14 search results for
Canadian Centre for Policy Alternatives
Recommendation 8:
To ensure that the review reflects the current reality of both publicly subsidized and private-pay assisted living residences, the Seniors Advocate would begin by conducting three mini audits:
- To determine the proportion of residents currently living in assisted living residences who do not qualify for assisted living (as defined by the Bill 16 amendments) and identify the extent to which there are problems related to inappropriate prescribing and the lack of safeguards in medication storage;
- To determine the percentage of current residents in long-term care who do not require this level of support and who could be more appropriately supported in an assisted living residence (instead of relying on RAI-MDS data as is currently the case); and
- To determine the number of assisted living residents using emergency services, and the reason for and frequency of these visits and the costs to the system.
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Recommendation 6:
This would determine how to operationalize Bill 16 in ways that support a broad continuum of affordable seniors’ residences and care services and ensure access to high-quality assisted living services for all British Columbians who could benefit from them. This review would include an outreach plan to gather input from residents in assisted living, their families and friends, assisted living staff and community members on how this sector should be reconfigured, and on the services and staffing supports required to ensure a sustainable and viable relational model of care.
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Recommendation 7:
The review would also address the oversight issues not covered by the assisted living registry (e.g., tenancy and quality-of-care issues), the need for provincial regulations or protocols for information sharing, and the need for assessment processes to determine if assisted living is the appropriate level of care for a resident.
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Recommendation 4:
Mandate the new provincial health sector occupational health and safety organization (announced in 2019) to analyze injury levels and risk factors in assisted living, and develop an injury-prevention strategy and plan for the sector.
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Recommendation 5:
Include in the health authorities’ service contracts with assisted living residences the requirement that they collaborate with the joint occupational health and safety committee at their site to develop comprehensive processes for monitoring injury rates, identifying risk factors and preventing and reducing injuries rates over time.
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Recommendation 9:
In addition, the Seniors Advocate would request a report from each health authority outlining:
- How they are using the funding provided by the Ministry of Health (i.e., $26 million over three years) to increase staffing and care coordination for assisted living residents and to identify the gaps and challenges with the implementation of Bill 16; and
- The current pressure on the health authority for acute home support and home health resources from the assisted living sector, and the potential increased pressure on these resources moving forward.
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Recommendation 3:
Create a workforce development plan to address the recruitment and retention challenges in assisted living, and ensure that clear training standards are developed for all staff working in front-line and health-care supervisory positions in both private-pay and publicly subsidized assisted living residences.
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Recommendation 2:
Adopt a process for moving the wages and benefits for health care workers in assisted living to an existing provincial standard established by the appropriate health sector bargaining association and the Health Employers’ Association of British Columbia.
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Recommendation 3:
Take tangible steps to turn words into action through a diverse range of implementation initiatives that reflect the minimum standards in the UN Declaration.
There is no “one size fits all” approach to implementation; it will differ based on the context and the community.
As such, it would be beneficial for Indigenous Nations and Crown governments to advance new models of consent-based agreements in a number of different areas, such as aquaculture and community-industry agreements.
A legislative amendment could be made to allow decision-makers to enter into agreements and arrangements with Indigenous Nations, allowing legislative space for self-government.
There is no “one size fits all” approach to implementation; it will differ based on the context and the community.
As such, it would be beneficial for Indigenous Nations and Crown governments to advance new models of consent-based agreements in a number of different areas, such as aquaculture and community-industry agreements.
A legislative amendment could be made to allow decision-makers to enter into agreements and arrangements with Indigenous Nations, allowing legislative space for self-government.
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Recommendation 2:
Support a central focus on Indigenous peoples choosing how they will organize and govern themselves consistent with the right to self-determination.
Indigenous self-determination is foundational to the UN Declaration.
Historically, self-government agreements have been paternalistic and subject to discriminatory colonial policies.
Advancing Indigenous self-government will require the BC government to invest in the work being implemented by Nations.
The right to self-determination necessarily includes the recognition and revitalization of Indigenous laws and legal systems.
The BC government should support this work apart from achieving agreements on other outcomes (i.e., resources), and without demanding a prescribed Crown role in the rebuilding effort.
Indigenous self-determination is foundational to the UN Declaration.
Historically, self-government agreements have been paternalistic and subject to discriminatory colonial policies.
Advancing Indigenous self-government will require the BC government to invest in the work being implemented by Nations.
The right to self-determination necessarily includes the recognition and revitalization of Indigenous laws and legal systems.
The BC government should support this work apart from achieving agreements on other outcomes (i.e., resources), and without demanding a prescribed Crown role in the rebuilding effort.
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