Most provinces have some resident-centred care policies, but rules often don’t match new standards in other areas, a nationwide review says.

nationwide review of nursing homes found most provinces have some resident-centred care policies that meet the new national long-term-care standards, the National Institute on Ageing says, but there’s a lot of catching up to do.

Dr. Samir Sinha, the NIA’s director of health policy research, said rules overseeing Canada’s long-term-care system are generally inconsistent from one province to the next and don’t match the many new standards in areas such as governance, quality improvement or use of trauma-informed care.

Canada’s new voluntary standards, published last January, are meant to elevate the well-being of residents and staff and align rules across the country so that high-quality care isn’t hit-and-miss.

“The report wasn’t built to be a naming and shaming report,” Sinha said. “Thegoal is to really show how unaligned we are as a nation on several things that Canadians and the committees have said are important moving forward.”

Sinha was chair of the Health Standards Organization committee that focused on directives to improve the lives of residents and staff. A second committee worked with CSA Group to create standards for operations, such as building design for small households and infection prevention and control. The NIA’s jurisdictional review assessed provinces using the new rules from the Health Standards Organization. Sinha said provincial governments can use the review to prepare applications for the federal government’s promised $3 billion in funding to help meet the new standards. To do the analysis, researchers at the NIA searched online for legislation, policies, directives and standards that oversee nursing homes in each province and territory. The report’s preliminary analysis was sent to Health Canada and all provincial and territorial governments, asking for feedback. Sinha said the report gives federal, provincial and territorial governments details on where policies align and where more work is needed. Of the 13 jurisdictions, the report said nine responded to researchers with comments and questions: Alberta, British Columbia, Manitoba, New Brunswick, Newfoundland and Labrador, Prince Edward Island, Northwest Territories, Nunavut and Yukon. Ontario, Sinha said, did not.

Source: Toronto Star

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A National and International Jurisdictional Review and Comparative Analysis of Long-Term Care Home Legislation, Policies, Directives and Standards with HSO’s 2023 National Long-Term Care Services Standard

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National Long-Term Care Services Standard