Residential Homes

Policy

Category: Control of Infectious Diseases
Subject: Residential Homes
Division: Health Protection
Policy Number: CA.82.01.103 
Effective Date: October 1, 2015

POLICY STATEMENT

Residential group homes are not routinely inspected by Wellington-Dufferin-Guelph Public Health (WDGPH).  However, inspections of infection control practices will be done in the event of a complaint.  Kitchens preparing food for more than nine residents will continue to be inspected based on their food safety risk assessment.

Control of Infectious Diseases (CID) Public Health Inspectors (PHIs) and Public Health Nurses (PHNs) will continue to provide guidance and education upon request, and also during outbreaks.

SCOPE

This policy applies to all WDGPH employees working on the Control of Infectious Diseases (CID) program.

DEFINITIONS

Group Home – A small supervised residential facility (often a private home in a residential neighbourhood) which provides lodging and care to a small group of people with special needs.

REFERENCES AND RELATED FORMS, POLICIES AND PROCEDURES

Corresponding Procedure:  CA.82.02.103 Residential Homes
CA.50.01.101 and CA.50.02.101 Documentation Practices
Health Protection and Promotion Act

Infection Prevention and Control Practices Complaint Protocol (as current)
Institutional/Facility Outbreak Prevention and Control Protocol (as current)
A Guide to the Control of Respiratory Outbreaks in Long-Term Care Homes (MOHLTC, as current)
Control of Gastroenteritis Outbreaks in Long-Term Care Homes (MOHLTC, as current)
Food Safety Protocol (as current)
Food Premises Regulation (O. Reg 562)
Hedgehog Processes and Procedures: Inspector/PHN Role (2014)

CONTACT FOR INQUIRIES

Manager, Control of Infectious Diseases and Tuberculosis 

APPROVED BY

Director, Health Protection 


Procedure

Category: Control of Infectious Diseases
Subject: Residential Homes
Division: Health Protection
Procedure Number: CA.82.02.103
Effective Date: October 1, 2015

PROCEDURE

  1. Infection control inspections of residential homes will be conducted after a complaint is received or upon notification from the facility they are experiencing an outbreak.
  2. Inspections requested by the facility during an outbreak may be scheduled in advance with the program administrator in order to minimize disruption to residents. The administrator must agree not to share the date and time of the inspection with any other staff or residents. A complaint inspection must be done unannounced.
  3. During an outbreak investigation, Wellington-Dufferin-Guelph Public Health (WDGPH) employees will assist with outbreak management by recommending control measures, supplying test kits, and facilitating transport of specimens to the lab when assistance is needed.
  4. All inspection documentation shall be electronically completed as per internal policies and procedures regarding documentation. Outbreak management should be recorded in iPHIS, Hedgehog, and Excelicare, and documented according to discipline, organizational and program policies.

RESPONSIBILITIES

Management will:

  • Ensure employees have received appropriate orientation to the program, Hedgehog, and food safety inspections in institutions prior to doing solo inspections;
  • Ensure inspection employees are trained on Hedgehog and report writing requirements for quality assurance;
  • Have equipment necessary to complete a thorough and safe inspection of each food premise: hair nets, thermometer, goggles, test strips, and Hedgehog tablet; and
  • Ensure employees have reviewed and understand all organizational policies related to their personal health and safety, documentation, and client privacy.

Staff will:

  • Be familiar with the Health Protection and Promotion Act, the Ontario Food Regulation (O. Reg. 562), the Food Safety Protocol, and organizational policies related to food safety inspections, Hedgehog report writing, health and safety, documentation, and privacy; and
  • Wear, carry, and/or check regularly for expiry and/or function: closed toe shoes, Hedgehog tablet, disinfectant test strips, thermometer, hair nets, and safety goggles.

DEFINITIONS

Outbreak – A greater than expected number of cases that are spatially and temporally linked.

REFERENCES AND RELATED FORMS, POLICIES AND PROCEDURES

Corresponding Policy CA.82.01.103 Residential Homes
CA.50.01.101 and CA.50.02.101 Documentation Practices
Risk Assessment and Inspection of Facilities Protocol (as current)
Health Protection and Promotion Act
Food Safety Protocol (as current)
Food Premises Regulation (O. Reg 562)
Infection Prevention and Control Practices Complaint Protocol (as current)
Institutional/Facility Outbreak Prevention and Control Protocol (as current)
Infection Prevention and Control in Licensed Day Nurseries Protocol (as current)
A Guide to the Control of Respiratory Outbreaks in Long-Term Care Homes (MOHLTC, as current)
Control of Gastroenteritis Outbreaks in Long-Term Care Homes (MOHLTC, as current)
Hedgehog Processes and Procedures: Inspector/PHN Role (2014)

CONTACT FOR INQUIRIES

Manager, Control of Infectious Diseases and Tuberculosis

APPROVED BY

Director, Health Protection