“The Place of Assisted Living in BC’s Seniors Care System: Assessing the promise, reality and challenges” by Dr. Karen-Marie Elah Perry was co-published in June 2020 by the Canadian Centre for Policy Aternatives, the Hospital Employees’ Union and the BC Health Coalition. This report elaborates on recommendations to the Government of British Columbia examining challenges in assisted living and how they can be addressed.
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Recommendation 1:
Enhance the capacity of the assisted living registry to enforce the Community and Assisted Living Act by substantially increasing the number of assisted living investigators, and by developing policies that build on the inspection provisions in the act.
These policies should:
These policies should:
- Mandate yearly inspections of all private-pay and publicly subsidized assisted living residences; and
- Mandate all publicly subsidized and private-pay assisted living residences to post clear and detailed information about how and where residents, families and staff can access the complaints process of the assisted living registry, including public reporting on compliance.
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Address existing and future needs of the assisted living workforce
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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Support the Seniors Advocate to work with a broad-based multistakeholder advisory committee to conduct a review of seniors’ assisted living residences
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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