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 Information Updates

July 11: We are pleased to advise that effective July 11, in consultation with Peel Public Health, the Camilla Care Community COVID-19 outbreak has been declared over. It has now been 18 days since the last resident tested positive, and 16 days since the last staff member tested positive. A total of 2 residents and 6 staff tested positive for COVID-19 during the outbreak period.

This is positive progress and with it, we will remain vigilant in protecting residents and staff by continuing to follow these precautions to reduce the risk of spreading COVID-19:

• Active screening at the entrance.
• Team members have their temperatures taken twice per day.
• Vigilant health monitoring of all residents including temperatures twice per day.
• Residents are restricted from leaving the home other than for critical treatment.
• Anyone returning from hospital is tested prior to return and is in isolation for 14 days.
• Staff will continue to wear appropriate personal protective equipment.

The outbreak being declared over means residents are no longer required to stay in their rooms and they can go to common rooms or the outdoor garden while keeping a physical distance from other residents. We are working with Peel Public Health to resume activities and expand use of shared spaces and will update families when possible.
For residents who were moved as a result of the outbreak, we are working on a plan to move residents back to their room or to a new permanent room as soon as possible and will keep you updated.

Resuming in-person visits at Camilla

With the outbreak declared over, we are implementing a phased approach to resuming in-person visits. As part of the first phase, families can now schedule in-person, outdoor 30 minute visits with their loved one. In-person outdoor visits will begin Monday, July 13 in the afternoon. As families, you play a critical role in the health and well-being of residents, but as we begin to open up the home to visitors, we must do so safely. Based on guidelines set out by the Ministry of Long-Term Care, each visitor are asked to do the following:

Get a COVID-19 test in the last 2 weeks (and not test positive). You can get your COVID-19 test at a Trillium Health Partners site that can be found here or search for one closest to you here. You will not be asked to provide documentation of a test, but when entering the building you will be asked to attest that you have received a negative test in the last 2 weeks.

• Upon arrival to Camilla, you will be asked a series of screening questions by home staff, as well as have your temperature taken.


c) Comply with long-term care home infection, prevention and control (IPAC) protocols, including proper use of face cover or masks.

• Visitors should use a face covering if the visit is outdoors. The mask or face cover may not be removed while visiting residents.
• Visitors are responsible for bringing their own face covering for outside visits, however if you do not have one, we will supply you with one.
• Any non-adherence to these rules will be the basis for discontinuation of visits.

More information on the Ontario government requirements are on their website here.

Visiting at Camilla Care Community will be implemented as part of a phased in approach with Phase 1 effective July 13. See details below.


Type of Visit:

Camilla has created a dedicated, protected area in the garden where visitors can meet with loved ones, while maintaining physical distance. Staff will support the transfer of residents out of and into the home.
Outdoor visiting only as weather permits. In case of heat or inclement weather, we will notify in the morning for visits that day and reschedule.

Number of Visitors* Allowed

One visitor at a time per resident, visitor must be 18 years or older.

• Visitor is defined as any family member, close friend or neighbour. This is not restricted to Powers of Attorney/Substitute Decision Makers
• Residents have the right to decline a visit.

Scheduling of Visits Required

Scheduled visits are required to ensure each resident has the opportunity to see their loved ones, and to allow for appropriate physical distancing and staffing coverage.
Time-limited visits allow the staff at the home to accommodate more families/visitors. Please plan to arrive 10 minutes before your scheduled time to allow for COVID-19 screening.

How to Schedule

 

Call 905-270-0411 ext 242 or Camilla.connects@siennaliving.ca
You will be contacted within 48 hours.

Visiting Days and Hours

7 days per week at varying times to accommodate all family schedules, mornings, afternoons and evening spots

Visit Length

30 minutes
*Arrive 10 minutes early for scheduled visit to allow for screening.

When you arrive:

• We are reserving parking spots near the front door to accommodate easy access and please enter via the side gate (the Hurontario Street side).
• Please arrive 10 minutes ahead of your visit.
• These 10 minutes will be used to meet with the greeter for screening, education and signing of the Family Visiting Acknowledgement Form attesting the visitor has tested negative for COVID-19 in the last 2 weeks.
• Your loved one will be brought to the designated visiting area to meet you.
• The remaining 30 minutes of your visit will be to reconnect with your loved one.

During the visit:

• Please wear a face covering or mask at all times.
• Follow hand hygiene (handwashing or use of hand sanitizer) procedures. Complete when entering/leaving the designated visiting location.
• Staff will escort you to the designated visiting location if required.
• Please do not share any food or beverages, or share any items direct with your loved ones. If you would like to leave a personal item for a family member, we ask you follow the standard process of giving to the front desk in a Tupperware so that it can be cleaned.
• Always keep minimum distance of six feet from others, including your loved one – we recognize this will be difficult, but it is for the safety of your loved one and other residents.
• Please ensure your visit ends on time to allow for cleaning and the next scheduled visit to begin on time.

Our goal is that every resident who would like to have an in-person visit will be able to do so in the first week. We will constantly re-evaluate how we are supporting residents and families in connecting and will make improvements based on your feedback and public health guidelines.
Virtual visits and window visits will remain available 7 days a week for those who are unable to visit in-person. To schedule a virtual visit, a call or a window visit, contact: Call 905-270-0411 ext 242 or Camilla.connects@siennaliving.ca.
Thank you for your continued support and patience. As always, you can send a message to: CamillaCareSupport@thp.ca with feedback, questions or concerns. 

July 3 - In addition to the recently enhanced virtual visit program, as an interim solution to in-person visits, residents and families are welcome to schedule window visits. We will make every effort to extend this beyond special occasions. However, we do not know the level of interest this will generate, so we ask for your patience while we do our best to coordinate requests. To book a virtual visit or a window visit, please contact: camilla.connects@siennaliving.ca or 905-270-0411 extension 242.

Virtual visits have now been expanded – this means that all family members, can now schedule a phone call or video visit with their loved one at Camilla.

To book your visit please call 905-270-0411 ext 242 or email Camilla.connects@siennaliving.ca – someone from the Camilla team will respond to your request within 48hrs.

Virtual visits will be scheduled Monday – Friday, 10:00 a.m. – 7:30 p.m., with limited spaces on the weekends.

As a result of Trillium Health Partners (THP) concerns related to abuse, neglect, incompetent care and questionable deaths and current investigations underway, and with input from the Camilla Acting Executive Director, Sienna Senior Living (Sienna) and the Ministry of Long-Term Care, THP has decided to oversee and direct a formal and comprehensive structured quality review in collaboration and cooperation with Sienna.

The purpose of the review is to systematically check the quality of care received by each resident at Camilla between December 1, 2019 and May 31, 2020. The review team, led by THP, will include Dr. Evelyn Williams, an external reviewer, along with physicians and nurses from outside of Sienna.

Dr. Williams has expertise in leading quality improvement in long-term care in Ontario and is the medical services coordinator for the 10 City of Toronto long-term care homes, Past-President of the Ontario Long Term Care Clinicians, and is an associate professor in the Department of Family and Community Medicine at the University of Toronto.

The structured quality review will begin in July and will be completed within 90 days. Before accessing the residents’ personal health information necessary to complete this review and any related investigations, we are seeking the consent of residents, their SDMs or the Executors of the estate. If you are the SDM/Executor for a Camilla resident and have not heard from THP regarding consent, please contact CamillaCareSupport@thp.ca.

Since THP assumed the role of temporary manager, a number of measures have been put in place to protect resident safety, including additional clinical and leadership oversight roles, enhanced infection control measures and ongoing training of current staff. In addition, THP clinical staff and physicians completed a medical and wellness assessment on each resident and updated individual care plans.

The structured quality review will provide further confidence to THP leadership and Sienna that any systemic quality and/or performance issues at the home are identified and addressed. During the course of the review, THP will immediately share any findings related to a specific resident with that individual or their Substitute Decision Maker/Executor. Once the review is complete, a summary of findings will be shared with residents, families, Camilla team members and the MLTC.

As part of our quality review and based on feedback from families on the need to have a trusted, anonymous way to raise concerns, THP is making its confidential reporting system available to staff, residents and families of Camilla for a period of two weeks, from July 10 to July 23, 2020. This reporting system, managed by a third party, can be used to report past and/or present concerns related to care and safety of residents, mistreatment of staff, or any other issues you deem to be inappropriate. Reports can be made online at www.clearviewconnects.com or via phone 1-866-999-8311.

Effective May 31, 2020 the following temporary Camilla Care Community Management Team is in place:

Stephanie Joyce
, Vice-President, Patient Care Services is the THP executive now accountable for the Camilla Care Community. Stephanie is an Occupational Therapist by training, and has 14 years of leadership experience in British Columbia and Ontario, including leading many programs that focus on caring for seniors.

Tracy Richardson, new Acting Executive Director. Tracy is a Nurse by background and has over 13 years in Long-Term Care leadership, including as an Executive Director and as a Ministry Inspector with the Province of Ontario. Tracy will report directly to Stephanie. Two new Acting Directors of Care have been appointed, Sylwia Klimek and Sheryl Papp. They report to Tracy.

Dr. Tamara Wallington, new Acting Medical Director. Dr. Wallington is currently the Chief and Medical Director of Primary Care, Rehabilitation, Complex Continuing Care, Palliative Care and Senior Services with THP.

June 18, 2020

Currently there are three active investigations at Camilla Care Community related to allegations of abuse, neglect and mistreatment. These allegations are being investigated by Peel Regional Police, the Ministry of Long-Term Care and Benard and Associates, a third party who will report findings to Trillium Health Partners (THP).

The initial investigations were related to allegations concerning three residents. At the time, 4 Camilla staff and one THP employee were placed on leave. The THP employee was placed on a leave while the third party investigation reviews the escalation process of this incident.

On June 17, 2020, THP was made aware of new allegations of abuse and neglect at Camilla by the Ministry of Long-term Care inspectors and through incidents being reported directly to us from families. In THP’s role of providing temporary oversight and management of Camilla, we have notified the impacted families and residents, Peel Regional Police, and the Office of the Chief Coroner of Ontario.

Previously the allegations were related to the care of three residents. As a result of this new information from the Ministry there is an additional 11 residents, and two residents through complaints sent directly to us. There are now a total of 16 potentially impacted residents. THP clinicians completed in-depth medical and wellbeing assessments on all residents between June 2 and 3, 2020 and over the next 24 hours THP clinicians will complete additional assessments on the new potentially impacted residents.  

Following an initial review as a result of these new allegations one staff person from Camilla has been placed on a leave of absence, and one agency employee has been restricted from working providing care at Camilla or other Sienna Senior Living homes. There is now a total of five Camilla staff, one THP employee and one agency employee who will not work at Camilla until appropriate investigations are complete. The THP investigations underway will now be expanded to address these recent allegations.

These allegations are deeply concerning, anyone with information is being asked to come forward. You can share concerns anonymously through the Ministry’s Long-term Care Action Line (1-866-434-0144). 

July 9, 2020 – Investigation Update

We launched an investigation around allegations of abuse on May 31, 2020, conducted by a third party investigator Benard & Associates. The investigation substantiated allegations of abuse against three residents. Sienna has taken a number of steps, including staff changes. These allegations were also reported to the Ministry of Long-Term Care (MLTC) and Peel Regional Police. Benard & Associates continue their investigation related to the third allegation of resident abuse. We will share the findings on the final areas of investigation when available.

Unreported Respiratory Outbreak – July 9, 2020

We have confirmed several instances between December 2019 and March 2020 of potential respiratory outbreaks that were not reported. Peel Public Health and the Ministry of Long-Term Care are aware. Unreported respiratory outbreaks will now be investigated further by Benard & Associates. Any impacted residents have been contacted directly or via their Substitute Decision Makers (SDMs)/Executors of the estate regarding this matter.

June 18, 2020

On June 17, Peel Public Health declared an outbreak at Camilla Care Community as a result of a resident with symptoms and a staff member without symptoms who tested positive for COVID-19 through surveillance testing.

As of today, here is the latest information on the outbreak at Camilla:

• One confirmed COVID-19 positive resident
• As part of surveillance testing for staff, 4 team members who are asymptomatic tested positive for COVID-19.

Working closely with Peel Public Health, enhanced precautions were put in place immediately to protect residents and staff. This includes staff wearing additional PPE, contact tracing and testing for anyone who may have been exposed as well as continued enhanced monitoring of residents and staff in the home.

The Camilla leadership team and Peel Public Health are working closely together to continually re-assess and manage the outbreak effectively.

Outbreak Declared – June 17

Peel Public Health has declared a COVID-19 outbreak at Camilla Care Community (June 17, 2020). The outbreak is being declared as a result of a resident with symptoms and while investigating the case of a staff member without symptoms who tested positive for COVID-19 through surveillance testing.

The resident is not confirmed to have COVID-19, but does have symptoms and out of an abundance of caution the home is being placed on outbreak. As part of surveillance testing for staff, one team member who had no symptoms (asymptomatic) had tested positive for COVID-19. The staff member was wearing appropriate PPE while in the home (mask and face shield), and is now at home isolating.

As a result of the outbreak, the home has instituted a number of measures as instructed by Peel Public Health. An outbreak means the home will likely have these enhanced measures for at least 14 days to protect residents and staff. THP and Peel Public Health are constantly re-assessing the outbreak to determine when these enhanced measures can be ended.

THP hosted a Camilla Care Community Town Hall on Wednesday, June 3 and a second event on Wednesday, June 17. Please reach out to CamillaCareSupport@thp.ca if you have questions regarding town hall events.

Click here for the THP’s cover letter and initial management report