Chapter Three Resources and Appendix in Legal Issues in Residential Care

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Chapter Resources[edit]

Table 2.1 Health Authorities’ Guidebooks for Residential Care[edit]

Fraser Health[edit]

Residential Care in Fraser Health. Online : www.fraserhealth.ca/media/Residential_Care_in_FraserHealthweb.pdf [Last accessed January 9, 2016]

Vancouver Island Health[edit]

Vancouver Island Health Residential Care Guide. Online : www.viha.ca/NR/rdonlyres/4CFF2480-72D7-4B1A-B489-D0A68B4BBC4F/0/viha_residential_care_guide.pdf [Last accessed January 9, 2016]

BC Care Provider Association[edit]

Residential Care Health and Safety Guidelines: A guidebook. Online: www.bccare.ca/wp-content/uploads/bccare_safety_grid_v11.pdf [Lasr accessed January 9, 2016]

Table 2.2 Ministry of Health Home and Community Care Policy Manual (Sections Relevant to Admission)[edit]

CHAPTER: 2 CLIENT ACCESS

2.B Eligibility
2.D Assessment


CHAPTER: 6 RESIDENTIAL CARE SERVICES

6.D Access to Services
6.D.1 Supporting Spouses with Differing Care Needs
6.E Assessment
6.F Benefits and Allowable Charges


CHAPTER: 7 CLIENT RATES

7.B Income-Based Client Rates
7.B.1 Assessment of Client Rates
7.B.2 Client Rates for Specific Services
7.B.3 Changes in Client Rates
7.B.4 Alternate Payers
7.D Temporary Reduction of Client Rates

Table 2.3 Summary of Findings and Recommendations Relevant to Admission Process from the BC Ombudsperson “Best of Care” Report[edit]

Finding Recommendation
Eligibility for Subsidized

F76: The Ministry of Health has two unreasonable conditions of eligibility for a subsidized bed in a residential care facility:

  • that seniors have to accept a placement in an unknown residential care facility and move in within 48 hours of when a bed is offered
  • that seniors have to agree to pay the applicable room rates and other permissible facility charges before knowing the amount of those costs
R100: The Ministry of Health remove the two unreasonable conditions of eligibility for a subsidized bed in a residential care facility.
Assessment

F77: The Ministry of Health does not require the health authorities to ensure that seniors who believe a placement they’ve been offered is inappropriate have the opportunity to raise their concerns and have them considered.

R101: The Ministry of Health work with the health authorities to ensure that seniors who believe an offered placement is inappropriate have an adequate opportunity to raise their concerns and have them considered.
F78: It is unfair for the Ministry of Health and the health authorities to tell seniors they can transfer to a residential care facility they prefer after accepting admission to the first appropriate bed without also informing them:
  • they will be considered lower priority for transfer to their preferred facility once they have accepted the first appropriate bed
  • how long it is likely to take to transfer to their preferred facility
R102: The Ministry of Health require the health authorities to inform seniors that they will be considered lower priority for transfer to their preferred facility once they have accepted the first appropriate bed, and how long it is likely to take to transfer to their preferred facility.
F80: It is unfair for the health authorities to penalize seniors who pay for a non-subsidized bed while waiting for a subsidized bed by assigning them a lower priority on waiting lists for that reason. R104: The health authorities stop penalizing seniors who pay for a non-subsidized residential care bed while waiting for a subsidized bed by assigning them a lower priority on their waiting lists for that reason.
F81: The health authorities do not provide seniors and their families with information on how long eligible seniors can expect to wait for initial placement in subsidized residential care and for transfer to their preferred facility. F81: The health authorities do not provide seniors and their families with information on how long eligible seniors can expect to wait for initial placement in subsidized residential care and for transfer to their preferred facility.



This information applies to British Columbia, Canada. Last reviewed for legal accuracy by BC Centre for Elder Advocacy and Support, June 2014.