WE ARE SO PLEASED TO LET YOU KNOW THAT OUR RESIDENTS AND STAFF HAVE RECEIVED THE SECOND DOSE OF VACCINE! OUR ENTIRE FACILITY HAS BEEN VACCINATED.

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Dear Residents, Family Members and Staff:

The revised Directive #3 took effect Friday, July 16, 2021. Directive #3 requires retirement homes follow the policies from the Ministry for Seniors and Accessibility (MSAA) and the Retirement Homes Regulatory Authority (RHRA) for visitors, absences, and activities. The Retirement Home Policy to Implement Directive #3 supports retirement homes in implementing the requirements set out in Directive #3, has also been updated to reflect Step 3, and also took effect Friday, July 16, 2021.


Changes to Directive #3 & The Retirement Home Policy to Implement Directive #3




Universal Masking

  • All staff, essential and general visitors must continue to wear a medical mask for the entire duration of their shift and/or visit, both indoors and outdoors, regardless of their immunization status.

  • Upon recent communication with our local Public Health Unit, masking has been modified in reference to communal dining but remains strongly recommended when moving throughout the home in common areas and at all social gatherings. Public Health emphasizes that it is extremely important to continue wearing your mask at all times when physical distancing cannot be maintained throughout the building and at social gatherings. The risk of variants is prevalent and maintaining extra precautions will keep us all safe.


Physical Distancing

  • Physical distancing must be practiced at all times, (indoors, outdoors, and off-site) except for the purposes of providing direct care to a resident(s).

Eye Protection

  • Regardless of immunization status, appropriate eye protection (e.g., goggles or face shield) is required for all essential visitors when providing care to residents with suspect/confirmed COVID-19 and in the provision of direct care within 2 metres of residents in an outbreak area.

  • In all other circumstances, the use of eye protection is based on the point-of-care risk assessment when within 2 metres of a resident(s). Daily Symptom Screening of All Residents Resident assessments at least once daily for signs and symptoms of COVID-19, temperature checks must continue.


Daily Symptom Screening of All Residents

  • Resident assessments at least once daily for signs and symptoms of COVID-19, temperature checks must continue.

  • A resident who presents with signs or symptoms of COVID-19 must be immediately isolated, placed on Droplet and Contact Precautions and tested for COVID-19 as per the Provincial Testing Requirements.


Essential Visitors


Support Workers (PSW’s, Physiotherapists, contractors, etc.) & Designated Essential Caregivers (family/persons designated by resident)


  • Heritage Place will continue to provide access to PPE to Essential Caregivers if required.

  • Essential Visitors must use a medical mask while in the home visiting a resident.

  • Residents should also wear a mask, if tolerated, during the visit for service in-suite.

  • Heritage Place will reinforce appropriate use of PPE for Essential Visitors as outlined in Directive #5.

  • Essential Visitors must attest to having received training on proper use of PPE at least once per month.

  • Heritage Place will intervene and reinforce appropriate uses of PPE if improper practices are alleged or observed.

  • Essential Visitors must also follow staff reminders and coaching on proper use of PPE.

  • There is no limit to the number of Essential Caregivers per resident. The process to designate persons as Essential Caregivers will continue to be in place. Contact Ann Swaby for assistance.

  • It must be noted that although Essential Caregivers may visit at any time only two are permitted at one time.

  • Essential Caregivers are encouraged to work out a schedule with one another (to include General Visitors) to ensure they do not arrive while others are on site.

  • Only fully vaccinated Essential Caregivers may dine with a resident with an advance reservation (through reception) as space permits.


Personal Care Service Providers (i.e., hairdresser, foot care provider)

  • Personal Care Service providers must wear a medical mask for indoor visits.

  • Personal Care Service Providers must attest to having read the documents and/or watched the videos on PPE at the front entrance.

General Visitors

  • General Visitors are permitted at all times although homes are required to ensure adequate physical distancing and that all infection prevention and control (IPAC) measures are followed.

  • All General Visitors must attest to having read the documents and/or watched the videos on PPE at the front entrance.

  • Heritage Place will continue with the current reservation process in place.

  • Visitors are encouraged to pre-schedule one-hour visits and limit their movement throughout the building. Advance notice is encouraged.

  • Reservation periods are expanded to better accommodate your needs as follows:

Daily : 9:00 am to 10:00 am and 10:00 am to 11:00 am

Daily : 1:30 p m to 2:30 pm, 2:30 pm to 3:30 pm, and 3:30 pm to 4:30 pm

  • These times are implemented as a guideline that allows for infection prevention and control measures to be carried out and are not intended to be limiting in any way.

  • Individual requests will be accommodated to ensure equal access for all visitations.

  • All visits must be in-suite to ensure IPAC protocols are met, including record keeping of visitations for contact tracing purposes.

  • Heritage Place cannot provide “designated areas” for indoor or outdoor visitations due to the size of our property and the inability to manage ‘drop-in’ visits outside.

  • The Gazebo and the back patio are reserved for resident-to-resident social interactions.

  • We ask that our front door area be kept clear in case of emergency, for people entering and exiting the building, and to limit gathering where physical distancing protocols cannot be met.

  • Outdoor visitations with family members and friends should be conducted off-site. Residents are reminded to practice all infection prevention and control measures while off-site visiting.

  • Advance notice of visitations of larger groups (over 5) may be considered if space, physical distancing and alignment with provincial protocols can be accommodated.


Active Screening

  • All visitors must be actively screened on entry regardless of immunization status.

  • Active screening includes temperature taking upon entry.

  • The screening process requires the individual being screened to interact with the screener prior to being permitted entry.


Absence Requirements – including Overnight Absences

  • For all types of absences, residents will be provided with a medical mask free of charge if they are unable to source one and reminded to practice public health measures while away. Additionally, all residents on an absence, regardless of type or duration of the absence, must be actively screened upon their return to the home.

  • Fully immunized residents returning from an overnight absence, testing and self-isolation requirements have been removed; these residents no longer require a negative lab-based PCR test at time of re-admission or self-isolation pending test results.

  • Partially or un-immunized residents returning from an overnight absence, a negative lab-based PCR test is required upon return to the home. The resident must be placed in isolation on Droplet and Contact Precautions if their test result is pending, and if their test result is negative, isolation on Droplet and Contact Precautions can be discontinued.


Requirements for Admissions and Transfers

  • For fully immunized residents, testing and self-isolation requirements have been removed; these residents no longer require a negative lab-based PCR test at time of admission/transfer or self- isolation pending test results.

  • For partially or unimmunized residents, there is no change to requirements. These residents continue to require two negative lab-based PCR tests and isolation for a minimum of 10 days.

Social Gatherings and Organized Events

  • Social gatherings and organized events include activity classes, performances, religious services, movie nights, and other recreational and social activities (e.g., bingo, games).

  • Social gatherings and organized events are permitted, unless otherwise advised by the local PHU.

  • Attendance must not exceed provincial limits for meetings and event spaces when. Indoors.

  • General Visitors who are required to facilitate programs, events, or religious services may attend (e.g., event facilitators, performers, or religious leaders who are visiting to provide the program, event, or service) must follow screening and public health measures for General Visitors.

  • General Visitors brought into the home for these activities must follow all screening and PPE requirements for retirement home staff.

  • Requirements contingent on immunization rates have been removed. All activities may be conducted by all homes, with physical distancing in place and masking is strongly recommended.


Dining

  • Communal dining is permitted at all times provided staff wear masks, maintain frequent hand hygiene, and physical distancing when not serving. The requirement to wear eye protection when serving has been removed.

  • Resident physical distancing and consistent seating of resident groups is recommended, and resident masking when not eating or drinking is strongly recommended. Once again, think “safety” first.

  • Reference to restricting buffet style service has been removed.

Other Recreational Services

  • Services provided by the home for residents such as our gym equipment must follow provincial requirements for that activity. This includes following public health measures (e.g., maintaining physical distancing (2 meters separation), masking, and cleaning/disinfection between use).

  • The gym equipment at Heritage Place is available on a reservation basis. Reservations can be booked at reception.

Tours

  • Reference that homes should keep the number and duration of tours in the home to a minimum has been removed.

Accessibility Considerations

  • Heritage Place endeavours to meet all applicable laws such as the Accessibility for Ontarians with Disabilities Act, 2005. Reach out to Management for further information if required.
















Dear Residents, Family Members and Staff:



As we continue along the path to safely reopen, we are reminded that retirement homes must still observe the sector-specific guidance contained in Directive #3 and the Retirement Home Policy to Implement Directive #3.


Step Two changes to the Retirement Homes Policy to Implement Directive #3 are as follows:


Essential Caregiver Designation


The limit on number of Essential Caregivers designated per resident has been removed. Previously a maximum of 2 Essential Caregivers could be designated per resident. The processes to designate persons as Essential Caregivers will continue to be in place. Two Essential Caregivers are permitted at one time and Caregivers are encouraged to work out a schedule with one another to ensure they do not arrive while others are on site. Connect with Ann Swaby for further information.


Access to Homes (Residents Self-Isolating)

The following has been added to this section:

  • When a resident is self-isolating, the home must provide supports for their physical and mental well-being to mitigate any potential negative effects of isolation. This includes individualized mental and physical stimulation that meet the abilities of the individual. Homes should use sector best practices whenever possible.


General Visitors


The following has been added:

  • General Visitors are permitted regardless of immunization status.

  • General Visitors may visit all residents indoors, in-suite (if the suite allows for physical distancing between individuals from separate households).

  • Heritage Place will continue with the current reservation process. However, every effort to provide equal access for all and to assist with individual requests will be accommodated. (Refer to Step One communication for details or call reception).

  • Heritage Place does not have a designated area for indoor and outdoor visitations.

  • It is recommended that outdoor visitations with family members and friends be conducted off-site, or in suite while always adhering to public health protocols.

  • The Gazebo is reserved to allow resident-to-resident social interactions with each other. We therefore trust all residents will adhere to the directives of masking and hand hygiene including physical distancing of 2-meter separation.


Group Events, Recreational and Social Activities


Indoor social gatherings and events must not exceed 50% of the total capacity of the room and can include General Visitors brought into the homes to facilitate activities, programs, or events, in addition to residents, staff and Essential Visitors. Previously, the limit was 25% capacity, and only staff and Essential Caregivers could participate.


Outdoor social gatherings and events (without music due to current bylaw restrictions issued to Heritage Place) may include up to 25 individuals in Step 2 if space allows. Previously, the limit was 25 people, but only staff and Essential Caregivers could participate.


Personal Care Service Providers


Personal Care Service Providers (i.e., hairdresser) who are visiting the home or work onsite as contractors will be allowed to provide services in alignment with provincial requirements in Step 2 of the Roadmap to Reopen, in addition to Personal Care Service Providers employed by the home. We welcome our new hairdresser, Julie. :)


Communal Dining


Clarification has been added that homes above the immunization threshold can resume communal dining and suspend physical distancing for residents only. Fully vaccinated Essential Caregivers may dine with a resident with advance reservations. We are back to four residents per table and we will soon see our Bungalow friends!


Retirement Home Tours


Targeted tours of empty suites will be allowed at all times and are not limited to the final stages of the selection process.




We are taking great care to continue to protect your safety and well being, as well as the health and safety of our staff and visitors. All changes are designed with this in mind, particularly as we navigate through the threats of the COVID-19 Delta variant.


Heritage Place is committed to maintaining a safe environment and will continue to review and adapt our policies and operating procedures in line with changing Directives as they are issued.


In the process of returning to normal, your patience is greatly appreciated as we get back to doing the things we love!


Stay tuned for Step Three updates.





The roadmap to Reopen is a three-step plan to reopen the province safely and cautiously and gradually lift public health measures. We must all continue to follow the public health measures, advice and restrictions..


Step 1 of the roadmap focuses on resuming outdoor activities with smaller crowds and permitting limited indoor settings with restrictions.


The COVID-19 Directives issued by the Chief Medical Officer of Health (CMOH) are established for retirement homes to ensure the health and safety of its residents and staff during the COVID-19 pandemic. Retirement homes are required to have operational policies and procedures in place for visitors, absences, and activities that are compliant with Directive #3 and guided by the policies from the Ministry for Seniors and Accessibility (MSAA) and the Retirement Homes Regulatory Authority (RHRA).


The updates in this communication are detailed and extensive and take into consideration the high immunization rates achieved in retirement homes.


Please read carefully and feel free to direct any questions to myself or Ann Swaby.



Symptom Screening of All Residents


In suite temperature checks have been reduced to once per day commencing Saturday, June 12th. All residents must be assessed at least once daily for signs and symptoms of COVID-19. Daily temperature checks will continue Monday to Friday from 11:00 a.m. to 1:00 p.m. and afternoons from 1:00 p.m. to 3 p.m. on weekends. These times are approximate and subject to change.


All residents will continue to be screened upon entering and exiting the building, but temperatures will not be required at the screening desk, unless a resident is returning from an overnight stay.


For required contact tracing purposes, all absences must be recorded at the screening desk and residents are still required to report their reasons for absences if leaving the property.


VISITING PROTOCOLS


Public Health factors impact decisions about allowing visits in retirement homes. In order meet compliance, adequate staffing and access to testing complete with PPE and IPAC standards must be met.


Outdoor Visitors


The size of our property makes it challenging to organize, record, supervise and manage a designated outdoor space for General Visitors as mandated by the factors above. We are currently not equipped to monitor outdoor visitors on the property due to IPAC protocols involving adequate staffing and access to adequate testing.


The Gazebo is set up to allow for resident-to-resident social interactions with each other, only. We therefore trust all residents will adhere to the directives of masking and hand hygiene including physical distancing of 2-meter separation. Outdoor visitations with family members and friends should be conducted off-site or in suite as per the directives listed below.


Indoor Visitors


While outdoor or off-site visits are encouraged as much as possible, we will endeavour to manage all indoor visitations as per government mandates.


  • General Visitors may now visit a resident in their suite

  • Common areas (lounges, vestibule, library, and lobby) are currently off limits for visitations with General Visitors

  • All General Visitors must book in advance in accordance with the times available and limited to one (1) hour.

  • Only one resident per suite may have General Visitors at any one time. A maximum of five (5) individuals (from different households), including the resident(s) and only if space allows for physical distancing is allowed. Otherwise, the number of visitors must be limited accordingly.

  • General Visitors must enter through the front door, pass screening requirements and must agree to comply with public health measures while visiting.

  • Visitors and residents must wear surgical masks for the duration of the visit. •

  • Heritage Place is pleased to continue providing all persons with surgical masks [if required].

  • Visitors and residents must maintain physical distancing for the duration of the in-suite visit. This is with the exception of brief physical contact when hugging.

  • Movement around the home must be limited.

  • General Visitors may not visit a resident who is self-isolating and on Droplet and Contact Precautions.

  • Failure to comply with visiting policies may result in discontinuation of visit(s) when risk of harm from continual non-compliance is considered too high. Visitors in non-compliance may be refused entry.

  • Record keeping of visits at the screening desk must be kept for contact tracing purposes which includes name, contact information, date and time of visit and resident visited.

  • Opening windows should be considered for indoor, in-suite visits to allow for air circulation.




Eye Protection


While Directive #3 mandates that Essential Visitors and Staff wear face protection (goggles or shields) while interacting directly with residents, it is not a requirement for General Visitors.


We respectfully request and encourage all General Visitors to consider following this protocol during indoor visitations. Heritage Place will continue to provide eye protection to all visitors.


Personal Caregivers


Personal Care Service Providers will be permitted to provide services in alignment with STEP 2 of the provincial requirements. Heritage Place is ready to implement hairdressing services upon the move to STEP 2 [July 2nd] or sooner if advised otherwise.


Admissions and Transfers


  • For fully immunized residents:

- a lab-based PCR test is required at time of admission/transfer. The resident(s) must be placed in isolation on Droplet and Contact Precautions. Precautions can be discontinued upon receipt of a negative test.

  • For partially immunized or unimmunized residents:

- a lab-based PCR test is required at time of admission/transfer, and the resident(s) must be placed in isolation on Droplet and Contact Precautions for a minimum of 10 days. A second negative lab-based PCR test result collected on day 8 is required to discontinue isolation on Droplet and Contact Precautions on day 10.


Absences


Essential and Social Outings AND Temporary (overnight) absences are permitted unless the resident is self-isolating.


  • residents must follow public health measures during the absence.

  • active screening on return.

  • testing or self-isolation is not required upon return.


Social gatherings and Organized Events


Social gatherings and organized events are now permitted with the following limitations:

  • must not exceed 25% of the total capacity of the room.

  • must be limited to no more than 25 people if the area allows.

The bus and fitness equipment will resume when operationally feasible and only if public health directives can be adhered to. There is a requirement to service the existing equipment prior to offering these services and scheduling usage.


Stay tuned for further updates and initiatives from the recreation department as we take steps to roll-out programs.


Communal Dining


We look forward to returning to “normal” in the Dining Room and opening our doors to our Bungalow friends that we haven’t seen for so long!


While we commence with re-training and re-scheduling of staff, we anticipate a full re-opening effective July 6th .


Until then, the Directives prohibit General Visitors in the Dining Room.


Tours

  • Virtual tours should be implemented as much as possible.

  • Prospective residents may be offered in-person tours.



Dear Residents, Families and Staff,


Your health and safety have been and always will be my number one priority. To say it has been a long-haul is an understatement and nothing that you have not already heard.


We have come through this together as a unified Team.


I quote the following about a timeless tale:





LETTER FROM THE GENERAL MANAGER