Restriction symbol ndash this identifies that the resident is at risk for falls and has dietary restrictions as well as the residents behavioural risk level

IV Colour-coded cards with residents unit and Dietary Restriction Symbol ndash this identifies that a resident has dietary restrictions to be aware of as well as the residents behavioural risk level

Prevention of Needlestick Injuries

Copernicus Lodge thrives to maintain the health and safety of all residents staff and visitors to our home Needlestick Injury Prevention is a serious concern for the employees of our home In order to take a proactive approach regarding the prevention of needlestick injuries we would like to outline some important information for you ALL NEW ADMISSIONS TO LONG TERM CARE

1 Please note that when residents move into our Long Term Care Home that the nursing staff will take on the responsibility of completing diabetic glucose testing along with insulin injections Residents are NOT to self test themselves if they are diabetic This practice allows the nursing staff to safely dispose the needles as required into the Yellow Disposable Needle Containers - in every circumstance

2 We would kindly ask that families POArsquos please take any glucometer testing units syringes home Please do not leave any of these items in the residents room or by the bedside

FAMILIES AND VISITORS If any family member or visitor must test themselves while at Copernicus Lodge please ensure that you speak with the nursing staff RN RPN on the unit so that you can safely discard any needles used into one of the Yellow Disposable Needle Containers available on the Resident Home Area units

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 20

RESTRAINT USE AT COPERNICUS LODGE Copernicus Lodge uses the Least Restraint practice which means that the least restrictive measure is used for the shortest duration possible This allows for the maximum freedom of movement andor residentrsquos control The types of restraints currently used within Copernicus Lodge are as follows

a) Chemical Restraints - a pharmaceutical agent given with the specific purpose of inhibiting or controlling behaviour or movement

b) Physical RestraintsDevices - any appliance device apparatus or equipment attached or adjacent to a residents body that the individual cannot remove easily and which restricts movement The Physical Restraints currently used at Copernicus Lodge are Lapbelts Seatbelts Table Tops and Full Bedrails (both up at the same time)

c) Environmental Restraints - A barrier to free personal movement which serves to confine a resident to a specific geographic area (ie 2 North Special Care Unit which has a wanderguard alarm installed for residents with exit-seeking behaviours)

Note Under no circumstances can two restraints be applied at the same time (for example a lap tray cannot be used at the same time as a seatbelt)

The following devices are Prohibited and NOT permitted to be used in Copernicus Lodge

1 Roller bars on wheelchairs and commodes or toilets

2 Vest or jacket restraints

3 Any device with locks that can only be released by a separate device such as a key or magnet

4 Four point extremity restraints

5 Any device used to restrain a resident to a commode or toilet

6 Any device that cannot be immediately released by staff

7 Sheets wraps tensors or other types of strips or bandages used other than for a therapeutic purpose

Copernicus Lodgersquos Restraint Policy involves an interdisciplinary approach to restraint use and we document all steps of the restraining process

Our Restraint Policy includes the following requirements

1 Staff only applies a physical device that has been ordered and approved by the Attending Physician and where there is a signed consent by the resident (if competent) andor Substitute Decision Maker and an understanding of the reason for the use of the device

2 Staff consider alternatives to the use of physical devices including how these alternatives are planned developed and implemented (ie one way-gliders assist to prevent residents from sliding as does the tilt mechanism on many wheelchairs)

3 That the need for the restraint is clearly documented in the resident plan of care

4 Staff applies the physical device only in accordance with any manufacturerrsquos instructions and the instructions of the Attending Physician

5 Staff ensures that the physical device is well maintained

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 21

6 Staff ensures that the physical device is not altered except for routine adjustments in accordance with any manufacturerrsquos instructions

7 Registered staff and PSW staff monitor the resident while restrained at least every hour

8 Staff ensures that the resident is released from the physical device and repositioned at least once every two hours (this requirement does not apply when bed rails are being used if the resident is able to reposition himself or herself)

9 Staff ensures that the resident is released and repositioned any other time when necessary based on the residentrsquos condition or circumstances

10 The residentrsquos condition is reassessed and the effectiveness of the restraining is evaluated by the Registered Nurse every eight hours and at any other time when necessary based on the residentrsquos condition or circumstances

11 Upon removal of a physical device post-restraining care is provided to ensure the safety and comfort of the resident

Copernicus Lodge also reserves the right to restrain a resident by physical means when immediate action is necessary to prevent serious bodily harm to the resident or to others In the event such action is required

1 The resident is monitored or supervised on an ongoing basis and released from the physical device and repositioned when necessary based on the residentrsquos condition or circumstances

2 Ongoing assessment of the residentrsquos condition is reassessed by the registered nursing staff

3 The restraint is discontinued when the immediate action is no longer necessary

4 When the application of a physical restraint is required for to prevent serious injury to a resident or others the reason for the use of the physical device will be explained to the resident or the residentrsquos substitute decision maker where the resident is incapable

Environmental Restraints Dementia Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentrsquos plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

Evaluation Through our continuous quality improvement efforts Copernicus Lodge annually evaluates the effectiveness of our restraint policy and identifies what changes and improvements are required

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 22

to minimize restraining and to ensure that any restraining that is necessary is done in accordance with legislative requirements Any changes or improvements are to be promptly implemented

Although there will always be residents who require or feel more secure with restraints we hope that everyone will work with us to try to keep our home as RESTRAINT FREE AS POSSIBLE

To receive a copy of the full restraint policy please feel free to speak to our Director of Care at 416-536-7122 ext 240

Copernicus Lodgersquos Resident Abuse and Neglect Policy Copernicus Lodge promotes in its standards and practices the philosophy of care that all residents are treated with dignity respect and courtesy The Lodge views most seriously any type of abuse or neglect of a resident by any staff volunteer family substitute decision-maker visitor or any other persons who enter the premises at Copernicus Lodge

Definitions of Abuse

Copernicus Lodge defines ldquoabuserdquo (in accordance with our policy and subsection 2 (1) of the Long Term Care Homes Act) as the following

Emotional Abuse

(a) any threatening insulting intimidating or humiliating gestures actions behaviour or remarks including imposed social isolation shunning ignoring lack of acknowledgement or infantilization that are performed by anyone other than a resident or

(b) any threatening or intimidating gestures actions behaviour or remarks by a resident that causes alarm or fear to another resident where the resident performing the gestures actions behaviour or remarks understands and appreciates their consequences

Financial Abuse

(a) any misappropriation or misuse of a residentrsquos money or property

Physical Abuse

(a) the use of physical force by anyone other than a resident that causes physical injury or pain

(b) administering or withholding a drug for an inappropriate purpose or

(c) the use of physical force by a resident that causes physical injury to another resident

(Note Physical Abuse does not include the use of force that is appropriate to the provision of care or assisting a resident with activities of daily living unless the force used is excessive in the circumstance)

Sexual Abuse

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 23

(a) subject to subsection (3) any consensual or non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation that is directed towards a resident by a licensee or staff member or

(b) any non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation directed towards a resident by a person other than a licensee or staff member

(Note Sexual Abuse does not include

(a) touching behaviour or remarks of a clinical nature that are appropriate to the provision of care or assisting a resident with activities of daily living or

(b) consensual touching behaviour or remarks of a sexual nature between a resident and a licensee or staff member that is in the course of a sexual relationship that began before the resident was admitted to the long-term care home or before the licensee or staff member became a licensee or staff member)

Verbal Abuse

(a) any form of verbal communication of a threatening or intimidating nature or any form of verbal communication of a belittling or degrading nature which diminishes a residentrsquos sense of well-being dignity or self-worth that is made by anyone other than a resident or

(b) any form of verbal communication of a threatening or intimidating nature made by a resident that leads another resident to fear for his or her safety where the resident making the communication understands and appreciates its consequences

Neglect

(a) the failure to provide a resident with the treatment care services or assistance required for health safety or well-being and includes inaction or a pattern of inaction that jeopardizes the health safety or well-being of one or more residents

Copernicus Lodgersquos established Resident Abuse Policy and Procedure encompasses

A Definitions of what constitutes Resident Abuse and Neglect

B A Resident Abuse Incident Reporting System

C A Resident Abuse Incident Investigation System

D Support for the person abused

E EducationTraining that supports prevention of resident abuse and neglect and

F Evaluation of our 0 tolerance program

Copernicus Lodge maintains a Zero Tolerance for any type of abuse of a resident family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 13: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 12

get your consent Some examples of situations where we will not seek your consent for disclosure are

For emergency or life threatening events

Where there is legal obligation to disclose under a court or government order for instance to police

Where personal information is given to our agents and service providers for services such as laboratory and pharmacy services and

Where personal information must be given to insurers in connection with insurance services

Reviewing amp Making Corrections Except as outlined below a record is kept each time personal information is disclosed noting the nature of the disclosure that was made Individual records of disclosure are not maintained for regular and routine actions such as prescriptions sent to the pharmacy We attempt to ensure that the information we hold about you is accurate complete and up-to-date If there are changes to your information eg a new Substitute Decision Maker (SDM) has been named please notify us immediately If you believe that information in your records may be inaccurate we make it easy for you to access verify and update it If information has been provided to third parties we will convey the corrected information to them if necessary If we do not agree to change your personal information you may challenge our decision We will make a record of this challenge and if necessary disclose the challenge to third parties who also process your information To review your personal information simply ask a staff person for assistance The staff person will provide you with instructions about accessing your information There may be a charge for retrieving your information in which case you will be notified in advance and may if you like withdraw your consent You may also challenge the reasonableness of the charge Access to information may be more meaningful to you if such access is provided in the presence of a service provider who can explain terminology and the organizations policies We encourage you to invite a care provider from Copernicus Lodge to assist you in your review of your personal information Sometimes a staff person will not provide you with information about you that is within its control This can occur if your right of access is constrained pursuant to the provisions of PHIPA For example the staff person will not provide you with personal information if

It would reveal personal information about another party and your personal information cannot be separated

The information is subject to solicitor-client or litigation privilege andor if

The information is used for the detection and prevention of a criminal activity and dealings in the proceeds of crime

If a staff person refuses your request for access to personal information you will be told why unless prohibited by law You may challenge the decision Once you have the information all you have to do is check for its accuracy and let us know if there are any corrections required We will correct our records or make a note of differences If information has been provided to third parties we will convey the corrected information or note any differences to them if necessary

Complaints amp Responsibility Ultimately Department Managers and Supervisors are responsible for protecting resident information They delegate day-to-day responsibilities to others such as privacy officers within Copernicus Lodge Every staff person must take responsibility for protecting resident privacy confidentiality and security Our suppliers sign contracts that oblige them to contractually adhere to our privacy practices thus protecting the information of residents when in the possession of third parties These suppliers or third party

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 13

include lab pharmacy physicians etc There are controls over the use of computers electronic data sharing paper documents faxing activities access to personal information If you or your family has concerns or questions about the management of personal information in Copernicus Lodge or about our compliance with privacy codes and laws we invite you to direct your questions and concerns to a staff person who is providing service to you If that person is unable to effectively respond to your questions and concerns we encourage you to contact our Privacy Officer

Tracy Kamino Chief Executive Officer 416-536-7122 extension 238

Fax 416-536-8242

We trust that we will be able to resolve any issues that you have regarding the protection of personal information If our Privacy Officer Tracy Kamino is unable to satisfy your inquiries you may contact the Office of the Privacy Commissioner of Ontario

Information and Privacy Commissioner of Ontario 2 Bloor Street West Suite 1400 Toronto Ontario M4W 1A8

Tel 1-416-326-3333 or Toll Free 1-800-387-0073

LONG TERM CARE ACCOMMODATION

All rooms are furnished with bull an electric hospital bed (regular or adjustable head and foot ) and pillows bull comfortable mattress with waterproof cover bull adjustable bed rails (if required) bull loungeguest chair bull night tablelamp bull laundry basket bull garbage can

The residentrsquos name is posted outside their room Memory boxes at eye level personalize and cue residents to their room All rooms are heated and water tempered with connections for telephone and cable TV Common areas are air-conditioned All windows can open but only 4 inches wide at all times (as per legal requirements) Residentsfamiliesvolunteers are not allowed to tamper with the window locking mechanisms You may bring a radio TV andor pictures Only certain electrical appliances as discussed and permitted by the Director of Care are allowed Bar fridges are not permitted in the home unless identified for medical reasons only and under the approval of the Director of Care Call bells must meet CSA Standards and are located at the bedside in the washrooms and lounge areas Press to call for assistance Cleaning services are provided weekly or more often if necessary Additional furniture may be brought in after consulting with the Director of Care Balcony Balcony doors must be locked at all times unless residents are supervised by staff or families (or resident is competent to be there alone) Families and residents using this space are told before allowing access to ensure they close the door after themselves and ensure it is locked

Accommodation Rates

Copernicus Lodge has different classes of accommodation that have different rates The

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 14

Ministry of Health and Long-Term Care (the ldquoMinistryrdquo) sets these rates The Long Term Care Homes Act requires residents to pay homes the rate that is set for his or her class of accommodation The Ministry adjusts accommodation rates from time to time These adjustments will result in changes to the Accommodation Fees Copernicus Lodge will provide the Resident with thirty (30) days written notice in advance of any increase in Accommodation Fees The notice will include the amount of the increase and the current Accommodation Fees that the Resident must pay

A Resident who is absent from Copernicus Lodge must continue to pay Accommodation Fees for each day of his or her absence The term ldquoabsencerdquo includes a casual or vacation absence and also an absence for medical or psychiatric care or assessment

RATES ndash from September 1 2014

A Basic Accommodation (Shared washroom)

From $ 123865 per month to $ 173162 per month

Persons applying for Basic Accommodation must submit a Notice of Assessment for the current year from Canada Customs and Revenue Agency CCRA (formerly Revenue Canada) to the Accounting Department A rate reduction form will be completed and must be signed If the income is below the threshold set by the Ministry of Health then the resident will receive a rate reduction Please contact the Accountant at 416-536-71122 ext 258

B Preferred Accommodation Private $ 243881 per month (Own room with ensuite washroom)

SHORT STAY RESPITE ACCOMMODATION

Copernicus Lodge offers Short Stay Respite Care Applications are filed and processed through the Community Care Access Centre

RATES $ 3685 per day A maximum of 90 days in a calendar year is allowed (60 days consecutive)

NOTE Rates are subject to change on notification by the Ministry of Health

List of Goods and Services included with Accommodation

The following list provides information about the goods and services included in basic or

preferred accommodation

1 Nursing and personal care on a 24-hour basis the administration of medications and assistance with activities of daily living

2 Medical care and restorative care is available in the home 3 Certain medical supplies and nursing equipment that are necessary for the care of the

resident 4 Supplies and equipment for personal hygiene and grooming 5 Certain equipment for the short-term use of the resident

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 15

6 Meal and snack service (three meals daily snacks between meals and at bedtime) special and therapeutic diets dietary supplements and devices to promote independence with eating

7 Social recreational spiritual and physical activities and programs 8 Laundry including labelling 9 Bedroom furnishings bedding and linen 10 Cleaning and upkeep of accommodations 11 Maintenance of a trust account on the residentrsquos behalf 12 Information package for residents 13 Prescription pharmaceutical preparations listed in the Ontario Drug Benefit Formulary

(the government requires residents to pay a small co-payment) 14 Special preparations or medical devices that may be obtained from the Ontario Drug

Benefit Program as interim non-formulary benefits 15 Insured devices equipment supplies and services that are available to the resident

through certain programs such as the Ontario Assistive Devices Program (the government covers part of this cost and residents must pay the rest)

16 Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon request

Note The Resident (or Power of Attorney for Property Guardian Trustee on behalf of the Resident) may purchase additional goods and services from the Home or 3

rd Party Suppliers

under a separate agreement ACCOUNTING BILLING BANKING

Hours Monday 130 pm - 400 pm Wednesday 900 am - 1230 pm Last Friday of the month 900 am - 1200 noon Closed - Tuesday Thursday and Friday (except last) Other times are by appointment please call ext 258 There is a slot located on the Accounting Office door for dropping off paymentsinformation after hours

ON SITE BANKING St Stanislaus St Casimirrsquos Credit Union attends in Room G 30 every Wednesday from 930 am to 1230 pm amp 100 pm to 200 pm and the last Friday of the month from 930 am to 1230 pm amp 100 pm to 200 pm for persons wishing to do regular banking transactions

Trust Accounts may be opened in Copernicus Lodge as requested Copernicus Lodge maintains a non interest bearing account on behalf of the resident There is no charge for this service Please contact the Accountant at ext 258 between 700 am and 300 pm

Comfort Allowance - is available to persons in Basic Accommodation rooms only There is no Comfort Allowance for persons in Preferred Accommodation Monies owing to the residentlawfully authorized substitute are returned one month after discharge Copernicus Lodge does not require a resident to pay a penalty in lieu of a specific notice period prior to discharge

MEDICAL SERVICES

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 16

Medical Director Copernicus Lodge shall ensure that it has a Medical Director The Medical Director shall be a physician The Medical Director

advises Copernicus Lodge long term care on matters relating to medical care

consults with the Director of Care and other health professionals working in Copernicus Lodge

performs any other duties provided for in the regulations 2007 c 72 (3)

Attending Physicians All residents have the option to choose their own Attending Physician outside of those physicians currently servicing Copernicus Lodge provided that heshe agrees to attend the resident at the home on a weekly basis and abide by Copernicus Lodge policies and procedures Attending Physicians must sign a contract with Copernicus Lodge

1 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario 2 All Attending Physicians are appointed by the Chief Executive Officer on the advice of the Medical Director 3 Attending Physicians are accountable to the Medical Director for meeting the homes policies and standards of medical care 4 Attending Physicians assess plan implement and evaluate their residents medical care and participate in a multi-disciplinary approach to care 5 Attending Physicians document on the resident health record on each visit to maintain continuity and ongoing evaluation 6 Attending Physicians arrange for 24-hour medical coverage for residents for whom they provide medical care 7 All medical care and services provided by Physicians in Long-Term Care homes are subject to peer assessment by the College of Physicians and Surgeons of Ontario on a random basis according to College procedures 8 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario

Residents and family members should be aware that the primary contact for medical care or medical concerns is the Registered Nursing staff Attending Physicians do not have offices within the home and are not in the facility each day Attending Physicians complete regular visits to their residents and on an as needed basis Attending Physicians do not normally contact family members to provide updates on the residentrsquos condition Residents and family members are always welcome to contact the Attending Physician at their private practice The office number can be obtained from the Registered Nursing staff Due to privacy issues Registered Nursing staff will only provide general health information about a resident to the Power of Attorney for Care (POA) Information about or changes to a residentrsquos medical diagnosis is given by the Attending Physician and not the Registered Nursing Staff Psychogeriatrician

Dr Colman Nefsky (MD Psychogeriatrician) We are very pleased to have the support of our consulting Psychogeriatrician from St Josephrsquos Health Center Dr Colman Nefsky Dr Nefsky visits and completes rounds on a monthly basis

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 17

for those residents who have been referred to him Dr Nefsky provides consultations to individuals who are suffering with psychological or behavioural issues and provides treatment options to the nursing and medical staff in the home Mary Boudart RN ndash St Josephrsquos Health Center Geriatric Mental Health Outreach Team Nurse (GMHOT) Mary Boudart works in collaboration with Dr Nefsky and completes weekly rounds for any resident who has been referred to her Care Conferences An organized documented interdisciplinary care conference lasting 30 minutes in duration is held with each resident andor substitute decision maker (POA for care) if you are able and wish to attend within six (6) weeks following admission to Copernicus Lodge and annually thereafter Care Conferences are held in order to discuss review and further develop the residents plan of care and address any other matters of importance to the resident and hisher substitute decision-maker (if any) The resident the substitute decision maker if any and any person that either of you may direct are given an opportunity to participate fully in the care conference

Special Care Conferences may be held anytime at the request of the family resident or interdisciplinary team if a residents condition or any other situation arises which affects the residents status Care conferences are held in either the activity room or the conference room (behind the nursing station) located on the residents home areafloorunit If the family substitute decision maker is unable to attend in person the option of a teleconference (over the telephone meeting) is available as an option to being there in person The conference may also be held at the bedside of a bedridden resident as requested by the resident andor substitute decision maker Residents and family are reminded not to wait for this annual meeting to express any concerns or issues you have Express concerns at the time they occur directly with any one of the interdisciplinary team as it relates to any department or inform the Charge Nurse who can redirect them as appropriate

Note Care Conferences do not apply to those residents residing in short-stay beds

NURSING

Nursing care and personal care is provided on a 24-hour basis This includes care given by or under the supervision of a Registered Nurse or a Registered Practical Nurse All Registered Nursing staff is licensed by the College of Nurses of Ontario Assistance with activities of daily living (personal care) is provided by Personal Support Workers (PSWrsquos) Daily medication is administered by the Registered Nursing staff Newly admitted residents must give all of their medication from home or hospital to the Registered Nurse on duty on the day of admission A picture is taken of all new residents on the day of admission and posted on their Medication Administration Record (MAR) and in the residents chart This is done to prevent medication and treatment errors Nursing and personal care is completed through an individualized personal care approach Nursing staff complete ongoing assessments and care plans which detail each residentrsquos individual care needs

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 18

Nursing staff can be reached by pressing the call-bells for assistance These are located in the resident bedroom bathrooms and lounge areas Call bells are responded to as quickly as possible

Pharmacy Copernicus Lodge utilizes a local pharmacy for all of its medicationpharmaceutical requirements At no time should residents or families bring in medications not approved by the medical nursing staff Medications are not to be left in resident rooms IMPORTANT All medications must be left with the Registered Nursing staff on duty

Medical supplies and nursing equipment

Medical supplies and nursing equipment necessary for the care of residents is provided by the home including supplies for the prevention or care of skin disorders continence care products infection control and sterile procedures

Medical devices such as catheters colostomy and ileostomy devices

Supplies and equipment for personal hygiene and grooming including skin care lotions and powders shampoos soap deodorant toothpaste toothbrushes denture cups and cleansers toilet tissue facial tissue hair brushes combs razorsshavers shaving cream feminine hygiene and incontinence products

Equipment for the general use of residents such as toilet aids and other self-help aids for the activities of daily living

Equipment for the general use of residents including wheelchairs geriatric chairs canes walkers are provided for short term use only (maximum 3 ndash 4 weeks) Should a resident require equipment for longer than 3-4 weeks the residentfamilysubstitute decision maker will be required to purchasecover all costs for such items Prescription pharmaceutical preparations listed in the Drug Benefit Formulary

bull Special preparations or medical devices which may be obtained from the Ontario Drug Benefit Program as interim non-formulary benefits

bull Insured devices equipment supplies and services available to residents through other programs such as the Home Care Program and Assistive Devices Program (ADP) ACHIEVA HEALTH provides ADP Seating and Mobility Assessments at NO COST to the Residents at Copernicus Lodge

bull Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon requisition If you have any questions or concerns regarding the nursing care or service please speak to the Charge Nurse

TAG SYSTEM

PURPOSE TO IDENTIFY RESIDENTS WITH BEHAVIOURAL ISSUES AND DIETARY RESTRICTIONS AS PART OF FALLS PREVENTION PROGRAM

As part of the Falls Prevention Program cards are mounted onto the residentrsquos mobility aids (where applicable) identifying that

a resident is at risk for falls

these cards are COLOUR-CODED to match the residents current behavioural risk level (ie Green Yellow or Pink as detailed in Section D)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 19

cards have a picture of food that is crossed out to identify that residents have a dietary restriction

On a quarterly basis or more often as necessary based on changes to a residentrsquos falls risk or behavioural risk level it is the responsibility of the RN RPN on each unit to review these cards and change them in order to correspond with the residentrsquos current condition

If the Dietician notes that there are changes to a residents swallowing meal consistency etc which warrant dietary restrictions it is the responsibility of the Dietician Manager of Dietary Services or Food Services Supervisor to change these cards on the residents mobility aid

There are 4 types of cards These are

I Colour-coded cards with only the residents unit identified ndash these individuals are not at risk for falls and do not have dietary restrictions however staff can clearly identify the residents behavioural risk level

II Colour-coded cards with the residents unit and Falls Symbol ndash this identifies that a resident is at risk for falls and also identifies the residents behavioural risk level

III Colour-coded cards with residents unit Falls symbol and Dietary Restriction symbol ndash this identifies that the resident is at risk for falls and has dietary restrictions as well as the residents behavioural risk level

IV Colour-coded cards with residents unit and Dietary Restriction Symbol ndash this identifies that a resident has dietary restrictions to be aware of as well as the residents behavioural risk level

Prevention of Needlestick Injuries

Copernicus Lodge thrives to maintain the health and safety of all residents staff and visitors to our home Needlestick Injury Prevention is a serious concern for the employees of our home In order to take a proactive approach regarding the prevention of needlestick injuries we would like to outline some important information for you ALL NEW ADMISSIONS TO LONG TERM CARE

1 Please note that when residents move into our Long Term Care Home that the nursing staff will take on the responsibility of completing diabetic glucose testing along with insulin injections Residents are NOT to self test themselves if they are diabetic This practice allows the nursing staff to safely dispose the needles as required into the Yellow Disposable Needle Containers - in every circumstance

2 We would kindly ask that families POArsquos please take any glucometer testing units syringes home Please do not leave any of these items in the residents room or by the bedside

FAMILIES AND VISITORS If any family member or visitor must test themselves while at Copernicus Lodge please ensure that you speak with the nursing staff RN RPN on the unit so that you can safely discard any needles used into one of the Yellow Disposable Needle Containers available on the Resident Home Area units

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 20

RESTRAINT USE AT COPERNICUS LODGE Copernicus Lodge uses the Least Restraint practice which means that the least restrictive measure is used for the shortest duration possible This allows for the maximum freedom of movement andor residentrsquos control The types of restraints currently used within Copernicus Lodge are as follows

a) Chemical Restraints - a pharmaceutical agent given with the specific purpose of inhibiting or controlling behaviour or movement

b) Physical RestraintsDevices - any appliance device apparatus or equipment attached or adjacent to a residents body that the individual cannot remove easily and which restricts movement The Physical Restraints currently used at Copernicus Lodge are Lapbelts Seatbelts Table Tops and Full Bedrails (both up at the same time)

c) Environmental Restraints - A barrier to free personal movement which serves to confine a resident to a specific geographic area (ie 2 North Special Care Unit which has a wanderguard alarm installed for residents with exit-seeking behaviours)

Note Under no circumstances can two restraints be applied at the same time (for example a lap tray cannot be used at the same time as a seatbelt)

The following devices are Prohibited and NOT permitted to be used in Copernicus Lodge

1 Roller bars on wheelchairs and commodes or toilets

2 Vest or jacket restraints

3 Any device with locks that can only be released by a separate device such as a key or magnet

4 Four point extremity restraints

5 Any device used to restrain a resident to a commode or toilet

6 Any device that cannot be immediately released by staff

7 Sheets wraps tensors or other types of strips or bandages used other than for a therapeutic purpose

Copernicus Lodgersquos Restraint Policy involves an interdisciplinary approach to restraint use and we document all steps of the restraining process

Our Restraint Policy includes the following requirements

1 Staff only applies a physical device that has been ordered and approved by the Attending Physician and where there is a signed consent by the resident (if competent) andor Substitute Decision Maker and an understanding of the reason for the use of the device

2 Staff consider alternatives to the use of physical devices including how these alternatives are planned developed and implemented (ie one way-gliders assist to prevent residents from sliding as does the tilt mechanism on many wheelchairs)

3 That the need for the restraint is clearly documented in the resident plan of care

4 Staff applies the physical device only in accordance with any manufacturerrsquos instructions and the instructions of the Attending Physician

5 Staff ensures that the physical device is well maintained

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 21

6 Staff ensures that the physical device is not altered except for routine adjustments in accordance with any manufacturerrsquos instructions

7 Registered staff and PSW staff monitor the resident while restrained at least every hour

8 Staff ensures that the resident is released from the physical device and repositioned at least once every two hours (this requirement does not apply when bed rails are being used if the resident is able to reposition himself or herself)

9 Staff ensures that the resident is released and repositioned any other time when necessary based on the residentrsquos condition or circumstances

10 The residentrsquos condition is reassessed and the effectiveness of the restraining is evaluated by the Registered Nurse every eight hours and at any other time when necessary based on the residentrsquos condition or circumstances

11 Upon removal of a physical device post-restraining care is provided to ensure the safety and comfort of the resident

Copernicus Lodge also reserves the right to restrain a resident by physical means when immediate action is necessary to prevent serious bodily harm to the resident or to others In the event such action is required

1 The resident is monitored or supervised on an ongoing basis and released from the physical device and repositioned when necessary based on the residentrsquos condition or circumstances

2 Ongoing assessment of the residentrsquos condition is reassessed by the registered nursing staff

3 The restraint is discontinued when the immediate action is no longer necessary

4 When the application of a physical restraint is required for to prevent serious injury to a resident or others the reason for the use of the physical device will be explained to the resident or the residentrsquos substitute decision maker where the resident is incapable

Environmental Restraints Dementia Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentrsquos plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

Evaluation Through our continuous quality improvement efforts Copernicus Lodge annually evaluates the effectiveness of our restraint policy and identifies what changes and improvements are required

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 22

to minimize restraining and to ensure that any restraining that is necessary is done in accordance with legislative requirements Any changes or improvements are to be promptly implemented

Although there will always be residents who require or feel more secure with restraints we hope that everyone will work with us to try to keep our home as RESTRAINT FREE AS POSSIBLE

To receive a copy of the full restraint policy please feel free to speak to our Director of Care at 416-536-7122 ext 240

Copernicus Lodgersquos Resident Abuse and Neglect Policy Copernicus Lodge promotes in its standards and practices the philosophy of care that all residents are treated with dignity respect and courtesy The Lodge views most seriously any type of abuse or neglect of a resident by any staff volunteer family substitute decision-maker visitor or any other persons who enter the premises at Copernicus Lodge

Definitions of Abuse

Copernicus Lodge defines ldquoabuserdquo (in accordance with our policy and subsection 2 (1) of the Long Term Care Homes Act) as the following

Emotional Abuse

(a) any threatening insulting intimidating or humiliating gestures actions behaviour or remarks including imposed social isolation shunning ignoring lack of acknowledgement or infantilization that are performed by anyone other than a resident or

(b) any threatening or intimidating gestures actions behaviour or remarks by a resident that causes alarm or fear to another resident where the resident performing the gestures actions behaviour or remarks understands and appreciates their consequences

Financial Abuse

(a) any misappropriation or misuse of a residentrsquos money or property

Physical Abuse

(a) the use of physical force by anyone other than a resident that causes physical injury or pain

(b) administering or withholding a drug for an inappropriate purpose or

(c) the use of physical force by a resident that causes physical injury to another resident

(Note Physical Abuse does not include the use of force that is appropriate to the provision of care or assisting a resident with activities of daily living unless the force used is excessive in the circumstance)

Sexual Abuse

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 23

(a) subject to subsection (3) any consensual or non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation that is directed towards a resident by a licensee or staff member or

(b) any non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation directed towards a resident by a person other than a licensee or staff member

(Note Sexual Abuse does not include

(a) touching behaviour or remarks of a clinical nature that are appropriate to the provision of care or assisting a resident with activities of daily living or

(b) consensual touching behaviour or remarks of a sexual nature between a resident and a licensee or staff member that is in the course of a sexual relationship that began before the resident was admitted to the long-term care home or before the licensee or staff member became a licensee or staff member)

Verbal Abuse

(a) any form of verbal communication of a threatening or intimidating nature or any form of verbal communication of a belittling or degrading nature which diminishes a residentrsquos sense of well-being dignity or self-worth that is made by anyone other than a resident or

(b) any form of verbal communication of a threatening or intimidating nature made by a resident that leads another resident to fear for his or her safety where the resident making the communication understands and appreciates its consequences

Neglect

(a) the failure to provide a resident with the treatment care services or assistance required for health safety or well-being and includes inaction or a pattern of inaction that jeopardizes the health safety or well-being of one or more residents

Copernicus Lodgersquos established Resident Abuse Policy and Procedure encompasses

A Definitions of what constitutes Resident Abuse and Neglect

B A Resident Abuse Incident Reporting System

C A Resident Abuse Incident Investigation System

D Support for the person abused

E EducationTraining that supports prevention of resident abuse and neglect and

F Evaluation of our 0 tolerance program

Copernicus Lodge maintains a Zero Tolerance for any type of abuse of a resident family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 14: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 13

include lab pharmacy physicians etc There are controls over the use of computers electronic data sharing paper documents faxing activities access to personal information If you or your family has concerns or questions about the management of personal information in Copernicus Lodge or about our compliance with privacy codes and laws we invite you to direct your questions and concerns to a staff person who is providing service to you If that person is unable to effectively respond to your questions and concerns we encourage you to contact our Privacy Officer

Tracy Kamino Chief Executive Officer 416-536-7122 extension 238

Fax 416-536-8242

We trust that we will be able to resolve any issues that you have regarding the protection of personal information If our Privacy Officer Tracy Kamino is unable to satisfy your inquiries you may contact the Office of the Privacy Commissioner of Ontario

Information and Privacy Commissioner of Ontario 2 Bloor Street West Suite 1400 Toronto Ontario M4W 1A8

Tel 1-416-326-3333 or Toll Free 1-800-387-0073

LONG TERM CARE ACCOMMODATION

All rooms are furnished with bull an electric hospital bed (regular or adjustable head and foot ) and pillows bull comfortable mattress with waterproof cover bull adjustable bed rails (if required) bull loungeguest chair bull night tablelamp bull laundry basket bull garbage can

The residentrsquos name is posted outside their room Memory boxes at eye level personalize and cue residents to their room All rooms are heated and water tempered with connections for telephone and cable TV Common areas are air-conditioned All windows can open but only 4 inches wide at all times (as per legal requirements) Residentsfamiliesvolunteers are not allowed to tamper with the window locking mechanisms You may bring a radio TV andor pictures Only certain electrical appliances as discussed and permitted by the Director of Care are allowed Bar fridges are not permitted in the home unless identified for medical reasons only and under the approval of the Director of Care Call bells must meet CSA Standards and are located at the bedside in the washrooms and lounge areas Press to call for assistance Cleaning services are provided weekly or more often if necessary Additional furniture may be brought in after consulting with the Director of Care Balcony Balcony doors must be locked at all times unless residents are supervised by staff or families (or resident is competent to be there alone) Families and residents using this space are told before allowing access to ensure they close the door after themselves and ensure it is locked

Accommodation Rates

Copernicus Lodge has different classes of accommodation that have different rates The

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 14

Ministry of Health and Long-Term Care (the ldquoMinistryrdquo) sets these rates The Long Term Care Homes Act requires residents to pay homes the rate that is set for his or her class of accommodation The Ministry adjusts accommodation rates from time to time These adjustments will result in changes to the Accommodation Fees Copernicus Lodge will provide the Resident with thirty (30) days written notice in advance of any increase in Accommodation Fees The notice will include the amount of the increase and the current Accommodation Fees that the Resident must pay

A Resident who is absent from Copernicus Lodge must continue to pay Accommodation Fees for each day of his or her absence The term ldquoabsencerdquo includes a casual or vacation absence and also an absence for medical or psychiatric care or assessment

RATES ndash from September 1 2014

A Basic Accommodation (Shared washroom)

From $ 123865 per month to $ 173162 per month

Persons applying for Basic Accommodation must submit a Notice of Assessment for the current year from Canada Customs and Revenue Agency CCRA (formerly Revenue Canada) to the Accounting Department A rate reduction form will be completed and must be signed If the income is below the threshold set by the Ministry of Health then the resident will receive a rate reduction Please contact the Accountant at 416-536-71122 ext 258

B Preferred Accommodation Private $ 243881 per month (Own room with ensuite washroom)

SHORT STAY RESPITE ACCOMMODATION

Copernicus Lodge offers Short Stay Respite Care Applications are filed and processed through the Community Care Access Centre

RATES $ 3685 per day A maximum of 90 days in a calendar year is allowed (60 days consecutive)

NOTE Rates are subject to change on notification by the Ministry of Health

List of Goods and Services included with Accommodation

The following list provides information about the goods and services included in basic or

preferred accommodation

1 Nursing and personal care on a 24-hour basis the administration of medications and assistance with activities of daily living

2 Medical care and restorative care is available in the home 3 Certain medical supplies and nursing equipment that are necessary for the care of the

resident 4 Supplies and equipment for personal hygiene and grooming 5 Certain equipment for the short-term use of the resident

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 15

6 Meal and snack service (three meals daily snacks between meals and at bedtime) special and therapeutic diets dietary supplements and devices to promote independence with eating

7 Social recreational spiritual and physical activities and programs 8 Laundry including labelling 9 Bedroom furnishings bedding and linen 10 Cleaning and upkeep of accommodations 11 Maintenance of a trust account on the residentrsquos behalf 12 Information package for residents 13 Prescription pharmaceutical preparations listed in the Ontario Drug Benefit Formulary

(the government requires residents to pay a small co-payment) 14 Special preparations or medical devices that may be obtained from the Ontario Drug

Benefit Program as interim non-formulary benefits 15 Insured devices equipment supplies and services that are available to the resident

through certain programs such as the Ontario Assistive Devices Program (the government covers part of this cost and residents must pay the rest)

16 Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon request

Note The Resident (or Power of Attorney for Property Guardian Trustee on behalf of the Resident) may purchase additional goods and services from the Home or 3

rd Party Suppliers

under a separate agreement ACCOUNTING BILLING BANKING

Hours Monday 130 pm - 400 pm Wednesday 900 am - 1230 pm Last Friday of the month 900 am - 1200 noon Closed - Tuesday Thursday and Friday (except last) Other times are by appointment please call ext 258 There is a slot located on the Accounting Office door for dropping off paymentsinformation after hours

ON SITE BANKING St Stanislaus St Casimirrsquos Credit Union attends in Room G 30 every Wednesday from 930 am to 1230 pm amp 100 pm to 200 pm and the last Friday of the month from 930 am to 1230 pm amp 100 pm to 200 pm for persons wishing to do regular banking transactions

Trust Accounts may be opened in Copernicus Lodge as requested Copernicus Lodge maintains a non interest bearing account on behalf of the resident There is no charge for this service Please contact the Accountant at ext 258 between 700 am and 300 pm

Comfort Allowance - is available to persons in Basic Accommodation rooms only There is no Comfort Allowance for persons in Preferred Accommodation Monies owing to the residentlawfully authorized substitute are returned one month after discharge Copernicus Lodge does not require a resident to pay a penalty in lieu of a specific notice period prior to discharge

MEDICAL SERVICES

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 16

Medical Director Copernicus Lodge shall ensure that it has a Medical Director The Medical Director shall be a physician The Medical Director

advises Copernicus Lodge long term care on matters relating to medical care

consults with the Director of Care and other health professionals working in Copernicus Lodge

performs any other duties provided for in the regulations 2007 c 72 (3)

Attending Physicians All residents have the option to choose their own Attending Physician outside of those physicians currently servicing Copernicus Lodge provided that heshe agrees to attend the resident at the home on a weekly basis and abide by Copernicus Lodge policies and procedures Attending Physicians must sign a contract with Copernicus Lodge

1 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario 2 All Attending Physicians are appointed by the Chief Executive Officer on the advice of the Medical Director 3 Attending Physicians are accountable to the Medical Director for meeting the homes policies and standards of medical care 4 Attending Physicians assess plan implement and evaluate their residents medical care and participate in a multi-disciplinary approach to care 5 Attending Physicians document on the resident health record on each visit to maintain continuity and ongoing evaluation 6 Attending Physicians arrange for 24-hour medical coverage for residents for whom they provide medical care 7 All medical care and services provided by Physicians in Long-Term Care homes are subject to peer assessment by the College of Physicians and Surgeons of Ontario on a random basis according to College procedures 8 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario

Residents and family members should be aware that the primary contact for medical care or medical concerns is the Registered Nursing staff Attending Physicians do not have offices within the home and are not in the facility each day Attending Physicians complete regular visits to their residents and on an as needed basis Attending Physicians do not normally contact family members to provide updates on the residentrsquos condition Residents and family members are always welcome to contact the Attending Physician at their private practice The office number can be obtained from the Registered Nursing staff Due to privacy issues Registered Nursing staff will only provide general health information about a resident to the Power of Attorney for Care (POA) Information about or changes to a residentrsquos medical diagnosis is given by the Attending Physician and not the Registered Nursing Staff Psychogeriatrician

Dr Colman Nefsky (MD Psychogeriatrician) We are very pleased to have the support of our consulting Psychogeriatrician from St Josephrsquos Health Center Dr Colman Nefsky Dr Nefsky visits and completes rounds on a monthly basis

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 17

for those residents who have been referred to him Dr Nefsky provides consultations to individuals who are suffering with psychological or behavioural issues and provides treatment options to the nursing and medical staff in the home Mary Boudart RN ndash St Josephrsquos Health Center Geriatric Mental Health Outreach Team Nurse (GMHOT) Mary Boudart works in collaboration with Dr Nefsky and completes weekly rounds for any resident who has been referred to her Care Conferences An organized documented interdisciplinary care conference lasting 30 minutes in duration is held with each resident andor substitute decision maker (POA for care) if you are able and wish to attend within six (6) weeks following admission to Copernicus Lodge and annually thereafter Care Conferences are held in order to discuss review and further develop the residents plan of care and address any other matters of importance to the resident and hisher substitute decision-maker (if any) The resident the substitute decision maker if any and any person that either of you may direct are given an opportunity to participate fully in the care conference

Special Care Conferences may be held anytime at the request of the family resident or interdisciplinary team if a residents condition or any other situation arises which affects the residents status Care conferences are held in either the activity room or the conference room (behind the nursing station) located on the residents home areafloorunit If the family substitute decision maker is unable to attend in person the option of a teleconference (over the telephone meeting) is available as an option to being there in person The conference may also be held at the bedside of a bedridden resident as requested by the resident andor substitute decision maker Residents and family are reminded not to wait for this annual meeting to express any concerns or issues you have Express concerns at the time they occur directly with any one of the interdisciplinary team as it relates to any department or inform the Charge Nurse who can redirect them as appropriate

Note Care Conferences do not apply to those residents residing in short-stay beds

NURSING

Nursing care and personal care is provided on a 24-hour basis This includes care given by or under the supervision of a Registered Nurse or a Registered Practical Nurse All Registered Nursing staff is licensed by the College of Nurses of Ontario Assistance with activities of daily living (personal care) is provided by Personal Support Workers (PSWrsquos) Daily medication is administered by the Registered Nursing staff Newly admitted residents must give all of their medication from home or hospital to the Registered Nurse on duty on the day of admission A picture is taken of all new residents on the day of admission and posted on their Medication Administration Record (MAR) and in the residents chart This is done to prevent medication and treatment errors Nursing and personal care is completed through an individualized personal care approach Nursing staff complete ongoing assessments and care plans which detail each residentrsquos individual care needs

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 18

Nursing staff can be reached by pressing the call-bells for assistance These are located in the resident bedroom bathrooms and lounge areas Call bells are responded to as quickly as possible

Pharmacy Copernicus Lodge utilizes a local pharmacy for all of its medicationpharmaceutical requirements At no time should residents or families bring in medications not approved by the medical nursing staff Medications are not to be left in resident rooms IMPORTANT All medications must be left with the Registered Nursing staff on duty

Medical supplies and nursing equipment

Medical supplies and nursing equipment necessary for the care of residents is provided by the home including supplies for the prevention or care of skin disorders continence care products infection control and sterile procedures

Medical devices such as catheters colostomy and ileostomy devices

Supplies and equipment for personal hygiene and grooming including skin care lotions and powders shampoos soap deodorant toothpaste toothbrushes denture cups and cleansers toilet tissue facial tissue hair brushes combs razorsshavers shaving cream feminine hygiene and incontinence products

Equipment for the general use of residents such as toilet aids and other self-help aids for the activities of daily living

Equipment for the general use of residents including wheelchairs geriatric chairs canes walkers are provided for short term use only (maximum 3 ndash 4 weeks) Should a resident require equipment for longer than 3-4 weeks the residentfamilysubstitute decision maker will be required to purchasecover all costs for such items Prescription pharmaceutical preparations listed in the Drug Benefit Formulary

bull Special preparations or medical devices which may be obtained from the Ontario Drug Benefit Program as interim non-formulary benefits

bull Insured devices equipment supplies and services available to residents through other programs such as the Home Care Program and Assistive Devices Program (ADP) ACHIEVA HEALTH provides ADP Seating and Mobility Assessments at NO COST to the Residents at Copernicus Lodge

bull Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon requisition If you have any questions or concerns regarding the nursing care or service please speak to the Charge Nurse

TAG SYSTEM

PURPOSE TO IDENTIFY RESIDENTS WITH BEHAVIOURAL ISSUES AND DIETARY RESTRICTIONS AS PART OF FALLS PREVENTION PROGRAM

As part of the Falls Prevention Program cards are mounted onto the residentrsquos mobility aids (where applicable) identifying that

a resident is at risk for falls

these cards are COLOUR-CODED to match the residents current behavioural risk level (ie Green Yellow or Pink as detailed in Section D)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 19

cards have a picture of food that is crossed out to identify that residents have a dietary restriction

On a quarterly basis or more often as necessary based on changes to a residentrsquos falls risk or behavioural risk level it is the responsibility of the RN RPN on each unit to review these cards and change them in order to correspond with the residentrsquos current condition

If the Dietician notes that there are changes to a residents swallowing meal consistency etc which warrant dietary restrictions it is the responsibility of the Dietician Manager of Dietary Services or Food Services Supervisor to change these cards on the residents mobility aid

There are 4 types of cards These are

I Colour-coded cards with only the residents unit identified ndash these individuals are not at risk for falls and do not have dietary restrictions however staff can clearly identify the residents behavioural risk level

II Colour-coded cards with the residents unit and Falls Symbol ndash this identifies that a resident is at risk for falls and also identifies the residents behavioural risk level

III Colour-coded cards with residents unit Falls symbol and Dietary Restriction symbol ndash this identifies that the resident is at risk for falls and has dietary restrictions as well as the residents behavioural risk level

IV Colour-coded cards with residents unit and Dietary Restriction Symbol ndash this identifies that a resident has dietary restrictions to be aware of as well as the residents behavioural risk level

Prevention of Needlestick Injuries

Copernicus Lodge thrives to maintain the health and safety of all residents staff and visitors to our home Needlestick Injury Prevention is a serious concern for the employees of our home In order to take a proactive approach regarding the prevention of needlestick injuries we would like to outline some important information for you ALL NEW ADMISSIONS TO LONG TERM CARE

1 Please note that when residents move into our Long Term Care Home that the nursing staff will take on the responsibility of completing diabetic glucose testing along with insulin injections Residents are NOT to self test themselves if they are diabetic This practice allows the nursing staff to safely dispose the needles as required into the Yellow Disposable Needle Containers - in every circumstance

2 We would kindly ask that families POArsquos please take any glucometer testing units syringes home Please do not leave any of these items in the residents room or by the bedside

FAMILIES AND VISITORS If any family member or visitor must test themselves while at Copernicus Lodge please ensure that you speak with the nursing staff RN RPN on the unit so that you can safely discard any needles used into one of the Yellow Disposable Needle Containers available on the Resident Home Area units

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 20

RESTRAINT USE AT COPERNICUS LODGE Copernicus Lodge uses the Least Restraint practice which means that the least restrictive measure is used for the shortest duration possible This allows for the maximum freedom of movement andor residentrsquos control The types of restraints currently used within Copernicus Lodge are as follows

a) Chemical Restraints - a pharmaceutical agent given with the specific purpose of inhibiting or controlling behaviour or movement

b) Physical RestraintsDevices - any appliance device apparatus or equipment attached or adjacent to a residents body that the individual cannot remove easily and which restricts movement The Physical Restraints currently used at Copernicus Lodge are Lapbelts Seatbelts Table Tops and Full Bedrails (both up at the same time)

c) Environmental Restraints - A barrier to free personal movement which serves to confine a resident to a specific geographic area (ie 2 North Special Care Unit which has a wanderguard alarm installed for residents with exit-seeking behaviours)

Note Under no circumstances can two restraints be applied at the same time (for example a lap tray cannot be used at the same time as a seatbelt)

The following devices are Prohibited and NOT permitted to be used in Copernicus Lodge

1 Roller bars on wheelchairs and commodes or toilets

2 Vest or jacket restraints

3 Any device with locks that can only be released by a separate device such as a key or magnet

4 Four point extremity restraints

5 Any device used to restrain a resident to a commode or toilet

6 Any device that cannot be immediately released by staff

7 Sheets wraps tensors or other types of strips or bandages used other than for a therapeutic purpose

Copernicus Lodgersquos Restraint Policy involves an interdisciplinary approach to restraint use and we document all steps of the restraining process

Our Restraint Policy includes the following requirements

1 Staff only applies a physical device that has been ordered and approved by the Attending Physician and where there is a signed consent by the resident (if competent) andor Substitute Decision Maker and an understanding of the reason for the use of the device

2 Staff consider alternatives to the use of physical devices including how these alternatives are planned developed and implemented (ie one way-gliders assist to prevent residents from sliding as does the tilt mechanism on many wheelchairs)

3 That the need for the restraint is clearly documented in the resident plan of care

4 Staff applies the physical device only in accordance with any manufacturerrsquos instructions and the instructions of the Attending Physician

5 Staff ensures that the physical device is well maintained

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 21

6 Staff ensures that the physical device is not altered except for routine adjustments in accordance with any manufacturerrsquos instructions

7 Registered staff and PSW staff monitor the resident while restrained at least every hour

8 Staff ensures that the resident is released from the physical device and repositioned at least once every two hours (this requirement does not apply when bed rails are being used if the resident is able to reposition himself or herself)

9 Staff ensures that the resident is released and repositioned any other time when necessary based on the residentrsquos condition or circumstances

10 The residentrsquos condition is reassessed and the effectiveness of the restraining is evaluated by the Registered Nurse every eight hours and at any other time when necessary based on the residentrsquos condition or circumstances

11 Upon removal of a physical device post-restraining care is provided to ensure the safety and comfort of the resident

Copernicus Lodge also reserves the right to restrain a resident by physical means when immediate action is necessary to prevent serious bodily harm to the resident or to others In the event such action is required

1 The resident is monitored or supervised on an ongoing basis and released from the physical device and repositioned when necessary based on the residentrsquos condition or circumstances

2 Ongoing assessment of the residentrsquos condition is reassessed by the registered nursing staff

3 The restraint is discontinued when the immediate action is no longer necessary

4 When the application of a physical restraint is required for to prevent serious injury to a resident or others the reason for the use of the physical device will be explained to the resident or the residentrsquos substitute decision maker where the resident is incapable

Environmental Restraints Dementia Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentrsquos plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

Evaluation Through our continuous quality improvement efforts Copernicus Lodge annually evaluates the effectiveness of our restraint policy and identifies what changes and improvements are required

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 22

to minimize restraining and to ensure that any restraining that is necessary is done in accordance with legislative requirements Any changes or improvements are to be promptly implemented

Although there will always be residents who require or feel more secure with restraints we hope that everyone will work with us to try to keep our home as RESTRAINT FREE AS POSSIBLE

To receive a copy of the full restraint policy please feel free to speak to our Director of Care at 416-536-7122 ext 240

Copernicus Lodgersquos Resident Abuse and Neglect Policy Copernicus Lodge promotes in its standards and practices the philosophy of care that all residents are treated with dignity respect and courtesy The Lodge views most seriously any type of abuse or neglect of a resident by any staff volunteer family substitute decision-maker visitor or any other persons who enter the premises at Copernicus Lodge

Definitions of Abuse

Copernicus Lodge defines ldquoabuserdquo (in accordance with our policy and subsection 2 (1) of the Long Term Care Homes Act) as the following

Emotional Abuse

(a) any threatening insulting intimidating or humiliating gestures actions behaviour or remarks including imposed social isolation shunning ignoring lack of acknowledgement or infantilization that are performed by anyone other than a resident or

(b) any threatening or intimidating gestures actions behaviour or remarks by a resident that causes alarm or fear to another resident where the resident performing the gestures actions behaviour or remarks understands and appreciates their consequences

Financial Abuse

(a) any misappropriation or misuse of a residentrsquos money or property

Physical Abuse

(a) the use of physical force by anyone other than a resident that causes physical injury or pain

(b) administering or withholding a drug for an inappropriate purpose or

(c) the use of physical force by a resident that causes physical injury to another resident

(Note Physical Abuse does not include the use of force that is appropriate to the provision of care or assisting a resident with activities of daily living unless the force used is excessive in the circumstance)

Sexual Abuse

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 23

(a) subject to subsection (3) any consensual or non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation that is directed towards a resident by a licensee or staff member or

(b) any non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation directed towards a resident by a person other than a licensee or staff member

(Note Sexual Abuse does not include

(a) touching behaviour or remarks of a clinical nature that are appropriate to the provision of care or assisting a resident with activities of daily living or

(b) consensual touching behaviour or remarks of a sexual nature between a resident and a licensee or staff member that is in the course of a sexual relationship that began before the resident was admitted to the long-term care home or before the licensee or staff member became a licensee or staff member)

Verbal Abuse

(a) any form of verbal communication of a threatening or intimidating nature or any form of verbal communication of a belittling or degrading nature which diminishes a residentrsquos sense of well-being dignity or self-worth that is made by anyone other than a resident or

(b) any form of verbal communication of a threatening or intimidating nature made by a resident that leads another resident to fear for his or her safety where the resident making the communication understands and appreciates its consequences

Neglect

(a) the failure to provide a resident with the treatment care services or assistance required for health safety or well-being and includes inaction or a pattern of inaction that jeopardizes the health safety or well-being of one or more residents

Copernicus Lodgersquos established Resident Abuse Policy and Procedure encompasses

A Definitions of what constitutes Resident Abuse and Neglect

B A Resident Abuse Incident Reporting System

C A Resident Abuse Incident Investigation System

D Support for the person abused

E EducationTraining that supports prevention of resident abuse and neglect and

F Evaluation of our 0 tolerance program

Copernicus Lodge maintains a Zero Tolerance for any type of abuse of a resident family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 15: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 14

Ministry of Health and Long-Term Care (the ldquoMinistryrdquo) sets these rates The Long Term Care Homes Act requires residents to pay homes the rate that is set for his or her class of accommodation The Ministry adjusts accommodation rates from time to time These adjustments will result in changes to the Accommodation Fees Copernicus Lodge will provide the Resident with thirty (30) days written notice in advance of any increase in Accommodation Fees The notice will include the amount of the increase and the current Accommodation Fees that the Resident must pay

A Resident who is absent from Copernicus Lodge must continue to pay Accommodation Fees for each day of his or her absence The term ldquoabsencerdquo includes a casual or vacation absence and also an absence for medical or psychiatric care or assessment

RATES ndash from September 1 2014

A Basic Accommodation (Shared washroom)

From $ 123865 per month to $ 173162 per month

Persons applying for Basic Accommodation must submit a Notice of Assessment for the current year from Canada Customs and Revenue Agency CCRA (formerly Revenue Canada) to the Accounting Department A rate reduction form will be completed and must be signed If the income is below the threshold set by the Ministry of Health then the resident will receive a rate reduction Please contact the Accountant at 416-536-71122 ext 258

B Preferred Accommodation Private $ 243881 per month (Own room with ensuite washroom)

SHORT STAY RESPITE ACCOMMODATION

Copernicus Lodge offers Short Stay Respite Care Applications are filed and processed through the Community Care Access Centre

RATES $ 3685 per day A maximum of 90 days in a calendar year is allowed (60 days consecutive)

NOTE Rates are subject to change on notification by the Ministry of Health

List of Goods and Services included with Accommodation

The following list provides information about the goods and services included in basic or

preferred accommodation

1 Nursing and personal care on a 24-hour basis the administration of medications and assistance with activities of daily living

2 Medical care and restorative care is available in the home 3 Certain medical supplies and nursing equipment that are necessary for the care of the

resident 4 Supplies and equipment for personal hygiene and grooming 5 Certain equipment for the short-term use of the resident

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 15

6 Meal and snack service (three meals daily snacks between meals and at bedtime) special and therapeutic diets dietary supplements and devices to promote independence with eating

7 Social recreational spiritual and physical activities and programs 8 Laundry including labelling 9 Bedroom furnishings bedding and linen 10 Cleaning and upkeep of accommodations 11 Maintenance of a trust account on the residentrsquos behalf 12 Information package for residents 13 Prescription pharmaceutical preparations listed in the Ontario Drug Benefit Formulary

(the government requires residents to pay a small co-payment) 14 Special preparations or medical devices that may be obtained from the Ontario Drug

Benefit Program as interim non-formulary benefits 15 Insured devices equipment supplies and services that are available to the resident

through certain programs such as the Ontario Assistive Devices Program (the government covers part of this cost and residents must pay the rest)

16 Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon request

Note The Resident (or Power of Attorney for Property Guardian Trustee on behalf of the Resident) may purchase additional goods and services from the Home or 3

rd Party Suppliers

under a separate agreement ACCOUNTING BILLING BANKING

Hours Monday 130 pm - 400 pm Wednesday 900 am - 1230 pm Last Friday of the month 900 am - 1200 noon Closed - Tuesday Thursday and Friday (except last) Other times are by appointment please call ext 258 There is a slot located on the Accounting Office door for dropping off paymentsinformation after hours

ON SITE BANKING St Stanislaus St Casimirrsquos Credit Union attends in Room G 30 every Wednesday from 930 am to 1230 pm amp 100 pm to 200 pm and the last Friday of the month from 930 am to 1230 pm amp 100 pm to 200 pm for persons wishing to do regular banking transactions

Trust Accounts may be opened in Copernicus Lodge as requested Copernicus Lodge maintains a non interest bearing account on behalf of the resident There is no charge for this service Please contact the Accountant at ext 258 between 700 am and 300 pm

Comfort Allowance - is available to persons in Basic Accommodation rooms only There is no Comfort Allowance for persons in Preferred Accommodation Monies owing to the residentlawfully authorized substitute are returned one month after discharge Copernicus Lodge does not require a resident to pay a penalty in lieu of a specific notice period prior to discharge

MEDICAL SERVICES

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 16

Medical Director Copernicus Lodge shall ensure that it has a Medical Director The Medical Director shall be a physician The Medical Director

advises Copernicus Lodge long term care on matters relating to medical care

consults with the Director of Care and other health professionals working in Copernicus Lodge

performs any other duties provided for in the regulations 2007 c 72 (3)

Attending Physicians All residents have the option to choose their own Attending Physician outside of those physicians currently servicing Copernicus Lodge provided that heshe agrees to attend the resident at the home on a weekly basis and abide by Copernicus Lodge policies and procedures Attending Physicians must sign a contract with Copernicus Lodge

1 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario 2 All Attending Physicians are appointed by the Chief Executive Officer on the advice of the Medical Director 3 Attending Physicians are accountable to the Medical Director for meeting the homes policies and standards of medical care 4 Attending Physicians assess plan implement and evaluate their residents medical care and participate in a multi-disciplinary approach to care 5 Attending Physicians document on the resident health record on each visit to maintain continuity and ongoing evaluation 6 Attending Physicians arrange for 24-hour medical coverage for residents for whom they provide medical care 7 All medical care and services provided by Physicians in Long-Term Care homes are subject to peer assessment by the College of Physicians and Surgeons of Ontario on a random basis according to College procedures 8 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario

Residents and family members should be aware that the primary contact for medical care or medical concerns is the Registered Nursing staff Attending Physicians do not have offices within the home and are not in the facility each day Attending Physicians complete regular visits to their residents and on an as needed basis Attending Physicians do not normally contact family members to provide updates on the residentrsquos condition Residents and family members are always welcome to contact the Attending Physician at their private practice The office number can be obtained from the Registered Nursing staff Due to privacy issues Registered Nursing staff will only provide general health information about a resident to the Power of Attorney for Care (POA) Information about or changes to a residentrsquos medical diagnosis is given by the Attending Physician and not the Registered Nursing Staff Psychogeriatrician

Dr Colman Nefsky (MD Psychogeriatrician) We are very pleased to have the support of our consulting Psychogeriatrician from St Josephrsquos Health Center Dr Colman Nefsky Dr Nefsky visits and completes rounds on a monthly basis

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 17

for those residents who have been referred to him Dr Nefsky provides consultations to individuals who are suffering with psychological or behavioural issues and provides treatment options to the nursing and medical staff in the home Mary Boudart RN ndash St Josephrsquos Health Center Geriatric Mental Health Outreach Team Nurse (GMHOT) Mary Boudart works in collaboration with Dr Nefsky and completes weekly rounds for any resident who has been referred to her Care Conferences An organized documented interdisciplinary care conference lasting 30 minutes in duration is held with each resident andor substitute decision maker (POA for care) if you are able and wish to attend within six (6) weeks following admission to Copernicus Lodge and annually thereafter Care Conferences are held in order to discuss review and further develop the residents plan of care and address any other matters of importance to the resident and hisher substitute decision-maker (if any) The resident the substitute decision maker if any and any person that either of you may direct are given an opportunity to participate fully in the care conference

Special Care Conferences may be held anytime at the request of the family resident or interdisciplinary team if a residents condition or any other situation arises which affects the residents status Care conferences are held in either the activity room or the conference room (behind the nursing station) located on the residents home areafloorunit If the family substitute decision maker is unable to attend in person the option of a teleconference (over the telephone meeting) is available as an option to being there in person The conference may also be held at the bedside of a bedridden resident as requested by the resident andor substitute decision maker Residents and family are reminded not to wait for this annual meeting to express any concerns or issues you have Express concerns at the time they occur directly with any one of the interdisciplinary team as it relates to any department or inform the Charge Nurse who can redirect them as appropriate

Note Care Conferences do not apply to those residents residing in short-stay beds

NURSING

Nursing care and personal care is provided on a 24-hour basis This includes care given by or under the supervision of a Registered Nurse or a Registered Practical Nurse All Registered Nursing staff is licensed by the College of Nurses of Ontario Assistance with activities of daily living (personal care) is provided by Personal Support Workers (PSWrsquos) Daily medication is administered by the Registered Nursing staff Newly admitted residents must give all of their medication from home or hospital to the Registered Nurse on duty on the day of admission A picture is taken of all new residents on the day of admission and posted on their Medication Administration Record (MAR) and in the residents chart This is done to prevent medication and treatment errors Nursing and personal care is completed through an individualized personal care approach Nursing staff complete ongoing assessments and care plans which detail each residentrsquos individual care needs

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 18

Nursing staff can be reached by pressing the call-bells for assistance These are located in the resident bedroom bathrooms and lounge areas Call bells are responded to as quickly as possible

Pharmacy Copernicus Lodge utilizes a local pharmacy for all of its medicationpharmaceutical requirements At no time should residents or families bring in medications not approved by the medical nursing staff Medications are not to be left in resident rooms IMPORTANT All medications must be left with the Registered Nursing staff on duty

Medical supplies and nursing equipment

Medical supplies and nursing equipment necessary for the care of residents is provided by the home including supplies for the prevention or care of skin disorders continence care products infection control and sterile procedures

Medical devices such as catheters colostomy and ileostomy devices

Supplies and equipment for personal hygiene and grooming including skin care lotions and powders shampoos soap deodorant toothpaste toothbrushes denture cups and cleansers toilet tissue facial tissue hair brushes combs razorsshavers shaving cream feminine hygiene and incontinence products

Equipment for the general use of residents such as toilet aids and other self-help aids for the activities of daily living

Equipment for the general use of residents including wheelchairs geriatric chairs canes walkers are provided for short term use only (maximum 3 ndash 4 weeks) Should a resident require equipment for longer than 3-4 weeks the residentfamilysubstitute decision maker will be required to purchasecover all costs for such items Prescription pharmaceutical preparations listed in the Drug Benefit Formulary

bull Special preparations or medical devices which may be obtained from the Ontario Drug Benefit Program as interim non-formulary benefits

bull Insured devices equipment supplies and services available to residents through other programs such as the Home Care Program and Assistive Devices Program (ADP) ACHIEVA HEALTH provides ADP Seating and Mobility Assessments at NO COST to the Residents at Copernicus Lodge

bull Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon requisition If you have any questions or concerns regarding the nursing care or service please speak to the Charge Nurse

TAG SYSTEM

PURPOSE TO IDENTIFY RESIDENTS WITH BEHAVIOURAL ISSUES AND DIETARY RESTRICTIONS AS PART OF FALLS PREVENTION PROGRAM

As part of the Falls Prevention Program cards are mounted onto the residentrsquos mobility aids (where applicable) identifying that

a resident is at risk for falls

these cards are COLOUR-CODED to match the residents current behavioural risk level (ie Green Yellow or Pink as detailed in Section D)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 19

cards have a picture of food that is crossed out to identify that residents have a dietary restriction

On a quarterly basis or more often as necessary based on changes to a residentrsquos falls risk or behavioural risk level it is the responsibility of the RN RPN on each unit to review these cards and change them in order to correspond with the residentrsquos current condition

If the Dietician notes that there are changes to a residents swallowing meal consistency etc which warrant dietary restrictions it is the responsibility of the Dietician Manager of Dietary Services or Food Services Supervisor to change these cards on the residents mobility aid

There are 4 types of cards These are

I Colour-coded cards with only the residents unit identified ndash these individuals are not at risk for falls and do not have dietary restrictions however staff can clearly identify the residents behavioural risk level

II Colour-coded cards with the residents unit and Falls Symbol ndash this identifies that a resident is at risk for falls and also identifies the residents behavioural risk level

III Colour-coded cards with residents unit Falls symbol and Dietary Restriction symbol ndash this identifies that the resident is at risk for falls and has dietary restrictions as well as the residents behavioural risk level

IV Colour-coded cards with residents unit and Dietary Restriction Symbol ndash this identifies that a resident has dietary restrictions to be aware of as well as the residents behavioural risk level

Prevention of Needlestick Injuries

Copernicus Lodge thrives to maintain the health and safety of all residents staff and visitors to our home Needlestick Injury Prevention is a serious concern for the employees of our home In order to take a proactive approach regarding the prevention of needlestick injuries we would like to outline some important information for you ALL NEW ADMISSIONS TO LONG TERM CARE

1 Please note that when residents move into our Long Term Care Home that the nursing staff will take on the responsibility of completing diabetic glucose testing along with insulin injections Residents are NOT to self test themselves if they are diabetic This practice allows the nursing staff to safely dispose the needles as required into the Yellow Disposable Needle Containers - in every circumstance

2 We would kindly ask that families POArsquos please take any glucometer testing units syringes home Please do not leave any of these items in the residents room or by the bedside

FAMILIES AND VISITORS If any family member or visitor must test themselves while at Copernicus Lodge please ensure that you speak with the nursing staff RN RPN on the unit so that you can safely discard any needles used into one of the Yellow Disposable Needle Containers available on the Resident Home Area units

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 20

RESTRAINT USE AT COPERNICUS LODGE Copernicus Lodge uses the Least Restraint practice which means that the least restrictive measure is used for the shortest duration possible This allows for the maximum freedom of movement andor residentrsquos control The types of restraints currently used within Copernicus Lodge are as follows

a) Chemical Restraints - a pharmaceutical agent given with the specific purpose of inhibiting or controlling behaviour or movement

b) Physical RestraintsDevices - any appliance device apparatus or equipment attached or adjacent to a residents body that the individual cannot remove easily and which restricts movement The Physical Restraints currently used at Copernicus Lodge are Lapbelts Seatbelts Table Tops and Full Bedrails (both up at the same time)

c) Environmental Restraints - A barrier to free personal movement which serves to confine a resident to a specific geographic area (ie 2 North Special Care Unit which has a wanderguard alarm installed for residents with exit-seeking behaviours)

Note Under no circumstances can two restraints be applied at the same time (for example a lap tray cannot be used at the same time as a seatbelt)

The following devices are Prohibited and NOT permitted to be used in Copernicus Lodge

1 Roller bars on wheelchairs and commodes or toilets

2 Vest or jacket restraints

3 Any device with locks that can only be released by a separate device such as a key or magnet

4 Four point extremity restraints

5 Any device used to restrain a resident to a commode or toilet

6 Any device that cannot be immediately released by staff

7 Sheets wraps tensors or other types of strips or bandages used other than for a therapeutic purpose

Copernicus Lodgersquos Restraint Policy involves an interdisciplinary approach to restraint use and we document all steps of the restraining process

Our Restraint Policy includes the following requirements

1 Staff only applies a physical device that has been ordered and approved by the Attending Physician and where there is a signed consent by the resident (if competent) andor Substitute Decision Maker and an understanding of the reason for the use of the device

2 Staff consider alternatives to the use of physical devices including how these alternatives are planned developed and implemented (ie one way-gliders assist to prevent residents from sliding as does the tilt mechanism on many wheelchairs)

3 That the need for the restraint is clearly documented in the resident plan of care

4 Staff applies the physical device only in accordance with any manufacturerrsquos instructions and the instructions of the Attending Physician

5 Staff ensures that the physical device is well maintained

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 21

6 Staff ensures that the physical device is not altered except for routine adjustments in accordance with any manufacturerrsquos instructions

7 Registered staff and PSW staff monitor the resident while restrained at least every hour

8 Staff ensures that the resident is released from the physical device and repositioned at least once every two hours (this requirement does not apply when bed rails are being used if the resident is able to reposition himself or herself)

9 Staff ensures that the resident is released and repositioned any other time when necessary based on the residentrsquos condition or circumstances

10 The residentrsquos condition is reassessed and the effectiveness of the restraining is evaluated by the Registered Nurse every eight hours and at any other time when necessary based on the residentrsquos condition or circumstances

11 Upon removal of a physical device post-restraining care is provided to ensure the safety and comfort of the resident

Copernicus Lodge also reserves the right to restrain a resident by physical means when immediate action is necessary to prevent serious bodily harm to the resident or to others In the event such action is required

1 The resident is monitored or supervised on an ongoing basis and released from the physical device and repositioned when necessary based on the residentrsquos condition or circumstances

2 Ongoing assessment of the residentrsquos condition is reassessed by the registered nursing staff

3 The restraint is discontinued when the immediate action is no longer necessary

4 When the application of a physical restraint is required for to prevent serious injury to a resident or others the reason for the use of the physical device will be explained to the resident or the residentrsquos substitute decision maker where the resident is incapable

Environmental Restraints Dementia Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentrsquos plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

Evaluation Through our continuous quality improvement efforts Copernicus Lodge annually evaluates the effectiveness of our restraint policy and identifies what changes and improvements are required

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 22

to minimize restraining and to ensure that any restraining that is necessary is done in accordance with legislative requirements Any changes or improvements are to be promptly implemented

Although there will always be residents who require or feel more secure with restraints we hope that everyone will work with us to try to keep our home as RESTRAINT FREE AS POSSIBLE

To receive a copy of the full restraint policy please feel free to speak to our Director of Care at 416-536-7122 ext 240

Copernicus Lodgersquos Resident Abuse and Neglect Policy Copernicus Lodge promotes in its standards and practices the philosophy of care that all residents are treated with dignity respect and courtesy The Lodge views most seriously any type of abuse or neglect of a resident by any staff volunteer family substitute decision-maker visitor or any other persons who enter the premises at Copernicus Lodge

Definitions of Abuse

Copernicus Lodge defines ldquoabuserdquo (in accordance with our policy and subsection 2 (1) of the Long Term Care Homes Act) as the following

Emotional Abuse

(a) any threatening insulting intimidating or humiliating gestures actions behaviour or remarks including imposed social isolation shunning ignoring lack of acknowledgement or infantilization that are performed by anyone other than a resident or

(b) any threatening or intimidating gestures actions behaviour or remarks by a resident that causes alarm or fear to another resident where the resident performing the gestures actions behaviour or remarks understands and appreciates their consequences

Financial Abuse

(a) any misappropriation or misuse of a residentrsquos money or property

Physical Abuse

(a) the use of physical force by anyone other than a resident that causes physical injury or pain

(b) administering or withholding a drug for an inappropriate purpose or

(c) the use of physical force by a resident that causes physical injury to another resident

(Note Physical Abuse does not include the use of force that is appropriate to the provision of care or assisting a resident with activities of daily living unless the force used is excessive in the circumstance)

Sexual Abuse

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 23

(a) subject to subsection (3) any consensual or non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation that is directed towards a resident by a licensee or staff member or

(b) any non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation directed towards a resident by a person other than a licensee or staff member

(Note Sexual Abuse does not include

(a) touching behaviour or remarks of a clinical nature that are appropriate to the provision of care or assisting a resident with activities of daily living or

(b) consensual touching behaviour or remarks of a sexual nature between a resident and a licensee or staff member that is in the course of a sexual relationship that began before the resident was admitted to the long-term care home or before the licensee or staff member became a licensee or staff member)

Verbal Abuse

(a) any form of verbal communication of a threatening or intimidating nature or any form of verbal communication of a belittling or degrading nature which diminishes a residentrsquos sense of well-being dignity or self-worth that is made by anyone other than a resident or

(b) any form of verbal communication of a threatening or intimidating nature made by a resident that leads another resident to fear for his or her safety where the resident making the communication understands and appreciates its consequences

Neglect

(a) the failure to provide a resident with the treatment care services or assistance required for health safety or well-being and includes inaction or a pattern of inaction that jeopardizes the health safety or well-being of one or more residents

Copernicus Lodgersquos established Resident Abuse Policy and Procedure encompasses

A Definitions of what constitutes Resident Abuse and Neglect

B A Resident Abuse Incident Reporting System

C A Resident Abuse Incident Investigation System

D Support for the person abused

E EducationTraining that supports prevention of resident abuse and neglect and

F Evaluation of our 0 tolerance program

Copernicus Lodge maintains a Zero Tolerance for any type of abuse of a resident family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 16: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 15

6 Meal and snack service (three meals daily snacks between meals and at bedtime) special and therapeutic diets dietary supplements and devices to promote independence with eating

7 Social recreational spiritual and physical activities and programs 8 Laundry including labelling 9 Bedroom furnishings bedding and linen 10 Cleaning and upkeep of accommodations 11 Maintenance of a trust account on the residentrsquos behalf 12 Information package for residents 13 Prescription pharmaceutical preparations listed in the Ontario Drug Benefit Formulary

(the government requires residents to pay a small co-payment) 14 Special preparations or medical devices that may be obtained from the Ontario Drug

Benefit Program as interim non-formulary benefits 15 Insured devices equipment supplies and services that are available to the resident

through certain programs such as the Ontario Assistive Devices Program (the government covers part of this cost and residents must pay the rest)

16 Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon request

Note The Resident (or Power of Attorney for Property Guardian Trustee on behalf of the Resident) may purchase additional goods and services from the Home or 3

rd Party Suppliers

under a separate agreement ACCOUNTING BILLING BANKING

Hours Monday 130 pm - 400 pm Wednesday 900 am - 1230 pm Last Friday of the month 900 am - 1200 noon Closed - Tuesday Thursday and Friday (except last) Other times are by appointment please call ext 258 There is a slot located on the Accounting Office door for dropping off paymentsinformation after hours

ON SITE BANKING St Stanislaus St Casimirrsquos Credit Union attends in Room G 30 every Wednesday from 930 am to 1230 pm amp 100 pm to 200 pm and the last Friday of the month from 930 am to 1230 pm amp 100 pm to 200 pm for persons wishing to do regular banking transactions

Trust Accounts may be opened in Copernicus Lodge as requested Copernicus Lodge maintains a non interest bearing account on behalf of the resident There is no charge for this service Please contact the Accountant at ext 258 between 700 am and 300 pm

Comfort Allowance - is available to persons in Basic Accommodation rooms only There is no Comfort Allowance for persons in Preferred Accommodation Monies owing to the residentlawfully authorized substitute are returned one month after discharge Copernicus Lodge does not require a resident to pay a penalty in lieu of a specific notice period prior to discharge

MEDICAL SERVICES

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 16

Medical Director Copernicus Lodge shall ensure that it has a Medical Director The Medical Director shall be a physician The Medical Director

advises Copernicus Lodge long term care on matters relating to medical care

consults with the Director of Care and other health professionals working in Copernicus Lodge

performs any other duties provided for in the regulations 2007 c 72 (3)

Attending Physicians All residents have the option to choose their own Attending Physician outside of those physicians currently servicing Copernicus Lodge provided that heshe agrees to attend the resident at the home on a weekly basis and abide by Copernicus Lodge policies and procedures Attending Physicians must sign a contract with Copernicus Lodge

1 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario 2 All Attending Physicians are appointed by the Chief Executive Officer on the advice of the Medical Director 3 Attending Physicians are accountable to the Medical Director for meeting the homes policies and standards of medical care 4 Attending Physicians assess plan implement and evaluate their residents medical care and participate in a multi-disciplinary approach to care 5 Attending Physicians document on the resident health record on each visit to maintain continuity and ongoing evaluation 6 Attending Physicians arrange for 24-hour medical coverage for residents for whom they provide medical care 7 All medical care and services provided by Physicians in Long-Term Care homes are subject to peer assessment by the College of Physicians and Surgeons of Ontario on a random basis according to College procedures 8 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario

Residents and family members should be aware that the primary contact for medical care or medical concerns is the Registered Nursing staff Attending Physicians do not have offices within the home and are not in the facility each day Attending Physicians complete regular visits to their residents and on an as needed basis Attending Physicians do not normally contact family members to provide updates on the residentrsquos condition Residents and family members are always welcome to contact the Attending Physician at their private practice The office number can be obtained from the Registered Nursing staff Due to privacy issues Registered Nursing staff will only provide general health information about a resident to the Power of Attorney for Care (POA) Information about or changes to a residentrsquos medical diagnosis is given by the Attending Physician and not the Registered Nursing Staff Psychogeriatrician

Dr Colman Nefsky (MD Psychogeriatrician) We are very pleased to have the support of our consulting Psychogeriatrician from St Josephrsquos Health Center Dr Colman Nefsky Dr Nefsky visits and completes rounds on a monthly basis

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 17

for those residents who have been referred to him Dr Nefsky provides consultations to individuals who are suffering with psychological or behavioural issues and provides treatment options to the nursing and medical staff in the home Mary Boudart RN ndash St Josephrsquos Health Center Geriatric Mental Health Outreach Team Nurse (GMHOT) Mary Boudart works in collaboration with Dr Nefsky and completes weekly rounds for any resident who has been referred to her Care Conferences An organized documented interdisciplinary care conference lasting 30 minutes in duration is held with each resident andor substitute decision maker (POA for care) if you are able and wish to attend within six (6) weeks following admission to Copernicus Lodge and annually thereafter Care Conferences are held in order to discuss review and further develop the residents plan of care and address any other matters of importance to the resident and hisher substitute decision-maker (if any) The resident the substitute decision maker if any and any person that either of you may direct are given an opportunity to participate fully in the care conference

Special Care Conferences may be held anytime at the request of the family resident or interdisciplinary team if a residents condition or any other situation arises which affects the residents status Care conferences are held in either the activity room or the conference room (behind the nursing station) located on the residents home areafloorunit If the family substitute decision maker is unable to attend in person the option of a teleconference (over the telephone meeting) is available as an option to being there in person The conference may also be held at the bedside of a bedridden resident as requested by the resident andor substitute decision maker Residents and family are reminded not to wait for this annual meeting to express any concerns or issues you have Express concerns at the time they occur directly with any one of the interdisciplinary team as it relates to any department or inform the Charge Nurse who can redirect them as appropriate

Note Care Conferences do not apply to those residents residing in short-stay beds

NURSING

Nursing care and personal care is provided on a 24-hour basis This includes care given by or under the supervision of a Registered Nurse or a Registered Practical Nurse All Registered Nursing staff is licensed by the College of Nurses of Ontario Assistance with activities of daily living (personal care) is provided by Personal Support Workers (PSWrsquos) Daily medication is administered by the Registered Nursing staff Newly admitted residents must give all of their medication from home or hospital to the Registered Nurse on duty on the day of admission A picture is taken of all new residents on the day of admission and posted on their Medication Administration Record (MAR) and in the residents chart This is done to prevent medication and treatment errors Nursing and personal care is completed through an individualized personal care approach Nursing staff complete ongoing assessments and care plans which detail each residentrsquos individual care needs

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 18

Nursing staff can be reached by pressing the call-bells for assistance These are located in the resident bedroom bathrooms and lounge areas Call bells are responded to as quickly as possible

Pharmacy Copernicus Lodge utilizes a local pharmacy for all of its medicationpharmaceutical requirements At no time should residents or families bring in medications not approved by the medical nursing staff Medications are not to be left in resident rooms IMPORTANT All medications must be left with the Registered Nursing staff on duty

Medical supplies and nursing equipment

Medical supplies and nursing equipment necessary for the care of residents is provided by the home including supplies for the prevention or care of skin disorders continence care products infection control and sterile procedures

Medical devices such as catheters colostomy and ileostomy devices

Supplies and equipment for personal hygiene and grooming including skin care lotions and powders shampoos soap deodorant toothpaste toothbrushes denture cups and cleansers toilet tissue facial tissue hair brushes combs razorsshavers shaving cream feminine hygiene and incontinence products

Equipment for the general use of residents such as toilet aids and other self-help aids for the activities of daily living

Equipment for the general use of residents including wheelchairs geriatric chairs canes walkers are provided for short term use only (maximum 3 ndash 4 weeks) Should a resident require equipment for longer than 3-4 weeks the residentfamilysubstitute decision maker will be required to purchasecover all costs for such items Prescription pharmaceutical preparations listed in the Drug Benefit Formulary

bull Special preparations or medical devices which may be obtained from the Ontario Drug Benefit Program as interim non-formulary benefits

bull Insured devices equipment supplies and services available to residents through other programs such as the Home Care Program and Assistive Devices Program (ADP) ACHIEVA HEALTH provides ADP Seating and Mobility Assessments at NO COST to the Residents at Copernicus Lodge

bull Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon requisition If you have any questions or concerns regarding the nursing care or service please speak to the Charge Nurse

TAG SYSTEM

PURPOSE TO IDENTIFY RESIDENTS WITH BEHAVIOURAL ISSUES AND DIETARY RESTRICTIONS AS PART OF FALLS PREVENTION PROGRAM

As part of the Falls Prevention Program cards are mounted onto the residentrsquos mobility aids (where applicable) identifying that

a resident is at risk for falls

these cards are COLOUR-CODED to match the residents current behavioural risk level (ie Green Yellow or Pink as detailed in Section D)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 19

cards have a picture of food that is crossed out to identify that residents have a dietary restriction

On a quarterly basis or more often as necessary based on changes to a residentrsquos falls risk or behavioural risk level it is the responsibility of the RN RPN on each unit to review these cards and change them in order to correspond with the residentrsquos current condition

If the Dietician notes that there are changes to a residents swallowing meal consistency etc which warrant dietary restrictions it is the responsibility of the Dietician Manager of Dietary Services or Food Services Supervisor to change these cards on the residents mobility aid

There are 4 types of cards These are

I Colour-coded cards with only the residents unit identified ndash these individuals are not at risk for falls and do not have dietary restrictions however staff can clearly identify the residents behavioural risk level

II Colour-coded cards with the residents unit and Falls Symbol ndash this identifies that a resident is at risk for falls and also identifies the residents behavioural risk level

III Colour-coded cards with residents unit Falls symbol and Dietary Restriction symbol ndash this identifies that the resident is at risk for falls and has dietary restrictions as well as the residents behavioural risk level

IV Colour-coded cards with residents unit and Dietary Restriction Symbol ndash this identifies that a resident has dietary restrictions to be aware of as well as the residents behavioural risk level

Prevention of Needlestick Injuries

Copernicus Lodge thrives to maintain the health and safety of all residents staff and visitors to our home Needlestick Injury Prevention is a serious concern for the employees of our home In order to take a proactive approach regarding the prevention of needlestick injuries we would like to outline some important information for you ALL NEW ADMISSIONS TO LONG TERM CARE

1 Please note that when residents move into our Long Term Care Home that the nursing staff will take on the responsibility of completing diabetic glucose testing along with insulin injections Residents are NOT to self test themselves if they are diabetic This practice allows the nursing staff to safely dispose the needles as required into the Yellow Disposable Needle Containers - in every circumstance

2 We would kindly ask that families POArsquos please take any glucometer testing units syringes home Please do not leave any of these items in the residents room or by the bedside

FAMILIES AND VISITORS If any family member or visitor must test themselves while at Copernicus Lodge please ensure that you speak with the nursing staff RN RPN on the unit so that you can safely discard any needles used into one of the Yellow Disposable Needle Containers available on the Resident Home Area units

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 20

RESTRAINT USE AT COPERNICUS LODGE Copernicus Lodge uses the Least Restraint practice which means that the least restrictive measure is used for the shortest duration possible This allows for the maximum freedom of movement andor residentrsquos control The types of restraints currently used within Copernicus Lodge are as follows

a) Chemical Restraints - a pharmaceutical agent given with the specific purpose of inhibiting or controlling behaviour or movement

b) Physical RestraintsDevices - any appliance device apparatus or equipment attached or adjacent to a residents body that the individual cannot remove easily and which restricts movement The Physical Restraints currently used at Copernicus Lodge are Lapbelts Seatbelts Table Tops and Full Bedrails (both up at the same time)

c) Environmental Restraints - A barrier to free personal movement which serves to confine a resident to a specific geographic area (ie 2 North Special Care Unit which has a wanderguard alarm installed for residents with exit-seeking behaviours)

Note Under no circumstances can two restraints be applied at the same time (for example a lap tray cannot be used at the same time as a seatbelt)

The following devices are Prohibited and NOT permitted to be used in Copernicus Lodge

1 Roller bars on wheelchairs and commodes or toilets

2 Vest or jacket restraints

3 Any device with locks that can only be released by a separate device such as a key or magnet

4 Four point extremity restraints

5 Any device used to restrain a resident to a commode or toilet

6 Any device that cannot be immediately released by staff

7 Sheets wraps tensors or other types of strips or bandages used other than for a therapeutic purpose

Copernicus Lodgersquos Restraint Policy involves an interdisciplinary approach to restraint use and we document all steps of the restraining process

Our Restraint Policy includes the following requirements

1 Staff only applies a physical device that has been ordered and approved by the Attending Physician and where there is a signed consent by the resident (if competent) andor Substitute Decision Maker and an understanding of the reason for the use of the device

2 Staff consider alternatives to the use of physical devices including how these alternatives are planned developed and implemented (ie one way-gliders assist to prevent residents from sliding as does the tilt mechanism on many wheelchairs)

3 That the need for the restraint is clearly documented in the resident plan of care

4 Staff applies the physical device only in accordance with any manufacturerrsquos instructions and the instructions of the Attending Physician

5 Staff ensures that the physical device is well maintained

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 21

6 Staff ensures that the physical device is not altered except for routine adjustments in accordance with any manufacturerrsquos instructions

7 Registered staff and PSW staff monitor the resident while restrained at least every hour

8 Staff ensures that the resident is released from the physical device and repositioned at least once every two hours (this requirement does not apply when bed rails are being used if the resident is able to reposition himself or herself)

9 Staff ensures that the resident is released and repositioned any other time when necessary based on the residentrsquos condition or circumstances

10 The residentrsquos condition is reassessed and the effectiveness of the restraining is evaluated by the Registered Nurse every eight hours and at any other time when necessary based on the residentrsquos condition or circumstances

11 Upon removal of a physical device post-restraining care is provided to ensure the safety and comfort of the resident

Copernicus Lodge also reserves the right to restrain a resident by physical means when immediate action is necessary to prevent serious bodily harm to the resident or to others In the event such action is required

1 The resident is monitored or supervised on an ongoing basis and released from the physical device and repositioned when necessary based on the residentrsquos condition or circumstances

2 Ongoing assessment of the residentrsquos condition is reassessed by the registered nursing staff

3 The restraint is discontinued when the immediate action is no longer necessary

4 When the application of a physical restraint is required for to prevent serious injury to a resident or others the reason for the use of the physical device will be explained to the resident or the residentrsquos substitute decision maker where the resident is incapable

Environmental Restraints Dementia Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentrsquos plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

Evaluation Through our continuous quality improvement efforts Copernicus Lodge annually evaluates the effectiveness of our restraint policy and identifies what changes and improvements are required

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 22

to minimize restraining and to ensure that any restraining that is necessary is done in accordance with legislative requirements Any changes or improvements are to be promptly implemented

Although there will always be residents who require or feel more secure with restraints we hope that everyone will work with us to try to keep our home as RESTRAINT FREE AS POSSIBLE

To receive a copy of the full restraint policy please feel free to speak to our Director of Care at 416-536-7122 ext 240

Copernicus Lodgersquos Resident Abuse and Neglect Policy Copernicus Lodge promotes in its standards and practices the philosophy of care that all residents are treated with dignity respect and courtesy The Lodge views most seriously any type of abuse or neglect of a resident by any staff volunteer family substitute decision-maker visitor or any other persons who enter the premises at Copernicus Lodge

Definitions of Abuse

Copernicus Lodge defines ldquoabuserdquo (in accordance with our policy and subsection 2 (1) of the Long Term Care Homes Act) as the following

Emotional Abuse

(a) any threatening insulting intimidating or humiliating gestures actions behaviour or remarks including imposed social isolation shunning ignoring lack of acknowledgement or infantilization that are performed by anyone other than a resident or

(b) any threatening or intimidating gestures actions behaviour or remarks by a resident that causes alarm or fear to another resident where the resident performing the gestures actions behaviour or remarks understands and appreciates their consequences

Financial Abuse

(a) any misappropriation or misuse of a residentrsquos money or property

Physical Abuse

(a) the use of physical force by anyone other than a resident that causes physical injury or pain

(b) administering or withholding a drug for an inappropriate purpose or

(c) the use of physical force by a resident that causes physical injury to another resident

(Note Physical Abuse does not include the use of force that is appropriate to the provision of care or assisting a resident with activities of daily living unless the force used is excessive in the circumstance)

Sexual Abuse

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 23

(a) subject to subsection (3) any consensual or non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation that is directed towards a resident by a licensee or staff member or

(b) any non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation directed towards a resident by a person other than a licensee or staff member

(Note Sexual Abuse does not include

(a) touching behaviour or remarks of a clinical nature that are appropriate to the provision of care or assisting a resident with activities of daily living or

(b) consensual touching behaviour or remarks of a sexual nature between a resident and a licensee or staff member that is in the course of a sexual relationship that began before the resident was admitted to the long-term care home or before the licensee or staff member became a licensee or staff member)

Verbal Abuse

(a) any form of verbal communication of a threatening or intimidating nature or any form of verbal communication of a belittling or degrading nature which diminishes a residentrsquos sense of well-being dignity or self-worth that is made by anyone other than a resident or

(b) any form of verbal communication of a threatening or intimidating nature made by a resident that leads another resident to fear for his or her safety where the resident making the communication understands and appreciates its consequences

Neglect

(a) the failure to provide a resident with the treatment care services or assistance required for health safety or well-being and includes inaction or a pattern of inaction that jeopardizes the health safety or well-being of one or more residents

Copernicus Lodgersquos established Resident Abuse Policy and Procedure encompasses

A Definitions of what constitutes Resident Abuse and Neglect

B A Resident Abuse Incident Reporting System

C A Resident Abuse Incident Investigation System

D Support for the person abused

E EducationTraining that supports prevention of resident abuse and neglect and

F Evaluation of our 0 tolerance program

Copernicus Lodge maintains a Zero Tolerance for any type of abuse of a resident family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 17: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 16

Medical Director Copernicus Lodge shall ensure that it has a Medical Director The Medical Director shall be a physician The Medical Director

advises Copernicus Lodge long term care on matters relating to medical care

consults with the Director of Care and other health professionals working in Copernicus Lodge

performs any other duties provided for in the regulations 2007 c 72 (3)

Attending Physicians All residents have the option to choose their own Attending Physician outside of those physicians currently servicing Copernicus Lodge provided that heshe agrees to attend the resident at the home on a weekly basis and abide by Copernicus Lodge policies and procedures Attending Physicians must sign a contract with Copernicus Lodge

1 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario 2 All Attending Physicians are appointed by the Chief Executive Officer on the advice of the Medical Director 3 Attending Physicians are accountable to the Medical Director for meeting the homes policies and standards of medical care 4 Attending Physicians assess plan implement and evaluate their residents medical care and participate in a multi-disciplinary approach to care 5 Attending Physicians document on the resident health record on each visit to maintain continuity and ongoing evaluation 6 Attending Physicians arrange for 24-hour medical coverage for residents for whom they provide medical care 7 All medical care and services provided by Physicians in Long-Term Care homes are subject to peer assessment by the College of Physicians and Surgeons of Ontario on a random basis according to College procedures 8 All Attending Physicians who are given privileges to provide medical care to residents in the home are licensed by the College of Physicians and Surgeons of Ontario

Residents and family members should be aware that the primary contact for medical care or medical concerns is the Registered Nursing staff Attending Physicians do not have offices within the home and are not in the facility each day Attending Physicians complete regular visits to their residents and on an as needed basis Attending Physicians do not normally contact family members to provide updates on the residentrsquos condition Residents and family members are always welcome to contact the Attending Physician at their private practice The office number can be obtained from the Registered Nursing staff Due to privacy issues Registered Nursing staff will only provide general health information about a resident to the Power of Attorney for Care (POA) Information about or changes to a residentrsquos medical diagnosis is given by the Attending Physician and not the Registered Nursing Staff Psychogeriatrician

Dr Colman Nefsky (MD Psychogeriatrician) We are very pleased to have the support of our consulting Psychogeriatrician from St Josephrsquos Health Center Dr Colman Nefsky Dr Nefsky visits and completes rounds on a monthly basis

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 17

for those residents who have been referred to him Dr Nefsky provides consultations to individuals who are suffering with psychological or behavioural issues and provides treatment options to the nursing and medical staff in the home Mary Boudart RN ndash St Josephrsquos Health Center Geriatric Mental Health Outreach Team Nurse (GMHOT) Mary Boudart works in collaboration with Dr Nefsky and completes weekly rounds for any resident who has been referred to her Care Conferences An organized documented interdisciplinary care conference lasting 30 minutes in duration is held with each resident andor substitute decision maker (POA for care) if you are able and wish to attend within six (6) weeks following admission to Copernicus Lodge and annually thereafter Care Conferences are held in order to discuss review and further develop the residents plan of care and address any other matters of importance to the resident and hisher substitute decision-maker (if any) The resident the substitute decision maker if any and any person that either of you may direct are given an opportunity to participate fully in the care conference

Special Care Conferences may be held anytime at the request of the family resident or interdisciplinary team if a residents condition or any other situation arises which affects the residents status Care conferences are held in either the activity room or the conference room (behind the nursing station) located on the residents home areafloorunit If the family substitute decision maker is unable to attend in person the option of a teleconference (over the telephone meeting) is available as an option to being there in person The conference may also be held at the bedside of a bedridden resident as requested by the resident andor substitute decision maker Residents and family are reminded not to wait for this annual meeting to express any concerns or issues you have Express concerns at the time they occur directly with any one of the interdisciplinary team as it relates to any department or inform the Charge Nurse who can redirect them as appropriate

Note Care Conferences do not apply to those residents residing in short-stay beds

NURSING

Nursing care and personal care is provided on a 24-hour basis This includes care given by or under the supervision of a Registered Nurse or a Registered Practical Nurse All Registered Nursing staff is licensed by the College of Nurses of Ontario Assistance with activities of daily living (personal care) is provided by Personal Support Workers (PSWrsquos) Daily medication is administered by the Registered Nursing staff Newly admitted residents must give all of their medication from home or hospital to the Registered Nurse on duty on the day of admission A picture is taken of all new residents on the day of admission and posted on their Medication Administration Record (MAR) and in the residents chart This is done to prevent medication and treatment errors Nursing and personal care is completed through an individualized personal care approach Nursing staff complete ongoing assessments and care plans which detail each residentrsquos individual care needs

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 18

Nursing staff can be reached by pressing the call-bells for assistance These are located in the resident bedroom bathrooms and lounge areas Call bells are responded to as quickly as possible

Pharmacy Copernicus Lodge utilizes a local pharmacy for all of its medicationpharmaceutical requirements At no time should residents or families bring in medications not approved by the medical nursing staff Medications are not to be left in resident rooms IMPORTANT All medications must be left with the Registered Nursing staff on duty

Medical supplies and nursing equipment

Medical supplies and nursing equipment necessary for the care of residents is provided by the home including supplies for the prevention or care of skin disorders continence care products infection control and sterile procedures

Medical devices such as catheters colostomy and ileostomy devices

Supplies and equipment for personal hygiene and grooming including skin care lotions and powders shampoos soap deodorant toothpaste toothbrushes denture cups and cleansers toilet tissue facial tissue hair brushes combs razorsshavers shaving cream feminine hygiene and incontinence products

Equipment for the general use of residents such as toilet aids and other self-help aids for the activities of daily living

Equipment for the general use of residents including wheelchairs geriatric chairs canes walkers are provided for short term use only (maximum 3 ndash 4 weeks) Should a resident require equipment for longer than 3-4 weeks the residentfamilysubstitute decision maker will be required to purchasecover all costs for such items Prescription pharmaceutical preparations listed in the Drug Benefit Formulary

bull Special preparations or medical devices which may be obtained from the Ontario Drug Benefit Program as interim non-formulary benefits

bull Insured devices equipment supplies and services available to residents through other programs such as the Home Care Program and Assistive Devices Program (ADP) ACHIEVA HEALTH provides ADP Seating and Mobility Assessments at NO COST to the Residents at Copernicus Lodge

bull Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon requisition If you have any questions or concerns regarding the nursing care or service please speak to the Charge Nurse

TAG SYSTEM

PURPOSE TO IDENTIFY RESIDENTS WITH BEHAVIOURAL ISSUES AND DIETARY RESTRICTIONS AS PART OF FALLS PREVENTION PROGRAM

As part of the Falls Prevention Program cards are mounted onto the residentrsquos mobility aids (where applicable) identifying that

a resident is at risk for falls

these cards are COLOUR-CODED to match the residents current behavioural risk level (ie Green Yellow or Pink as detailed in Section D)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 19

cards have a picture of food that is crossed out to identify that residents have a dietary restriction

On a quarterly basis or more often as necessary based on changes to a residentrsquos falls risk or behavioural risk level it is the responsibility of the RN RPN on each unit to review these cards and change them in order to correspond with the residentrsquos current condition

If the Dietician notes that there are changes to a residents swallowing meal consistency etc which warrant dietary restrictions it is the responsibility of the Dietician Manager of Dietary Services or Food Services Supervisor to change these cards on the residents mobility aid

There are 4 types of cards These are

I Colour-coded cards with only the residents unit identified ndash these individuals are not at risk for falls and do not have dietary restrictions however staff can clearly identify the residents behavioural risk level

II Colour-coded cards with the residents unit and Falls Symbol ndash this identifies that a resident is at risk for falls and also identifies the residents behavioural risk level

III Colour-coded cards with residents unit Falls symbol and Dietary Restriction symbol ndash this identifies that the resident is at risk for falls and has dietary restrictions as well as the residents behavioural risk level

IV Colour-coded cards with residents unit and Dietary Restriction Symbol ndash this identifies that a resident has dietary restrictions to be aware of as well as the residents behavioural risk level

Prevention of Needlestick Injuries

Copernicus Lodge thrives to maintain the health and safety of all residents staff and visitors to our home Needlestick Injury Prevention is a serious concern for the employees of our home In order to take a proactive approach regarding the prevention of needlestick injuries we would like to outline some important information for you ALL NEW ADMISSIONS TO LONG TERM CARE

1 Please note that when residents move into our Long Term Care Home that the nursing staff will take on the responsibility of completing diabetic glucose testing along with insulin injections Residents are NOT to self test themselves if they are diabetic This practice allows the nursing staff to safely dispose the needles as required into the Yellow Disposable Needle Containers - in every circumstance

2 We would kindly ask that families POArsquos please take any glucometer testing units syringes home Please do not leave any of these items in the residents room or by the bedside

FAMILIES AND VISITORS If any family member or visitor must test themselves while at Copernicus Lodge please ensure that you speak with the nursing staff RN RPN on the unit so that you can safely discard any needles used into one of the Yellow Disposable Needle Containers available on the Resident Home Area units

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 20

RESTRAINT USE AT COPERNICUS LODGE Copernicus Lodge uses the Least Restraint practice which means that the least restrictive measure is used for the shortest duration possible This allows for the maximum freedom of movement andor residentrsquos control The types of restraints currently used within Copernicus Lodge are as follows

a) Chemical Restraints - a pharmaceutical agent given with the specific purpose of inhibiting or controlling behaviour or movement

b) Physical RestraintsDevices - any appliance device apparatus or equipment attached or adjacent to a residents body that the individual cannot remove easily and which restricts movement The Physical Restraints currently used at Copernicus Lodge are Lapbelts Seatbelts Table Tops and Full Bedrails (both up at the same time)

c) Environmental Restraints - A barrier to free personal movement which serves to confine a resident to a specific geographic area (ie 2 North Special Care Unit which has a wanderguard alarm installed for residents with exit-seeking behaviours)

Note Under no circumstances can two restraints be applied at the same time (for example a lap tray cannot be used at the same time as a seatbelt)

The following devices are Prohibited and NOT permitted to be used in Copernicus Lodge

1 Roller bars on wheelchairs and commodes or toilets

2 Vest or jacket restraints

3 Any device with locks that can only be released by a separate device such as a key or magnet

4 Four point extremity restraints

5 Any device used to restrain a resident to a commode or toilet

6 Any device that cannot be immediately released by staff

7 Sheets wraps tensors or other types of strips or bandages used other than for a therapeutic purpose

Copernicus Lodgersquos Restraint Policy involves an interdisciplinary approach to restraint use and we document all steps of the restraining process

Our Restraint Policy includes the following requirements

1 Staff only applies a physical device that has been ordered and approved by the Attending Physician and where there is a signed consent by the resident (if competent) andor Substitute Decision Maker and an understanding of the reason for the use of the device

2 Staff consider alternatives to the use of physical devices including how these alternatives are planned developed and implemented (ie one way-gliders assist to prevent residents from sliding as does the tilt mechanism on many wheelchairs)

3 That the need for the restraint is clearly documented in the resident plan of care

4 Staff applies the physical device only in accordance with any manufacturerrsquos instructions and the instructions of the Attending Physician

5 Staff ensures that the physical device is well maintained

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 21

6 Staff ensures that the physical device is not altered except for routine adjustments in accordance with any manufacturerrsquos instructions

7 Registered staff and PSW staff monitor the resident while restrained at least every hour

8 Staff ensures that the resident is released from the physical device and repositioned at least once every two hours (this requirement does not apply when bed rails are being used if the resident is able to reposition himself or herself)

9 Staff ensures that the resident is released and repositioned any other time when necessary based on the residentrsquos condition or circumstances

10 The residentrsquos condition is reassessed and the effectiveness of the restraining is evaluated by the Registered Nurse every eight hours and at any other time when necessary based on the residentrsquos condition or circumstances

11 Upon removal of a physical device post-restraining care is provided to ensure the safety and comfort of the resident

Copernicus Lodge also reserves the right to restrain a resident by physical means when immediate action is necessary to prevent serious bodily harm to the resident or to others In the event such action is required

1 The resident is monitored or supervised on an ongoing basis and released from the physical device and repositioned when necessary based on the residentrsquos condition or circumstances

2 Ongoing assessment of the residentrsquos condition is reassessed by the registered nursing staff

3 The restraint is discontinued when the immediate action is no longer necessary

4 When the application of a physical restraint is required for to prevent serious injury to a resident or others the reason for the use of the physical device will be explained to the resident or the residentrsquos substitute decision maker where the resident is incapable

Environmental Restraints Dementia Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentrsquos plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

Evaluation Through our continuous quality improvement efforts Copernicus Lodge annually evaluates the effectiveness of our restraint policy and identifies what changes and improvements are required

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 22

to minimize restraining and to ensure that any restraining that is necessary is done in accordance with legislative requirements Any changes or improvements are to be promptly implemented

Although there will always be residents who require or feel more secure with restraints we hope that everyone will work with us to try to keep our home as RESTRAINT FREE AS POSSIBLE

To receive a copy of the full restraint policy please feel free to speak to our Director of Care at 416-536-7122 ext 240

Copernicus Lodgersquos Resident Abuse and Neglect Policy Copernicus Lodge promotes in its standards and practices the philosophy of care that all residents are treated with dignity respect and courtesy The Lodge views most seriously any type of abuse or neglect of a resident by any staff volunteer family substitute decision-maker visitor or any other persons who enter the premises at Copernicus Lodge

Definitions of Abuse

Copernicus Lodge defines ldquoabuserdquo (in accordance with our policy and subsection 2 (1) of the Long Term Care Homes Act) as the following

Emotional Abuse

(a) any threatening insulting intimidating or humiliating gestures actions behaviour or remarks including imposed social isolation shunning ignoring lack of acknowledgement or infantilization that are performed by anyone other than a resident or

(b) any threatening or intimidating gestures actions behaviour or remarks by a resident that causes alarm or fear to another resident where the resident performing the gestures actions behaviour or remarks understands and appreciates their consequences

Financial Abuse

(a) any misappropriation or misuse of a residentrsquos money or property

Physical Abuse

(a) the use of physical force by anyone other than a resident that causes physical injury or pain

(b) administering or withholding a drug for an inappropriate purpose or

(c) the use of physical force by a resident that causes physical injury to another resident

(Note Physical Abuse does not include the use of force that is appropriate to the provision of care or assisting a resident with activities of daily living unless the force used is excessive in the circumstance)

Sexual Abuse

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 23

(a) subject to subsection (3) any consensual or non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation that is directed towards a resident by a licensee or staff member or

(b) any non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation directed towards a resident by a person other than a licensee or staff member

(Note Sexual Abuse does not include

(a) touching behaviour or remarks of a clinical nature that are appropriate to the provision of care or assisting a resident with activities of daily living or

(b) consensual touching behaviour or remarks of a sexual nature between a resident and a licensee or staff member that is in the course of a sexual relationship that began before the resident was admitted to the long-term care home or before the licensee or staff member became a licensee or staff member)

Verbal Abuse

(a) any form of verbal communication of a threatening or intimidating nature or any form of verbal communication of a belittling or degrading nature which diminishes a residentrsquos sense of well-being dignity or self-worth that is made by anyone other than a resident or

(b) any form of verbal communication of a threatening or intimidating nature made by a resident that leads another resident to fear for his or her safety where the resident making the communication understands and appreciates its consequences

Neglect

(a) the failure to provide a resident with the treatment care services or assistance required for health safety or well-being and includes inaction or a pattern of inaction that jeopardizes the health safety or well-being of one or more residents

Copernicus Lodgersquos established Resident Abuse Policy and Procedure encompasses

A Definitions of what constitutes Resident Abuse and Neglect

B A Resident Abuse Incident Reporting System

C A Resident Abuse Incident Investigation System

D Support for the person abused

E EducationTraining that supports prevention of resident abuse and neglect and

F Evaluation of our 0 tolerance program

Copernicus Lodge maintains a Zero Tolerance for any type of abuse of a resident family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 18: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 17

for those residents who have been referred to him Dr Nefsky provides consultations to individuals who are suffering with psychological or behavioural issues and provides treatment options to the nursing and medical staff in the home Mary Boudart RN ndash St Josephrsquos Health Center Geriatric Mental Health Outreach Team Nurse (GMHOT) Mary Boudart works in collaboration with Dr Nefsky and completes weekly rounds for any resident who has been referred to her Care Conferences An organized documented interdisciplinary care conference lasting 30 minutes in duration is held with each resident andor substitute decision maker (POA for care) if you are able and wish to attend within six (6) weeks following admission to Copernicus Lodge and annually thereafter Care Conferences are held in order to discuss review and further develop the residents plan of care and address any other matters of importance to the resident and hisher substitute decision-maker (if any) The resident the substitute decision maker if any and any person that either of you may direct are given an opportunity to participate fully in the care conference

Special Care Conferences may be held anytime at the request of the family resident or interdisciplinary team if a residents condition or any other situation arises which affects the residents status Care conferences are held in either the activity room or the conference room (behind the nursing station) located on the residents home areafloorunit If the family substitute decision maker is unable to attend in person the option of a teleconference (over the telephone meeting) is available as an option to being there in person The conference may also be held at the bedside of a bedridden resident as requested by the resident andor substitute decision maker Residents and family are reminded not to wait for this annual meeting to express any concerns or issues you have Express concerns at the time they occur directly with any one of the interdisciplinary team as it relates to any department or inform the Charge Nurse who can redirect them as appropriate

Note Care Conferences do not apply to those residents residing in short-stay beds

NURSING

Nursing care and personal care is provided on a 24-hour basis This includes care given by or under the supervision of a Registered Nurse or a Registered Practical Nurse All Registered Nursing staff is licensed by the College of Nurses of Ontario Assistance with activities of daily living (personal care) is provided by Personal Support Workers (PSWrsquos) Daily medication is administered by the Registered Nursing staff Newly admitted residents must give all of their medication from home or hospital to the Registered Nurse on duty on the day of admission A picture is taken of all new residents on the day of admission and posted on their Medication Administration Record (MAR) and in the residents chart This is done to prevent medication and treatment errors Nursing and personal care is completed through an individualized personal care approach Nursing staff complete ongoing assessments and care plans which detail each residentrsquos individual care needs

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Nursing staff can be reached by pressing the call-bells for assistance These are located in the resident bedroom bathrooms and lounge areas Call bells are responded to as quickly as possible

Pharmacy Copernicus Lodge utilizes a local pharmacy for all of its medicationpharmaceutical requirements At no time should residents or families bring in medications not approved by the medical nursing staff Medications are not to be left in resident rooms IMPORTANT All medications must be left with the Registered Nursing staff on duty

Medical supplies and nursing equipment

Medical supplies and nursing equipment necessary for the care of residents is provided by the home including supplies for the prevention or care of skin disorders continence care products infection control and sterile procedures

Medical devices such as catheters colostomy and ileostomy devices

Supplies and equipment for personal hygiene and grooming including skin care lotions and powders shampoos soap deodorant toothpaste toothbrushes denture cups and cleansers toilet tissue facial tissue hair brushes combs razorsshavers shaving cream feminine hygiene and incontinence products

Equipment for the general use of residents such as toilet aids and other self-help aids for the activities of daily living

Equipment for the general use of residents including wheelchairs geriatric chairs canes walkers are provided for short term use only (maximum 3 ndash 4 weeks) Should a resident require equipment for longer than 3-4 weeks the residentfamilysubstitute decision maker will be required to purchasecover all costs for such items Prescription pharmaceutical preparations listed in the Drug Benefit Formulary

bull Special preparations or medical devices which may be obtained from the Ontario Drug Benefit Program as interim non-formulary benefits

bull Insured devices equipment supplies and services available to residents through other programs such as the Home Care Program and Assistive Devices Program (ADP) ACHIEVA HEALTH provides ADP Seating and Mobility Assessments at NO COST to the Residents at Copernicus Lodge

bull Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon requisition If you have any questions or concerns regarding the nursing care or service please speak to the Charge Nurse

TAG SYSTEM

PURPOSE TO IDENTIFY RESIDENTS WITH BEHAVIOURAL ISSUES AND DIETARY RESTRICTIONS AS PART OF FALLS PREVENTION PROGRAM

As part of the Falls Prevention Program cards are mounted onto the residentrsquos mobility aids (where applicable) identifying that

a resident is at risk for falls

these cards are COLOUR-CODED to match the residents current behavioural risk level (ie Green Yellow or Pink as detailed in Section D)

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Page | 19

cards have a picture of food that is crossed out to identify that residents have a dietary restriction

On a quarterly basis or more often as necessary based on changes to a residentrsquos falls risk or behavioural risk level it is the responsibility of the RN RPN on each unit to review these cards and change them in order to correspond with the residentrsquos current condition

If the Dietician notes that there are changes to a residents swallowing meal consistency etc which warrant dietary restrictions it is the responsibility of the Dietician Manager of Dietary Services or Food Services Supervisor to change these cards on the residents mobility aid

There are 4 types of cards These are

I Colour-coded cards with only the residents unit identified ndash these individuals are not at risk for falls and do not have dietary restrictions however staff can clearly identify the residents behavioural risk level

II Colour-coded cards with the residents unit and Falls Symbol ndash this identifies that a resident is at risk for falls and also identifies the residents behavioural risk level

III Colour-coded cards with residents unit Falls symbol and Dietary Restriction symbol ndash this identifies that the resident is at risk for falls and has dietary restrictions as well as the residents behavioural risk level

IV Colour-coded cards with residents unit and Dietary Restriction Symbol ndash this identifies that a resident has dietary restrictions to be aware of as well as the residents behavioural risk level

Prevention of Needlestick Injuries

Copernicus Lodge thrives to maintain the health and safety of all residents staff and visitors to our home Needlestick Injury Prevention is a serious concern for the employees of our home In order to take a proactive approach regarding the prevention of needlestick injuries we would like to outline some important information for you ALL NEW ADMISSIONS TO LONG TERM CARE

1 Please note that when residents move into our Long Term Care Home that the nursing staff will take on the responsibility of completing diabetic glucose testing along with insulin injections Residents are NOT to self test themselves if they are diabetic This practice allows the nursing staff to safely dispose the needles as required into the Yellow Disposable Needle Containers - in every circumstance

2 We would kindly ask that families POArsquos please take any glucometer testing units syringes home Please do not leave any of these items in the residents room or by the bedside

FAMILIES AND VISITORS If any family member or visitor must test themselves while at Copernicus Lodge please ensure that you speak with the nursing staff RN RPN on the unit so that you can safely discard any needles used into one of the Yellow Disposable Needle Containers available on the Resident Home Area units

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Page | 20

RESTRAINT USE AT COPERNICUS LODGE Copernicus Lodge uses the Least Restraint practice which means that the least restrictive measure is used for the shortest duration possible This allows for the maximum freedom of movement andor residentrsquos control The types of restraints currently used within Copernicus Lodge are as follows

a) Chemical Restraints - a pharmaceutical agent given with the specific purpose of inhibiting or controlling behaviour or movement

b) Physical RestraintsDevices - any appliance device apparatus or equipment attached or adjacent to a residents body that the individual cannot remove easily and which restricts movement The Physical Restraints currently used at Copernicus Lodge are Lapbelts Seatbelts Table Tops and Full Bedrails (both up at the same time)

c) Environmental Restraints - A barrier to free personal movement which serves to confine a resident to a specific geographic area (ie 2 North Special Care Unit which has a wanderguard alarm installed for residents with exit-seeking behaviours)

Note Under no circumstances can two restraints be applied at the same time (for example a lap tray cannot be used at the same time as a seatbelt)

The following devices are Prohibited and NOT permitted to be used in Copernicus Lodge

1 Roller bars on wheelchairs and commodes or toilets

2 Vest or jacket restraints

3 Any device with locks that can only be released by a separate device such as a key or magnet

4 Four point extremity restraints

5 Any device used to restrain a resident to a commode or toilet

6 Any device that cannot be immediately released by staff

7 Sheets wraps tensors or other types of strips or bandages used other than for a therapeutic purpose

Copernicus Lodgersquos Restraint Policy involves an interdisciplinary approach to restraint use and we document all steps of the restraining process

Our Restraint Policy includes the following requirements

1 Staff only applies a physical device that has been ordered and approved by the Attending Physician and where there is a signed consent by the resident (if competent) andor Substitute Decision Maker and an understanding of the reason for the use of the device

2 Staff consider alternatives to the use of physical devices including how these alternatives are planned developed and implemented (ie one way-gliders assist to prevent residents from sliding as does the tilt mechanism on many wheelchairs)

3 That the need for the restraint is clearly documented in the resident plan of care

4 Staff applies the physical device only in accordance with any manufacturerrsquos instructions and the instructions of the Attending Physician

5 Staff ensures that the physical device is well maintained

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Page | 21

6 Staff ensures that the physical device is not altered except for routine adjustments in accordance with any manufacturerrsquos instructions

7 Registered staff and PSW staff monitor the resident while restrained at least every hour

8 Staff ensures that the resident is released from the physical device and repositioned at least once every two hours (this requirement does not apply when bed rails are being used if the resident is able to reposition himself or herself)

9 Staff ensures that the resident is released and repositioned any other time when necessary based on the residentrsquos condition or circumstances

10 The residentrsquos condition is reassessed and the effectiveness of the restraining is evaluated by the Registered Nurse every eight hours and at any other time when necessary based on the residentrsquos condition or circumstances

11 Upon removal of a physical device post-restraining care is provided to ensure the safety and comfort of the resident

Copernicus Lodge also reserves the right to restrain a resident by physical means when immediate action is necessary to prevent serious bodily harm to the resident or to others In the event such action is required

1 The resident is monitored or supervised on an ongoing basis and released from the physical device and repositioned when necessary based on the residentrsquos condition or circumstances

2 Ongoing assessment of the residentrsquos condition is reassessed by the registered nursing staff

3 The restraint is discontinued when the immediate action is no longer necessary

4 When the application of a physical restraint is required for to prevent serious injury to a resident or others the reason for the use of the physical device will be explained to the resident or the residentrsquos substitute decision maker where the resident is incapable

Environmental Restraints Dementia Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentrsquos plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

Evaluation Through our continuous quality improvement efforts Copernicus Lodge annually evaluates the effectiveness of our restraint policy and identifies what changes and improvements are required

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 22

to minimize restraining and to ensure that any restraining that is necessary is done in accordance with legislative requirements Any changes or improvements are to be promptly implemented

Although there will always be residents who require or feel more secure with restraints we hope that everyone will work with us to try to keep our home as RESTRAINT FREE AS POSSIBLE

To receive a copy of the full restraint policy please feel free to speak to our Director of Care at 416-536-7122 ext 240

Copernicus Lodgersquos Resident Abuse and Neglect Policy Copernicus Lodge promotes in its standards and practices the philosophy of care that all residents are treated with dignity respect and courtesy The Lodge views most seriously any type of abuse or neglect of a resident by any staff volunteer family substitute decision-maker visitor or any other persons who enter the premises at Copernicus Lodge

Definitions of Abuse

Copernicus Lodge defines ldquoabuserdquo (in accordance with our policy and subsection 2 (1) of the Long Term Care Homes Act) as the following

Emotional Abuse

(a) any threatening insulting intimidating or humiliating gestures actions behaviour or remarks including imposed social isolation shunning ignoring lack of acknowledgement or infantilization that are performed by anyone other than a resident or

(b) any threatening or intimidating gestures actions behaviour or remarks by a resident that causes alarm or fear to another resident where the resident performing the gestures actions behaviour or remarks understands and appreciates their consequences

Financial Abuse

(a) any misappropriation or misuse of a residentrsquos money or property

Physical Abuse

(a) the use of physical force by anyone other than a resident that causes physical injury or pain

(b) administering or withholding a drug for an inappropriate purpose or

(c) the use of physical force by a resident that causes physical injury to another resident

(Note Physical Abuse does not include the use of force that is appropriate to the provision of care or assisting a resident with activities of daily living unless the force used is excessive in the circumstance)

Sexual Abuse

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Page | 23

(a) subject to subsection (3) any consensual or non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation that is directed towards a resident by a licensee or staff member or

(b) any non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation directed towards a resident by a person other than a licensee or staff member

(Note Sexual Abuse does not include

(a) touching behaviour or remarks of a clinical nature that are appropriate to the provision of care or assisting a resident with activities of daily living or

(b) consensual touching behaviour or remarks of a sexual nature between a resident and a licensee or staff member that is in the course of a sexual relationship that began before the resident was admitted to the long-term care home or before the licensee or staff member became a licensee or staff member)

Verbal Abuse

(a) any form of verbal communication of a threatening or intimidating nature or any form of verbal communication of a belittling or degrading nature which diminishes a residentrsquos sense of well-being dignity or self-worth that is made by anyone other than a resident or

(b) any form of verbal communication of a threatening or intimidating nature made by a resident that leads another resident to fear for his or her safety where the resident making the communication understands and appreciates its consequences

Neglect

(a) the failure to provide a resident with the treatment care services or assistance required for health safety or well-being and includes inaction or a pattern of inaction that jeopardizes the health safety or well-being of one or more residents

Copernicus Lodgersquos established Resident Abuse Policy and Procedure encompasses

A Definitions of what constitutes Resident Abuse and Neglect

B A Resident Abuse Incident Reporting System

C A Resident Abuse Incident Investigation System

D Support for the person abused

E EducationTraining that supports prevention of resident abuse and neglect and

F Evaluation of our 0 tolerance program

Copernicus Lodge maintains a Zero Tolerance for any type of abuse of a resident family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

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BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 19: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 18

Nursing staff can be reached by pressing the call-bells for assistance These are located in the resident bedroom bathrooms and lounge areas Call bells are responded to as quickly as possible

Pharmacy Copernicus Lodge utilizes a local pharmacy for all of its medicationpharmaceutical requirements At no time should residents or families bring in medications not approved by the medical nursing staff Medications are not to be left in resident rooms IMPORTANT All medications must be left with the Registered Nursing staff on duty

Medical supplies and nursing equipment

Medical supplies and nursing equipment necessary for the care of residents is provided by the home including supplies for the prevention or care of skin disorders continence care products infection control and sterile procedures

Medical devices such as catheters colostomy and ileostomy devices

Supplies and equipment for personal hygiene and grooming including skin care lotions and powders shampoos soap deodorant toothpaste toothbrushes denture cups and cleansers toilet tissue facial tissue hair brushes combs razorsshavers shaving cream feminine hygiene and incontinence products

Equipment for the general use of residents such as toilet aids and other self-help aids for the activities of daily living

Equipment for the general use of residents including wheelchairs geriatric chairs canes walkers are provided for short term use only (maximum 3 ndash 4 weeks) Should a resident require equipment for longer than 3-4 weeks the residentfamilysubstitute decision maker will be required to purchasecover all costs for such items Prescription pharmaceutical preparations listed in the Drug Benefit Formulary

bull Special preparations or medical devices which may be obtained from the Ontario Drug Benefit Program as interim non-formulary benefits

bull Insured devices equipment supplies and services available to residents through other programs such as the Home Care Program and Assistive Devices Program (ADP) ACHIEVA HEALTH provides ADP Seating and Mobility Assessments at NO COST to the Residents at Copernicus Lodge

bull Non-prescription drugs medication and treatment products and supplies obtained through Ontario Government Pharmaceutical and Medical Supply Services upon requisition If you have any questions or concerns regarding the nursing care or service please speak to the Charge Nurse

TAG SYSTEM

PURPOSE TO IDENTIFY RESIDENTS WITH BEHAVIOURAL ISSUES AND DIETARY RESTRICTIONS AS PART OF FALLS PREVENTION PROGRAM

As part of the Falls Prevention Program cards are mounted onto the residentrsquos mobility aids (where applicable) identifying that

a resident is at risk for falls

these cards are COLOUR-CODED to match the residents current behavioural risk level (ie Green Yellow or Pink as detailed in Section D)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 19

cards have a picture of food that is crossed out to identify that residents have a dietary restriction

On a quarterly basis or more often as necessary based on changes to a residentrsquos falls risk or behavioural risk level it is the responsibility of the RN RPN on each unit to review these cards and change them in order to correspond with the residentrsquos current condition

If the Dietician notes that there are changes to a residents swallowing meal consistency etc which warrant dietary restrictions it is the responsibility of the Dietician Manager of Dietary Services or Food Services Supervisor to change these cards on the residents mobility aid

There are 4 types of cards These are

I Colour-coded cards with only the residents unit identified ndash these individuals are not at risk for falls and do not have dietary restrictions however staff can clearly identify the residents behavioural risk level

II Colour-coded cards with the residents unit and Falls Symbol ndash this identifies that a resident is at risk for falls and also identifies the residents behavioural risk level

III Colour-coded cards with residents unit Falls symbol and Dietary Restriction symbol ndash this identifies that the resident is at risk for falls and has dietary restrictions as well as the residents behavioural risk level

IV Colour-coded cards with residents unit and Dietary Restriction Symbol ndash this identifies that a resident has dietary restrictions to be aware of as well as the residents behavioural risk level

Prevention of Needlestick Injuries

Copernicus Lodge thrives to maintain the health and safety of all residents staff and visitors to our home Needlestick Injury Prevention is a serious concern for the employees of our home In order to take a proactive approach regarding the prevention of needlestick injuries we would like to outline some important information for you ALL NEW ADMISSIONS TO LONG TERM CARE

1 Please note that when residents move into our Long Term Care Home that the nursing staff will take on the responsibility of completing diabetic glucose testing along with insulin injections Residents are NOT to self test themselves if they are diabetic This practice allows the nursing staff to safely dispose the needles as required into the Yellow Disposable Needle Containers - in every circumstance

2 We would kindly ask that families POArsquos please take any glucometer testing units syringes home Please do not leave any of these items in the residents room or by the bedside

FAMILIES AND VISITORS If any family member or visitor must test themselves while at Copernicus Lodge please ensure that you speak with the nursing staff RN RPN on the unit so that you can safely discard any needles used into one of the Yellow Disposable Needle Containers available on the Resident Home Area units

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 20

RESTRAINT USE AT COPERNICUS LODGE Copernicus Lodge uses the Least Restraint practice which means that the least restrictive measure is used for the shortest duration possible This allows for the maximum freedom of movement andor residentrsquos control The types of restraints currently used within Copernicus Lodge are as follows

a) Chemical Restraints - a pharmaceutical agent given with the specific purpose of inhibiting or controlling behaviour or movement

b) Physical RestraintsDevices - any appliance device apparatus or equipment attached or adjacent to a residents body that the individual cannot remove easily and which restricts movement The Physical Restraints currently used at Copernicus Lodge are Lapbelts Seatbelts Table Tops and Full Bedrails (both up at the same time)

c) Environmental Restraints - A barrier to free personal movement which serves to confine a resident to a specific geographic area (ie 2 North Special Care Unit which has a wanderguard alarm installed for residents with exit-seeking behaviours)

Note Under no circumstances can two restraints be applied at the same time (for example a lap tray cannot be used at the same time as a seatbelt)

The following devices are Prohibited and NOT permitted to be used in Copernicus Lodge

1 Roller bars on wheelchairs and commodes or toilets

2 Vest or jacket restraints

3 Any device with locks that can only be released by a separate device such as a key or magnet

4 Four point extremity restraints

5 Any device used to restrain a resident to a commode or toilet

6 Any device that cannot be immediately released by staff

7 Sheets wraps tensors or other types of strips or bandages used other than for a therapeutic purpose

Copernicus Lodgersquos Restraint Policy involves an interdisciplinary approach to restraint use and we document all steps of the restraining process

Our Restraint Policy includes the following requirements

1 Staff only applies a physical device that has been ordered and approved by the Attending Physician and where there is a signed consent by the resident (if competent) andor Substitute Decision Maker and an understanding of the reason for the use of the device

2 Staff consider alternatives to the use of physical devices including how these alternatives are planned developed and implemented (ie one way-gliders assist to prevent residents from sliding as does the tilt mechanism on many wheelchairs)

3 That the need for the restraint is clearly documented in the resident plan of care

4 Staff applies the physical device only in accordance with any manufacturerrsquos instructions and the instructions of the Attending Physician

5 Staff ensures that the physical device is well maintained

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 21

6 Staff ensures that the physical device is not altered except for routine adjustments in accordance with any manufacturerrsquos instructions

7 Registered staff and PSW staff monitor the resident while restrained at least every hour

8 Staff ensures that the resident is released from the physical device and repositioned at least once every two hours (this requirement does not apply when bed rails are being used if the resident is able to reposition himself or herself)

9 Staff ensures that the resident is released and repositioned any other time when necessary based on the residentrsquos condition or circumstances

10 The residentrsquos condition is reassessed and the effectiveness of the restraining is evaluated by the Registered Nurse every eight hours and at any other time when necessary based on the residentrsquos condition or circumstances

11 Upon removal of a physical device post-restraining care is provided to ensure the safety and comfort of the resident

Copernicus Lodge also reserves the right to restrain a resident by physical means when immediate action is necessary to prevent serious bodily harm to the resident or to others In the event such action is required

1 The resident is monitored or supervised on an ongoing basis and released from the physical device and repositioned when necessary based on the residentrsquos condition or circumstances

2 Ongoing assessment of the residentrsquos condition is reassessed by the registered nursing staff

3 The restraint is discontinued when the immediate action is no longer necessary

4 When the application of a physical restraint is required for to prevent serious injury to a resident or others the reason for the use of the physical device will be explained to the resident or the residentrsquos substitute decision maker where the resident is incapable

Environmental Restraints Dementia Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentrsquos plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

Evaluation Through our continuous quality improvement efforts Copernicus Lodge annually evaluates the effectiveness of our restraint policy and identifies what changes and improvements are required

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 22

to minimize restraining and to ensure that any restraining that is necessary is done in accordance with legislative requirements Any changes or improvements are to be promptly implemented

Although there will always be residents who require or feel more secure with restraints we hope that everyone will work with us to try to keep our home as RESTRAINT FREE AS POSSIBLE

To receive a copy of the full restraint policy please feel free to speak to our Director of Care at 416-536-7122 ext 240

Copernicus Lodgersquos Resident Abuse and Neglect Policy Copernicus Lodge promotes in its standards and practices the philosophy of care that all residents are treated with dignity respect and courtesy The Lodge views most seriously any type of abuse or neglect of a resident by any staff volunteer family substitute decision-maker visitor or any other persons who enter the premises at Copernicus Lodge

Definitions of Abuse

Copernicus Lodge defines ldquoabuserdquo (in accordance with our policy and subsection 2 (1) of the Long Term Care Homes Act) as the following

Emotional Abuse

(a) any threatening insulting intimidating or humiliating gestures actions behaviour or remarks including imposed social isolation shunning ignoring lack of acknowledgement or infantilization that are performed by anyone other than a resident or

(b) any threatening or intimidating gestures actions behaviour or remarks by a resident that causes alarm or fear to another resident where the resident performing the gestures actions behaviour or remarks understands and appreciates their consequences

Financial Abuse

(a) any misappropriation or misuse of a residentrsquos money or property

Physical Abuse

(a) the use of physical force by anyone other than a resident that causes physical injury or pain

(b) administering or withholding a drug for an inappropriate purpose or

(c) the use of physical force by a resident that causes physical injury to another resident

(Note Physical Abuse does not include the use of force that is appropriate to the provision of care or assisting a resident with activities of daily living unless the force used is excessive in the circumstance)

Sexual Abuse

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 23

(a) subject to subsection (3) any consensual or non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation that is directed towards a resident by a licensee or staff member or

(b) any non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation directed towards a resident by a person other than a licensee or staff member

(Note Sexual Abuse does not include

(a) touching behaviour or remarks of a clinical nature that are appropriate to the provision of care or assisting a resident with activities of daily living or

(b) consensual touching behaviour or remarks of a sexual nature between a resident and a licensee or staff member that is in the course of a sexual relationship that began before the resident was admitted to the long-term care home or before the licensee or staff member became a licensee or staff member)

Verbal Abuse

(a) any form of verbal communication of a threatening or intimidating nature or any form of verbal communication of a belittling or degrading nature which diminishes a residentrsquos sense of well-being dignity or self-worth that is made by anyone other than a resident or

(b) any form of verbal communication of a threatening or intimidating nature made by a resident that leads another resident to fear for his or her safety where the resident making the communication understands and appreciates its consequences

Neglect

(a) the failure to provide a resident with the treatment care services or assistance required for health safety or well-being and includes inaction or a pattern of inaction that jeopardizes the health safety or well-being of one or more residents

Copernicus Lodgersquos established Resident Abuse Policy and Procedure encompasses

A Definitions of what constitutes Resident Abuse and Neglect

B A Resident Abuse Incident Reporting System

C A Resident Abuse Incident Investigation System

D Support for the person abused

E EducationTraining that supports prevention of resident abuse and neglect and

F Evaluation of our 0 tolerance program

Copernicus Lodge maintains a Zero Tolerance for any type of abuse of a resident family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 20: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 19

cards have a picture of food that is crossed out to identify that residents have a dietary restriction

On a quarterly basis or more often as necessary based on changes to a residentrsquos falls risk or behavioural risk level it is the responsibility of the RN RPN on each unit to review these cards and change them in order to correspond with the residentrsquos current condition

If the Dietician notes that there are changes to a residents swallowing meal consistency etc which warrant dietary restrictions it is the responsibility of the Dietician Manager of Dietary Services or Food Services Supervisor to change these cards on the residents mobility aid

There are 4 types of cards These are

I Colour-coded cards with only the residents unit identified ndash these individuals are not at risk for falls and do not have dietary restrictions however staff can clearly identify the residents behavioural risk level

II Colour-coded cards with the residents unit and Falls Symbol ndash this identifies that a resident is at risk for falls and also identifies the residents behavioural risk level

III Colour-coded cards with residents unit Falls symbol and Dietary Restriction symbol ndash this identifies that the resident is at risk for falls and has dietary restrictions as well as the residents behavioural risk level

IV Colour-coded cards with residents unit and Dietary Restriction Symbol ndash this identifies that a resident has dietary restrictions to be aware of as well as the residents behavioural risk level

Prevention of Needlestick Injuries

Copernicus Lodge thrives to maintain the health and safety of all residents staff and visitors to our home Needlestick Injury Prevention is a serious concern for the employees of our home In order to take a proactive approach regarding the prevention of needlestick injuries we would like to outline some important information for you ALL NEW ADMISSIONS TO LONG TERM CARE

1 Please note that when residents move into our Long Term Care Home that the nursing staff will take on the responsibility of completing diabetic glucose testing along with insulin injections Residents are NOT to self test themselves if they are diabetic This practice allows the nursing staff to safely dispose the needles as required into the Yellow Disposable Needle Containers - in every circumstance

2 We would kindly ask that families POArsquos please take any glucometer testing units syringes home Please do not leave any of these items in the residents room or by the bedside

FAMILIES AND VISITORS If any family member or visitor must test themselves while at Copernicus Lodge please ensure that you speak with the nursing staff RN RPN on the unit so that you can safely discard any needles used into one of the Yellow Disposable Needle Containers available on the Resident Home Area units

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 20

RESTRAINT USE AT COPERNICUS LODGE Copernicus Lodge uses the Least Restraint practice which means that the least restrictive measure is used for the shortest duration possible This allows for the maximum freedom of movement andor residentrsquos control The types of restraints currently used within Copernicus Lodge are as follows

a) Chemical Restraints - a pharmaceutical agent given with the specific purpose of inhibiting or controlling behaviour or movement

b) Physical RestraintsDevices - any appliance device apparatus or equipment attached or adjacent to a residents body that the individual cannot remove easily and which restricts movement The Physical Restraints currently used at Copernicus Lodge are Lapbelts Seatbelts Table Tops and Full Bedrails (both up at the same time)

c) Environmental Restraints - A barrier to free personal movement which serves to confine a resident to a specific geographic area (ie 2 North Special Care Unit which has a wanderguard alarm installed for residents with exit-seeking behaviours)

Note Under no circumstances can two restraints be applied at the same time (for example a lap tray cannot be used at the same time as a seatbelt)

The following devices are Prohibited and NOT permitted to be used in Copernicus Lodge

1 Roller bars on wheelchairs and commodes or toilets

2 Vest or jacket restraints

3 Any device with locks that can only be released by a separate device such as a key or magnet

4 Four point extremity restraints

5 Any device used to restrain a resident to a commode or toilet

6 Any device that cannot be immediately released by staff

7 Sheets wraps tensors or other types of strips or bandages used other than for a therapeutic purpose

Copernicus Lodgersquos Restraint Policy involves an interdisciplinary approach to restraint use and we document all steps of the restraining process

Our Restraint Policy includes the following requirements

1 Staff only applies a physical device that has been ordered and approved by the Attending Physician and where there is a signed consent by the resident (if competent) andor Substitute Decision Maker and an understanding of the reason for the use of the device

2 Staff consider alternatives to the use of physical devices including how these alternatives are planned developed and implemented (ie one way-gliders assist to prevent residents from sliding as does the tilt mechanism on many wheelchairs)

3 That the need for the restraint is clearly documented in the resident plan of care

4 Staff applies the physical device only in accordance with any manufacturerrsquos instructions and the instructions of the Attending Physician

5 Staff ensures that the physical device is well maintained

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 21

6 Staff ensures that the physical device is not altered except for routine adjustments in accordance with any manufacturerrsquos instructions

7 Registered staff and PSW staff monitor the resident while restrained at least every hour

8 Staff ensures that the resident is released from the physical device and repositioned at least once every two hours (this requirement does not apply when bed rails are being used if the resident is able to reposition himself or herself)

9 Staff ensures that the resident is released and repositioned any other time when necessary based on the residentrsquos condition or circumstances

10 The residentrsquos condition is reassessed and the effectiveness of the restraining is evaluated by the Registered Nurse every eight hours and at any other time when necessary based on the residentrsquos condition or circumstances

11 Upon removal of a physical device post-restraining care is provided to ensure the safety and comfort of the resident

Copernicus Lodge also reserves the right to restrain a resident by physical means when immediate action is necessary to prevent serious bodily harm to the resident or to others In the event such action is required

1 The resident is monitored or supervised on an ongoing basis and released from the physical device and repositioned when necessary based on the residentrsquos condition or circumstances

2 Ongoing assessment of the residentrsquos condition is reassessed by the registered nursing staff

3 The restraint is discontinued when the immediate action is no longer necessary

4 When the application of a physical restraint is required for to prevent serious injury to a resident or others the reason for the use of the physical device will be explained to the resident or the residentrsquos substitute decision maker where the resident is incapable

Environmental Restraints Dementia Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentrsquos plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

Evaluation Through our continuous quality improvement efforts Copernicus Lodge annually evaluates the effectiveness of our restraint policy and identifies what changes and improvements are required

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 22

to minimize restraining and to ensure that any restraining that is necessary is done in accordance with legislative requirements Any changes or improvements are to be promptly implemented

Although there will always be residents who require or feel more secure with restraints we hope that everyone will work with us to try to keep our home as RESTRAINT FREE AS POSSIBLE

To receive a copy of the full restraint policy please feel free to speak to our Director of Care at 416-536-7122 ext 240

Copernicus Lodgersquos Resident Abuse and Neglect Policy Copernicus Lodge promotes in its standards and practices the philosophy of care that all residents are treated with dignity respect and courtesy The Lodge views most seriously any type of abuse or neglect of a resident by any staff volunteer family substitute decision-maker visitor or any other persons who enter the premises at Copernicus Lodge

Definitions of Abuse

Copernicus Lodge defines ldquoabuserdquo (in accordance with our policy and subsection 2 (1) of the Long Term Care Homes Act) as the following

Emotional Abuse

(a) any threatening insulting intimidating or humiliating gestures actions behaviour or remarks including imposed social isolation shunning ignoring lack of acknowledgement or infantilization that are performed by anyone other than a resident or

(b) any threatening or intimidating gestures actions behaviour or remarks by a resident that causes alarm or fear to another resident where the resident performing the gestures actions behaviour or remarks understands and appreciates their consequences

Financial Abuse

(a) any misappropriation or misuse of a residentrsquos money or property

Physical Abuse

(a) the use of physical force by anyone other than a resident that causes physical injury or pain

(b) administering or withholding a drug for an inappropriate purpose or

(c) the use of physical force by a resident that causes physical injury to another resident

(Note Physical Abuse does not include the use of force that is appropriate to the provision of care or assisting a resident with activities of daily living unless the force used is excessive in the circumstance)

Sexual Abuse

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 23

(a) subject to subsection (3) any consensual or non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation that is directed towards a resident by a licensee or staff member or

(b) any non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation directed towards a resident by a person other than a licensee or staff member

(Note Sexual Abuse does not include

(a) touching behaviour or remarks of a clinical nature that are appropriate to the provision of care or assisting a resident with activities of daily living or

(b) consensual touching behaviour or remarks of a sexual nature between a resident and a licensee or staff member that is in the course of a sexual relationship that began before the resident was admitted to the long-term care home or before the licensee or staff member became a licensee or staff member)

Verbal Abuse

(a) any form of verbal communication of a threatening or intimidating nature or any form of verbal communication of a belittling or degrading nature which diminishes a residentrsquos sense of well-being dignity or self-worth that is made by anyone other than a resident or

(b) any form of verbal communication of a threatening or intimidating nature made by a resident that leads another resident to fear for his or her safety where the resident making the communication understands and appreciates its consequences

Neglect

(a) the failure to provide a resident with the treatment care services or assistance required for health safety or well-being and includes inaction or a pattern of inaction that jeopardizes the health safety or well-being of one or more residents

Copernicus Lodgersquos established Resident Abuse Policy and Procedure encompasses

A Definitions of what constitutes Resident Abuse and Neglect

B A Resident Abuse Incident Reporting System

C A Resident Abuse Incident Investigation System

D Support for the person abused

E EducationTraining that supports prevention of resident abuse and neglect and

F Evaluation of our 0 tolerance program

Copernicus Lodge maintains a Zero Tolerance for any type of abuse of a resident family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 21: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 20

RESTRAINT USE AT COPERNICUS LODGE Copernicus Lodge uses the Least Restraint practice which means that the least restrictive measure is used for the shortest duration possible This allows for the maximum freedom of movement andor residentrsquos control The types of restraints currently used within Copernicus Lodge are as follows

a) Chemical Restraints - a pharmaceutical agent given with the specific purpose of inhibiting or controlling behaviour or movement

b) Physical RestraintsDevices - any appliance device apparatus or equipment attached or adjacent to a residents body that the individual cannot remove easily and which restricts movement The Physical Restraints currently used at Copernicus Lodge are Lapbelts Seatbelts Table Tops and Full Bedrails (both up at the same time)

c) Environmental Restraints - A barrier to free personal movement which serves to confine a resident to a specific geographic area (ie 2 North Special Care Unit which has a wanderguard alarm installed for residents with exit-seeking behaviours)

Note Under no circumstances can two restraints be applied at the same time (for example a lap tray cannot be used at the same time as a seatbelt)

The following devices are Prohibited and NOT permitted to be used in Copernicus Lodge

1 Roller bars on wheelchairs and commodes or toilets

2 Vest or jacket restraints

3 Any device with locks that can only be released by a separate device such as a key or magnet

4 Four point extremity restraints

5 Any device used to restrain a resident to a commode or toilet

6 Any device that cannot be immediately released by staff

7 Sheets wraps tensors or other types of strips or bandages used other than for a therapeutic purpose

Copernicus Lodgersquos Restraint Policy involves an interdisciplinary approach to restraint use and we document all steps of the restraining process

Our Restraint Policy includes the following requirements

1 Staff only applies a physical device that has been ordered and approved by the Attending Physician and where there is a signed consent by the resident (if competent) andor Substitute Decision Maker and an understanding of the reason for the use of the device

2 Staff consider alternatives to the use of physical devices including how these alternatives are planned developed and implemented (ie one way-gliders assist to prevent residents from sliding as does the tilt mechanism on many wheelchairs)

3 That the need for the restraint is clearly documented in the resident plan of care

4 Staff applies the physical device only in accordance with any manufacturerrsquos instructions and the instructions of the Attending Physician

5 Staff ensures that the physical device is well maintained

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 21

6 Staff ensures that the physical device is not altered except for routine adjustments in accordance with any manufacturerrsquos instructions

7 Registered staff and PSW staff monitor the resident while restrained at least every hour

8 Staff ensures that the resident is released from the physical device and repositioned at least once every two hours (this requirement does not apply when bed rails are being used if the resident is able to reposition himself or herself)

9 Staff ensures that the resident is released and repositioned any other time when necessary based on the residentrsquos condition or circumstances

10 The residentrsquos condition is reassessed and the effectiveness of the restraining is evaluated by the Registered Nurse every eight hours and at any other time when necessary based on the residentrsquos condition or circumstances

11 Upon removal of a physical device post-restraining care is provided to ensure the safety and comfort of the resident

Copernicus Lodge also reserves the right to restrain a resident by physical means when immediate action is necessary to prevent serious bodily harm to the resident or to others In the event such action is required

1 The resident is monitored or supervised on an ongoing basis and released from the physical device and repositioned when necessary based on the residentrsquos condition or circumstances

2 Ongoing assessment of the residentrsquos condition is reassessed by the registered nursing staff

3 The restraint is discontinued when the immediate action is no longer necessary

4 When the application of a physical restraint is required for to prevent serious injury to a resident or others the reason for the use of the physical device will be explained to the resident or the residentrsquos substitute decision maker where the resident is incapable

Environmental Restraints Dementia Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentrsquos plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

Evaluation Through our continuous quality improvement efforts Copernicus Lodge annually evaluates the effectiveness of our restraint policy and identifies what changes and improvements are required

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 22

to minimize restraining and to ensure that any restraining that is necessary is done in accordance with legislative requirements Any changes or improvements are to be promptly implemented

Although there will always be residents who require or feel more secure with restraints we hope that everyone will work with us to try to keep our home as RESTRAINT FREE AS POSSIBLE

To receive a copy of the full restraint policy please feel free to speak to our Director of Care at 416-536-7122 ext 240

Copernicus Lodgersquos Resident Abuse and Neglect Policy Copernicus Lodge promotes in its standards and practices the philosophy of care that all residents are treated with dignity respect and courtesy The Lodge views most seriously any type of abuse or neglect of a resident by any staff volunteer family substitute decision-maker visitor or any other persons who enter the premises at Copernicus Lodge

Definitions of Abuse

Copernicus Lodge defines ldquoabuserdquo (in accordance with our policy and subsection 2 (1) of the Long Term Care Homes Act) as the following

Emotional Abuse

(a) any threatening insulting intimidating or humiliating gestures actions behaviour or remarks including imposed social isolation shunning ignoring lack of acknowledgement or infantilization that are performed by anyone other than a resident or

(b) any threatening or intimidating gestures actions behaviour or remarks by a resident that causes alarm or fear to another resident where the resident performing the gestures actions behaviour or remarks understands and appreciates their consequences

Financial Abuse

(a) any misappropriation or misuse of a residentrsquos money or property

Physical Abuse

(a) the use of physical force by anyone other than a resident that causes physical injury or pain

(b) administering or withholding a drug for an inappropriate purpose or

(c) the use of physical force by a resident that causes physical injury to another resident

(Note Physical Abuse does not include the use of force that is appropriate to the provision of care or assisting a resident with activities of daily living unless the force used is excessive in the circumstance)

Sexual Abuse

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 23

(a) subject to subsection (3) any consensual or non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation that is directed towards a resident by a licensee or staff member or

(b) any non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation directed towards a resident by a person other than a licensee or staff member

(Note Sexual Abuse does not include

(a) touching behaviour or remarks of a clinical nature that are appropriate to the provision of care or assisting a resident with activities of daily living or

(b) consensual touching behaviour or remarks of a sexual nature between a resident and a licensee or staff member that is in the course of a sexual relationship that began before the resident was admitted to the long-term care home or before the licensee or staff member became a licensee or staff member)

Verbal Abuse

(a) any form of verbal communication of a threatening or intimidating nature or any form of verbal communication of a belittling or degrading nature which diminishes a residentrsquos sense of well-being dignity or self-worth that is made by anyone other than a resident or

(b) any form of verbal communication of a threatening or intimidating nature made by a resident that leads another resident to fear for his or her safety where the resident making the communication understands and appreciates its consequences

Neglect

(a) the failure to provide a resident with the treatment care services or assistance required for health safety or well-being and includes inaction or a pattern of inaction that jeopardizes the health safety or well-being of one or more residents

Copernicus Lodgersquos established Resident Abuse Policy and Procedure encompasses

A Definitions of what constitutes Resident Abuse and Neglect

B A Resident Abuse Incident Reporting System

C A Resident Abuse Incident Investigation System

D Support for the person abused

E EducationTraining that supports prevention of resident abuse and neglect and

F Evaluation of our 0 tolerance program

Copernicus Lodge maintains a Zero Tolerance for any type of abuse of a resident family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 22: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 21

6 Staff ensures that the physical device is not altered except for routine adjustments in accordance with any manufacturerrsquos instructions

7 Registered staff and PSW staff monitor the resident while restrained at least every hour

8 Staff ensures that the resident is released from the physical device and repositioned at least once every two hours (this requirement does not apply when bed rails are being used if the resident is able to reposition himself or herself)

9 Staff ensures that the resident is released and repositioned any other time when necessary based on the residentrsquos condition or circumstances

10 The residentrsquos condition is reassessed and the effectiveness of the restraining is evaluated by the Registered Nurse every eight hours and at any other time when necessary based on the residentrsquos condition or circumstances

11 Upon removal of a physical device post-restraining care is provided to ensure the safety and comfort of the resident

Copernicus Lodge also reserves the right to restrain a resident by physical means when immediate action is necessary to prevent serious bodily harm to the resident or to others In the event such action is required

1 The resident is monitored or supervised on an ongoing basis and released from the physical device and repositioned when necessary based on the residentrsquos condition or circumstances

2 Ongoing assessment of the residentrsquos condition is reassessed by the registered nursing staff

3 The restraint is discontinued when the immediate action is no longer necessary

4 When the application of a physical restraint is required for to prevent serious injury to a resident or others the reason for the use of the physical device will be explained to the resident or the residentrsquos substitute decision maker where the resident is incapable

Environmental Restraints Dementia Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentrsquos plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

Evaluation Through our continuous quality improvement efforts Copernicus Lodge annually evaluates the effectiveness of our restraint policy and identifies what changes and improvements are required

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 22

to minimize restraining and to ensure that any restraining that is necessary is done in accordance with legislative requirements Any changes or improvements are to be promptly implemented

Although there will always be residents who require or feel more secure with restraints we hope that everyone will work with us to try to keep our home as RESTRAINT FREE AS POSSIBLE

To receive a copy of the full restraint policy please feel free to speak to our Director of Care at 416-536-7122 ext 240

Copernicus Lodgersquos Resident Abuse and Neglect Policy Copernicus Lodge promotes in its standards and practices the philosophy of care that all residents are treated with dignity respect and courtesy The Lodge views most seriously any type of abuse or neglect of a resident by any staff volunteer family substitute decision-maker visitor or any other persons who enter the premises at Copernicus Lodge

Definitions of Abuse

Copernicus Lodge defines ldquoabuserdquo (in accordance with our policy and subsection 2 (1) of the Long Term Care Homes Act) as the following

Emotional Abuse

(a) any threatening insulting intimidating or humiliating gestures actions behaviour or remarks including imposed social isolation shunning ignoring lack of acknowledgement or infantilization that are performed by anyone other than a resident or

(b) any threatening or intimidating gestures actions behaviour or remarks by a resident that causes alarm or fear to another resident where the resident performing the gestures actions behaviour or remarks understands and appreciates their consequences

Financial Abuse

(a) any misappropriation or misuse of a residentrsquos money or property

Physical Abuse

(a) the use of physical force by anyone other than a resident that causes physical injury or pain

(b) administering or withholding a drug for an inappropriate purpose or

(c) the use of physical force by a resident that causes physical injury to another resident

(Note Physical Abuse does not include the use of force that is appropriate to the provision of care or assisting a resident with activities of daily living unless the force used is excessive in the circumstance)

Sexual Abuse

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 23

(a) subject to subsection (3) any consensual or non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation that is directed towards a resident by a licensee or staff member or

(b) any non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation directed towards a resident by a person other than a licensee or staff member

(Note Sexual Abuse does not include

(a) touching behaviour or remarks of a clinical nature that are appropriate to the provision of care or assisting a resident with activities of daily living or

(b) consensual touching behaviour or remarks of a sexual nature between a resident and a licensee or staff member that is in the course of a sexual relationship that began before the resident was admitted to the long-term care home or before the licensee or staff member became a licensee or staff member)

Verbal Abuse

(a) any form of verbal communication of a threatening or intimidating nature or any form of verbal communication of a belittling or degrading nature which diminishes a residentrsquos sense of well-being dignity or self-worth that is made by anyone other than a resident or

(b) any form of verbal communication of a threatening or intimidating nature made by a resident that leads another resident to fear for his or her safety where the resident making the communication understands and appreciates its consequences

Neglect

(a) the failure to provide a resident with the treatment care services or assistance required for health safety or well-being and includes inaction or a pattern of inaction that jeopardizes the health safety or well-being of one or more residents

Copernicus Lodgersquos established Resident Abuse Policy and Procedure encompasses

A Definitions of what constitutes Resident Abuse and Neglect

B A Resident Abuse Incident Reporting System

C A Resident Abuse Incident Investigation System

D Support for the person abused

E EducationTraining that supports prevention of resident abuse and neglect and

F Evaluation of our 0 tolerance program

Copernicus Lodge maintains a Zero Tolerance for any type of abuse of a resident family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 23: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 22

to minimize restraining and to ensure that any restraining that is necessary is done in accordance with legislative requirements Any changes or improvements are to be promptly implemented

Although there will always be residents who require or feel more secure with restraints we hope that everyone will work with us to try to keep our home as RESTRAINT FREE AS POSSIBLE

To receive a copy of the full restraint policy please feel free to speak to our Director of Care at 416-536-7122 ext 240

Copernicus Lodgersquos Resident Abuse and Neglect Policy Copernicus Lodge promotes in its standards and practices the philosophy of care that all residents are treated with dignity respect and courtesy The Lodge views most seriously any type of abuse or neglect of a resident by any staff volunteer family substitute decision-maker visitor or any other persons who enter the premises at Copernicus Lodge

Definitions of Abuse

Copernicus Lodge defines ldquoabuserdquo (in accordance with our policy and subsection 2 (1) of the Long Term Care Homes Act) as the following

Emotional Abuse

(a) any threatening insulting intimidating or humiliating gestures actions behaviour or remarks including imposed social isolation shunning ignoring lack of acknowledgement or infantilization that are performed by anyone other than a resident or

(b) any threatening or intimidating gestures actions behaviour or remarks by a resident that causes alarm or fear to another resident where the resident performing the gestures actions behaviour or remarks understands and appreciates their consequences

Financial Abuse

(a) any misappropriation or misuse of a residentrsquos money or property

Physical Abuse

(a) the use of physical force by anyone other than a resident that causes physical injury or pain

(b) administering or withholding a drug for an inappropriate purpose or

(c) the use of physical force by a resident that causes physical injury to another resident

(Note Physical Abuse does not include the use of force that is appropriate to the provision of care or assisting a resident with activities of daily living unless the force used is excessive in the circumstance)

Sexual Abuse

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 23

(a) subject to subsection (3) any consensual or non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation that is directed towards a resident by a licensee or staff member or

(b) any non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation directed towards a resident by a person other than a licensee or staff member

(Note Sexual Abuse does not include

(a) touching behaviour or remarks of a clinical nature that are appropriate to the provision of care or assisting a resident with activities of daily living or

(b) consensual touching behaviour or remarks of a sexual nature between a resident and a licensee or staff member that is in the course of a sexual relationship that began before the resident was admitted to the long-term care home or before the licensee or staff member became a licensee or staff member)

Verbal Abuse

(a) any form of verbal communication of a threatening or intimidating nature or any form of verbal communication of a belittling or degrading nature which diminishes a residentrsquos sense of well-being dignity or self-worth that is made by anyone other than a resident or

(b) any form of verbal communication of a threatening or intimidating nature made by a resident that leads another resident to fear for his or her safety where the resident making the communication understands and appreciates its consequences

Neglect

(a) the failure to provide a resident with the treatment care services or assistance required for health safety or well-being and includes inaction or a pattern of inaction that jeopardizes the health safety or well-being of one or more residents

Copernicus Lodgersquos established Resident Abuse Policy and Procedure encompasses

A Definitions of what constitutes Resident Abuse and Neglect

B A Resident Abuse Incident Reporting System

C A Resident Abuse Incident Investigation System

D Support for the person abused

E EducationTraining that supports prevention of resident abuse and neglect and

F Evaluation of our 0 tolerance program

Copernicus Lodge maintains a Zero Tolerance for any type of abuse of a resident family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 24: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 23

(a) subject to subsection (3) any consensual or non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation that is directed towards a resident by a licensee or staff member or

(b) any non-consensual touching behaviour or remarks of a sexual nature or sexual exploitation directed towards a resident by a person other than a licensee or staff member

(Note Sexual Abuse does not include

(a) touching behaviour or remarks of a clinical nature that are appropriate to the provision of care or assisting a resident with activities of daily living or

(b) consensual touching behaviour or remarks of a sexual nature between a resident and a licensee or staff member that is in the course of a sexual relationship that began before the resident was admitted to the long-term care home or before the licensee or staff member became a licensee or staff member)

Verbal Abuse

(a) any form of verbal communication of a threatening or intimidating nature or any form of verbal communication of a belittling or degrading nature which diminishes a residentrsquos sense of well-being dignity or self-worth that is made by anyone other than a resident or

(b) any form of verbal communication of a threatening or intimidating nature made by a resident that leads another resident to fear for his or her safety where the resident making the communication understands and appreciates its consequences

Neglect

(a) the failure to provide a resident with the treatment care services or assistance required for health safety or well-being and includes inaction or a pattern of inaction that jeopardizes the health safety or well-being of one or more residents

Copernicus Lodgersquos established Resident Abuse Policy and Procedure encompasses

A Definitions of what constitutes Resident Abuse and Neglect

B A Resident Abuse Incident Reporting System

C A Resident Abuse Incident Investigation System

D Support for the person abused

E EducationTraining that supports prevention of resident abuse and neglect and

F Evaluation of our 0 tolerance program

Copernicus Lodge maintains a Zero Tolerance for any type of abuse of a resident family substitute decision-maker management staff volunteer visitor or any other persons at Copernicus Lodge

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 25: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 24

Having a ldquozero-tolerancerdquo policy means that Copernicus Lodge shall

1 Uphold the rights of all of our residents to be treated with dignity and respect and to live free from abuse and neglect

2 Neither abuse nor allow the abuse of any resident by staff or volunteers nor condone the abuse of any resident by any other person(s) at the home

3 Provide information and education regarding resident abuse and neglect and the prevention of resident abuse and neglect

4 Requirement of all staff and volunteers to report any and all suspected alleged witnessed or actual incidents of resident abuse immediately ndash

5 Treat every allegation of abuse and neglect of a resident as a serious matter 6 Investigate every allegation of abuse and neglect of a resident 7 Take corrective action including sanctions or penalties against those who have committed

abuse against a resident 8 CEO andor DOC andor DER will refer to the Decision Trees as provided by the Ministry

of Health Long Term Care when assessing the allegation in determination for reporting to the Ministry as required by the LTC Homes Act

9 Ensure that the residentrsquos substitute decision-maker if any and any other person specified by the resident

(a) are notified immediately upon the licensee becoming aware of an alleged suspected or witnessed incident of abuse or neglect of the resident that has resulted in a physical injury or pain to the resident or that causes distress to the resident that could potentially be detrimental to the residentrsquos health or well-being and

(b) are notified within 12 hours upon the licensee becoming aware of any other alleged suspected or witnessed incident of abuse or neglect of the resident

10 Ensure that the appropriate police force is immediately notified of any alleged suspected or witnessed incident of abuse or neglect of a resident that the licensee suspects may constitute a criminal offence

11 Ensure that the resident and the residentrsquos substitute decision-maker if any are immediately notified of the results of the investigation immediately upon completion of the investigation as required by law

12 Please note Copernicus Lodge is not required to notify a substitute decision maker of any incidents of abuse and results of investigations of abuse if the substitute decision maker is the alleged abuser

13 Take action against any person who in any way discourages a person from reporting an incident of abuse andor who threatens retaliates or mistreats a person reporting the abuse even if the abuse is proven to be false and

14 Make every effort to eliminate abuse and neglect of a resident through the in-house quality and risk management programs including an annual evaluation of the effectiveness of our policy to promote zero tolerance of abuse and neglect of residents Any changes and improvements which are required to prevent further occurrences are implemented immediately

Under no circumstances will abuse or neglect of residents by any staff member volunteer family or visitor be tolerated If any staff member abuses a resident employment will be terminated If any volunteer abuses or neglects a resident the volunteer will no longer be permitted to volunteer If any family or substitute decision-maker abuses a resident they will be

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 26: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 25

issued a no trespass order preventing them from coming onto our property and having contact with the resident

RESIDENT TO RESIDENT INCIDENTS

Copernicus Lodge has clear guidelines and processes in place as it relates to resident abuse and neglect If a resident to resident incident occurs as a result of resident behaviours responsive behaviours then the affected resident Substitute Decision Maker will be contacted and will work together with Copernicus Lodge Management to determine what actions will be taken ie Contact Police NOTE Copernicus Lodge will supercede this action depending on the circumstances type of incident and the resulting resident outcome as necessary To prevent abuse and neglect Copernicus Lodge requires all prospective employees and volunteers to have a Police Check completed prior to hiring Copernicus Lodge also provides information to staffvolunteers at time of hirevolunteering and annually thereafter on our Resident Abuse Policy aimed at prevention reporting and eradication of abuse Employees sign an ldquoEmployee Acknowledgement of Copernicus Lodge Resident Abuse Policy Formrdquo to acknowledge that they are aware of the Resident Abuse Policy Employees and volunteers are given a copy of the Resident Abuse amp Neglect Policy In addition Copernicus Lodge provides annual mandatory educational in-services to staff and volunteers regarding abuse and neglect This includes training and retraining of all Copernicus Lodge staff including

(i) training on the relationship between power imbalances between staff and residents and the potential for abuse and neglect by those in a position of trust power and responsibility for resident care and

(ii) situations that may lead to abuse and neglect and how to avoid such situations

The Resident Abuse and Neglect policy is reviewed annually with Resident and Family Councils All staff and volunteers are expected to fulfill their moral and legal obligation to report any witnessed incident or suspected incident of resident abuse or neglect Any person failing to report any such incidents and any person who intimidatescoerces another person into not reporting an incident would be guilty of an offence Such action(s) would be construed as abuse or neglect a breech of policy and is liable to appropriate criminallegal action andor disciplinary action up to and including dismissal WHISTLEBLOWING PROTECTION ldquoWhistle Blowers Protectionrdquo ensures that no person shall retaliate against another person whether by action or omission or threaten to do so because of information disclosed to an Inspector to the Director or evidence given in a proceeding in respect to the Long Term Care Act or an inquest under the Coroners Act

Any person who has reasonable grounds to suspect abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds must immediately report the suspicion and the information upon which it is based No person may discourage reporting of any abuse neglect improper or incompetent treatment unlawful conduct or misuse or misappropriation of funds

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 27: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 26

Copernicus Lodge protects any resident staff volunteer or family who reports incidents of abuse or neglect from any retaliation by others while that person is on the premises of Copernicus Lodge To obtain a copy of the entire Resident Abuse Policy please see Tracy Kamino Chief Executive Officer at 416-536-7122 ext 238

ENVIRONMENTAL SERVICES

Environmental Services is responsible for all facets of services that encompasses housekeeping laundry maintenance security grounds parking and outside contracted services Copernicus Lodge provides furniture in the LTC rooms but many times families like to personalize the room with furniture from home Any outside furniture brought into the resident room is permitted as long as it does not interfere with the Care plan of the resident Once the room is assigned to the next LTC resident the outside furniture must be removed within the allotted time frame granted by the Placement Coordinator Approved donations are conducted through the Environmental Service Department but if disposal of any outside furniture is required a $000 to $30000 fee maybe charge to the estate Each resident is supplied with hiher own laundry basket Personal clothing is labeled upon admission with the resident name and room number (red labeled for dry clean items) Resident laundry is washed and dried once a week Laundry is then returned within the next day (24 hours) Bed linen wash cloths towels and bibs are supplied and laundered regularly A lost and Found is setup for any misplaced items in the Laundry room located in Block-1 basement PersonalFamily laundry facilities with a washer dryer and ironing board (with iron) are available and located on each floor of the facility for use by families and residents at no cost all cleaning supplies is directly connected to the washing machine The Laundry Services Department is not responsible for washing clothing or items that require an outside contractor an outside service that performs specialized treatment or care (ie dry cleaning alteration or repairs) however Laundry Services will coordinate these outside services with residentsfamilies if there is a request made Once initiated with outside contractor (eg Dry Cleaner) Copernicus Lodge is not responsible for any lost damaged resident items

Air Conditioning and Heating System

Here at Copernicus Lodge we have a unique heating and cooling system design and unlike the one you had in your home Because we are a health care facility our heating and cooling system is located on the roof It is called an HVAC system On the rooftop are HVAC equipment called ldquoair handling unitsrdquo which are designed to bring a steady supply of fresh air into our facility A specially designed filtering system is used to eliminate dust and pollens in the immediate outside air The filtered air then passes through multiple conditioning coil(s) that conditions the air thus providing tempered cooling in the summer and tempered heating in the winter The air is evenly distributed through the facility at a minimum 22C to provide maximum comfort to residents staff and visitors The air is exhausted out of the building through a number of avenues such as the exhaust fans in the resident bathrooms which then starts the process all over again Keeping your windows closed during the humid summer days will help to keep your room at a comfortable temperature Wall mounted air conditioning units are positioned in our RHArsquos to provide support for our HVAC system and to provide cooling areas for up to 40 residents if required for extra comfort A hot water heating system provides additional comfort with perimeter heating in the cold winter months

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 28: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 27

BUILDING SECURITY

We have staff available at reception 24 hours a day 7 days a week We have several cameras strategically placed in outdoor areas to monitor the outdoor activity SECURITY IS EVERYONErsquoS RESPONSIBILITY Only the MAIN FRONT DOOR is to be used to enter or exit the building The sliding door on the South side of the building is for use only by Authorized Staff bull ResidentsFamilies are asked not to open the front door to persons they do not know

Do not allow strangers to follow you into the building Report strangers in the building to the Receptionist or the Charge Nurse on the Care floor immediately

bull Key pads are located at all stairwell exit doors and are for the use of staff only Key pads are also located by the door entering the 2

nd floor Dementia Unit for resident safety

bull We have several cameras strategically placed in outdoor areas to monitor the outdoor activity

bull 3 panic buttons are located strategically within the covered parking garage and when pushed a loud siren will sound for a 5 minute duration and bring Environmental Services staff attention to the immediate area

RESIDENT EMERGENCY PROCEDURES FIRE AND BUILDING EVACUATION

During any emergency situation it is important to remain calm as Copernicus Lodge staff is there to help you and have been trained to respond in such situations

In all emergency situations 911 is always called and emergency services (fire police and ambulance) would be on site to help and guide our staff and residents in

responding to any emergency situation

Fire Procedure Copernicus Lodge staff practice four fire drills every month in order to be prepared in the event of a fire Our fire emergency systems are checked regularly by a certified contractor to ensure that it is in good working order Our fire systems are very sensitive and in the event of smoke or fire the fire alarm will sound alerting staff and residents of a potential fire situation In case you smell smoke or see a fire before an alarm has sounded you should push your nurse call button andor pull the fire alarm andor yell ldquofirerdquo or ldquohelprdquo to get attention from staff If possible move away from the fire or smoke until help arrives When the fire alarm sounds an announcement will be made over the public address system notifying staff and residents that there is a ldquoCode Redrdquo The announcement will also identify the location of the fire and any other instructions required to be followed It is important for you to listen and follow the instructions given until the situation is resolved and you hear an announcement that ldquoeverything is all clearrdquo On every Resident Home Area there is a staff assigned to act as a Fire Captain during a fire alarm These people will take charge on the unit and give direction to staff and residents The Fire Captain can be easily identified as they will be the one who is wearing a bright yellow vest In the event of a real fire residents will be evacuated to a safe area either horizontally or vertically within the building depending on the fire location On every resident door there is a red and white evacuation sign that is used by staff to verify that a resident has been evacuated from their room It is important that once evacuated you DO NOT return to your room You must stay in the location where staff takes you until you are instructed by the Fire Captain (or nursing staff) that you can return to your floorroom

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 29: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 28

Never use the elevators during a fire alarm and do not enter a stairwell unless it is safe to do so and free from smoke

Evacuation Procedure Copernicus Lodge staff practice and complete a building evacuation drill once every three years in order to be prepared in the event of a building evacuation In the event that an emergency situation requires an evacuation from the building an announcement is made over the public address system announcing a ldquoCode Greenrdquo This announcement will also inform residents and staff as to which order the floors will be evacuated (according to the emergency situation) Once the Code Green announcement is made staff will immediately bring all residents to the lounge area on their respective floor and place a personalized wrist band on each resident The band contains pertinent information identifying each resident helping to account for all residents Staff then assists residents to evacuate to our designated evacuation location

St Casimirs Church located at 156 Roncesvalles Avenue (Alternatively - St Marks Church)

Medications food medical equipment nursing supplies and emergency telephone lists (for both families and staff) have all been prepared in advance and will also be brought to the evacuation location Once evacuated and in a safe place families will be notified of the evacuation situation and our location The Ministry of Health and LHIN is notified in order to address any long term evacuation measures as required

If you have any questions andor require further information on any of our emergency procedures please feel free to contact our Disaster Coordinator Chief Executive Officer

at 416-536-7122 ext 238

MEALS

Three meals a day are provided Whenever possible residents are encouraged to have meals in the dining room of the Resident Home Area (RHA) Residents who are bedridden receive assistance with their meals in their rooms We provide certain therapeutic diets and several texture modifications as required by individual residents Snacks are specifically provided twice a day on each Resident Home Area however snacks and beverages are available for our residents 24 hours per day Special nourishments and supplements are also available if indicated for residents Polish style meals are served and Catholic dietary customs are observed There are two menu choices provided for lunch and supper daily for main course vegetable and dessert Daily menus are posted outside each RHA and on the Main Floor Residents are encouraged to comment on the food and meal service A Resident Food Committee meets regularly and new members are always welcome Breakfast is served at 830am and a continental breakfast is available for early or late risers Lunch is served at 1200 noon ndash South Side 1210 pm ndash North Side and supper is served at 500 pm ndash South Side 510 ndash North Side

Meal Service All the meals are served at one table before going to another table regardless of the various types of diets andor textures needed to be served The table rotation list to be followed is posted on the wall at all times

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 30: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 29

SMOKING Copernicus Lodge is a smoke-free facility and does not have a designated in-house smoking room Smoking by Long Term Care Residents is restricted to the outside designated backyard area of the building at a distance at least 9 meters away from any entrance or exit to the building Long Term Care Residents must be able to get tofrom the smoking area independently and smoke safely Residents who smoke have to signrdquo Smokers Liability Formrdquo prior or upon admission to Long Term Care In the event that a resident is non-compliant with the homes non-smoking policy Copernicus Lodge will make the necessary arrangements to transfer the resident out of the home to another Long Term Care Home

PROGRAMS amp SERVICES

Daily social recreational and physical activities are provided in the Polish and English language These include Special Events and celebrations such as Residents monthly Birthday parties concerts excursions patio socials during summer months (residents must have own hatkerchief) crafts and games (related supplies and equipment are included) light exercises and walks (weather permitting) The time and place of these activities is posted on the bulletin board on each Resident Home Area and the Upcoming Events board in the LINKMain Floor and each resident receives a copy of the activity calendar in their room Nurturing Life Nurturing Life is a tool for improving the quality of life for people in our home It seeks to eliminate loneliness helplessness and boredom by providing an opportunity for a higher involvement in life in the following ways

Empowerment of staff and residents There is a spirit of inter-departmental commitment among those who work and those who live in our Home Staff and residents feel care about and committed to helping others grow

Pet Therapy Our residents are provided with physical sensory and cognitive stimulation by the presence of pets and pet visitation in our Home Residents socialize relax reduce anxiety and fear through interaction with pets Staff and residents assist in the caring of pets

Intergenerational Programs Students from local schools attend to perform concerts and socialize with the residents

Creative Arts and Music Therapy Program Residents creates arts and crafts with the assistance of Programs and Services staff while listening to music related to the cultural background of the residents

Horticulture Therapy Program With assistance from Programs and Services staff residents select plant their own plants and take them to their own room to care for them The program allows creative expression and socialization in a relaxed atmosphere

Snoezelen Room Copernicus Lodge has a Snoezelen Room on the ground floor and has Snoezelen Carts The Snoezelen is dfesigned to gently stimulate the primary senses of sight hearing touch taste and smell through the use of lighting effects tactile surfaces soothing music and relaxing aromatherapy It creates an environment where participants can experience autonomus discovery enhanced self-esteem reduced tension improved attention and communication as well as an enhanced positive mood state

PASTORAL

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 31: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 30

The religious affiliation of Copernicus Lodge is Roman Catholic Daily Mass is offered in Main Floor Chapel in the Polish Language at 930am First Tuesday of the month Mass is offered for residents of the Long Term Care Home in our Multipurpose Room on the Ground Floor at 200pm This Mass is offered in the Polish and English language Orthodox Mass is available Residents interested in this service should contact the Pastoral Coordinator at 416-536-7122 ext 284 The spiritual and religious needs of the residents their families and staff are met by the visible presence of a Pastoral Care Coordinator and Pastoral Providers Pastoral Team implement various pastoral programs religious events group prayer devotions bible study etc in collaboration with priests and ministers who preside over liturgical and non-sacramental celebrations provide crisis intervention instances of grief illness and death Pastoral Quiet Rooms are available for prayer and meditation on each Resident Home Area

EMPLOYEE RELATIONS

Copernicus Lodge has a Human Resources Department that handles all issues related to Employment and Human Resources Please feel free to contact our Director of Employee Relations if you have any questions about our hiring andor screening practices NOTE Employees of Copernicus Lodge are paid for providing the care and services to our residents and are not permitted to accept money or gifts from residents for any services rendered There is a staff fund which families and residents can donate to at anytime throughout the year to thank staff for their efforts The fund helps to pay the cost of a staff Christmas party to recognize the efforts of all staff who works in Copernicus Lodge The donation can be left in the suggestion box at reception or dropped off at the Accounting office mail slot

Bill 168 ndash Prevention of Workplace Violence Workplace Violence and Workplace Harassment are now recognized in the Occupational Health and Safety Act (OHSA or the Act) ldquoWorkplace harassmentrdquo means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome ldquoWorkplace Violencerdquo means (a) the exercise of physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker (b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker (c) a statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker in a workplace that could cause physical injury to the worker To meet our obligations under this legislation Copernicus Lodge has

Prepared and developed a program on workplace violence including policies on workplace violence workplace harassment bullying domestic violence and resident behaviour management

Performed an assessment of the risks of workplace violence to workers

Implemented measures to control risks identified in the risk assessments and

Educated staff

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 32: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 31

As a result of the above we are requesting the cooperation of all families visitors and contractors to not only keep our staff safe but our residents as well by SIGNING IN AT RECEPTION EVERY TIME YOU ENTER THE BUILDING and WEARING A VISIBLE NAME TAG AT ALL TIMES WHILE IN THE BUILDING

COPERNICUS LODGE INVESTIGATES AND TAKES ACTION ON ALL WORKPLACE VIOLENCE AND HARASSMENT COMPLAINTS

WE MAINTAIN A ldquo0 TOLERANCErdquo FOR ANY TYPE OF WORKPLACE VIOLENCE

Thanks for your attention and cooperation in this matter

Copernicus Lodge Committees - BE A MEMBER GET INVOLVED

Department Managers of Copernicus Lodge ensure that all new and existing staff members receive orientation to the types of committees that exist and that they are provided with opportunities to participate on such committees The Placement Coordinator ensures that family and residents are informed of committees for which they can serve through the Information Booklet provided upon admission

Committee Chairpersons are responsible to hold meetings as scheduled on the Committee Meeting Schedule and to ensure that meetings are open to those individuals who would be appropriate could positively contribute and benefit from such an experience Committee Chairpersons are responsible for adhering to the existing terms of reference for the committee for which they chair In addition they are responsible to update and re-sign the Committeersquos Terms of Reference annually

The following committees exist at Copernicus Lodge to meet the needs of the staff family and residents

1 Infection Control Wound Care Committee ndash To minimize the occurrence and spread of infections and outbreaks that can occur within long term care homes to educate staff regarding the risks of certain infectious diseases and materials This includes a constant surveillance program to detect the presence of infections and to institute a prompt response to control outbreaks To maintain a multidisciplinary approach to the prevention and optimal care of pressure sores and other skin lesions

2 Joint Occupational Health and Safety Lift Committee ndash To ensure that all levels of staff are aware of potential workplace risks to promote wellness among the staff

3 Pharmacy Therapeutics amp Medical Meetings Committee ndash To promote optimal use of drugs and review pharmacy issues and share knowledge among the different disciplines

4 Emergency Measures Committee ndash To maintain control for any possible disaster that could take place within and outside Copernicus Lodge to have procedures in place to protect residents and staff in case of an emergency

5 End of Life Care Ethics Committee ndash To provide compassionate and highly supportive care to residents in the terminal phase of their illness and to encourage and facilitate active participation of family members and friends in this process

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 33: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 32

6 Nursing Rehabilitation Restorative Care Committee ndash To allow and assist residents to maintain their independence as much as possible in all activities of daily living

7 Nurturing Life Committee ndash To promote involvement of residents in a wide range of programs and activities including interaction with visiting and resident pets with children for intergenerational programs as well as working with and enjoying plants and greenery

8 Human Resources Committee ndash To review human resource practices for compliance with legislative requirements and collective agreements and to review staff morale and retainment issues

9 Health Care Records Privacy Committee ndash To monitor how health care records are documented maintained retained archived and destroyed

10 Residents Council ndash To encourage residents to meet regularly to discuss issues that affect the lives of all residents at Copernicus Lodge

11 Family Council ndash To promote input from involved family members regarding the care and services provided to their loved ones at Copernicus Lodge

12 Food Committee ndash To encourage residents to take part in selecting foods they would like to eat and to have those foods prepared in a traditional and familiar way

13 Labour Management Committee ndash To quickly resolve issues between management and front-line staff in order to provide seamless and excellent quality of care to the residents in an effort to prevent unnecessary and costly staff grievances

14 Pastoral Care Committeendash To plan current religious programs and events that meet the needs of the residents as well as finding new and better ways of fulfilling resident religious needs

15 Education Committee ndash To coordinate In-service education for Copernicus Lodge staff volunteers residents and families with an interdisciplinary approach

16 Tenants Social Committee ndash To ensure that issues brought to the attention of Copernicus Lodge Management by the tenants are taken into consideration when devising the strategies events and activities of associated processes

17 Specialized Care Team - Interdisciplinary team to ensure that there are specialized programs in skin and wound care continence care and bowel management falls prevention and management pain management and strategies to meet the needs of persons with responsive behaviours This interdisciplinary team ensures that these programs include assessment and reassessment strategies to mitigate risks screening protocols treatments and interventions supplies devices and equipment and an annual evaluation of the program to ensure resident needs are being met This committeeteam exists to promote residents well-being and quality of life through early identification of potential areas of high risk with an emphasis on prevention and early treatment

18 Continuous Quality Improvement Committee ndash To identify and review various approaches to total quality management and continuous improvement throughout the Copernicus Lodge organization and home and to make recommendations with the objective to establish and maintain a comprehensive facility-wide system of continuous quality improvement

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 34: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 33

Please inform your Manager if you are interested in serving on any of the Copernicus Lodge committees New members are always welcome

VOLUNTEERS

Copernicus Lodge accepts the service of all volunteers with the understanding that volunteers are resources to Copernicus Lodge its staff and its residents and with the understanding that such services is at the sole discretion of Copernicus Lodge All prospective volunteers will be interviewed and screened thereby providing an opportunity to learn about the facility its mission and available volunteer positions Individuals who fail our screening process will not be accepted as volunteer New volunteers attend an orientation conducted by the Volunteer Coordinator prior to starting as a volunteer at Copernicus Lodge Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer whether this information involves a staff member volunteer resident or other person or involves business practices of Copernicus Lodge Volunteer recruitment efforts are targeted towards broad community involvement We welcome family members staff and people from the community If you are interested in making a difference in the lives of our residents please do not hesitate to contact our Volunteer Coordinator

LIBRARY ndash Opposite the Dining Room ndash Apartment Building

Hours Monday to Thursday 1000 am ndash 300 pm Friday 1000 am ndash 100 pm Staffed by volunteers there are over 3000 books magazines periodicals mainly in the Polish language as well as Talking Books in the Polish language Weekly Polish newspapers are available Books may be taken out on loan

AUXILIARY ndash Female amp Male Volunteers

Members are a dedicated group of volunteers who take on many projects within the Lodge as a form of fundraising Members work on Tuesdays in the Adult Day Program Area to attend to work on crafts Their projects such as bazaars monthly luncheons and Special Events help to raise money for Copernicus Lodge

TUCK SHOP ndashldquoAGGIESrdquo ndash Main Floor

ldquoAggiesrdquo tuck shop is operated by the Auxiliary Volunteers on Tuesday Thursday nad Saturday between 1000 am and 200 pm Offers the conveniences of providing basic shopping needs in-house Excellent variety

SCENT POLICY

The Lodge encourages all residents staff volunteers and visitors of the Home to be ldquoenvironmentally friendlyrdquo and reduce the use andor presence of allergensaromas while in the Home Staff is encouraged to limit the amount of scented products they use on a daily basis when coming to work This would include hairspray perfumes colognes lotions and scented deodorant to help prevent adverse reactions from other staff or residents Residents will be encouraged to reduce their use of strong scents within the Home to help prevent allergic reactions of other residents Visitors to the Home will be encouraged to reduce the allergens they wear and bring in for their loved ones Reasonable effort will be made to accommodate individual restrictions when possible

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 35: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 34

When a resident is assessed or diagnosed as being allergic or sensitive to fragrances nursing staff post one small square purple ldquoAllergy Alertrdquo signnotice on the resident door where all staff and visitors can see Everyone is expected to abide by the posted notice at all times Thank you for keeping our residents and staff healthy

TAKING OF PHOTOSVIDEO FILMING

Residentsfamilies are asked upon admission if they consent to the taking of photos while living in Copernicus Lodge We will often post pictures or use on our website or publish in newsletters To respect the wishes of our residents and their families for whom they do not want such pictures used VISITORS ARE NOT PERMITTED TO RECORD VOICE VIDEOS OR TAKE PICTURES OF RESIDENTS STAFF OR VOLUNTEERS WITHOUT THE CONSENT OF MANAGEMENT VALUABLES Residents are encouraged to leave any valuables with their family Where this is not an option valuables are locked in the Nursersquos station Alternatively the night table has a locked drawer for which residents or family can hold the key

MAIL DELIVERY All mail addressed to our long term care residents is left at reception and then distributed to the resident home areas and to the resident or to the resident chart We encourage all mail to go directly to the Power of Attorney whenever possible Please be advised that many of the rooms in our long term care home have the same number as the apartment building so it is important that to avoid confusion of mail being delivered to the wrong building please address your mail by adding the letter A to the street number

ie 66 A Roncesvalles Ave Room POSTAL CODE hellipM6R 3A8

LTC RESIDENT PARKING Copernicus Lodge has limited parking If a long term care resident needs parking they must speak to the Placement Coordinator Vehicles parked on our property must be driven regularly and not ldquostoredrdquo The vehicle must be registered to the resident insured and driven by the resident and not the family

VISITORS Every time a visitor comes to the building a visitor must

enter and exit the building only through the Main Front Door

sign in and out at Reception

wear a visible Visitorrsquos Tag at all times while in the building Visiting Hours - Copernicus Lodge does not restrict the time that visitors can visit as this is our residentrsquos home and we are open 24 hours a day 7 days a week however the visiting of residents during reasonable hours is always encouraged We suggest that visitors visit between the hours of 800am ndash 900pm Visitors are expected to conduct themselves in a considerate manner at all times having regard for the safety and well-being of all the residents and staff while in the building

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 36: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 35

Pets Pet visitation is always encouraged but to protect staff and residents and to comply with laws and regulations regarding pets Copernicus Lodge requires that all visiting pets be registered with our home through the Programs and Services Department Visitors wishing to bring their pets into the home must provide Copernicus Lodge with a current valid pet license and up to date immunization record prior to the pet coming on the property Please speak to the Director of Programs and Services for more information General Safety Follow the instructions of staff on the floor during any alarm situation (the staff wearing a yellow vest) Fire exits are located at the East and West end of each floor of the building Each floor is equipped with red pull stations and fire extinguishers When the ALARM sounds listen to the Nurse or authorized personnel for instructions

Smoking Visitors must smoke outside in the staff designated area (outside by the exit of the parking lot facing Roncesvalles) at least 9 meters away from any entrance or exit to the building During the cold winter months smoking in the backyard patio is permitted

Visitor Parking Copernicus Lodge has restricted access to the parking area as well as limited parking There are only 2 reserved and designated parking spots for visitors Visitors need to register their cars at Reception if parked in our parking lot Visitors may be permitted to park in the staff designated areas during non-peak times and when there are extra spots available (Monday to Sunday from 900am to 200pm and from 400pm to 600am) and only when directed by the reception staff Visitors are never permitted to park in designated spots (ie tenant consultant volunteer or doctor spots) To ensure the health and safety of all Copernicus Lodge residents we are asking the cooperation of all visitors by not parking or stopping their cars in our front or back entrance These entrances must be kept clear at all times for emergency vehicles In the event you need to pick up someone who needs assistance in getting to and from the building please call in advance and make arrangements with staff to have your family member ready and waiting at the front door Also whenever possible please call in advance of when you will drop off in order to have a staff member waiting to assist when you arrive Please note that the front parking spots are 15 minutes and only for drop off and pick up of our residents

FAMILIES ARE PART OF THE COPERNICUS LODGE TEAM Copernicus Lodge recognizes family as a fundamental unit of society When family is no longer able to care for a relative in the community it is necessary to seek placement for alternate care We are sensitive to the fact that placement creates a major social emotional and physical dislocation in the life of the individual and hisher family In order to maintain the integrity of the resident and family Copernicus Lodge strives to establish a good working relationship with the family with the best interest of the resident in mind The resident is the primary decision maker whenever possible Families need to understand that the residents wishes take precedence

Copernicus Lodge strives to recognize the special needs of the family as they relate to residents by providing respectful considerate and timely communication Copernicus Lodge ensures that next-of-kin or representative are notified immediately of any injury hospitalization or change in the residentrsquos health status Copernicus Lodge will make every effort to inform families of new rules and regulations affecting residents and families

Families can assist our staff in meeting the needs of our residents by

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 37: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 36

Cooperating with staff in addressing the needs of the residents

Identifying one or two key family members to be contacted in the event of an emergency whose responsibility it is to keep all other family members informed

Informing staff when family contact will be out of town and whom to call in the event of an emergency

Informing staff of important changes in family status o Moves - new addresses and telephone numbers o Death of family members o Special events Marriages Graduations Baptisms and other similar occasions

Speaking to appropriate care team staff members about matters of concern immediately at the time they arise so that they can be understood and resolved as soon as possible To ask for intervention by supervisors only if issues cannot be handled without additional consultation

To adhere to the Long Term Care policy of Copernicus Lodge regarding the familyrsquos involvement in the residentrsquos care This means that ONLY the Nursing Staff as ordered by the Attending Physician carries out ALL treatments procedures and administration of medications Family is NOT to perform any of these functions while the resident is under the care of Copernicus Lodge

To accept financial responsibility for the residents spending money bills and other commitments in accordance with the agreement drawn by Copernicus Lodge and to pay bills in a timely fashion

Families can also enhance the residentrsquos experience in long term care by

Communicating with the resident by frequent visits phone calls notes or any other means that have been customarily used

Remembering significant events birthdays anniversaries and holidays

Encouraging visits of extended family grandchildren nieces nephews and friends Bring your grandchildren or young visitors to our new Kids Play Area that is located on the ground floor of the Long Term Care Home

Participating in programmed events with the resident

Delivering personal items and adequate clothing when required

Providing special personal items not provided by Copernicus Lodge

Personalizing the relatives room and Memory Box with family pictures and knick knacks that have meaning for the resident

Quote ldquoYour presencerdquo is the best ldquopresentrdquo

PRIVATE CAREGIVERCOMPANION SERVICES

Note Copernicus Lodge employees are not permitted to be employed as PrivateCaregiversCompanion The overall responsibility for the care of a resident rests with Copernicus Lodge If the residentsubstitute decision maker wishes to contact privately for a private CaregiverCompanion for the resident this will be the sole responsibility of the residentfamily The family must inform the Charge Nurse andor Director of Care prior to arranging such services so they can be informed about the established Copernicus Lodge private caregivercompanion policies The arrangement of and reimbursement for the private caregivercompanion is the sole responsibility of the familyfriends

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 38: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 37

BEHAVIOURAL MANAGEMENT PROGRAM

Copernicus Lodge maintains a multidisciplinary Behavioural Management Team who works to identify Risk levels for those residents who exhibit behaviours and attempt to find solutions to effectively manage behavioural issues The team makes quarterly rounds to complete Behavioural Care Plans for all Residents and meets regularly The team strives to find ways to enable the individual resident to reach hisher optimal level of mental physical cognitive andor social functioning Education and involvement of familiesrepresentative is an integral component of this program

DEMENTIA UNIT - 18 beds - 2nd

Floor North

Care is provided designed and organized to meet the spatial and care needs of cognitively impaired residents Ambulatory residents with Alzheimerrsquos who wander or are exit-seeking are provided with a safe environment The environment specifically designed for dementia care also benefits residents with physical and other psychological impairments The Dementia Unit has a higher number of programs and services nursing hours and a higher ratio of professional to non-professional staff and deployment to enable the residents to enjoy an optimum quality of life The whole approach is holistic to meet the assessed needs and goals of each individual resident identified on the care plan Staff is specially trained to equip them with the necessary skills to manage dysfunctional behaviours For the safety of the residents living in this unit we would ask everyonersquos cooperation to ensure that the doors to this unit are kept lockedclosed at all times Environmental Restraints Dementia Unit Unit (2 North)

The only environmental restraint at Copernicus Lodge is the 2 North Dementia Unit This relates to the fact that the doors of this unit are equipped with an alarm alerting staff when a resident approaches the doors and tries to exit In such cases where it is identified for the safety of a resident a resident may be restrained by the use of barriers locks or other devices or controls if the restraining of the resident is included in the residentsrsquo plan of care

Prior to an internal transfer from another unit within our home to the Dementia Unit Copernicus Lodge advises the resident andor substitute decision-maker in writing of the need for the transfer and why

Please note Due to the restraining issue once the care plan identifies that the resident no longer needs this type of intervention a resident will be transferred off this unit to another unit where this restraint is no longer applied

TWELVE HELPFUL TIPS FOR VISITING RESIDENTSrsquo WITH DEMENTIA

Visiting (by family member relatives and friends) is an important part of creating an atmosphere conducive to quality of life for all residents living at Copernicus Lodge The following are tips to help make your visit more meaningful 1 One of the eventual symptoms of dementia is that people who have this disease can no

longer learn new information Every action place and person a resident with dementia encounters is new to him or her Each time the resident sees a close friend or family member it is like a first time meeting The resident should be greeted as a close friend or a person that you know well Tell the resident who you are and why you are there

2 What kind of message is being relayed to the resident with the color of the clothes you are wearing your body language and your feelings The person with dementia sometimes has

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 39: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 38

trouble understanding words as such they tend to depend upon what they see and feel They will reflect back to you whatever emotions you are feeling People with dementia are like a mirror-they will reflect back what you are expressing

3 Watch for cues emanating from the person with dementia Determine if heshe is upset and if it is advisable to continue the visit Behavioral cues to look for are tight fists walking away ignoring you and telling you to go away It is difficult for you not to take these actions personally but the resident is trying to tell you that they are tired and need to rest

4 If you have trouble leaving because the resident wont let you go get the staffs attention so they can distract the resident while you make your exit Sometimes it is best not to tell the resident you are going home as they will want to go with you Because of memory loss the person with dementia feels like a visitor in Copernicus Lodge and if you are going to that wonderful place called home they would like to go there too Instead tell the resident you are going to see someone else and that you will come back soon Be reassuring

5 Sometimes things will happen before the visit and the resident with dementia will be upset The resident is not upset with you even though heshe may say harsh things It is advisable to leave the resident alone for a time and visit another time Even ten minutes can make a difference or another day

6 If the resident with dementia can tell stories encourage this activity by providing a topic a picture or point something out in the environment to discuss

7 The resident with dementia is living in the momentrdquo That is people with dementia can only talk about things they see hear feel right now Clearly it is often easier to go for a walk together rather than sit in a room

8 Watch for fatigue Signs of tiredness could include repeating conversations irritability or walking away from you or asking you to leave A short visit is usually better than a long one because it is tiring for the resident to visit or behave like a host or hostess

9 Silence can be a shared experience Merely sitting and watching is good Ask the resident if you can read to himher pray together or sit together

10 Distraction is a technique to draw the residents attention away from one thing to something different If the resident becomes upset get himher to pay attention to something else This action may relax the resident

11 Remember that these residents are doing the best they can People with dementia will have moments of reality The goal of Copernicus Lodge is to make the surroundings as pleasant and comfortable as possible You should be able to enjoy these surroundings with the resident as well After you can even share these moments with others This is one of the gifts or joys of being with people with dementia

12 The resident with dementia is unable to entertain so come with something like a book flowers candy (with staff permission) or take the resident for a walk

A short visit with a good feeling at the end for both you and the resident is the goal For the resident with dementia the value is in the feeling heshe gets from you not the length of time spent visiting For Copernicus Lodge effective visiting regardless of the physical or mental state of the resident is realizing that the true source of caring is to give of ourselves and know that we do so by just being there We hope that you find these tips helpful Any feedback or comments you may have on the success of these tips would be very much appreciated

END OF LIFE CARE PROGRAM

The End of Life Care Program at Copernicus Lodge has the primary mission of ensuring our residents do not die alone in a sterile impersonal surrounding No one wants to be reliant on life sustaining equipment and cut off from their family friends and loved ones and things that

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 40: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 39

are familiar Our mission is to ensure if possible that residents spend their final phase of life pain-free and alert as possible surrounded by the people and things they love

Services of the Copernicus Lodgersquos End of Life Care Program are available to all residents living in the Long Term Care Division of Copernicus Lodge and who have severe chronic or terminal illness and have been given a diagnosis of ldquoless than 6 months to liverdquo A doctors order is needed to consult the End of Life Care Program Team Copernicus Lodgersquos End of Life Care Team Physician can assume full responsibility for management of the resident or may serve as a consultant to the residents Attending Physician The resident and family are very much a part of the team and are made aware of the terminal or chronic nature of the illness and must agree with the plan for supportive or end of life care

ABSENCES All residents living at Copernicus Lodge have the right to take a leave of absence as identified in the Long Term Care Homes Act 2007 During an absence a resident continues to be responsible for the payment of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class of accommodation that was provided to the resident immediately before the absence

Types of Absences are described as follows 1 Casual Absence - means an absence of a resident from a long-term care home for a period not exceeding 48 hours per week for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment 2 Medical Absence -means an absence of a resident from a long-term care home for the purpose of receiving medical care other than psychiatric care or for the purpose of undergoing medical assessment other than psychiatric assessment Medical absences cannot exceed 30 days 3 Psychiatric Absence - means an absence of a resident from a long-term care home for the purpose of receiving psychiatric care or undergoing psychiatric assessment Psychiatric absence cannot exceed 60 days 4 Vacation Absence - means an absence of a resident from a long-term care home for a period exceeding 48 hours for a purpose other than receiving medical or psychiatric care or undergoing medical or psychiatric assessment Vacation absence cannot exceed 21 days per year Copernicus Lodge ensure that when a long-stay resident of the home returns from a medical absence psychiatric absence casual absence or vacation absence the resident receives the same class of accommodation the same room and the same bed in the room that the resident had before the absence Copernicus Lodge reserves the right to arrange for a long-stay resident to receive a different bed or room where the residentrsquos needs have changed and as a result a different bed or room is necessary The Registered Nursing Staff at Copernicus Lodge ensure that before a resident leaves the home for a medical absence or a psychiatric absence

(a) except in an emergency a physician or a registered nurse in the extended class attending the resident authorizes the absence in writing and

(b) notice of the residentrsquos medical absence or psychiatric absence is given to the residentrsquos substitute decision-maker if any and to such other person as the resident or substitute decision-maker designates

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 41: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 40

(i) at least 24 hours before the resident leaves the home or (ii) if circumstances do not permit 24 hours notice as soon as possible

The Registered Nursing staff also ensure that when a resident of the home leaves for a medical absence or a psychiatric absence information about the residentrsquos drug regime known allergies diagnosis and care requirements is provided to the residentrsquos health care provider during the absence

Recording of absences All absences regardless of type be it medical absence psychiatric absence casual absence and vacation absence must be clearly recorded and documented in the multidisciplinary section of the residents chart Registered Nursing staff must record the date and time when the resident left where the resident is going and for how long if known The Registered Nursing staff must also document the date and time when the resident return from the absence

Contact During Absences When a resident is on a medical absence or psychiatric absence the Registered Nurse on the unit must maintain contact with the resident or with the residentrsquos health care provider in order to determine when the resident will be returning to the home In addition the Registered Nursing staff shall stay in contact with any long-stay resident who is on a vacation absence in order to determine when the resident will be returning to the home Care During Absence Prior to any long-stay resident leaving for a casual absence or a vacation absence and before a short-stay resident of the home leaves for a casual absence

(a) a physician or a registered nurse in the extended class attending the resident or a member of the registered nursing staff of the home sets out in writing the care required to be given to the resident during the absence This can be done by providing a copy of the resident care plan and MAR sheets as necessary and

(b) The Registered Nursing staff on the unit communicates to the resident or the residentrsquos substitute decision-maker

(i) the need to take all reasonable steps to ensure that the care required to be given to the resident is received by the resident during the absence

(ii) that Copernicus Lodge will not be responsible for the care safety and well-being of the resident during the absence and that the resident or the residentrsquos substitute decision-maker assumes full responsibility for the care safety and well-being of the resident during the absence and

(iii) the need to notify the Executive Director or Director of Care of the home if the resident is admitted to a hospital during the absence or if the date of the residentrsquos return changes

(c) The Registered Nursing Staff on the unit also ensure that they complete a medication liability form for all medications provided to the resident for the leave of absence This form must be signed by the resident andor substitute decision maker prior to the resident leaving for their leave of absence vacation

Absences of Short Stay Residents When a short-stay resident of the home returns from a medical absence psychiatric absence or casual absence the resident will receive the same class of accommodation that the resident had prior to the absence

(a) In the case of a medical or psychiatric absence (i) the length of the medical or psychiatric absence cannot exceed 14 days and

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 42: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 41

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home and

(b) in the case of a casual absence of a resident during the period between midnight on a Saturday and midnight on the following Saturday

(i) that the total length of the residentrsquos casual absences during the period does not exceed 48 hours and

(ii) that the resident returns to the home before the end of the period for which the resident was admitted to the home

Resident Charges during Absence During a medical psychiatric vacation or casual absence a resident is obligated to pay accommodation charges of the maximum amounts that may be charged by Copernicus Lodge to the resident for the same class accommodation that was provided to the resident immediately before the absence PAYMENT FOR FIRST AND LAST DAY

A long-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home and for the day the resident is discharged from the home A long-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home if the resident is admitted to another long-term care home on the same day A short-stay resident shall pay the amount charged for accommodation for a full day for the day the placement coordinator authorizes the residentrsquos admission to the home A short-stay resident shall not pay the amount charged for accommodation for a full day for the day the resident is discharged from the home

INTERNAL TRANSFERS Internal transfers will only be allowed under exceptional circumstances andor by approval of the Executive Director of Copernicus Lodge in accordance with Copernicus Lodge policy

DISCHARGE FROM LONG-TERM CARE

Copernicus Lodge may discharge a resident if

The residentrsquos requirements for care have changed and that as a result Copernicus Lodge cannot provide a sufficiently secure environment to ensure the safety or the resident or the safety of persons who come into contact with the resident

The resident decides to leave the home and signs a request to be discharged

The resident leaves the home and informs the Director of Care that he or she will not be returning to the home

The resident is absent from the home for a period exceeding seven days and the resident has not informed the Director of Care of his or her whereabouts and the Director of Care has been unable to locate the resident

The resident is on medical absence that exceeds 30 days

The resident is on psychiatric absence that exceeds 60 days

The total length of the residentrsquos vacation absences during the calendar year exceeds 21 days

The long-term care home is being closed

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 43: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 42

DISCHARGE FROM SHORT-TERM CARE

Copernicus Lodge shall discharge a short-term resident

At the end of the period for which the resident was admitted to the home

The resident is on medical absence or a psychiatric absence that exceeds 14 days

The resident is on vacation absence

The long-term care home is being closed

REMOVING ITEMS FROM ROOM AFTER DISCHARGE DEATH

All personal belongings must be removed from the room within one day following death or transfer of ldquothe residentrdquo Any items not removed within this specified time will be itemized placed in boxes and stored at the discretion of Copernicus Lodge without responsibility for loss or damage of same for a maximum of 60 days at which time if unclaimed will be disposed of by Copernicus Lodge in any way it sees fit

In the past Copernicus Lodge was able to hold the room of a deceased resident in Long Term Care until the next-of-kin was able to clear it however new regulations require that the room of a resident be vacated within one day following death or transfer This decision is based on an attempt to free up more long term care beds for persons on their lengthy Long Term Care Waiting list By sharing this information in advance familynext-of-kin will be better prepared for this change rather than at a time of grieving

PROGRAMS OF INTEREST TO SENIORS IN ONTARIO - TIPS TO REMEMBER

1 Many programs are based on information provided on income-tax forms You should file a

tax return even if you have no income in order to receive benefits

2 Many federal income support programs must be applied for in writing

3 Several programs have a limited time period to recover back payments that you may be

owed so it is important to contact the government as soon as possible

4 You should contact the government to notify them of changes in your circumstances (eg

death of a spouse moving) as soon as possible

5 Income support programs may be very complex and each personrsquos circumstances are

different You should always contact the government and not rely on advice from others

INCOME SECURITY PROGRAMS Old Age Security (OAS) pension is based on age legal status and years of residence in Canada after the age of 18 There are 2 types ndash a full and partial pension If you have lived in Canada for less than 40 years you may qualify for a partial pension OAS is taxable It must be applied for in writing OAS may also be paid outside of Canada if certain requirements are met For information on Old Age Security Pension Plan you should call 1-800-277-9914 and speak

to a consultant about what information you should be providing (TTY -1-800-255-4786) Guaranteed Income Supplement (GIS) is for low-income seniors and is added to the OAS pension You must be receiving OAS to receive GIS (This makes it very important for people who may only qualify for a partial OAS pension to make sure that they do apply for OAS even if it is for a small amount GIS is based on income and marital status and is based on combined income if the applicant has a spousecommon ndashlaw partner It is not taxable but mist be applied for in writing For information you should call 1-800-277-9914 (TTY -1-800-255-4786)

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 44: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 43

Allowance provides benefits to low-income persons between the ages of 60-64 who are the spousecommon-law partner (of the opposite or same sex) of a person receiving GIS It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing Allowance for the Survivor provides benefits to eligible low-income persons between the ages of 60-64 whose spousecommon law partner (of the opposite or same sex) has died and who has not become the spousecommon -law partner of someone else It stops at age 65 when the individual must apply for OAS It is not taxable but must be applied for in writing GIS the Allowance and the Allowance for Survivor may only be paid outside of Canada for the month of departure and for the following 6 months Sponsored immigrants with less than 10 years of residence in Canada after the age of 18 are not eligible for the GIS Allowance or Allowance for the Survivor during the time of sponsorship except in certain circumstances such as the death of the sponsor Non-sponsored immigrants with less than 10 years residence in Canada after age 18 are eligible for prorated GIS Allowance and Allowance for the Survivor Canada Pension Plan (CPP) is an employment-based contributory pension plan It is payable outside Canada CPP payments include retirement pension disability benefit survivor benefits death benefit and childrenrsquos benefit Individuals may choose to receive retirement pension (at reduced amount)) starting at age 60-64 at full amount at age 65 or at a higher level between age 65-70 They must apply in writing for the pension and should do so 6 months before they plan to start receiving benefits For information call 1-800-277-9914 (TTY -1-800-255-4786) Social Security Agreements enable persons who have lived or worked in another country To qualify for benefits from that country andor from Canada The Canadian benefits included in the agreements are those paid under the Old Age Security program and the Canada Pension Plan The benefits from other countries included in the agreements in the event of retirement disability and death vary according to each countyrsquos pension program For more information on Social Security Agreements between Canada and other countries Toll-free (in Canada and the United States) 1 800 277-9914 TTY Toll-free 1 800 255-4786 (note have your Social Insurance Number ready) Guaranteed Annual Income System (GAINS) is provided by the Ontario Ministry of Finance to eligible low-income seniors who receive OAS and GIS No application is required for the GAINS benefit Once you are receiving OAS and GIS you will automatically be assessed for eligibility for the GAINS benefit Eligibility will be based on information from your (and your spousersquos) prior year income tax return(s) Ministry of Finance Information Centre (GAINS) Toll-free 1 866-668 TTY Toll-free 1 800 263-7776 Tax Credits Ontario provides property and sales tax relief for eligible individuals through the Ontario property and sales tax credits The refundable property tax credit provides property tax assistance for people with low to moderate incomes who own or rent a principle residence in Ontario The refundable tax credits can be received even if you pay no income tax Ontario tax

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 45: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 44

credits can be claimed on Form ON479 Ontario Credits which is included with federal income tax and benefit package The GST credit is a tax-free quarterly payment that helps individuals with low and modest incomes offset all or part of the GST that they pay You can apply for the credit on your income tax return form GSTHST Credit website httpwwwcraarcgccabenefitsgsthstmenu-ehtml Individual income tax enquiries Toll-free (in Canada and United States) 1 800 959-8281 Ontario Drug Benefit Program Ontario seniors with valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the Ontario Drug Benefit (ODB) Program on the first day of the month following their 65

th

birthday If prescribed by an authorized Ontario prescriber and dispensed in an Ontario pharmacy the ODB Program covers most of the cost of over 3300 drug products listed in the ODB FormularyComparative Drug Index including some nutrition products and diabetic testing agents ODB eligible people may be asked to pay some portion of their prescription drug product costs For example some seniors pay an annual deductible fee of up to $611 for ODB- eligible prescriptions Low income seniors do not have to pay any deductible but do pay a $2 co-payment towards the dispensing fee per ODB-eligible prescription Please visit the Ontario Drug Benefit Program website for further information httpwwwhealthgovoncaenglishpublicprogramdrugsdrugs mnhtml INFO line - Toll-free (in Ontario) 1 888-405-0405 Telehealth Ontario Toll-free (in Ontario) 1 800 797-0000 TTY Toll-free 1 866 797-0007 Veterans Programs Veterans Affairs Canada Veterans Affairs provides a range of benefits and services to war veterans including war veterans allowance disability pensions pensions for survivors and assistance toward funeral and burial costs Some of these programs are available to low-income veterans only Please call - Toll-free (in Ontario) 1 866-522-2122 Advocacy Support Groups Polish Canadian Community Services 15 Roncesvalles Ave Suite 202 Toronto Ontario M6R 2K2 Tel 416-533-9471 Advocacy Centre for the Elderly (ACE) 2 Carlton St Suite 701 Toronto Ontario M5B 1J3 Tel 416-598-2656

FOR MORE INFORMATION PLEASE VISIT SERVICE CANADA WEBSITE

wwwservicecanadagcca

COPERNICUS LODGE FOUNDATION

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom

Page 46: REESSIIDDEENN TT EIINNFF OORRMMAATIIOONN BBOOKKLLETT INFO BOO… · Copernicus Lodge 66 Roncesvalles Avenue Toronto, Ontario M6R 3A7 Tel: 416-536 7122 COOPP EERRNNIICCUUSS LLOODDGGE

COPERNICUS LODGE RESIDENT INFORMATION BOOKLET

Page | 45

Copernicus Lodge has continually provided the highest quality of care to its community In order to continue providing this care Copernicus Lodge is growing to enlarge its facilities and services However your support is vital There are many ways that we as individuals can make a difference Making a financial commitment to help enhance the lives of our seniors is a wonderful way to share your good fortune both today and in the future to ensure the long-term development and growth of Copernicus Lodge

How can you help

Make a donation Copernicus Lodge needs your support Each donation whatever the amount can make a real difference Gifts of cash are welcomed in the form of cheques or credit card payments As well gifts-in-kind including gifts of stock are greatly appreciated

Special Occasion TributeIn Honour of Gifts A wonderful way to mark all your special occasions throughout the year Instead of buying the usual present for a birthday why not give that special person a very special gift ndash the knowledge that someone elsersquos life has been touched by a donation made in their honour Donations may be made to honour a special birthday anniversary or milestone such as a baptism graduation or other special occasion A card will be sent informing them of the gift ndash and you receive a tax receipt

In Memorial Families are comforted in their sorrow by gifts made in memory of their loved one Acknowledgement cards are sent to inform them of your thoughtfulness Memorial cards are available at reception in the Foundation office and in local funeral homes

Gifts of Insurance and Bequests Planned gifts of Insurance bequests and the proceeds from RRSPrsquos and RRIFrsquos as well as gifts of marketable securities provide some of the most tax effective ways for donors to support Copernicus Lodge

Dedication Opportunities Special opportunities exist to arrange for the dedication of a resident room or area

For further information please contact Copernicus Lodge Foundation by

phone at 416 536-7122 ext 252

or via e-mail at

foundationcopernicuslodgecom