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
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