Annual Report
2012 – 2013
Table of Contents
Table of Contents ............................................................................................................................ 1
Mission Statement........................................................................................................................... 2
Values We Hold .............................................................................................................................. 2
Board of Directors................................................................................................................... 3
Organizational Chart ............................................................................................................... 4
Rocmaura Inc. Board Chairperson .......................................................................................... 5
Executive Director .................................................................................................................. 6
Director of Nursing ............................................................................................................... 13
Financial Services ................................................................................................................. 18
Purchasing Department ......................................................................................................... 20
Payroll Services .................................................................................................................... 21
Admissions............................................................................................................................ 23
Program Coordinator ............................................................................................................ 24
Recreation Department ......................................................................................................... 28
Food Services Department .................................................................................................... 30
Dietician Report .................................................................................................................... 31
Environmental Services Department .................................................................................... 33
Mission/Ethics/Spiritual Care ............................................................................................... 34
Auxiliary Report ................................................................................................................... 36
Foundation Chairperson ........................................................................................................ 37
Trinity Court ......................................................................................................................... 39
Trinity Court Statistics .......................................................................................................... 41
Terrace Court ........................................................................................................................ 42
Terrace Court Statistics ......................................................................................................... 44
Garden Court ......................................................................................................................... 45
Garden Court Statistics ......................................................................................................... 47
Hopewell Court ..................................................................................................................... 48
Hopewell Court Statistics ..................................................................................................... 51
Consultant Pharmacist – Report 2012................................................................................... 52
Consultant Pharmacist – Report 2013................................................................................... 54
Infection Control ................................................................................................................... 55
Medication Reconciliation - Audits 2012-2013 .................................................................... 56
Hand Hygiene Audit 2012-2013 ........................................................................................... 57
Licensed Practical Nurse with Enhanced Training to Support Rehabilitation Programs ..... 58
Back In Form ........................................................................................................................ 61
Wellness Committee ............................................................................................................. 63
Resident Council ................................................................................................................... 67
ROCMAURA NURSING HOME
Mission Statement
We at Rocmaura are a community
of caring people
committed to providing quality care
guided by Christian values
We are inspired by the healing ministry
of Jesus Christ and the tradition of
caring and compassion reflected
in the mission of the
Sisters of Charity of the Immaculate Conception
Out of that spirit and mission,
we will continue to meet the changing
needs of our residents and those we serve.
Values We Hold
1. The dignity of the person.
2. The sacredness of life at every age.
3. A welcoming, home-like atmosphere.
4. A holistic approach.
5. Support for the families of residents.
6. Meaningful relationships with diverse groups (faith communities, health
care and community agencies and all those associated with Rocmaura).
7. Adherence to the Catholic Health Association of Canada Health Ethics
Guide.
Board of Directors
ROCMAURA INC. 2012-2013
Chairperson – Aubrey Reid
Vice Chair – Michael Gauthier
Sr. Anita Holmes
Sr. Sandra Barrett
Mary McInerney
Dr. Douglas Brien
Peter McPhail
Heather Oakley
Suzanne Murray
Marion Long
Sr. Anita Naves, Foundation Chair
Organizational Chart
“A Community of Caring People”
ROCMAURA INC.
2012 - 2013
RESIDENT
BOARD OF DIRECTORS
EXECUTIVE DIRECTOR
Sheana Mohra
Director of Nursing
Kim Roberts
Nursing
Recreation
Pamela Clark
Director of Financial Services
Theresa Mercer
Administrative Support Clerk
Payroll Officer
Nancy McKiel
Purchasing Officer
Roxanne Beatteay
Medical Staff
Dr. A. Kristoffersen
Pharmacy
Lawton's Pharmacist
Erin Tetford
Switchboard/Reception
Kim Gaudet
Bonnie Hourihan
BIF
Debbie Ouellette
Kammi Walsh
Rehabilitation Services
Paula Breen
Debbie Ouellette
Resident Trust Officer
Roxanne Beatteay
Environmental Services
(Housekeeping/Laundry)
Debbie Searle
Environmental Services
(Maintenance)
Harry Searle
Spiritual & Religious Care
Sister Anita Naves
Food Services / Dietary
Andrew Kupkee
Program Coordinator
Debbie Searle
Mission Effectiveness
Sister Mae Arsenault
Director of Mission & Ethics
David Levangie
Beautician
Denise Arnold
Rocmaura Inc. Board Chairperson
Annual Report 2012-2013
As we come to the close of another year, we, the Board of Directors at Rocmaura celebrate our many
successes and accomplishments achieved during a time of limited financial resources. Serving as a
member of the Board of Directors is a living and learning experience where one witnesses the
commitment and dedication of a responsible team of Board members and the effective leadership of
management and staff for whom we are truly blessed.
We continue to live the mission and values of Rocmaura’s Founders: the Sisters of Charity of the
Immaculate Conception and our association with Catholic Health International Leadership and Guidance.
We have welcomed new members of the Board: Sister Sandra Barrett, Marion Long and Heather Oakley
as well as newly appointed Rocmaura Foundation Chair Sister Anita Naves.
We applied our 2012-2013 budget with a 2% increase for inflation, staying on track and budget doing
our utmost best with our very limited financial resources. Major projects were completed on time and
on target: our exterior upgrades and repairs, a new generator, lighting, plumbing and ventilation all with
savings realized as a result of quality and effective management leadership.
Our home is aging, actually just having celebrated our 40th Anniversary with many activities participated
and enjoyed by all in our community.
A new strategic plan- Governance Pillars was rolled out and Rocmaura continuously assesses and
improves services provided based on Accreditation Canada standards as well as the mission and values
of the Sisters of Charity. Annual evaluations are completed by all Board Members, with our mission,
philosophy, operational goals and strategic plan reviewed by Board and staff.
During the past year we have witnessed many improvements and change, acknowledging change is
constant. As we speak, we are preparing for change in our linen/laundry services.
I take this opportunity to thank our team of Board members, management and staff at Rocmaura for
living our mission, their commitment, dedication and hard work over the past year as we prepare to
meet the challenges of 2013-2014 and that Rocmaura will continue to be known as a vital example of
the very best of Catholic Health Care.
Respectfully submitted,
Aubrey J. Reid, Board Chair
Executive Director
Annual Report 2012-2013
Each year as I contemplate the creation of this report my first images are of the staff and managers as
they care for our residents. I am without exception impressed and touched by those who give so much
each day to ensure those who need us can trust us to care for them or their loved ones with
compassion, thoughtfulness, and love. As a steward of our mission I am satisfied that we are living and
caring in the manner intended by the Sisters when they started this journey in 1888.
This annual report has been formatted according to the pillars of Rocmaura Inc.’s strategic plan which is
also how we report and communicate internally. Each of the seven pillar areas is a focus of who we are
and how we plan to support the processes of our mission as we care for the residents and families who
call Rocmaura home.
Strategic Pillar: Founding Spirit
Vision Statement- The caring and compassion instilled by the Sisters of Charity of the Immaculate
Conception is reflected in every aspect of the life of Rocmaura.
Founding Spirit Committee
The Founding Spirit committee has continued its work over the last year with a focus on awareness. The
current mandate of the committee is in the area of the history of our foundress’ mission, their current
work and raising awareness of this important part of who we are and where our mission was developed.
The committee is refining educational opportunities and strengthening ties to fellow organizations while
creating an awareness of the spirit of each person associated with Rocmaura. With this being our 40th
anniversary much thought and effort is going into making the link between our present and past.
Mission, Spiritual and Religious care, Ethics
Sister Mae Arsenault has returned from her year-long sabbatical and has resumed her duties at
Rocmaura as our Mission Coordinator. We are so pleased she has returned to us to give of her time and
spirit in this important area.
The Sisters who joined us last year in Spiritual and Religious care have had a wonderful impact on
everyone at Rocmaura. They have joined us in our mission for the residents and staff and are great
contributors to the atmosphere. We are most thankful to have them as part of our community.
Unfortunately we are not able to use the Ruth Ross Residence Chapel as often as we have in the past
due to the increased numbers of those attending masses. We are very lucky to still have masses as we
recognize the dwindling resources available to support this need. Our staff has undertaken to arrange
masses to ensure our residents receive this nourishment as they wish. We are looking to potential
resources in our community to support the needs of our residents in the future. We are very grateful to
those who provide this support and those who facilitate it on behalf of the residents.
The new Catholic Health Ethics Guide has been presented to staff, managers, and board members and
has sparked new discussions on issues close to our hearts. This opportunity has led to a greater
understanding of what ethics is and how issues are discerned using our framework.
May marks our third year with Catholic Health International (CHI) which is proving to be a very
supportive relationship. Formation opportunities at our meeting in April were very appropriate to our
work and created a feeling of oneness with our fellow CHI facilities.
Plumbing and Ventilation project
Over the last year our residents, families, and staff have dealt with a great deal of change as a result of
the replacement of our entire plumbing system and the installation of a new ventilation system which
was completed in December of 2012. The project timeline was almost one year which saw a
tremendous amount of adaptation of living arrangements and service delivery processes. Throughout
the project staff and managers in all departments worked very hard to ensure the residents were as
comfortable as possible while maintaining a safe atmosphere conducive to quality of life.
During a project of this magnitude with the structural and process changes it required, research tells us
that if the processes of change are not carefully managed residents’ quality of life will suffer
significantly. Indicators such as frequency and severity of falls, behavioral responses, medication
adjustments, elopements, and complaints rise in periods of change especially when change continues
for an extended period and is felt by those with dementia. Due to the commitment and dedication of
staff and managers this was not the case for Rocmaura.
To capture the effects of a project of this magnitude we submitted a summary to Nursing Home Services
detailing how residents and staff were affected and how the service delivery model changed. Nursing
Home Services was well pleased to receive our document as the first one outlining the change
management process in such an instance. Our team was recognized for their hard work and dedication
to the care and safety of our residents.
Also noteworthy is the analysis of the projects to date and the cost savings Rocmaura facilitated through
the hard work and careful consideration of Harry Searle, Plant Supervisor and EVS Manager. Over
$800,000 was saved as a result of Mr. Searle’s diligence and careful planning. Unfortunately, as a result
of the fiscal situation of our province this savings is not relating to improvements to Rocmaura Inc. in
painting, paving and ceiling tile replacement as of yet. We will continue to work toward obtaining
funding for these requirements so that our residents and their families have a comfortable and
appropriate home.
Strategic Pillar: Resident Care
Vision Statement- All Residents of Rocmaura are provided with quality, holistic care.
Accreditation Canada
Resident care has continued to lead us in our decision making at Rocmaura. As Kim Roberts, Director of
Nursing, reports there are many initiatives and programs aimed at improving the quality of life of the
residents. Among those are the gold standard programs required by Accreditation Canada as everyday
practice. We continue to monitor our programs and implement new standards as they are formulated
by Accreditation Canada. Our upcoming survey is scheduled for November of this year. This is always
welcomed as an opportunity to assess our status and to improve so that we meet our residents and
family’s needs.
Last year I was asked to participate in the revision of Long term Care Standards for Accreditation
Canada. The work of the committee was put on hold for almost a year due to the numerous changes
occurring in Accreditation Canada’s Qmentum program and the participating facilities’ ability to absorb
new changes to the program. The committee has been reactivated with a meeting held in Ottawa on
April 18th where the committee worked on the standards once again and have created a fantastic set of
standards aimed at encouraging facilities to improve not only quality of care and processes but quality
of life as well. These standards will go out for national review and then a final revision and should be
ready for use by 2015.
Modular Care
The group in charge of Resident care has been exploring how we can improve the life experience of our
residents and their families among other goal areas. When the plumbing and ventilation project was
completed and we were ready to fill our 16 empty beds (as a result of the project) we decided to take
that opportunity to review our Modular Care program to ensure we were still meeting the needs of the
residents with this model. At that time the model depended upon Mini Mental Examination scores and
other cognitive assessment tools to assess a potential resident’s placement within Rocmaura.
As we moved residents throughout Rocmaura during the construction project we were not able to
maintain our modular care model. We noticed that several residents adapted to life on different courts
in a positive manner which we did not expect. This led us to review all residents’ placements for
appropriateness using a recreational/leisure assessment in addition to the tools we have always used.
The courts have maintained their identities but have changed slightly to accommodate differing levels of
care. We will monitor this model as a part of our quality of life processes.
Food Council
Andrew Kupkee, Food Service Manager and Jane Barefoot, Dietician have created a Food council to
assess the needs of residents and families in this important area of quality. Input is sought to determine
menu items, gauge the quality of new products, and determine dining needs. I look forward to this
committee’s work over the coming year as we determine how to provide Food Service Delivery in light
of our current system’s progressive failure (food carts failing due to age). This committee will have an
opportunity to help guide the implementation of a new service delivery model.
Strategic Pillar: Valued Employees
Vision Statement- Rocmaura values its employees through evaluating and improving its human resource
initiatives.
Early and Safe Return to Work Program
Debbie Searle transitioned into the Program Coordinator role while continuing to manage
Environmental Services last year. Debbie has been very engaged in her new role and has guided newly
introduced Early and Safe Return to Work Program (Morneau Sheppel) with success. The program
requires a great deal of organization and monitoring on a facility level which Debbie has been doing very
well and has been recognized for her efforts.
This program is designed to decrease WorkSafe New Brunswick costs both on a facility and provincial
level. In the first six months of the program a savings of $600,000 was realized provincially and it is
expected our group rate will also decrease again this year (last year the rate decreased 16%).
Staff Appreciation Week
Staff Appreciation week was a great success again this year. Staff members were recognized for years of
service and accomplishments, and we celebrated with a blessing of hands which was especially
poignant. Our staff is our strength and consistency in mission and values; our residents most definitely
benefit from their dedication and we are thankful to them.
Employee and Family Assistance Program and Wellness Program
The Employee and Family Assistance Program (EFAP) and Wellness programs are province-wide
programs, however, we still maintain our in-house Wellness program which is also the “Champion”
contact for the provincial program managed by the New Brunswick Association of Nursing Homes
(NBANH).
We entered a submission for a Wellness award with NBANH but were not the successful recipient. We
were disappointed but take heart that we are doing a great job in the area of Wellness. This group’s
creativity and hard work will be recognized in the coming months and staff will have an opportunity to
see at a glance the work of the committee on their behalf to help them carry the message of wellness.
Labor Relations
Labor relations have been stable over the past year. Collective bargaining will commence with
submissions in June. This round is not expected to be fraught with the same issue of time constraints as
the last round; however, they are expected to be difficult due to the issues we are facing as a sector and
as a province. Essential Service legislation was passed several years ago; the process of determining the
level of service required during a strike is before the Labor and Employment board at present with all
areas except Care being agreed upon. The position of the Association is that Care must be staffed at
100% during a strike.
Strategic Pillar: Volunteers, Professionals and Community Partners
Vision Statement- Rocmaura actively enhances residents’ wellbeing through partnership with
volunteers, professionals, and our community connections.
Family Council
In October 2011 Family council was formed to facilitate communication between family members and
the staff of Rocmaura and to identify opportunities to improve the quality of life of residents and the
total experience of living at Rocmaura. Pamela Clark, Recreationist and Department Manager and
Volunteer Coordinator, has continued to assist the group as they meet. Many thanks to Pamela for
creating an atmosphere and framework that is truly beneficial to the families of Rocmaura.
Community partners
Rocmaura has been fortunate to work with many professionals, community partners, and volunteers
throughout the year to improve the quality of residents’ lives and experiences at Rocmaura. Partners in
our community include healthcare professionals of every sort, community agencies, provincial and
private companies, and volunteers from every walk of life, small children, pets, people who are new to
Canada and those who have contributed to our community for many years. We are thankful to have
such diverse connections.
This year we were the recipient of the United Way’s Day of Caring volunteerism day and Deloitte and
Touche’s day of volunteering where a group of volunteers from each area came to Rocmaura for a day
to volunteer on projects such as gardening, manicures for residents, etc. We were very thankful to have
these groups with us contributing to the quality of our residents’ lives.
The Deloitte group also assisted at Christmas time by providing gifts to residents. We are forever
thankful for their generosity.
Foundation
Work with Rocmaura Foundation continues as we partner with the Foundation to support them in
fundraising activities for the betterment of the residents’ quality of life at Rocmaura. The Foundation
will see many new changes over the coming years as we alter our direction in response to changes in the
fundraising arena.
Sally Cummings joined us in 2012 as Foundation Coordinator. Sally has brought fresh energy and
creativity to the Foundation and has been a welcome part of Rocmaura every day.
Executive Director, outside involvement
I remain involved in numerous provincial and national committees including:
Master Education Committee for Catholic Health International,
Values Integration Assessment program, Pillar of the Centre of Excellence in Leadership, CHI,
Member of the Education Committee for the Catholic Health Association of New
Brunswick,
Provincial Management representative for CUPE Labor Management meetings,
Management representative for CUPE Collective Agreement bargaining,
Management representative for the Maintenance Committee of the Joint Job Evaluation
Committee,
Accreditation Canada surveyor,
Leading Practices review committee for Accreditation Canada,
and reviewer of Qmentum standards for long term care for Accreditation Canada.
Strategic Pillar: Technology
Vision Statement- Rocmaura enhances technology that furthers the ministry of health care at
Rocmaura.
Staff Schedule Care
The last year has been very challenging as we started working with Staff Schedule Care software for
scheduling and payroll input. We continue to have issues with the accruals and some aspects of the
scheduling processes which are meant to create efficiencies. While some aspects of the software have
worked well once aligned with our processes we are still not satisfied.
I feel it is appropriate to recognize the managers and Nancy McKiel for their hard work and problemsolving skills as we approached many issues over the last year. I am very grateful and appreciative of
their knowledge and their ability to work under high stress situations for such a prolonged period of
time. It is the commitment and dedication of these people that is demonstrative of our Rocmaura way
of being.
Hardware and Software
Computer upgrades including software, hardware and the introduction of WiFi hotspots have been
installed and enjoyed by many. These changes have aided in the efficiency and usefulness of our
systems while also providing accessibility to residents, families, and the public. Theresa Mercer has
worked hard to bring our level of knowledge in Microsoft Office up to par as a team. More education is
planned for the duration of our strategic plan.
Environmental controls have been added to Rocmaura as part of our Ventilation upgrade. It is hoped
this will improve our level of comfort while bringing us up to current day standards. The cost associated
with running and maintaining this type of system has not been included in our budget to date. We have
requested this coverage as part of our operating budget but have been denied to date. We will continue
to request these funds in order to keep our systems in good working order.
Strategic Pillar: Governance
Vision Statement- Rocmaura, as a Catholic facility, has a system of governance that operates according
to its mission and values.
40th Anniversary of Rocmaura
Rocmaura celebrated 40 years of service to the community on December 16th, 2012 with a special mass
held in the clubroom with Bishop Troy, Father Phillips, Ruth Ross Residence Sisters and staff, and
Rocmaura Residents, Family, Staff, and Board members. The service was a lovely way to recognize our
anniversary.
We also hosted an open house in January which was well attended. The remarks were very touching
and spoke of our mission to care and how we will continue with this ministry. Several other initiatives
will occur throughout the year including a Rocmaura Song (dancing video), a Rocmaura picture which is
a picture of our building comprised of the faces of our staff as the pixels, to name a few.
While Rocmaura has been in existence in this physical structure for 40 years it is important to remember
the Sisters have been caring for the elderly in our community since December 1888 with the opening of
the first Nursing home in the city, this home was known as the “Mater Misercordiae Home” and was
located on Sydney Street.
Accreditation
Accreditation requirements continue to be at the forefront of our planning as we care for our residents.
Our next survey is scheduled for November 2013. Preparations are underway.
Laundry services
The province of New Brunswick has been dedicated to lightening the economic burden of the province
in its mandate. Fiscal constraints and newly created efficiencies are commonplace in all sectors of
government. Unfortunately, as part of the drive to operate more efficiently, the province will no longer
fund our in-house laundry services for linen but will fund contracts with FacilicorpNB for those nursing
home laundries that are affected. On May 15th we will meet with FacilicorpNB and the Department of
Social Development to receive a presentation on how services will be delivered. We will take this
opportunity to make our case for the services we require and funding that is necessary to the operation
of Rocmaura.
While we are not pleased that our linen laundry will be processed outside our walls we are grateful that
our staff will not suffer economic loss as none will be laid off. Instead, the Department of Social
Development has assured us that funding for those positions no longer required will be provided until
they cease due to attrition.
Strategic Pillar: Financial Stewardship
Vision Statement- During times of financial restraint, Rocmaura provides quality care through
responsible stewardship.
As stated earlier in this report, our province is in a serious economic position and must find efficiencies
and save money to ensure the sustainability of our province and the quality of life we enjoy. To this end
the people of the province including those in nursing homes must make adjustments that are not
necessarily welcome. The loss of our ability to provide complete laundry services on site is just one
example of the wave of changes we will see in the coming months and years.
Our Association continues to advocate on our behalf and the Finance Minister has been very clear that
changes will be made in the sector to create efficiencies which we are seeing at present. It is imperative
that we make ourselves available to collaborate with government to ensure the changes are reasonable
and effective as we have been doing through the work of the Association.
We will do our best to be good financial stewards and will subscribe to programs to decrease our costs
as necessary and just. While we will face challenges to provide services to our residents as we wish
them to be, we will be flexible to do our best with what we have to offer; always relying on the quality
of our interactions and relationships with those we care for on a daily basis.
This year we are closer to a balanced budget than we have seen in many years. We were able to receive
approval for an operating loan to cover underfunding of Worksafe New Brunswick costs which was
helpful in bringing us in as close as we were. Our Worksafe New Brunswick costs have been declining
due in part to the Early and Safe Return to Work program but we will face more issues in the future with
increased costs for preventative maintenance contracts that are not, as of yet, funded by government.
Attendance support guidelines created by NBANH have been issued for use in New Brunswick Nursing
Homes. We have adapted them for our use and have altered our program to comply with this research
based guideline. It is hoped all nursing homes will implement the guidelines in an effort to consistently
address attendance issues. Government expects to see a decrease in sick time usage by 20% for paid
sick time.
In closing my 2012-13 report I feel it is important to express my gratitude for all those who contribute to
the lives of our residents and their families. It takes a team with compassion and dedication who are all
on the same path to ensure our mission lives. I am thankful to be part of such a wonderful group of
people and I have complete confidence that our mission will live through us for years to come.
Every day I think of my own personal blessings and Rocmaura is always one I count. It is a pleasure and
an honor to do the work I do every day. It is an awesome responsibility I take very seriously. Though we
face difficult challenges, we face them together with a positive attitude and an unwavering commitment
to the quality of our residents’ lives. All decisions are made with them in our minds and hearts; what a
blessing to be part of this.
Our management team understands the mission of Rocmaura and can be counted on to be professional
and compassionate in considering the tough decisions they must make with a balance toward the
betterment for all. I am very proud to work with each of them.
The Board, Sisters, and Catholic Health International continue to set the tone for how we progress and
the services we provide. Their support and guidance has been steady and consistent. I am thankful for
their commitment to our mission and how they sustain us as a Community of Caring People.
Respectfully submitted,
Sheana Mohra
Executive Director
Director of Nursing
Annual Report 2012-2013
Rocmaura has experienced both a challenging and exciting past year; numerous required resident
moves during our renovation and repair project, required modification to our modular care, staffing
issues, introduction and implementation of Staff Schedule Care, adapting to our changing resident
population to the ongoing financial constraints. Once again throughout these challenges all employees
have demonstrated flexibility, compassion, professionalism and dedication. I am so proud to be part of
an organization which remains resident-focused despite our many challenges; congratulations to
everyone for living our mission and values.
Valued Employees
Retention and Recruitment
External competition often impacts retention and recruitment, especially in nursing which was the case
last summer with our recruitment of LPNs. We also struggled for several months with inadequate
clerical support due to a workplace injury, sick leave and a parental leave making operations difficult, in
particular, during the summer vacation months. Since the fall we have worked diligently to recruit and
fill vacant positions proving to be a successful endeavor. Once again, all nursing and clerical positions are
filled resulting in positive 20/40/40 ratios and reduced overtime hours:
Year
RN (20)
LPN (40)
RA (40)
2008-2009
2009-2010
2010-2011
2011-2012
2012-2013
18.5
18.5
18.4
18.27
30.4
35.9
37.5
40.06
47.7
45.4
42.5
41.68
Overtime
Hours
3878
1988
1344
229
245
Note: Feb/Mar is not included in 2012-2013 overtime calculations.
Currently the focus is on succession planning for confirmed and potential RN and LPN retirements.
Attendance Management
Rocmaura’s current paid sick rate remains stable at 6.1% which is below the current provincial
benchmark; we look forward to collaborating with NBANH to reduce rates.
Staff Appreciation / Celebrations / Wellness
Special events resumed this year following months of renovations and repairs. Staff members were once
again able to participate and enjoy various celebrations, events and parties including Staff Appreciation,
Infection Prevention and Control, Fire Prevention, Health and Safety, and Nurses Week as well as various
parties such as Christmas and Halloween, not to mention our monthly Wellness initiatives, thanks to
Debbie Searle and her team.
Education
Once again Rocmaura employees have had the ability to participate in various educational opportunities
in our efforts to promote and support continuous learning. Several staff attended the “Catholic Health
Association of New Brunswick Conference and Annual Meeting” in Miramichi, while others participated
in other workshops such as; “Wound Care: Pressure Ulcer and Support Services”, “Hospice & Palliative
Care Conference”, “Personality Disorder In-service”, “Promoting Resident Choice and Autonomy Inservice”, “NICHE “and “Due Diligence in Incident Investigation”. Staff also had the opportunity to
participate in various in-house educational opportunities such as “Infection Prevention and Control:
Outbreak Management”, “Introduction of the Health Ethics Guide”, “VAC Dressings” and bi- monthly
pharmacy presentations. We were also proud to be able to support three of our LPNs in the completion
of the phlebotomy course.
Labour Management
Rocmaura has always maintained an excellent respectful working relationship with our local CUPE and
NBNU executives; at present all grievances have been resolved. We look forward to continuing this
collaborative approach in ensuring a healthy, respectful working environment for both employees and
residents.
Financial Stewardship
Care Hours
This past fiscal year we were able to realize the benefits from the September 2011 master nursing
rotation revision as we were able to stay within budget while providing nursing consistency on all shifts
including weekends and evenings.
Technology
Staff Schedule Care
Our “go live” date for our new scheduling software was July 14, 2012; the hope was to improve
inefficiencies in scheduling and payroll while having the opportunity to benchmark with other New
Brunswick nursing homes. Although some efficiency has been noted, we still have a long way to go
before full satisfaction is realized. We continue to work diligently with the Staff Schedule Care team to
fulfill expectations.
Resident Safety
Continuous Quality Improvement and Assurance
Continuous quality improvement and assurance initiatives enable us to provide the highest quality care
for our residents. This past year we revised our orientation program, as well as our incident reporting
process. Audit compliance remains excellent resulting in organizational changes.
Wound Care Committee
It was reported at a recent wound care workshop that 26% of individuals residing in Canadian health
care facilities will have a pressure ulcer. Through a collaborative and interdisciplinary approach we have
been able to improve the quality of resident lives and ensure best practise guidelines are being followed
with regards to skin integrity and pressure ulcer prevention which resulted in only 3% of Rocmaura
residents with superficial skin integrity issues.
Mental Health Case Review Committee
Rocmaura’s Mental Health Case Review Committee members continue to serve a unique population of
complex residents who not only suffer from dementia but also mental health issues. Over the past year
9 residents were identified as having challenging responsive behavior.
Accreditation
It has been a pleasure working on the Senior Population Accreditation team with our community
partners and regional health authority as Horizon Health prepares for their upcoming accreditation.
Infection Prevention and Control
Outbreaks
This year’s influenza virus was particularly virulent and infectious affecting many individuals in the
community and long term care facilities, so much so the Chief Medical Officer suggested all long term
care facilities close or restrict visitation. Despite our best efforts and 98% of residents being immunized
12 Terrace Court residents were inflicted with influenza like illness; having said this we were successful
in containing thus enabling an expedient resolution.
We continue to be successful at keeping our home free from Norwalk like illness; having not had an
outbreak since Dec 2010. This is attributed to using bleach as our day to day cleaner during flu season
and increase infection prevention and control awareness.
Infection Reports (see attached)
Infection and MRSA incidence remained stable over the past year with the exception of our influenza
like illness outbreak.
Influenza Vaccination Program
With the introduction of wearing masks for visitors and staff who have not been immunized, staff
vaccination uptake increased to 66%. Policies have been revised to reflect changes and will be continued
for future seasons.
NB Guidance re Seasonal Influenza in Nursing Homes
I have been very pleased to have taken part in the development of the provincial seasonal influenza
guidelines for nursing homes. This opportunity has been both rewarding and educational.
Founding Spirit
New Brunswick Palliative Care Advisory Committee (NBPCAC)
I have had the great opportunity to be representing the New Brunswick Association of Nursing Homes
on the NBPCAC since June. This committee’s mandate is to develop and propose a New Brunswick
Palliative Care Strategy including timelines and cost implications for implementation with the adult and
pediatric population.
Long Term Care Summit
It was a wonderful experience to be part of an initiative that has the potential of changing the face of
long term care in New Brunswick. Over 300 long term care stakeholders met for a day and a half in
Fredericton to discuss and strategize about how we can better meet the needs of our growing aging
population in the future. At the end of the meeting many of us felt energized and hopeful.
Catholic Health Association of New Brunswick (CHANB)
The CHANB conference was held October 4 and 5 in beautiful Miramichi. Several Rocmaura staff
members were able to attend this wonderful conference and were thoroughly engaged by the keynote
speakers Michel Drisdelle and Greg MacDonald.
Catholic Health Alliance of Canada Annual Conference
The conference was both inspirational and educational, what a great opportunity to see “Who our
Neighbors” are and to network with amazing individuals who share the same focus for Catholic
Healthcare.
Catholic Health International (CHI)
Center for Excellence in Leadership; Ethics Pillar
I look forward to being involved with CHI in their work on the ethics pillar of the Center for Excellence in
Leadership; the focus will be on ensuring ethics services are available to all Catholic Health facilities and
to promote the new Catholic Health Ethics Guide. I am very grateful to be part of this dynamic group.
In closing
As I reflect over the past year I am truly amazed at how much is accomplished in these times of financial
constraints. This can only be achieved through diligence, dedication, innovation and most of all
compassion from our frontline and management staff. I feel extremely proud to be part of an
organization that consistently demonstrates living its mission and values in providing resident focused
quality care.
Respectfully submitted,
Kim Roberts
Director of Nursing
Hand Hygiene Audits
Annual Report 2012-2013
Audit/
Statistics
Audito
r
Collected
Nursing:
Terrace
Court
Trinity
Court
Garden
Court
Hopewell
Court
Administr
ation
Dietary
RA/LPN
2/month
RA/LPN
Laundry/
Maintena
nce
Recreatio
n
Volunteer
s
Reported
monthly
Apr/
12
100
May
/12
100
Jun
/12
10
0
July/
12
100
Aug
/12
100
Reporting Month
Sept
Oct/
Nov/
/12
12
12
100
100
100
Dec/
12
100
Jan/
13
100
Feb/
13
100
Mar/
13
100
2/month
monthly
100
100
100
100
100
100
100
100
100
100
100
RA/LPN
2/month
monthly
100
100
10
0
0
100
100
100
67
100
100
100
100
100
RA/LPN
2/month
monthly
100
100
90
100
100
100
100
100
100
100
100
100
with
H&S
any
staff
manag
er
1/quarter
quarterly
100
?
100
100
100
100
1/month
monthly
100
1/month
monthly
100
100
Any
staff
Rec
staff
1/month
monthly
100
100
1/quarter
quarterly
100
100
10
0
10
0
10
0
10
0
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
Financial Services
Annual Report 2012-2013
It’s hard to believe another year has come and gone! Where does the time go? There continues to be
many lovely residents choosing our home as a place to live and thrive in their final years. Our reputation
as a ‘truly caring community’ is being upheld by our staff, managers and volunteers in every aspect of
care for our residents. We know the choice to live in any nursing home is a difficult one, sometimes
more so for the family than the resident, and we continue to strive to make the transition as
comfortable and supportive as possible. Finance and accounting are necessary, in the big scheme of
things, but it’s the contact with our residents, families and co-workers that makes my work so rewarding
and enjoyable.
Budget- We are grateful to have received an increase in the replacement factor, from 1.66 to 1.69 for
this fiscal year and hopefully, into the future. This additional funding contributed significantly to our
ability to come close to break-even this year. There were no costs associated with this; we consider this
a very important change to the budget process and are very appreciative.
Our WSNB deficit was $141,000 and we were able to obtain $100,000 working capital to help offset this
shortfall in our budget. On a positive note, our WSNB rate went down to $6.15 on January 1, 2013. This
will be helpful for next year, as we will be ‘under’ the $100,000 deficit in this area for the first time in
many years.
Congratulations to all our managers for their excellent fiscal responsibility in managing their budgets
over the years. They are truly committed to providing the highest quality service to our residents.
Technology – We have replaced the oldest computers in the building with new laptops and have
installed three wireless hotspots in the building. We know the staff appreciate having wireless access for
their phones and hope the residents and their families are taking advantage of this to keep connected to
family and friends, near and far.
The transition to Staff Schedule Care has been a difficult one. Hours were spent by staff and managers in
training sessions for the transition and we went live July 14th. Lots of kinks have been worked out, but
I’m sad to say, there are still more to be done. We appreciate having the provincial support group,
sponsored by the SSC organization, where we have attempted to learn, share and improve our use of
this program and also to work toward standardization of interpretation of the collective agreements.
Two meetings were held to date, with a large group of us attending each one. From the schedule
standpoint, we’ve moved forward but from an accounting standpoint, we’ve taken a step backward,
which was not predicted. We are still trying to bring things to where we need them to be. Nancy has had
a tough year and I personally thank her for sticking with it. We will overcome!!
Generator & Construction – The Plumbing and Ventilation project was substantially completed in
November and it has taken several months to take care of deficiencies by the contractor. We provided
the complete accounting for all projects to Nursing Home Services and have been successful in arranging
the next phase of funding for the additional work done on this recent project. Kudos to Harry and
Sheana for their work to save the provincial government hundreds of thousands of dollars on this
project!!
Resident Rate Increase – On July 1, 2012, the Province increased the amount that residents are required
to pay towards their care to a maximum of $101 per day. On April 1, 2013, they have increased it once
again, to $107 per day. It is important to highlight that this does not change anything with respect to
care services or hours of care.
Loan Process – We have applied for and were granted a working capital loan of $100,000 which was
received in February. This loan is now taken into income in the year it is received with a corresponding
receivable from the Province for the principal payments. Although this is an unusual approach to
budgeting, we are grateful for this support by the Province.
Laundry Changes – We are a bit nervous but understand the government’s move to centralize laundry
services. We will work with Nursing Home Services and Facilicorp to implement the requested changes
and try to make the transition as seamless as possible. Provided the funding is realigned in an
acceptable manner, we anticipate no ill effects on our bottom line, with the positive change of having
the budget more in line with our actual operation. This necessitates a change in funding of incontinent
products as well.
Wellness – During the past year I took a more active role with the Wellness committee. Our work
towards healthy employees is paramount to having a healthy workplace for all. It has been very
enjoyable.
Education & Events – During the year there were many activities and educational opportunities, a
highlight was attendance at the Catholic Health Alliance of Canada conference in Calgary. There were
in-services on various topics, NBCHA conference, CGA Association events, NBANH AGM, provincial
meetings, regional meetings, to name a few. With a CGA colleague, we have prepared a presentation on
Nursing Home Finances and shared it with our local Chapter of CGA’s, which was well-received.
Subsequent to this, I was asked to present this to the local Probus men’s group. It is important that
correct information is shared with the community and often our family members tell us that they were
unaware of how things worked until it was time for their loved one to come and live at Rocmaura. I will
present it to both boards in the fall.
One Great Team: We have been blessed with many wonderful people who live, work and volunteer
here at Rocmaura. I would like to thank Nancy and Roxanne for their dedication, professionalism and
care of staff and residents in their everyday work. Thank you to the Board, Finance Committee and all
management and support staff, especially Sheana, who is a wonderful leader, for her tireless
commitment to residents and staff. You are all present to our residents on a daily basis and they are
foremost in your minds as you make decisions on their behalf. Working together we will continue to be
the community of caring people to those that call Rocmaura their home.
Sincerely,
M. Theresa Mercer, BBA, CGA
Director of Financial Services
Purchasing Department
Annual Report 2012-2013
This year the last paragraph of the mission statement sums up the past year: “Out of the spirit and
mission, we will continue to meet the changing needs of our residents and those we serve.”
This year Rocmaura was under renovations from March, until the last room transfer, November. During
that time, we had residents transferring from room to room, and in some cases, transferred from court
to court. To meet the changing needs, phones, cable, newspaper and incontinent products were
constantly being transferred and lists updated to meet the varying transfers. I was fortunate to have
contacts at Bell Aliant and Rogers Cable who worked with me to make the changes as seamless as
possible.
Contract Purchasing is transitioning, we have been following the CMSL contracts until the contract are
transferred to Medbuy. We will continue with CMSL until notified.
TENA has the contract for the incontinent system. We have 90% of our residents using incontinent
products. The usage report shows a decrease from last year‘s stats, the renovations have been a factor
in this decrease. The number of beds was decreased for approximately 5 months by 16 beds. Stats are
available upon request. The incontinent system is our highest cost, and is constantly under review in
order to make it more cost efficient.
Electric Pill Crushers remain a challenge; this year we have removed three from the floor due to poor
performance. Over the past three years we have had to send the crushers back due to factory recalls
and battery problems. Two more Electric Pill Crushers were ordered in March and will be reviewed after
one month to see how they rate.
Over the past few years, we have been looking for an alternative to the 6oz foam cups. We were
supplying three to four thousand foam cups a week. This year we found a 5oz Dixie cup that sells for
approximately the same price through Cardinal Health and meets the needs of the resident.
We have contracts with Hollister and Coloplast for ostomy supplies. Usage has increased, as seven
residents currently have a colostomy.
Smith and Nephew has the primary contract for Wound Care supplies. They are purchased through
Cardinal Health. Jennifer Mathews from Smith and Nephew has provided the Wound Care committee
with in-services and education on their new products.
Nine BHM Quick Fit Slings have been purchased at $195 each from Harding Medical. The slings have a
two year warranty.
This has been a year of change but there is always one thing consistent at Rocmaura, there is always
someone willing to help you. Thank you for a great year.
Respectfully submitted,
Roxanne Beatteay
Purchasing/Resident Trust
Payroll Services
Annual Report 2012-2013
I cannot believe another year has gone by! Payroll-related activities such as the payroll process,
seniority, benefits, pension, group health, LTD, etc., are my responsibility. We currently employ
approximately 240 staff members, with an annual payroll of approximately $7 M.
Payroll Software
Our payroll software, Clarity, is an in-house system, which means bi-weekly remittances, and T4s are
also my responsibility. The Clarity system enables pay stubs to be distributed via email, and we
currently have approximately 32% of staff members taking advantage of this option.
Scheduling Software (SSC)
Scheduling and Payroll
During the spring of 2012, Staff Schedule Care was introduced and configured to meet the scheduling
and payroll needs of Rocmaura in compliance with the two union contracts, with a go-live date of
July 14, 2012. In theory, when SSC was introduced, the scheduling and payroll processes were to be
much more efficient. The new system has been beneficial to the scheduling process; however, there
remain to be many issues to work around in this area.
Importing payroll data into Clarity is not an issue in itself, but the process of verifying seniority and
accruals has proven to be more difficult than originally anticipated. Our payroll provider, Carolann
Landry, has created verification checks for the payroll process to ensure proper importing and to quickly
identify any issues within the payroll transfer process. She continues to work with us to improve on the
seniority and accruals verification process.
The Management Team has worked diligently together in the implementation of SSC and continues to
monitor the effectiveness of the program; as a result, Rocmaura has been recognized for its efforts by
both SSC and other Nursing Homes within the province.
Staff & Accessibility to Time Banks
Staff members are now able to log in to their SSC account from any location and view their schedule,
check on the balances of their own time banks, and submit requests for time off.
Notifications
The new Staff Schedule Care software has an on-line bulletin board in which notifications can be posted
for employee awareness. We have had several opportunities to use this feature and find it quite useful.
Voicemail
Approximately 75 percent of our residents have family contacts set up on the Rocmaura voicemail lists.
These are updated as changes arise, which enables us to relay general messages very quickly in an
emergency situation, such as an influenza outbreak within the Home, and for special recreation
activities.
Additional Information
If anyone who would like to book the Club Room, they may do so by calling 643-7054.
I would like to take this opportunity to acknowledge and thank the management team, SCIC, staff,
volunteers, Board of Directors, and especially Theresa and Sheana, here at Rocmaura with whom I have
had the opportunity to share the spirit of the Rocmaura Mission Statement. This is a committed group
of people with input valuable to the daily process of working with the residents of Rocmaura Nursing
Home, and I treasure the opportunity to share this part of my life with them, and enjoy being a part of
theirs.
Respectfully submitted,
Nancy McKiel
Payroll Officer
Admissions
Annual Report 2012-2013
This year Rocmaura celebrated its 40th year and I say this with great pride.
It was a very challenging year for Rocmaura as we were approved by Nursing Home Services to have 16
of our residents’ beds frozen to accommodate the ventilation and plumbing project. Therefore, we did
not admit residents into Rocmaura until April of 2012. Throughout this time residents, families, staff,
management, and volunteers were supportive and understanding of this undertaking.
There were 36 residents admitted to Rocmaura from January 1, 2012 to December 31, 2012, and 42 for
the period of January 1, 2011 to December 31, 2011.
There were 33 residents that passed away from January 1, 2012 to December 31, 2012, and 40 residents
passed away from January 1, 2012 to December 31, 2011.
The list of Single Entry Point approved clients waiting for placement to nursing homes in the Saint John
Region is 183, the same as last year. The Sussex List has 37 clients, up from 35 last year. The St.
Stephen List has a total of 3 clients.
Wait List
1st
2nd & 3rd
Respectfully submitted,
Kim Gaudet
Admissions
2012
23
25
2011
30
20
Program Coordinator
Annual Report 2012-2013
I celebrated my first year as Program Coordinator and EVS Manager in November 2012. The year flew by
very quickly, full of new challenges, new experiences and progress in many areas. I have to say thank
you to the terrific Management Team that I have the privilege to work with. They were so supportive
and open-minded as I took this new journey. After 34 years with Rocmaura, it was wonderful for me to
be involved in Rocmaura’s 40th Anniversary celebrations. In the face of many challenges that present
themselves on a daily basis, we never lose sight of our purpose and mission at Rocmaura.
Health & Safety
It is always a goal to see a decrease in injuries to our employees and the costs associated with those
injuries. We saw a decrease in our experience rating; 2012 was $7.75 and went down in 2013 to $6.15.
Education is an ongoing responsibility we take seriously to ensure our employees work safe and find a
work life balance in which wellness of mind, body and soul is essential as they go about their day
providing quality care to our residents.
Health & Safety Awards during Staff Appreciation for 2012 were:
 Most Improved –Nursing
 Incident/Accident Free- Pastoral and Religious Care and Recreation
SUMMARY STAFF INCIDENTS 2012
YEAR
2010
2011
2012
TOTAL
101
118
93
TIME LOST
9
22
24
INCIDENTS PER DEPARTMENT
DEPARTMENT
Nursing
Dietary
2010
TOTAL
TIME LOST
80(79%) 8
10 (10%) 1
2011
TOTAL
TIME LOST
95(83%)
18
2(2%)
0
2012
TOTAL
TL/TLS
63(68%) 13
7 (8%)
3
Housekeeping
Laundry
Recreation
Maintenance
Administration
Pastoral Care
6 (6%)
5 (5%)
0
0
0
0
11(10%)
5(4%)
2(2%)
0
0
0
10(11%)
8(9%)
0
4 (4%)
1 (1%)
0
3
1
0
0
0
0
5
1
2
SUMMARY OF SIGNIFICANT FINDINGS
YEAR
2010
#1
NATURE
Sprains 33%
SOURCE
Resident 35%
TYPE
Resident 35%
PART of BODY
Neck/shld 17%
2011
2012
#2
Bruising 33%
Bodily Motion 19%
Overexertion
15%
Wrist, elbow,
arm back 16%
#1
#1
Sprains49%
Sprains/strains
61%
Resident 27%
Bodily Motion 25%
Resident 27%
Overexertion
22%
Neck/Shld 19%
Fingers/hands
20%
2010
10-11am = 17%
11- 2pm = 11%
2-3 pm = 13%
3-4 pm = 7%
2011
10-11am=13%
1-2pm=12%
2-3pm=10%
8-9am=9%
2012
10-11am=14%
11-12pm=12%
1-2pm=12%
2-3pm=8%
Age Group
41 – 50 = 36%
50 – over = 24%
50-over=36%
41-50=27%
41-50=39%
31-40=24%
50-over=24%
# of Years employed
Permanent = 1520=
Part Time = 1-3
Permanent =1520
Part Time = 1-3
Permanent=10-15
Part Time=3-5
Time of Injury
Location of incidents for 2012:
Trinity=16
Terrace=21 Garden=11
Hopewell=9
N/A
With our Health & Safety Committee, U-First! Program, BIF, Safety Talks and Wellness we strive to
address the issues of safety and wellness in the workplace. As a committee we examine the areas of
concerns and look for ways to be proactive through education, creativity, outside resources, and all
efforts to build a safe work life culture.
Lynn Pinfold, who was our liaison with WSNB, finished the program with us and determined we were
stable and had processes in place to move forward. Our tracking record for employee injuries was
converted from manual to an electronic record which allows for quick access, accountability and a
better visual of individual employee injury records.
The Health & Safety meetings continue to be held monthly with the minutes communicated via posting
them on the H&S Bulletin Board, providing a copy to the CUPE Local, including them in both the
Management Team and Board of Directors monthly reports, forwarding to the Education coordinator of
WSNB, and including these in the monthly Safety Talks for employees.
Improvements for 2012




Two new Protocols for Transportation and Communication
Revision of the Orientation Checklist
New General Orientation Plan
U-First! and BIF initiated refresher education and collaborate on Safety Talks
 Nursing Department revised Orientation Checklist
 Initiated an “Investigation Kit” to be used for intensive investigation in the event of major
injury/incident in the workplace
 7 employees did their 2 day First Aid Recertification Training
 Newly revised Ceiling Lift Policies
 Hazard Risk Analysis documents added to orientation of new employees
 BIF has been changed to a non-voting standing member of the JHSC
 Updated Health & Safety Manual circulated to all departments identifying new or revised
policies to review
Rocmaura utilizes funded health and safety hours by having JHSC members paid for attending meetings
on days off, cover planning days when necessary, as well as the day of set-up for Health & Safety Week,
and for two employees to attend the annual Health & Safety Conference. The last planning day for 2012
period was in December 2012. The following work was completed:
 Developed the H&S Plan for 2013
 Completed the Hazard Analysis for all classifications
 Reviewed and revised the Health & Safety Manual
 Health & Safety Week 2012
Morneau Shepell
November 2012 saw us join with Morneau Shepell and WSNB in the Early Safe Return to Work Program.
The goal of the program is to assist injured employees to have an early and safe return to work as soon
as possible following an injury. Employees are able come to work within days of experiencing a lost time
injury once they have been assessed by a physiotherapist, usually from CBI. They return to their regular
schedule doing modified duties that accommodate their injury. They are able to remain connected with
their peers in their chosen field of work and not suffer loss of wages or benefits. It is too early in the
program to assess the effect on the cost of claims. We have had 5 employees participate to date with
one being successful in an early return to work within 4 weeks of injury date. Others have been put on
WSNB as they became long term injuries requiring rehabilitation in Grand Bay.
Wellness
The Wellness is a sub-committee of the Health & Safety Committee. This Committee is to be
commended on the planning and execution of a yearly calendar of events and education opportunities.
Also, in January we became a partner of the PEP program which stands for Priority, Engagement, and
Possibility. This relationship will assist us in providing access to education, resources, challenges,
activities and some funding as we promote wellness in the workplace as a priority. See Wellness
Committee Report for 2012.
Educational Programs
During the year there were 71in-house education opportunities with 2971 recorded participants. This
includes the Safety Talks which have the highest attendance. There were 15 recorded outside education
opportunities for a total of 46 recorded participants.
In 2012 we were unsuccessful in reaching 100% compliance for Fire Drill attendance.
Ceridian LifeWorks continues to be our EFAP provider. All employees are encouraged to use this
resource for their needs and to go on-line to utilize the many resources that are available to them and
their families as an employee of Rocmaura. We had Linda McInnis Sedge the Account Manager do an inservice on the EFAP.
CQI (Continuous Quality Improvement)
Our CQI team meets quarterly to report and review any deficiencies in audit outcomes. The team
recommends any necessary interventions to address deficiencies.
One improvement the team made in the reporting process was to have CQI review all Resident
Satisfaction Questionnaire results prior to sending out for departmental review. As a team we now
decide what areas require attention and then forward those to the individual responsible to follow-up
and report back to CQI. This is more efficient and resident/family focused. The average score per
resident for 2012 was 96.11%.
Respectfully submitted,
Debbie Searle
Program Coordinator
Recreation Department
Annual Report 2012-2013
The past year for the Therapeutic Recreation Team has been a time of growth and development. With a
few changes to modular care and the movement of residents to more appropriate courts, the
Department looked at what they were delivering for services and how and if it needed to be changed.
The Team played a vital role in assessing residents’ participation and socialization and the physical
environment of each of their respective Courts. In doing so, programs were streamlined and a few
positive changes were made for our residents.
The team of one full time Recreation Therapist, one part time Recreation Therapist, one full time
Activity Coordinator, one part time Activity Coordinator and a Music Therapist has an integral role in the
Interdisciplinary Care Teams on the four Courts. Our part time Recreation Therapist on Trinity, Jennifer
Peters, left her position to be at home with her children. The hours were left vacant in Trinity Court
with no available Recreation Therapists to hire; the Manager proposed the hiring of an accredited Music
Therapist (MTA). Elizabeth Eldridge, known for her work at York Manor, Loch Lomond Villa and her
involvement in the Room 217 and the New Brunswick Institute on Aging, is a positive addition to our
team.
The Admission Advocacy program continues to assist both residents and families during the preadmission and the admission process. The process also assists each of the other Departments in getting
to know the newest member of our Rocmaura family, as the Recreation Team provides a Life Biography
to each Department, prior to admission. As well, the pre-admission meetings are proving to be a great
opportunity to recruit family members as volunteers in our programs. Their commitment to the
improved quality of life on each of the Courts is appreciated by residents and staff.
Family Council Membership is slowing growing with representation from each of the Courts where
members share, learn and make a difference. Each new family is presented with a Family Council
Brochure at the pre-admission meeting and the Mission of the Council is reviewed. The group has
proposed many positive changes over the past year. Please refer to the Family Council Report for more
detailed information.
Community involvement plays an integral part in life at Rocmaura. Volunteer entertainers, clubs,
schools, daycares, and many other community agencies continue to offer programs, services and
financial assistance for programs for our residents. Thank you to these individuals and groups for their
continued commitment to making Rocmaura a community of caring people. Volunteers and
representatives from these groups were honored and celebrated at our annual Volunteer Appreciation
Night held in June during Nursing Home Week. We celebrated Rocmaura’s 40 years of Caring with 80
volunteers in attendance. The Management and Recreation teams played host to a fun-filled evening for
these volunteers. Also, during Nursing Home Week we hosted a hotdog BBQ with approximately 250
residents, family members, staff and community people participating. We even had two employees
from the New Brunswick Community College cooking hotdogs!
The Recreation Team continued this past year in offering the following programs and services to
residents, families, and staff:
1. Clothing Companies from Adaptive Creations n’More, Concept Clothing, and Tan Jay Fashions
2. Safety Talks and Tip of the Week for staff and families on “U-First! Caring for Residents with
Dementia”
3. Seasonal activities for all
4. Nursing Home Week events
Thank you to the families, care teams, volunteers, community groups/organizations, Auxiliary, Boards,
Sisters of Charity and the management team for their continued support of Recreation Therapy for our
residents.
Respectfully submitted,
The Recreation Team
Food Services Department
Annual Report 2012-2013
This year we have been successful in staying within our budget and in compliance with the annual
provincial license and Department of Health inspections.
The Dietary department maintains high resident satisfaction by providing quality food service to our
residents, with an emphasis on maintaining a home-like atmosphere.
We are currently assessing a new cart system since the current system is now beyond its lifespan. Parts
and repair are no longer an option.
Cold food temperatures continue to be an issue without proper holding devices after food is delivered.
We are trying very hard to meet the standards, but they cannot consistently be met with the current
system. The new cart system we are investigating would solve our cold temperature issues, as well as
providing a better ergonomical system for food delivery.
We have implemented a “Food Committee” which consists of residents, family members and staff. This
committee meets every 3 months to discuss anything involving meals and meal service. We try to find
ways to improve not only quality of food and service but to increase communication between all
members of the committee and to other staff members and residents and their families.
Our dietitian (Jane Barefoot) goes above and beyond to see that our residents’ nutrition needs and our
standards for quality are met, as well as addressing their individual tastes. She also continues to
participate in education sessions throughout the year.
Once again I thank Dietary staff. They work with a team-like attitude and spirit that fits well with our
mission statement.
Respectfully submitted,
Andrew Kupkee
Food Service Manager
Dietician Report
Annual Report 2012-2013
The role of Consulting Dietitian is varied and ever evolving with the needs of residents. During my part
time work hours, I integrate the needs of 3 main focus areas: resident nutrition, participating in setting
meal service standards that meet Nursing Home requirements, and staff education. This requires
interaction with most staff.
Resident Nutrition
Each resident is assessed upon admission with the goal of modifying the basic menu as needed to meet
their satisfaction. Residents are also assessed for their ability to feed themselves. Aides and
modifications are initiated as needed. Constant input is required from staff involved with resident care
as the resident needs evolve.
There has been a significant increase in the number and type of allergies to accommodate. In the past
year 9 residents with one or more intolerance or allergy required significant label reading and menu
review to accommodate their needs. There are now 23 residents with allergy modifications. The
number of residents requiring thickened liquids due to swallowing difficulty has also increased rapidly to
a total of 18. As the result of the Wound Care Committee and policies, more attention is being given to
modify meals/snacks to meet the needs of residents who are at risk.
Maintaining hydration in the elderly population is a notable challenge. The topic has been researched
and a policy is being prepared to promote sufficient hydration for all residents. The policy will be
reviewed with staff.
In conjunction with Rehab Therapists and Recreation Therapists, dining environment has been
researched and guidelines defined for Rocmaura . Staff members are being educated to the concept
that they can help to create the environment that is required for individual residents to eat well and
enjoy their dining experience. A pamphlet is now available as a continuing education tool to be shared
with staff, residents’ family members, and volunteers.
With advice from Ethics Director, David Levangie, a waiver is now available for use when a resident or
resident advocate requests diet texture that contradicts professional orders. The waiver has been used
for one resident in the past year.
Meal Service Standards
Recording random temperatures of meals at point of service and making recommendations for meeting
standards has been a task of Dietitian responsibility. Due to the aged meal delivery carts that no longer
control cold temperatures, significant time has been taken to create modifications in an attempt to
meet standards. In addition, renovations throughout the home in the past year contributed to
significant extra administrative tasks.
Staff Education
Staff members are encouraged to request nutrition information as needed. Resources are shared
monthly in either verbal or written format. Group education is shared through short presentations,
making pamphlets available, or bulletin board information.
Looking to the future
The major focus will be developing a plan for a modified meal service delivery. Resident satisfaction,
meeting Nursing Home Standards and limitations with an umbrella of “a home like atmosphere” will be
guiding tools. Staff education regarding hydration standards and dining environment will be another
focus as we strive to nourish our residents and maintain their satisfaction.
Respectfully submitted,
Jane Barefoot, RD
Environmental Services Department
Annual Report 2012-2013
Another year has passed filled with challenges, changes and successes. I always have to thank my EVS
employees for their resounding dedication to the care of our residents. We are met with challenges
every day in our personal and work lives and we continue to grow as a department. I am proud to be
part of this team. A special thank you goes out to Hazel Tyler who has taken her supervisory skills to a
new level and has made a positive difference in the management of the department.
2012 EVS experienced their first taste of major renovation work. This required organization,
collaboration and a lot of flexibility from everyone in order to maintain services to our residents in a safe
and efficient manner. Laundry staff were challenged with delivering clothing to residents who moved on
a frequent basis but they were successful in doing so and they came together as a team to make things
run as smoothly as possible. They still managed to process over 1200 pounds of laundry per day. They
dealt with equipment malfunctions from time to time as the equipment ages yet they did work-a-rounds
to meet their goals each day.
The Housekeepers were challenged as well by the construction going on around them. There were
increased cleaning requirements, schedule changes, routine changes, and with multiple resident moves,
more extensive and terminal cleaning was required. They too worked as a team in collaboration with the
Nursing Department to provide a safe clean environment for everyone. The Housekeepers are very
skilled at what they do and they achieved success without injuries or compromising the safety of
residents, staff and visitors. They maintained infection control best practices and had all rooms cleaned
and ready for all new admissions as needed. This was all accomplished with only 81 additional paid
hours of service over a five month period.
EVS employees received various training throughout the year such as Manual Lifting, Staff Schedule
Care, Infection Prevention and Control and WHMIS. They always show strong participation in education
done in-house relating to safety in the workplace or resident care. Employees are encouraged to
participate in wellness activities, EFAP, education in-services offered in-house and online which support
them in wellness of their mind, body and soul.
I continue to sit on multiple committees:
 Wellness Committee Champion
 Health & Safety Committee
 Ethics Committee
 Accreditation Committee
 Infection Prevention & Control
 Founding Spirit
 Rocmaura Auxiliary
Rocmaura celebrated its 40th Anniversary in December and EVS has some long term employees who
have been providing services for over 40 years. I think this speaks volumes to the kind of workplace
Rocmaura is. Congratulations for being a “Community of Caring People” as we journey through the next
year.
Respectfully submitted,
Debbie Searle, Environmental Services Manager
Mission/Ethics/Spiritual Care
Annual Report 2012-2013
“For I am about to do something new.
See, I have already begun!
Do you not see it?”
Isaiah 43: 18
A constant theme in healthcare is change. This year was no different for mission, ethics and spiritual
care at Rocmaura. Sr. Mae Arsenault returned from her year of studies and retreat in New Mexico and
California. It has been great to have her back as part of the team. Sr. Anita Naves welcomed Sr. Louise
Arsenault to her team and they, along with volunteer support, continue to meet the changing needs of
residents through the spiritual care department. In the spring of 2012, Sr. Laura Hughes joined
Rocmaura and St. Joseph’s Hospital as an ethics educator. She and I have worked closely together
throughout the year to provide ethics education opportunities for staff. The Rocmaura staff, our
volunteers, our residents and their family members continue to work together to ensure that our home
continues to excel in living the mission of Rocmaura.
Mission
This year’s 40th anniversary of Rocmaura has provided a focus for the work of the Founding Spirit
committee. The home has celebrated this important milestone with a variety of special events. The
Founding Spirit committee has worked with other staff to organize some of these events. It truly has
been a special year because of this. This year the Founding Spirit committee included Sr. Anita, Sr. Mae
and I, Sheana Mohra, Rick Benson (Director of Spiritual and Religious Care at St. Joseph’s) and Kathy
Butler from Ruth Ross Residence. We also welcomed Debbie Searle to our committee as a link to the
Rocmaura Wellness committee. Thank you all for another successful year.
Rocmaura staff and volunteers continue to be involved in the activities of the Catholic Health
Association of New Brunswick, the Catholic Health Alliance of Canada, and Catholic Health International.
This includes attending conferences and workshops of the CHAC and CHANB mostly funded by the SCIC
through CHANB. Also, Sr. Anita Holmes, Kim Roberts, Sheana Mohra and I are all involved in the
establishment of the Centre for Excellence in Leadership developed by CHI. This centre will provide
resources to CHI members in the areas of Catholic Healthcare Leadership, Values Integration, Mission,
Spiritual Care and Ethics. Sheana Mohra, Aubrey Reid, Sr. Anita Holmes and I have also been involved in
CHI’s Leadership Council. This group offers Executive Directors, CEOs and Facility Managers, along with
Board and Advisory Chairpersons the opportunity to meet with others in similar positions in other CHI
facilities. It provides an excellent opportunity for education as well as networking. I also continue to
serve on the CHANB Board, ethics, spiritual care and education committees.
Spiritual and Religious Care
Sr. Anita and her team continue to provide for the many spiritual needs of our residents. Providing
worship services for residents with a limited space at the Carmel chapel at Ruth Ross Residence can be a
bit challenging. With the addition of St. Vincent Residence there are even more people who use this
special space. This has meant that the Recreation Department has become an important partner in
transporting residents and in making their space available for worship services. The Spiritual Care team
will continue to provide the excellent care they offer to residents, families and staff in the coming year.
I continue to be involved with the New Brunswick Regional Health Authorities Spiritual Care Committee.
This group has developed a plan to further train spiritual care providers in the provinces hospital system.
The Catholic Health Association of New Brunswick is lobbying the Department of Social Development to
develop a similar committee for the Nursing Home system. This group would seek to find training
opportunities for spiritual care professionals and volunteers who work/volunteer in our nursing homes.
The New Brunswick Association for Spiritual Care will also be a resource in this process.
In April 2012, the Canadian Association for Spiritual Care held its annual general meeting and conference
in Sydney, Cape Breton. New Brunswick was one of the co-hosts for this conference and I led one of the
pre-conference workshops on the use of theological reflection by chaplains when involved in an ethics
consult. This workshop provided me with data for my Doctoral studies, which is near completion.
Ethics
The focus this year in ethics has been the roll out of the new Catholic Health Alliance of Canada’s Health
Ethics Guide. Laura Hughes and I have been leading short presentations on the Guide with nursing unit
staff, the ethics committee and the Board. The Guide has been a great source of conversation with staff
as they deal with the many issues that come up in providing care to our residents. Earlier in the year we
completed a decision making guide for residents and family members to help them explore difficult
health care decisions. We also introduced a new ethics consult form that residents, their families and
staff may use to ask the ethics committee for help with a particular issue. The committee also dealt
with a variety of other issues this year including a consent form for resident interviews/pictures as well
as a waiver for texture-modified diets and we are doing a review of Horizon’s “Do Not Attempt
Resuscitation” policy to see how it affects our residents. The ethics committee continues to be an
excellence place for ethical reflection. I would like to thank Sheana Mohra, Kim Roberts, Debbie Searle,
Sr. Anita Naves, Sr. Mae Arsenault, Mary Lou Brittain, Patty Ash, Louise O’Connor, Dr. Jim Stephenson,
Marion Long, Fr. Doug McNeill, Sr. Laura Hughes and Rose McCloskey for their great contribution to this
committee.
This year has given us much to celebrate. Last summer we had the wonderful opportunity to celebrate
the SCIC as they received the first Lieutenant Governor’s Award for Excellence in Aging. It celebrated
their more than 100 years of care for seniors in New Brunswick. Recently the SCIC were recipients of the
YM/YWCA Red Triangle Award for their many years of service to our community. Both of these awards
were well deserved and I can say with confidence that Rocmaura staff and volunteers are proud to be
associated with the service and care that the Sisters have given to this community and beyond. We look
forward to continuing to offer excellent care in the spirit that the Sisters have passed on to us.
Respectfully submitted,
David Levangie on behalf of the Mission, Ethics and Spiritual Care Departments
Auxiliary Report
Annual Report 2012-2013
Our fiscal year started at our April 13th meeting in 2012. At this meeting we were told that a plaque
would be placed on one of the resident’s rooms in recognition of the Auxiliary’s donation of $3200 in
the past years, for payment of a new wardrobe.
September is always a busy month as we begin to start planning for our Bazaar and also our Annual
Dinner. This year our Annual Dinner was a celebration of our 20th Anniversary. To mark this occasion
we introduced our new Membership pins which were distributed at our dinner. Our dinner was a
successful affair with 63 members attending. We also had a 50/50 draw and Lotto board which brought
in $235.
Our Bazaar in November brought close to $3,793. We changed things this year by moving the Baking
table downstairs with the New-to-You and found that with the increase in space it worked much better.
In January we started to hold a monthly 50/50 Draw at our meetings, selling tickets between meetings.
To date we have raised $466.
The canteen continues to be opened on Tuesdays and Wednesdays by 2 volunteers. Their total hours for
April1, 2012 to March 31, 2013 was 130. We can always use volunteers to work in the canteen on
Monday, Thursday and Friday for a couple of hours a day. Again, we provided support to the Home for
Wednesday Bingo, Staff Education, Foundation’s Funspiel (Curling fundraiser), and to each of the Courts
for their Christmas celebrations.
The total number of Auxiliary volunteer hours from April 1, 2012 to March 31, 2013 was 957.5, which
was accumulated by 18 volunteers. This is an increase of 354.5 hours from last year.
These hours are accumulated through attending meetings, working in the canteen, knitting/crocheting,
baking for the bazaar and working the day of the bazaar.
The main increase in hours this year was due to the hours members accumulated knitting “Tots for
Toddlers”. These are hats that were donated to the Regional Hospital to be used by newborn babies.
The total number of Welcome Baskets presented to new residents for the period of April 1, 2012 to
March 31, 2013, was 46 at a cost of approximately $460. Last year we supplied approximately 30
baskets to new residents.
Respectively submitted,
Marie Murphy
President, Rocmaura Auxiliary
Foundation Chairperson
Annual Report 2012-2013
This past year has been a very busy and interesting one. We welcomed Sally Cummings as part-time
Foundation Coordinator in June 2012. Sally has proven to be a great asset to the Foundation. She
brings enthusiasm and innovative ideas and is willing to learn more.
Sally’s first major fundraiser was our Direct Mail Campaign in June, which raised approximately $6,780,
about the same as last year. Letters were sent out to over 1,955 donors in our database.
Fifty-three donor plaques were mounted on Wardrobes in mid-May 2012 for those who have
contributed $3,200. Phase II of the Wardrobe Project was put on hold while capital improvements and
renovations were completed this past year. From 2007 to 2010, a total of $225,000 was raised to install
forty-eight wardrobes and vinyl surround on Garden court. An additional $375,000 is needed to
complete the $600,000 project.
The second phase of the project is now underway for Hopewell Court, with the first eight new
wardrobes ordered this spring. These necessary upgrades, which are not funded by the Government,
provide Residents with great pride and joy in their “home away from home” at Rocmaura.
Our 14th Annual Gala Dinner and Auction was held on September 22, 2012. A lively Tim Maloney
entertained us as auctioneer; David Levangie was Committee Chair,; and, Pat Gallagher Emcee. We
raised about $46,000. This was down slightly over previous years due to a late start, loss of some longtime committee members, and a poor economy overall. Octavio Ribeiro was honoured as 2012 Artist of
the Year.
The Auxiliary Bazaar was held November 3, 2012, and raised $3,793. Thanks to Marie Murphy, Auxiliary
President, and all the auxiliary members for their support and special assistance to Rocmaura.
The Curling Fun Spiel chaired by Emil Olsen on February 2, 2013, was again a success, raising over $4,900
with 16 teams participating. Thank you to all the sponsors for their financial donations, and everyone
who contributed items for the live auction.
Memorial Donations this past year totaled $12,000 in addition to $7,000 in other Donations made in
2012. A $10,000 bequest and a $40,000 van were major gifts left by family members to the foundation
this year.
One of our new initiatives for 2013 included the Mother’s Day Draw on May 9th, which was won by Patsy
Dobbin. We raised nearly $6,900 by selling 945 tickets.
New Foundation marketing materials have also been designed, including a newsletter, and pull-up
display banners, while work continues on a revamped website to improve promotion of the Foundation
and Rocmaura Nursing Home.
Plans are well underway for our 15th Gala, with Cindy Day as our Host, Tim Isaac will be Honourary Chair
and Auctioneer, and Herzl Kashetsky- 2013 Artist of the Year. The Committee Chair is Patrick Gallagher
with the first committee meeting held the end of May.
Thank you to Sheana Mohra Executive Director for Rocmaura for the continued support, to Theresa
Mercer for her financial advice and assistance, to Sally Cummings, the members of the Foundation
Board, and volunteers, for their support in our fundraising events, attending meetings, selling tickets,
and serving on committees.
This past year as Chair of the Foundation Board has been one of appreciation for the work we do here at
Rocmaura.
Respectfully submitted,
Sr. Anita Naves
Foundation Chair
Trinity Court
Annual Report 2012-2013
Trinity court is a mixed dementia unit, home to 24 people. The residents who live in Trinity were picked
because they can benefit from an enclosed smaller unit with a wandering path and private rooms. Our
environment offers a quieter less busy area with less foot traffic and a more home-like setting. Some of
our residents have challenging behaviors that are best cared for in this type of environment. Twentythree of our residents have some type of dementia and are in the moderate to late stages of their
disease. One resident lives here because of her challenging behavior.
We have 3 men and 21 women ranging in ages from 61-100 years of age. 1 is 61, 3 are in their 70s, 11 in
their 80s, 8 in their 90s and 1 is 100. All of our residents need assistance with their activities of daily
living (ADL’S).
We serve our meals on the unit in the dining room where we try to create an atmosphere that is quiet
and friendly. Our aim is to serve the residents like they would be served in a restaurant. We seat
residents that are compatible together and put together residents that are at similar stages in their
disease. This is for their socialization and for therapeutic reasons. Presently we have 3 residents that
need to be fed, 5 that need assistance to get started with their meal and to continue eating. We have 4
residents that need cueing to start eating. We do this by helping them physically start or by verbally
telling them what meal we are serving and then encouraging them to eat. The remaining 12 residents
need little or no assistance with eating.
Our residents are scheduled for weekly showers and most have their hair appointments the same day or
next day. However, this schedule is flexible and determined by the resident’s level of compliance on
that day. We try to provide unforced care which helps reduce anxiety and agitation. Therefore, care
can be adjusted to accommodate each individual. Physical care is one of our biggest challenges as many
residents do not want care or do not think they need care. We have 7 residents who are not
incontinent, 5 that are incontinent at times and 12 residents that are incontinent of bowel and bladder.
Hygiene for these individuals is a responsibility that experienced staff deal with daily and handle with
the best possible outcomes due to their expertise. Twenty-two of our residents require only minimal
daily assistance.
Mobility is one of the factors considered when placing a resident in Trinity. We do not have a ceiling lift
and use a portable electric lift to transfer residents in and out of bed when needed. This lift is also used
when a resident falls and needs to be lifted off the floor. We have one resident now that is transferred
in and out of bed and into a specialized wheelchair via this lift. We have 2 other residents who use the
lift when necessary if their transfers put them at risk of injuring a staff member or themselves. We have
13 residents who ambulate independently, 7 residents who use walkers, 4 residents in wheelchairs who
need assistance when ambulating. We do utilize our rehab department and have 3 residents on a
walking program, assisted by the rehab LPNs.
Rocmaura has a least restraint policy. Sometimes it is necessary to restrain a resident in order to
prevent an injury. We have 2 residents that are restrained in their wheelchairs by a seat belt. This is to
prevent them from attempting to stand and walk. They are cognitively unable to understand that they
can no longer walk alone. We have 4 other residents who are restrained when needed to prevent them
from falling. Sometimes a restraint is needed to have a resident that has been pacing stopped to rest.
Restraints are evaluated monthly and if not needed are discontinued. We only restrain when absolutely
necessary.
Treatments change with the residents’ conditions. We have only one lady at present that has dressings
to her legs due to ulcers caused by poor circulation and her physical condition. The treatment has been
successful and her legs have improved from several ulcers on both legs to one small ulcer, now almost
healed. The other treatments are minor applications of creams and ointments to treat various
conditions.
Our unit continues to evolve as we learn more about managing dementia care. We are always
challenged by the changing staff and residents. Every change means a learning curve. Time is needed to
develop repore when the care team changes and knowledge needs to be shared with newer team
members.
Each new resident teaches us more about what we need to do to live out our mission. Our goal is
always to treat each resident with dignity and allow them as much independence as their disease will
safely allow. We do our best to keep the residents safe and secure and provide their families with
support and understanding.
Respectfully submitted,
Mary Lou Brittain, RN
Trinity Court Unit Manager
Trinity Court Statistics
Nursing Quality Assurance Audits 2012-2013
Audit/
Statistics
Auditor
Collecte
d
Reported
Narcotic
Count
Fridge
Temperatures
Oxygen
Checklist
Hand Hygiene
(2/court)
Physician
Order
MAR
Documentati
on
Interdisciplina
ry Log
Bedside Audit
(1/court)
Focus
Charting
(2/court)
Resident
Chart Audit
Care Plan
Audit
(1/court)
Medication
Room
Physical
Restraint
Palliative Care
Audit
(1/court)
RN/LPN
RN
every
shift
D&E
RN
Reporting Month
Sep
Oct
Apr
May
Jun
July
Aug
Nov
Dec
monthly
100
99
100
95.6
97.8
98.8
monthly
98
92
95
95.2
96.8
daily
monthly
96.6
100
95
96.7
RA/LPN
monthly
quarterly
100
100
100
100
Pharmac
ist
Pharmac
ist
annually
annually
100
monthly
annually
Unit
Clerk
RA
quarterl
y
annually
quarterly
98.9
100
98.9
97.8
96.6
95.2
95
85.7
88.7
96.7
96.6
96.7
100
90.3
93.5
100
100
100
100
100
Unit
Clerk
quarterl
y
Unit
Clerk
RN
Pharmac
ist
RA/LPN/
NUC
RN
100
100
97
quarterly
89
100
100
annually
annually
88
quarterl
y
quarterly
100
annually
annually
monthly
quarterly
quarterl
y
annually
Jan
100
Fe
b
10
0
Mar
100
annually
100
91
100
96
√
100
92
100
90
All completed audits are to be submitted to the DON.
99
97
96
100
91
88
94
100
100
93
100
Terrace Court
Annual Report 2012-2013
Over the past year Terrace Court has continued to maintain a high level of service to our Residents and
their families. I am very fortunate to work with such a phenomenal and dedicated Care Team. The staff
of Terrace Court strives to provide quality care with love and compassion despite the many challenges
we still face day to day.
Terrace Court is “Home” to 48 residents who are physically and/or cognitively impaired. We have 39
female residents and 9 male residents. Their ages range from 59 – 102 with an average age of 85. Since
last June, Terrace Court has had 15 deaths, 13 in-house transfers, 1 resident transferred to Hopewell
Court, and 9 admissions. We continue to be very thankful for having the Palliative Care Suite. It is such
a peaceful and comforting space for the residents and their families to spend their last days together.
TERRACE COURT STATISTICS
Level of Care
Currently 46 of our residents require total care with all of their Activities of Daily Living. Of our 48
residents, 33 require 2 staff members to complete their care, 13 residents require 1-2 staff members,
and 2 residents are independent with minimal assistance required.
Ambulation
Thirty-seven residents require the use of a ceiling lift for all transfers. Each ceiling lift transfer requires 2
staff members. Four residents ambulate independently by using walkers, while 7 residents require 2
staff members to assist with supervised transfers. The Rehabilitation LPNs continue to assist with
scheduled daily walks which our residents greatly benefit from.
Back In Form continues to work hard to ensure the safety of our residents and staff during lifts and
transfers. They work on our unit every Wednesday to complete all necessary assessments.
Nutrition
With each meal, 34 residents require total assistance. This includes setting up their trays and feeding
residents three meals per day as well as snacks and supplements. Fourteen residents require assistance
with setting up their trays and need constant supervision and assistance during entire meal.
Breakfast is served at 0730, dinner at 1130 and supper at 1630. During the day, meal times last
approximately 1 ½ hours when fully staffed. Suppertime normally ends around 1745-1800 when fully
staffed.
Pam Clark continues to provide a small lunch group for 20 of our residents throughout the week. Most
of these residents require minimal set-up but need a lot of supervision. This provides an opportunity for
these residents to socialize and enjoy a more peaceful, home-like environment. Pam also assists with
some residents who require total assistance during meal time. We certainly appreciate her help each
day. We also receive assistance from other units. Garden Court sends one staff member to Terrace
Court at 1200 each day to help, and Hopewell sends two staff members to help with supper. All of this
assistance is greatly appreciated.
Elimination
Two residents are continent and take themselves to the bathroom. They also wear the pull up system or
panty liners due to experiencing some incontinence. Forty residents are incontinent and wear
incontinence system, and six residents are toileted and wear either pull- up system or panty-liners. We
have two residents who have colostomies.
Restraints
Forty-four of our residents require the use of some type of restraint. IE: 2 side rails up when in bed, gerichair with table, wheelchair with seat belt and clamshell cover. Four of our residents do not require use
of any type of restraint.
Staffing
0700-1500: 1 RN, 4 LPN’s, 8 RA’s with 2 RA’s working 0730-1330, another working 0800-1600. All staff
members work in teams of two due to heavy workload. The medication LPN has a small assignment of
three residents plus the required LPN duties.
1500-2200: 1 RN, 2 LPN’s and 3 RA’s
2200-0700: 1 RN shared between Terrace and Hopewell Court, 1 LPN and 1 RA.
We continue to feel the impact of the shortage of RNs, and have experienced an increase in workload
and demands within RN role, particularly for the Unit Managers. This has made it increasingly difficult
for the managers to meet requirements of this role. Staffing for LPNs and RAs has been good.
The Clerical Support Workers continue to be an asset as they carry out the day-to-day administrative
duties on the unit. Over the past year we have had some vacancies with this position, and as a result,
the RN managers have taken over the required duties when necessary.
.
TERRACE COURT CARE TEAM
The Terrace Court Care Team is composed of Nursing, Physician, Pastoral Care, Dietary, Housekeeping,
Laundry, Recreation, Maintenance, Rehabilitation, OT, PT, Back In Form, Clerical, Pharmacy, Hairdressing
and Volunteers. Together this team is truly committed to providing “a community of caring people”.
Respectfully submitted,
Gerri-Lynn Stephen, RN, BScN
Unit Manager
Terrace Court Statistics
Nursing Quality Assurance Audits 2012-2013
Audit/
Statistics
Narcotic
Count
Fridge
Temperatur
es
Oxygen
Checklist
Hand
Hygiene
(2/court)
STAT Box
Physician
Order
MAR
Documenta
tion
Interdiscipli
nary Log
Bedside
Audit
(1/court)
Focus
Charting
(2/court)
Resident
Chart Audit
Care Plan
Audit
(1/court)
Medication
Room
Physical
Restraint
Palliative
Care Audit
(1/court)
Auditor
Collected
Reported
RN/LPN
every shift
RN
Reporting Month
Sep
Oct
Nov
Apr
May
Jun
July
Aug
monthly
100
100
100
99
95
100
98
94
96
100
D&E
monthly
100
100
100
98
95
95
97
100
96
95
RN
daily
monthly
100
97
100
97
90
97
100
100
100
97
RA/LPN
monthly
quarterly
100
100
100
100
100
100
100
100
100
100
100
100
Pharmacist
monthly
quarterly
√
√
√
√
√
√
√
√
√
√
√
√
Pharmacist
annually
annually
100
Pharmacist
monthly
annually
Unit Clerk
quarterly
quarterly
RA
annually
annually
Unit Clerk
quarterly
quarterly
Unit Clerk
annually
annually
RN
quarterly
quarterly
Pharmacist
annually
annually
RA/LPN/NU
C
Monthly
quarterly
RN
quarterly
annually
97
97
Dec
Jan
Feb
97
Mar
97
100
100
100
100
100
100
88
100
100
√
98
96
80
100
All completed audits are to be submitted to the DON.
99
99
89
88
100
100
100
92
100
98
97
100
Garden Court
Annual Report 2012-2013
We celebrate the completion of renovations to the plumbing and ventilation systems. This project will
improve air quality for both residents and staff. Garden Court remains a dementia unit, but with
different levels of care and cognition. We still await government’s promise of increased care hours as
workload throughout the Home has increased significantly. Staff members are dedicated and continue
to work with the available resources.
Court Statistics













49 residents – 46 females – 3 males
1 married couple sharing a room
females ranging in age 44-101
males ranging in age 81-90
Average age of resident 85.5 yrs
0 smokers
22 semi private rooms – 5 private rooms
Residents with independent mobility - 13
assisted mobility/1 person or walker - 19
wheelchair/geri-chair dependent - 17
requiring incontinence system - 39
requiring catheter (supra pubic) – 1
MRSA – 0 – active, 1 – prior positive
Education

Fortunately some RNs were trained by Dr. Ashfield to change the supra pubic catheter so the
resident does not have to go to the hospital for routine catheter changes.

Monthly mental health case reviews and wound care meetings allow us to work as a
collaborative team to discuss what is best for our residents.

Weekly and monthly paper in-services for U-First, Rehab, B.I.F, and Health and Safety are
provided. Lawton’s pharmacists also provide education.

Staff preceptor students have come to us from NBCC and Academy of Learning, allowing us to
give back to the community.
Admission and discharge statistics





11 Deaths
12 Admissions
12 Hospital admissions
5 requested transfers off floor
6 transfers to the floor
I am thankful for the Rehab and B.I.F. team. Rehab assists with referrals for pressure-relieving aides,
beds, roho cushions, compression stockings, hearing aids, orthopedic shoes, swallowing assessments,
and wound care advice. B.I.F. provides us with knowledge on how to safely transfer a resident.
As we all know dementia is on the rise with each person affected differently. With flexibility, patience
and understanding, quality care can be achieved.
Respectfully submitted,
Colleen Mabee, RN
Unit Manager
Garden Court Statistics
Nursing Quality Assurance Audits 2012-2013
Reported
Apr
May
Jun
July
Aug
Sep
Oct
Nov
Dec
Narcotic
Count
Fridge
Temperatures
Oxygen
Checklist
Hand Hygiene
(2/court)
STAT Box
RN/LP
N
RN
every shift
monthly
100
100
100
100
100
100
100
100
99
98
D&E
monthly
97
94
88
97
97
98
98
89
95
RN
daily
monthly
97
100
90
100
93.
6
87
96
97
99
90
93
RA/LPN
monthly
quarterly
100
100
0
100
100
100
67
100
100
100
100
100
Pharma
cist
Pharma
cist
Pharma
cist
monthly
quarterly
√
√
√
√
√
√
√
√
√
√
√
√
annually
annually
100
monthly
annually
Unit
Clerk
RA
quarterly
quarterly
annually
annually
Unit
Clerk
quarterly
quarterly
Unit
Clerk
RN
annually
annually
quarterly
quarterly
annually
annually
Monthly
quarterly
quarterly
annually
Physician
Order
MAR
Documentatio
n
Interdisciplinar
y Log
Bedside Audit
(1/court)
Focus
Charting
(2/court)
Resident
Chart Audit
Care Plan
Audit (1/court)
Medication
Room
Physical
Restraint
Palliative Care
Audit (1/court)
Pharma
cist
RA/LPN
/NUC
RN
Reporting Month
100
94
100
Mar
Collected
Feb
Auditor
Jan
Audit/
Statistics
100
100
100
100
88
100
100
100
100
91.
6
100
√
98.
9
97
97
100
97.
6
97.
8
100
99
99.
7
91
98
98
96.
8
Hopewell Court
Annual Report 2012-2013
Hopewell Court is home to twenty-nine (29) residents; they live and share their lives here on the
cognitively-well unit. This has been a challenging year as we have had numerous admissions from the
community; unfortunately, not all have been exceptionally suited for Hopewell Court; however, every
effort has been made to ensure the success of their integration. We have lost five (5) residents since
August 2012. Currently, we have twenty-six (26) women and three (3) men, ranging from 53-98 years of
age. Over the past year we have had three (3) in-house transfers on to the unit and six (6) transfers off
of the unit (mainly due to incompatible admission requirements coupled with managing the work load
on other units. We have had a number of admissions this year due to the completion of the renovation
project for a total of sixteen (16). Criteria for admission to Hopewell Court are an MMSE (mini mental
state examination) with a score of twenty-three (23) or greater out of thirty (30), benefit from the
recreational programs, and some degree of independence. It is challenging to maintain our identity as a
“cognitively-well” unit due to the decline of the cognitively-well in the aging population and the overall
health of the individual upon admission. This year we have admitted more residents with psychiatric
histories, i.e. paranoia, delusional tendencies and schizophrenic/affective disorders.
Level of Care
Over the past year the clientele have become heavier due to the natural decline related to age,
accompanied with the increase of admissions with more physical and psychological disorders. The
population being admitted now is much older and frailer than in the past. Currently, twenty-two (22) of
the twenty-nine (29) require total care with the activities of daily living. Four (4) residents require
assistance only and six (6) require two (2) staff to render care. Nine (9) residents require a mechanical
lift with two (2) staff to get them in and out of bed. Several of our residents have mental health issues
which require patience, understanding, guidance, continuity, and a lot of one-on-one reassurance.
Presently, three (3) residents have a colostomy. Two (2) of our residents are MRSA positive, and five (5)
previous positive cases who were hospital returns, treated and cleared.
Ambulation and General Mobility
Nine (9) residents depend on a mechanical lift for mobility. Five (5) residents ambulate independently,
six (6) residents are mobile with a walker and eighteen (18) utilize a wheelchair, (one of which is
electric). We have fourteen (14) who are able to transfer themselves with a great degree of
independence. Resident mobility rapidly changes from day to day depending on medical conditions and
also psychological states of mind. Currently, we are guided by a least restraint policy, and we have
sixteen (16) who require a restraint. All require two (2) side rails and bed in low position, while nine (9)
require the addition of a seatbelt, and three (3) the addition of a table.
Nutrition
Sixteen (16) residents dine in the main dining room on first floor. Approximately four (4) of these
residents would require some assistance to set up their meals. Six (6) residents receive meals in their
rooms at their request, although some of them do come to the small lounge on the court from time to
time. Three (3) of these residents need their trays set up i.e. open containers cut food as appropriate.
Six (6) residents require close supervision and assistance and therefor dine in the small lounge on the
unit. Four (4) of those dining in the small lounge require hands-on feeding while two (2) require cueing.
This year we do have the addition of a tube feed.
Wounds
Currently we have no major issues with acute wounds. We have two (2) ongoing dressing; one (1) to
coccyx, and one (1) to ankle both of which were present on admission. We have had no need to refer to
Wound Care Committee for these. These two (2) have been followed with EMH and pressure-relieving
devices are being used.
Elimination
Twenty-seven (27) out of the twenty-nine (29) residents use some form of incontinence system.
Fourteen (14) residents are able to toilet themselves. Six (6) residents need staff to toilet them. The
remainder of the residents are not physically able to be toileted. However, their incontinence system
compensates for this. We have varying levels of incontinence. The majority of residents are incontinent
of urine to some degree as some do not realize or have the urge. Others find it difficult to get to the
bathroom on time, and still others have difficulty due to staff availability. Bowel incontinence is
frequent with certain residents as they require nursing interventions; eighteen (18) residents are
independent with bowels as long as they are able to be toileted, either independently or with staff
assist.
Staffing
Currently we have one (1) RN per shift (1 for 7-3, 1 for 3-11). On the seven to three shift (7-3) there are
two (2) LPNs, one of whom is designated to passing medications with the RN; they then assist on the
floor. Of the three (3) RA staff, two (2) work seven to three (7-3), and one (1) works seven to eleven (711). The evening shift consists of one (1) RN, one (1) LPN, and two (2) RAs. The night shift consists of
the split RN and one (1) LPN.
Staff education continues on MRSA and other infection control related topics. They have the
opportunity to attend educational in-services provided by both in-house and outside sources. We have
had education on wound care, palliative care and also mental health and related topics. The LPNs have
broadened their scope of practice by taking on more of a supervisory role, educator, and leader when
registered nurses are unavailable for work. The staff continues to adapt as the residents’ clinical
conditions change due to age, increasing psychiatric population, and the need to have more physically
challenging residents admitted.
Hopewell Care Team
This exceptional team consists of Nursing, Physician, Pastoral Care, Dietary, Environmental Services,
Maintenance, Rehabilitation, (Occupational and Physical therapy), Back in Form, Clerical, Pharmacy,
Recreation, Hairdressing and Volunteers. Outside resources included such as Mental Health Committee,
Wound care Committee along with Podiatry – Together this team is committed to providing quality care
as a “Community of Caring People” and continues to strive to fulfill our mission.
Respectfully submitted by
David Williams, RN
Unit Manager, Hopewell Court
Hopewell Court Statistics
Nursing Quality Assurance Audits 2012-2013
Audit/
Statistics
Auditor
Collected
Reported
Narcotic
Count
Fridge
Temperatures
Oxygen
Checklist
Hand Hygiene
(2/court)
Physician
Order
MAR
Documentatio
n
Interdisciplina
ry Log
Bedside Audit
(1/court)
Focus Charting
(2/court)
Resident Chart
Audit
Care Plan
Audit
(1/court)
Medication
Room
Physical
Restraint
Palliative Care
Audit
(1/court)
RN/LPN
every shift
monthly
RN
D&E
monthly
RN
daily
monthly
RA/LPN
monthly
quarterly
Pharmac
ist
Pharmac
ist
annually
annually
monthly
annually
Unit
Clerk
RA
quarterly
quarterly
annually
annually
Unit
Clerk
Unit
Clerk
RN
quarterly
annually
annually
annually
quarterly
quarterly
May
Jun
July
Aug
Nov
Dec
Jan
98
100
100
97
98.9
98
100
100
91
100
99
98
98
95
96
96.8
97
98
98
96
98
93
96
100
96
96
96.8
97
100
96
96
96
87
100
100
90
100
100
100
100
100
100
100
annually
annually
monthly
quarterly
annually
annually
Feb
100
Mar
100
100
100
97
94
100
100
100
100
100
100
96
100
Pharmac
ist
RA/LPN/
NUC
RN
Reporting Month
Sep
Oct
Apr
96
100
100
√
94
95
99
99
97
95
100
87
92
97
100
93
100
98
100
Consultant Pharmacist – Report 2012
Facility: Rocmaura
Year:: 2012
Clinical Activity
Medication
Reviews/Assessme
nts [number
Timing
On-going
First
Quarter
~150
Residents
Second
Quarter
~150
Residents
Third
Quarter
~150
Residents
Fourth
Quarter
~150
Residents
Updated
on a prn
basis
Updated
on a prn
basis
Updated
on a prn
basis
~150
6
5
2
150
Residents
Calculat
ed and
entered
onto all
the
Residents
profiles
and
printed
on MARs
2
Feb 1stAlzheimer
s
May 7thWellness
Fair with
BP, Blood
glucose
and
cholester
ol testing
July 11thAnxiety
October
21stCardiova
scular/An
gina
6
Total
~600
completed]
Influenza
Preparation:
Creatinine
Clearance
calculation
Medication
Incident Analysis
[number reported and
reviewed]
On-going
Education
Programs
Presented
Quarterly
Focused Drug
reviews
Upon
Request
Drug Utilization
Statistics Provided
Upon
Request
Review STAT Box
Contents
Annual
[MAR and Prescribers
Decemb
er- “SAD”
Seasonal
Affective
Disorder
Date to
be
determin
ed
May 23rdDepressio
n
Upon
Request
Provided
at
Quarterly
P& T
Advisory
Meeting
Upon
Request
Provided
at
Quarterly
P&T
Advisory
Meeting
[review/revise]
Quality Assurance
Evaluations
Documentation
15
Monthly
Annual
Performe
d in May
Upon
Request
Provided
at
Quarterly
P&T
Advisory
Meeting
Upon
Request
Provided
at
Quarterly
P&T
Advisory
Meeting
Orders]
Medication
Storage Room
Annual
STAT Box
Maintenance
Quarterly
Narcotic &
Controlled
Medication
Equipment
Annual
[Upon
Request]
Annual
[Upon
Request]
Reviewe
d
Monthly
Performe
d in June
Reviewed
Monthly
Performe
d in
June
Performe
d in
June
Performe
d in First
Internal Pharmacy
Quarter
Annual
Evaluation
by
[PSS/MGR]
Theresa
Gatien
Were any of the following High Risk Medications in use? [as identified in Accreditation Standards]
Heparin 10,000
No
No
No
No
units/ml x 5ml or
Quarterly
25,000 units/ml
x2ml
Hydromorphone
No
No
No
No
Injection greater
Quarterly
than 2mg/ml
Morphine Injection
No
No
No
No
greater than
Quarterly
15mg/ml
Electrolytes over
No
No
No
No
Quarterly
0.9% [NaCl/KCl/K3PO4]
Meetings Attended
Consultant Yearly
Annual
Planner
Pharmacy &
March
July 4th
Sept 19th
Dec 12th
Therapeutics/Medi
Quarterly 14th
cal Advisory
Detailed summary of quarterly report will be attached if applicable
cc: Store Manager, PSS, DO, Denise Pelrine
Consultant Pharmacist – Report 2013
Facility: Rocmaura
Year:: 2013
Clinical Activity
Medication
Reviews/Assessments [number
Timing
On-going
First Quarter
Second
Quarter
Third
Quarter
Fourth
Quarter
Total
152
completed]
Influenza Preparation:
Creatinine Clearance
calculation
Medication Incident Analysis
[number reported and reviewed]
Education Programs
Presented
Focused Drug reviews
Drug Utilization Statistics
Provided
Review STAT Box Contents
[review/revise]
Quality Assurance
Evaluations
Documentation [MAR and
Prescribers Orders]
Medication Storage Room
As needed
On-going
Monthly
Quarterly
Upon
Request
Upon
Request
Annual
Narcotic & Controlled
Medication
[Upon Request]
[PSS/MGR]
March 6th
Annual
Quarterly
Internal Pharmacy Evaluation
“S.A.D.” January
16th
Heart Health
February 13th
As needed
Annual
STAT Box Maintenance
Equipment
2
Reviewed
Monthly
Annual
Annual
[Upon Request]
Annual
Were any of the following High Risk Medications in use? [as identified in Accreditation Standards]
Heparin 10,000 units/ml x 5ml
No
Quarterly
or 25,000 units/ml x2ml
Hydromorphone Injection
No
Quarterly
greater than 2mg/ml
Morphine Injection greater
No
Quarterly
than 15mg/ml
Electrolytes over 0.9%
No
Quarterly
[NaCl/KCl/K3PO4]
Meetings Attended
Consultant Yearly Planner
Pharmacy &
Therapeutics/Medical
Advisory
Annual
March 6th
Quarterly
Detailed summary of quarterly report will be attached if applicable cc: Store Manager, PSS, DO, Denise Pelrine
Infection Control
Annual Report 2012-2013
Infection
Month
Resp
UTI
Skin
G/I
Eye
Resp
UTI
Skin
G/I
Eye
Resp
UTI
Skin
G/I
Eye
Resp
UTI
Skin
G/I
Eye
A
ILI (Nov-Apr)
Pneumonia
Lower RTI
With Cath
Without Cath
Cellulitis
Soft Tissue
Wound
Norovirus
C Diff
Conjunctivitis
Total
ILI (Nov-Apr)
Pneumonia
Lower RTI
With Cath
Without Cath
Cellulitis
Soft Tissue
Wound
Norovirus
C Diff
Conjunctivitis
Total
ILI (Nov-Apr)
Pneumonia
Lower RTI
With Cath
Without Cath
Cellulitis
Soft Tissue
Wound
Norovirus
C Diff
Conjunctivitis
Total
ILI (Nov-Apr)
Pneumonia
Lower RTI
With Cath
Without Cath
Cellulitis
Soft Tissue
Wound
Norovirus
C Diff
Conjunctivitis
Total
Apr-Jun
M
J
Trinity
Jul-Sept
J
A
S
O
Oct-Dec
N
D
J
Jan-Mar
F
M
1
1
1
1
1
1
1
0
0
0
1
Terrace
1
1
1
1
1
1
1
1
2
3
2
0
4
0
2
1
2
14
1
5
4
1
1
0
2
1
1
2
1
6
2
2
4
Garden
1
2
1
2
1
1
2
3
4
1
1
1
5
20
4
2
2
1
2
2
1
1
1
1
2
1
4
1
1
2
0
Hopewell
6
7
1
1
1
2
3
0
1
1
1
2
10
1
3
1
1
1
4
1
1
2
1
1
1
0
0
1
1
5
2
2
4
2
1
2
0
22
Medication Reconciliation - Audits 2012-2013
Months
Total # of
admission in
3 months
Total # of
med rec
completed 3
months
Total # of
hospital
returns in 3
months
Total # of
med rec
completed on
hospital
returns in 3
months
Medication Reconciliation Completion
April-June July-Sept Oct-Dec Jan-Mar
Total
11
6
18
5
40
11
7
18
5
40
5
7
1
6
19
5
7
1
6
19
Intentional Discrepancies
Total # of
intentional
discrepancies
(intentional
medication
changes)
Total # of
undocument
ed
intentional
discrepancies
(intentional
medication
change
without
documented
rational)
53
20
15
11
99
0
2
0
0
0
Unintentional Discrepancies
Total # of
unintentional
discrepancies
(medication
errors)
0
0
0
Comments
Follow Up
0
0
Hand Hygiene Audit 2012-2013
Reported
Apr/12
May/12
Jun/12
July/12
Nov/12
Dec/12
Jan/13
Feb/13
Mar/13
Nursing:
Terrace Court
Trinity Court
Garden Court
Hopewell Court
Administration
RA/LPN
2/month
monthly
100
100
100
100
100
100
100
100
100
100
100
100
RA/LPN
RA/LPN
RA/LPN
with
H&S
any staff
manager
2/month
2/month
2/month
1/quarter
monthly
monthly
monthly
quarterly
100
100
100
100
100
100
100
100
0
90
100
100
100
?
100
100
100
100
100
100
100
100
67
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
1/month
1/month
monthly
monthly
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
Any staff
Rec staff
1/month
1/quarter
monthly
quarterly
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
Dietary
Laundry/
Maintenance
Recreation
Volunteers
Reporting Month
All completed audits are to be submitted to the DON.
Feb Garden 2 incidents of washing < 15sec.
Oct/12
Collected
Sept /12
Auditor
Aug/12
Audit/
Statistics
Licensed Practical Nurse with Enhanced Training to Support
Rehabilitation Programs
Annual Report 2012-2013
The Rehabilitation Licensed Practical Nurse (Rehab LPN, provide rehab support for our residents under
the direction and coordination of the Extra Mural Program (E.M.P.) professionals.
The Rehab Team is an integral part of the nursing care team. The team has proven to be a valuable
resource particularly in regard to wound care and treatment, mobility, seating, and the safety of our
residents.
As the Rehab LPNs are now involved in the pre-admission process, they recently developed a “Rehab
Admission Checklist” to be utilized on resident admission. This tool is designed to ensure the
resident/family/P.O.A. is aware of the function of the Rehab LPN and to gather information about the
resident re; their abilities, needs, and equipment.
Presently the team is expanding the “Rehab Services Check Sheet” tool which is used to record daily
participation in rehab activities. The new version will include more detailed documentation of what
therapy the resident is receiving and a record of the resident’s progress. It is designed to; assist in the
promotion of resident participation, encourage staff to play a more active role in Rehab treatments and
accountability. It is the Rehab LPNs’ hope that this tool will help to improve the quality of life for those
we serve.
Members of the team continue to chair the bi-annual Rehab LPN meetings open to all Rehab LPNs in the
province. They continue to set standards, to which other Rehab LPNs across the province strive to meet.
Presently the Rehab LPNs are involved with the following committees:
o Infection Prevention & Control
o Wound Care
o Wellness
o Health & Safety
o Modular Care
During the past year the Rehab LPNs have:
 Organized, hosted, and attended (along with 20 other Rehab LPNs from across the province) an
education course; Restorative Care Education and Training (RCET) and received certification in RCET
from Western University’s Activity & Aging center.
 Revised Rocmaura’s Wound Care Protocols to ensure they are “user friendly”
 Developed a “Rehab Admission Checklist”
 Assisted training a LPN from another facility by guiding her through the Practical Component of the
course
 Attended A.G.M. trade show in Moncton on May 09, 2013
 Attended numerous in-services including:
o Pressure Relief Devices & Mobility Equipment (Medichair)
o Personality Disorders (Mental Health)
o Ethics & Behavior (Mission @ Rocmaura)
o Resident Autonomy (Tracy Scott)
 Interacted daily with an average of 15 residents to provide specialized rehab care. These numbers
frequently change depending on needs
 Rehabilitated a resident with a broken hip back to ambulating with a walker
 Acquired many custom wheelchairs with the assistance of the EMP Occupational Therapist (O.T.),
Red Cross, and Easter Seals as well as, through donation
 Utilized Rocmaura Least Restraint Policy. We assist nursing staff to determine the appropriate least
restraint interventions for our residents at risk of falls
 Advocated for residents who cannot do so for themselves regarding their needs etc. through
contributing to interdisciplinary and care plan meetings when necessary
The Rehab LPN duties include:





















Collect/Respond to LPN Rehab Referral Forms
Chart on residents receiving Rehab care (monthly)
Chart in Interdisciplinary notes when appropriate
Initiate/complete Extra Mural Hospital (EMH) referrals
Obtain family consent for EMH consults
Prior to EMH consult/intervention, may introduce equipment, provide suggestions for care,
adjust seating, or make modifications in equipment
Coordinate care of residents with EMH professionals and accompany EMH professionals when
they are in the facility
Monitor /observe the effectiveness of prescribed equipment
Monthly check of orthotics, specialty beds, mattresses, wheelchairs, geriatric chairs
Frequently monitor positioning of resident to ensure that all equipment serves its intended
purpose
Contact resident families to obtain needed items not provided by NHS or other means when
needed and/or to provide education in regard to Rehab Care
Coordinate care and involvement of varied Private professionals, I.e. Private O.T. (Occupational
Therapist), P.T. (Physiotherapist), Orthotics’ professionals etc…
Perform weekly Hearing Aid cleaning and maintenance for 13 residents
Obtain from appropriate services/companies equipment needed to fulfill duties and provide
necessary equipment for residents.
Obtain professional services for those residents with special circulatory/foot care needs. I.e.
Compression stockings or orthopedic foot wear
Maintain a complete inventory and catalogue of residents’ personal rehab equipment as well as,
in house equipment
Label all wheelchairs, geriatric chairs, and walkers to ensure the appropriate equipment is being
utilized and to eliminate equipment loss
Provide Housekeeping Manager and Supervisor with information regarding equipment so they
may complete their requirements related to same. I.e. safety checks and cleaning
Adjust and/or perform minor repairs on all rehab equipment i.e. wheelchairs, walkers, specialty
cushions, pressure relief devices etc.
Upon residents’ admission, discharge, demise, change in condition or change in equipment
needs, Rehab LPN is required to:
o Contact the family members regarding equipment donations
o Notify appropriate personnel of any changes
o Return any equipment on loan to the appropriate company
Provide educational in-services to staff delivered on a monthly basis




Post “Rehab Reminders” at resident bedside to ensure staff awareness of rehab
equipment/needs to be implemented into daily care
Provide Nursing Unit Clerks with necessary information related to Rehabilitation for residents
care plans
Meet with sales representatives and acquire equipment on a trial basis to evaluate its
appropriateness for use in our Nursing Home
When Rehab equipment is purchased, Rehab LPN assists in the development of the Policies and
Procedures for its proper use and care
Goals:
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Remain actively involved in wound care management committee
Provide educational in-services to staff
Acquire continuing education specifically aimed at assisting us in the rehabilitation care of
residents
Complete and implement the “Rehab Services Check Sheet”
Continue to advocate for our residents particularly in regard to:
o Rocmaura’s Least Restraint Policy
o Encouraging staff involvement in maintaining residents’ present level of
independence
Respectfully Submitted,
Paula Breen
Rehab L.P.N.
Back In Form
Annual Report 2012-2013
Back in Form: (BIF) Manual Handling Program designed by WorksafeNB which is made up of 2
components; Lift and Transfers for the residents and Manual Handling of materials. The program was
implemented to assist staff in safe work practices.
We are regularly called upon to:
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Assist in identifying and assessing injury risks for all job descriptions throughout the nursing
home when needed and to assist in problem-solving when challenging situations arise
Review Health and Safety reports pertinent to BIF and intervene when necessary
Write and review policies and procedures pertaining to BIF
Meet with sales representatives from various companies and acquire equipment on a trial basis
and evaluate appropriateness for use in our Nursing Home
Collaborate with sales representatives to determine equipment needs and prevent shortages of
equipment
Collaborate with the Ergonomic Consultant from WorksafeNB to problem-solve many ergonomic
issues throughout the home
Guide staff on safe work practices, when they have returned to work following an injury.
Assess residents for proper sling size, and appropriate lift and transfer, to be utilized by staff for
mobility
We pride ourselves in continually educating staff through:
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Teaching warm-up and stretch routine to staff in all departments on a regular basis
Teaching lift and transfer techniques to newly employed nursing staff
Teaching employees proper manual handling techniques when necessary
Teaching students the warm-up and stretch routines and safe work practices utilizing BIF as
needed
Providing education to staff through “Move of a Month” and “Safety Talks”, which are
documents circulated monthly, and are required to be reviewed and signed by staff
Providing education on new equipment when purchased
In an effort to maintain resident safety, we attempt to involve staff, residents and family in the BIF
process by communicating with:
 Family members re need for and purchase of specialized equipment that will improve the safety
and quality of life of their loved one, when needed
 Staff by frequently recording information and changes on resident’s charts as well as post
updated “pictograms” at bedside
BIF continuing education includes:
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Attend BIF Coordinators quarterly meetings
Maintain Back in Form re-certification requirements
Part of BIF’s duties is to collaborate with in-house committees and departments:
 Health & Safety Committee
 U-First!
 Rehab L.P.N.
Goal: Our goal is the safety of the staff and residents. We strive to accomplish this through continuous
education with the staff by teaching proper lift and transfers according to our protocols for all
departments. Resident safety is accomplished with assessments upon admission and updated with
condition changes. We will work with representatives from medical supply companies to trial
equipment to improve our working conditions and help decrease accidents in the workplace. We will
continue to problem-solve when challenging situations arise and educate staff on safe work practices to
help reduce injuries in our work place.
Goal: Our goal is to continue to assist in the reduction of injuries to staff and “cost of claims” in
compensation through proactive intervention and education.
Respectfully Submitted,
Debbie Ouellette, BIF Coordinator
Kammi Walsh BIF, Coordinator
Wellness Committee
Annual Report 2012-2013
Our Mission Declaration
“We, at Rocmaura, are dedicated to enhancing the lives and improving the health of our
employees. We will endeavor to provide education and activities that will encourage
our employees and their families to adopt a lifestyle aimed at achieving and maintaining
physical, mental and spiritual well-being at home, work and play.”
Our activities are strongly supported by the management team, who assist by having several
representatives on the committee (including the Executive Director), providing staff the time to
participate during work hours and promote involvement in activities by participating themselves. The
Board of Directors fully supports our efforts, so much so that our Strategic plan has a pillar dedicated to
“Valued Employees”. The Wellness committee is integral to accomplishing the goals of this pillar.
Our committee has been in place and successfully working for many years. Each year we review our
program and determine our path for the coming year. This past year the Wellness committee has
centered its efforts on improved communication of all Wellness initiatives to ensure we were reaching
everyone.
To accomplish this goal we have:
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Developed an in-house Wellness Logo (see above)
Developed a Brochure for Wellness. This provides employees an overview our Wellness
purpose and how to access all the programs and information they may need to assist them in
becoming healthy and well in all aspects of their lives.
Added to the distribution of Wellness information methods including all notices of events, yearly
calendar of events, agenda & minutes of meetings, and our newsletter via utilization of e-mail,
through notices on paystubs and through “StaffScheduleCare” as well as posting throughout the
Nursing Home
The information distributed includes:
o Yearly Wellness Events Calendar which highlights monthly events and health
promotions,
o Notices regarding Wellness activities/events/initiatives,
o Rocmaura Quarterly Newsletter which continues to be very popular. It is compiled of
information about our staff such as births, condolences, congratulations for successes &
accomplishments, and upcoming events. It also contains a variety of information on
mental health, recipes, safety, exercise benefits, immunizations etc…,
o Ceridian-Lifeworks Newsletters,
o NBANH Monthly Features & Wellness initiatives
o Wellness is a standing item on the Joint Health & Safety Committee agenda
Began to work on having a section of Rocmaura’s website and Facebook page dedicated to
Wellness, where employees can access all Wellness materials noted above
Our committee has recently focused on the active promotion through in-services of the NBANH Health
and Wellness program: PEP (Priority Engagement Possibility) as well as Ceridian-Lifeworks. This
partnership helps to provide many avenues toward living a healthy lifestyle and more. Information on
the smoking cessation program, financial counseling, legal counseling, assistance with writing a Will,
healthy meal planning and recipes, child care, education information, exercise, diabetes, arthritis,
harassment information, advice on winter safety and various forms of counseling are just a few of the
programs this resource provides. The Wellness team actively encourages Rocmaura staff and their
families to utilize the resources provided through this program particularly when not in a crisis situation.
Wellness Initiated In-services/education:
o Breast Health - Canadian Cancer Society
o Heart & Health – Heart & Stroke Foundation
o Numerous in-services provided through a partnership with Lawton’s Drugs that have
focused on medication, drug allergies, addictions, and Seasonal Affective Disorder (SAD)
o Education on mental health – provided by our Community Mental Health Nurse
o Wellness Van - Heart & Stroke Foundation
o Free Neck and Shoulder Massages - Compu College students
o Availability of our in-house dietician for consultations on diet and nutrition information
o Ceridian LifeWorks Account Manager presented the program at an in-service in March.
o Wellness Champions and other committee members attended the Wellness Workshop
at Enterprise Saint John presented by the Heart and Stroke Foundation.
Areas of Wellness Committee involvement:
o Active participation in the promotion of our Health and Safety committee. During
Health & Safety week we sponsor a Wellness day with an Audiology, BP and Glucose
monitoring clinic.
o During Fire Prevention week – we donate prizes for attending education on fire safety
through the week.
o Infection Prevention & Control (I.P.C.) week -we donate prizes for attending education
sessions and promote getting the “flu vaccine”
o Staff Appreciation week – we donate a “Wellness” basket to encourage participation in
activities.
o Rocmaura 40th Anniversary initial planning – we attended meetings, organized a staff
group photo & hope to be involved in a future celebration video, all in an effort to make
staff work life a positive experience.
o A Wellness Committee Member sits on the “Founding Spirit Committee” which is a pillar
of Rocmaura’s strategic plan. This promotes collaboration and support within another
process to promote and value employees.
o Strategic Plan, Valued Employees -providing staff and volunteers with education to
improve their own personal development is a goal of our 4-year Education Plan.
o Our Mission/Ethics Department sends out monthly Mission Themes with wonderful
inspirational art and reflections for employees to embrace. This department also
supports employees who are in need of guidance or are in crisis.
Extremely Successful Activities sponsored by Wellness this past year include:
 Friday Casual days Fundraiser. (Any events our committee implements come at a
cost and since we do not have a “budget” we occasionally hold fund raising events)
 June (1st day of summer) Dilly Bars
 July Beach Party held in our courtyard
 August School Supply Campaign to promote giving to others/Community
involvement
 Various BBQ’s
 Fall Corn Boil
 Children’s Halloween Party
 “Deck the Halls” providing of treats for staff
 Christmas baking Exchange
 Santa Pictures
 Monthly “Soup & Salad” - Cost - 5 minutes of physical activity. Possible only due to
the tremendous help of Rocmaura dietary staff
 Spring Basket Draw – entered if involved in volunteering (Community service)
 Weight Loss Support Group
 Promotion of NBANH Monthly Feature
 Promoting and participating in the NBANH PEP walk challenge
 Presently attempting to acquire discounted Gym fee for staff
Participation in all activities, treats, lunches etc… are encouraged/provided for the evening and night
staff in the facility. It is important that staff members who do not work regular hours be included in all
of Rocmaura family Wellness activities.
Recently, three of our committee members attended two workshops in Moncton. One provided by the
Heart & Stroke Foundation focusing on successful Workplace Wellness Programs. The second, “Mental
Fitness in the Workplace: An Approach to Promoting Psychological Wellness”, provided by the New
Brunswick Workplace Wellness Community of Practice.
As demonstrated there is a lot happening to promote wellness. But we know we can’t do it alone or
without support. At Rocmaura we see ourselves as part of a larger community of people. We reach
outside our doors to bring people to us in many forms including as presenters of Wellness initiatives and
material, providers of wellness services including the use of our local colleges, university, pharmacy, and
professionals in Mental Health, Nutrition, and Physical well-being.
We also go outside to partner with those who need our assistance both professionally and monetarily.
A new initiative last year was our partnership with a local school whose students needed school
supplies; this will be a yearly partnership that we are hoping will evolve into something beneficial to the
students of the school and our residents while promoting the goodness of “Giving to those in need”.
Also, this year we are working on finding out how our staff members contribute to the larger community
through Volunteerism; it is our wish to recognize them for their good works.
The people of our home see the Wellness Committee’s work as important to staff, residents, families,
and the organization as a whole as well as the larger community. Regular planning and participation are
keystones to keeping the program alive and well and all of us keep our hand in to ensure it continues.
It must be mentioned that the committee’s activities throughout the year have costs associated with
them so we are active in fundraising. All staff and managers participate in numerous activities to
support the program such as Jean day, Jean week, special meals, sales of items and soliciting items for
the committee’s use. It takes the whole Rocmaura Community of Caring People!
Our Goals:
1. Provide fun filled and informative activities that promote a healthy lifestyle both at work and at
home for staff and their families.
2. Improve staff morale and mental health.
3. Encourage staff to utilize Ceridian Lifeworks (EFAP) resources even when not in crisis situations.
4. Encourage that healthy choices be provided in the vending machines within the facility.
5. Encourage healthy food is provided to staff at “Wellness” meals and snacks held within the
facility.
Respectfully submitted,
Paula Breen
Chairperson
Rocmaura Wellness Committee
Resident Council
Annual Report 2012-2013
Family Council began meeting in October 2011. Members meet on the 4th Wednesday of the month in
the Recreation Room from 6:30 to 8:00 p.m. We have anywhere from two to eight members attending
each meeting. The agenda consists of an update from our Executive Director, Foundation news,
Department review, round table and items that are occurring daily in our home.
The Council developed a Vision, Mission, Goals and Terms of Reference. A copy of the Family Council
Brochure is presented to all new families at the pre-admission meeting. As well, the brochures are
circulated throughout the home for people to pick up.
During the meeting if questions or suggestions are made, a “Family Council Question/Form” is
completed and circulated to the appropriate department. The Manager responds to the
question/suggestion prior to the next Council meeting, and the response is reviewed at the meeting.
The Council, working with Management and staff, has made some positive changes over the past two
years. Below is a list of projects Council has been involved in: bulletin board management, website
updated, adaptive clothing assessment tool, Facebook, seating for staff to feed residents at meal time,
wearing of staff nametags, transition meeting when residents move to a new Court, In Memory Frame
at entrance, memorial services, brochure for Norwalk/outbreak management for families.
The Council has been an excellent working group as they continue to assist management and staff to
improve the quality of life for the residents of Rocmaura.
Respectfully Submitted,
Pamela Clark
Manager of Recreation and Volunteer Services