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Step Three of Ontario’s Roadmap to Reopen

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.















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