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Oak Bay Lodge

The Office of the Seniors Advocate’s Residential Care Survey asked residents in all of B.C.’s publicly-funded residential care homes questions on a variety of functions and experiences that happen on a day-to-day basis in care homes, from questions about food quality and staff responsiveness to observations of physician care and social connectedness. The survey was conducted between June 2016 and May 2017. Residents’ most frequent visitors (MFVs), usually a family member, were also mailed surveys. More information about the survey may be found in the Office of the Seniors Advocate’s September 2017 provincial results report.

The facility-level results below are presented alongside B.C.’s provincial-level results for each question. Most questions were asked of both the resident and their MFV; for these questions, the residents’ responses are presented first, and the MFVs’ responses are given in brackets. Some questions were asked only of the residents; in these cases, no MFV responses will be displayed. Some questions, in turn, were asked only of MFVs; these questions are identified as such under the banner of “Most Frequent Visitor-only questions” and do not have resident responses displayed.

The first set of questions asked residents and their MFVs to rate overall aspects of their care experience, including quality of care, willingness to recommend the care home to others, and the cleanliness of the care home.

1. Overall quality of care and services rating in this care home

  Excellent Very Good Good Fair Poor
Facility 18% (MFV: 16%) 36% (MFV: 36%) 33% (MFV: 28%) 10% (MFV: 19%) 3% (MFV: 2%)
BC 15% (MFV: 28%) 35% (MFV: 39%) 35% (MFV: 22%) 12% (MFV: 9%) 3% (MFV: 2%)

2. Would recommend this care home to others

  Always Most of the time Sometimes Rarely Never
Facility 40% (MFV: 36%) 39% (MFV: 34%) 16% (MFV: 15%) 0% (MFV: 11%) 5% (MFV: 5%)
BC 43% (MFV: 57%) 34% (MFV: 27%) 13% (MFV: 10%) 4% (MFV: 3%) 6% (MFV: 3%)

3. Want to live in this care home

  Yes No
Facility 68% 32%
BC 61% 39%

4. Happier than most other people

  Always Most of the time Sometimes Rarely Never
Facility 18% 47% 23% 10% 3%
BC 20% 47% 22% 7% 4%

Most Frequent Visitor-only Questions

5. Want resident to live in this care home

  Yes No
Facility 86% 14%
BC 91% 9%

6. Think resident wants to live in this care home

  Yes No
Facility 64% 37%
BC 68% 32%

7. Care home is clean

  Always Most of the time Sometimes Rarely Never
Facility 32% 47% 18% 3% 1%
BC 54% 39% 6% 1% 0%

8. Care home smells good

  Always Most of the time Sometimes Rarely Never
Facility 17% 42% 24% 11% 7%
BC 35% 47% 12% 5% 1%

9. Overall rating of this care home

  10 8–9 5–7 2–4 0–1
Facility 10% 32% 47% 11% 0%
BC 22% 44% 29% 5% 1%

Personal Control

This group of questions is designed to gauge the sense of personal control or autonomy residents feel they have over their day-to-day life in the care home. Being able to do what we want, when we want, is important to everyone regardless of age or where we live. However, we may take for granted the many individual day-to-day decisions we make for ourselves that, in a care home, are dictated by policy, regulation and resource allocation decisions made by other people.

10. Bathe or shower as often as they want

  Always Most of the time Sometimes Rarely Never
Facility 9% (MFV: 6%) 18% (MFV: 12%) 18% (MFV: 7%) 19% (MFV: 20%) 36% (MFV: 55%)
BC 15% (MFV: 6%) 22% (MFV: 12%) 12% (MFV: 13%) 13% (MFV: 21%) 37% (MFV: 48%)

11. Bothered by noise

  Always Most of the time Sometimes Rarely Never
Facility 4% (MFV: 4%) 5% (MFV: 8%) 29% (MFV: 28%) 32% (MFV: 40%) 31% (MFV: 20%)
BC 4% (MFV: 2%) 8% (MFV: 4%) 25% (MFV: 36%) 24% (MFV: 37%) 38% (MFV: 20%)

12. Can be alone when they wish

  Always Most of the time Sometimes Rarely Never
Facility 22% (MFV: 18%) 43% (MFV: 41%) 24% (MFV: 23%) 7% (MFV: 13%) 4% (MFV: 4%)
BC 28% (MFV: 36%) 39% (MFV: 42%) 24% (MFV: 13%) 5% (MFV: 5%) 3% (MFV: 5%)

13. Can easily go outdoors

  Always Most of the time Sometimes Rarely Never
Facility 25% (MFV: 21%) 41% (MFV: 22%) 17% (MFV: 22%) 9% (MFV: 20%) 9% (MFV: 15%)
BC 34% (MFV: 25%) 29% (MFV: 23%) 16% (MFV: 18%) 9% (MFV: 13%) 13% (MFV: 21%)

14. Can go out on spur of the moment

  Always Most of the time Sometimes Rarely Never
Facility 10% (MFV: 16%) 27% (MFV: 26%) 28% (MFV: 22%) 19% (MFV: 12%) 16% (MFV: 25%)
BC 23% (MFV: 15%) 29% (MFV: 28%) 17% (MFV: 16%) 14% (MFV: 15%) 18% (MFV: 25%)

15. Control who comes into own room

  Always Most of the time Sometimes Rarely Never
Facility 26% (MFV: 10%) 35% (MFV: 25%) 22% (MFV: 12%) 8% (MFV: 16%) 9% (MFV: 38%)
BC 30% (MFV: 13%) 35% (MFV: 28%) 15% (MFV: 14%) 9% (MFV: 16%) 12% (MFV: 29%)

16. Decide how to spend time

  Always Most of the time Sometimes Rarely Never
Facility 20% (MFV: 23%) 57% (MFV: 51%) 18% (MFV: 14%) 6% (MFV: 9%) 0% (MFV: 3%)
BC 34% (MFV: 26%) 46% (MFV: 47%) 14% (MFV: 13%) 4% (MFV: 7%) 2% (MFV: 7%)

17. Decide when to get up

  Always Most of the time Sometimes Rarely Never
Facility 28% (MFV: 13%) 29% (MFV: 33%) 13% (MFV: 22%) 18% (MFV: 17%) 12% (MFV: 15%)
BC 31% (MFV: 15%) 33% (MFV: 40%) 13% (MFV: 19%) 10% (MFV: 12%) 14% (MFV: 13%)

18. Decide when to go to bed

  Always Most of the time Sometimes Rarely Never
Facility 31% (MFV: 19%) 43% (MFV: 39%) 17% (MFV: 18%) 5% (MFV: 13%) 4% (MFV: 11%)
BC 42% (MFV: 20%) 35% (MFV: 41%) 11% (MFV: 17%) 5% (MFV: 11%) 7% (MFV: 11%)

19. Decide which clothes to wear

  Always Most of the time Sometimes Rarely Never
Facility 52% (MFV: 26%) 35% (MFV: 30%) 7% (MFV: 18%) 6% (MFV: 16%) 1% (MFV: 10%)
BC 52% (MFV: 20%) 28% (MFV: 28%) 11% (MFV: 21%) 5% (MFV: 14%) 4% (MFV: 18%)

20. Feel possessions are safe

  Always Most of the time Sometimes Rarely Never
Facility 38% (MFV: 18%) 37% (MFV: 40%) 20% (MFV: 20%) 1% (MFV: 14%) 4% (MFV: 8%)
BC 38% (MFV: 30%) 39% (MFV: 47%) 12% (MFV: 13%) 6% (MFV: 6%) 5% (MFV: 4%)

21. Feel safe alone

  Always Most of the time Sometimes Rarely Never
Facility 46% (MFV: 37%) 38% (MFV: 49%) 11% (MFV: 11%) 6% (MFV: 2%) 0% (MFV: 2%)
BC 52% (MFV: 42%) 36% (MFV: 47%) 8% (MFV: 9%) 2% (MFV: 1%) 2% (MFV: 1%)

22. Privacy is respected during care

  Always Most of the time Sometimes Rarely Never
Facility 28% (MFV: 36%) 46% (MFV: 53%) 20% (MFV: 11%) 3% (MFV: 0%) 3% (MFV: 0%)
BC 36% (MFV: 54%) 42% (MFV: 40%) 16% (MFV: 5%) 4% (MFV: 1%) 2% (MFV: 0%)

Most Frequent Visitor-only Questions

23. Can find place to visit with my family member

  Always Most of the time Sometimes Rarely Never
Facility 38% 38% 17% 4% 4%
BC 59% 27% 8% 4% 2%

Social Life

Social engagement is increasingly being recognized as a significant predictor of health status in later years. Being connected to other people and feeling valued is a goal everyone hopes to achieve, regardless of their age. In the survey, we asked 14 questions designed to give an overall sense of the social connectedness of residents and insight to better understand how well this connection has been achieved in a care home setting.

24. Another resident is close friend

  Always Most of the time Sometimes Rarely Never
Facility 23% (MFV: 11%) 23% (MFV: 17%) 29% (MFV: 17%) 10% (MFV: 26%) 15% (MFV: 29%)
BC 15% (MFV: 6%) 18% (MFV: 12%) 21% (MFV: 21%) 16% (MFV: 24%) 30% (MFV: 37%)

25. Can explore new skills/interests

  Always Most of the time Sometimes Rarely Never
Facility 8% (MFV: 11%) 23% (MFV: 15%) 31% (MFV: 42%) 16% (MFV: 18%) 21% (MFV: 14%)
BC 13% (MFV: 14%) 20% (MFV: 22%) 27% (MFV: 29%) 19% (MFV: 21%) 21% (MFV: 14%)

26. Can participate in religious activities

  Always Most of the time Sometimes Rarely Never
Facility 25% (MFV: 38%) 31% (MFV: 26%) 23% (MFV: 18%) 9% (MFV: 5%) 12% (MFV: 14%)
BC 32% (MFV: 40%) 25% (MFV: 26%) 20% (MFV: 16%) 8% (MFV: 7%) 15% (MFV: 11%)

27. Can spend time with like-minded residents

  Always Most of the time Sometimes Rarely Never
Facility 18% (MFV: 23%) 34% (MFV: 33%) 24% (MFV: 29%) 12% (MFV: 10%) 13% (MFV: 5%)
BC 18% (MFV: 24%) 27% (MFV: 32%) 28% (MFV: 24%) 15% (MFV: 13%) 12% (MFV: 7%)

28. Care home feels like home

  Always Most of the time Sometimes Rarely Never
Facility 15% (MFV: 27%) 46% (MFV: 32%) 15% (MFV: 18%) 9% (MFV: 15%) 14% (MFV: 9%)
BC 24% (MFV: 30%) 33% (MFV: 38%) 18% (MFV: 17%) 8% (MFV: 8%) 16% (MFV: 7%)

29. Easy to make friends in care home

  Always Most of the time Sometimes Rarely Never
Facility 15% (MFV: 10%) 36% (MFV: 23%) 30% (MFV: 39%) 16% (MFV: 23%) 4% (MFV: 5%)
BC 18% (MFV: 8%) 32% (MFV: 22%) 25% (MFV: 29%) 15% (MFV: 24%) 11% (MFV: 16%)

30. Enjoyable things to do in the evening in this care home

  Always Most of the time Sometimes Rarely Never
Facility 15% (MFV: 8%) 31% (MFV: 31%) 35% (MFV: 26%) 11% (MFV: 28%) 8% (MFV: 6%)
BC 11% (MFV: 7%) 23% (MFV: 20%) 28% (MFV: 31%) 20% (MFV: 28%) 18% (MFV: 14%)

31. Enjoyable things to do on weekends in this care home

  Always Most of the time Sometimes Rarely Never
Facility 13% (MFV: 9%) 33% (MFV: 31%) 31% (MFV: 34%) 11% (MFV: 22%) 11% (MFV: 4%)
BC 11% (MFV: 10%) 25% (MFV: 29%) 28% (MFV: 31%) 18% (MFV: 20%) 18% (MFV: 10%)

32. Family/friends can visit when they choose

  Always Most of the time Sometimes Rarely Never
Facility 57% 34% 8% 1% 0%
BC 66% 24% 6% 2% 2%

33. Have opportunities for affection/romance

  Always Most of the time Sometimes Rarely Never
Facility 8% (MFV: 3%) 6% (MFV: 5%) 18% (MFV: 14%) 16% (MFV: 28%) 52% (MFV: 51%)
BC 7% (MFV: 3%) 8% (MFV: 7%) 14% (MFV: 15%) 15% (MFV: 21%) 57% (MFV: 54%)

34. Participated in meaningful activities in past week

  Always Most of the time Sometimes Rarely Never
Facility 9% (MFV: 9%) 33% (MFV: 27%) 31% (MFV: 28%) 10% (MFV: 23%) 16% (MFV: 13%)
BC 12% (MFV: 12%) 24% (MFV: 25%) 28% (MFV: 31%) 16% (MFV: 19%) 20% (MFV: 13%)

35. People ask resident for help/advice

  Always Most of the time Sometimes Rarely Never
Facility 7% (MFV: 3%) 14% (MFV: 5%) 39% (MFV: 23%) 10% (MFV: 28%) 30% (MFV: 40%)
BC 6% (MFV: 2%) 11% (MFV: 3%) 33% (MFV: 21%) 21% (MFV: 28%) 30% (MFV: 46%)

36. People to do things with

  Always Most of the time Sometimes Rarely Never
Facility 14% (MFV: 7%) 15% (MFV: 12%) 37% (MFV: 32%) 15% (MFV: 27%) 20% (MFV: 22%)
BC 10% (MFV: 5%) 17% (MFV: 12%) 28% (MFV: 30%) 19% (MFV: 28%) 26% (MFV: 25%)

37. Treated with respect by other residents in care home

  Always Most of the time Sometimes Rarely Never
Facility 38% 38% 19% 3% 1%
BC 34% 43% 16% 4% 3%

Staff Responsiveness

There is a diversity of physical needs in care homes. Some residents require little or no physical assistance to undertake any activity, while others require total care and need staff to assist them with all activities of daily living, including intimate personal care. The availability of staff to respond when needed, as well as the technical and emotional skill of staff, plays a large part in how residents experience day-to-day life. This set of questions explores residents and MFV perceptions on the responsiveness and ability of staff in meeting residents’ needs.

38. Can express opinions

  Always Most of the time Sometimes Rarely Never
Facility 44% (MFV: 45%) 31% (MFV: 38%) 14% (MFV: 14%) 9% (MFV: 1%) 3% (MFV: 2%)
BC 39% (MFV: 53%) 35% (MFV: 30%) 15% (MFV: 9%) 6% (MFV: 4%) 5% (MFV: 4%)

39. Can get health services needed

  Always Most of the time Sometimes Rarely Never
Facility 34% (MFV: 42%) 51% (MFV: 44%) 11% (MFV: 9%) 3% (MFV: 4%) 1% (MFV: 1%)
BC 37% (MFV: 49%) 42% (MFV: 39%) 14% (MFV: 10%) 5% (MFV: 2%) 2% (MFV: 0%)

40. Get help to toilet when needed

  Always Most of the time Sometimes Rarely Never
Facility 27% 46% 18% 6% 3%
BC 42% 33% 14% 5% 6%

41. Get services needed

  Always Most of the time Sometimes Rarely Never
Facility 28% (MFV: 31%) 50% (MFV: 55%) 15% (MFV: 10%) 5% (MFV: 4%) 2% (MFV: 0%)
BC 32% (MFV: 36%) 48% (MFV: 51%) 15% (MFV: 11%) 4% (MFV: 2%) 2% (MFV: 0%)

42. If needed can get help right away

  Always Most of the time Sometimes Rarely Never
Facility 27% (MFV: 29%) 52% (MFV: 46%) 17% (MFV: 22%) 3% (MFV: 2%) 1% (MFV: 2%)
BC 31% (MFV: 28%) 42% (MFV: 46%) 18% (MFV: 19%) 6% (MFV: 6%) 2% (MFV: 1%)

43. Staff act on resident suggestions

  Always Most of the time Sometimes Rarely Never
Facility 17% (MFV: 10%) 30% (MFV: 42%) 36% (MFV: 38%) 9% (MFV: 9%) 8% (MFV: 2%)
BC 17% (MFV: 21%) 36% (MFV: 45%) 32% (MFV: 25%) 9% (MFV: 6%) 6% (MFV: 3%)

44. Staff know what they are doing

  Always Most of the time Sometimes Rarely Never
Facility 29% (MFV: 31%) 48% (MFV: 54%) 18% (MFV: 14%) 6% (MFV: 1%) 0% (MFV: 0%)
BC 37% (MFV: 43%) 46% (MFV: 45%) 13% (MFV: 10%) 3% (MFV: 1%) 1% (MFV: 0%)

45. Staff pay attention to residents

  Always Most of the time Sometimes Rarely Never
Facility 18% (MFV: 32%) 55% (MFV: 51%) 22% (MFV: 15%) 5% (MFV: 2%) 0% (MFV: 0%)
BC 30% (MFV: 39%) 47% (MFV: 48%) 18% (MFV: 12%) 4% (MFV: 1%) 2% (MFV: 0%)

46. Staff respect likes/dislikes of residents

  Always Most of the time Sometimes Rarely Never
Facility 19% (MFV: 31%) 57% (MFV: 52%) 23% (MFV: 15%) 1% (MFV: 2%) 0% (MFV: 0%)
BC 32% (MFV: 43%) 46% (MFV: 46%) 17% (MFV: 10%) 4% (MFV: 1%) 2% (MFV: 0%)

47. Staff respond quickly

  Always Most of the time Sometimes Rarely Never
Facility 23% (MFV: 22%) 51% (MFV: 57%) 20% (MFV: 21%) 7% (MFV: 1%) 0% (MFV: 0%)
BC 28% (MFV: 29%) 44% (MFV: 51%) 21% (MFV: 16%) 5% (MFV: 4%) 2% (MFV: 1%)

48. Treated with respect by staff

  Always Most of the time Sometimes Rarely Never
Facility 46% (MFV: 57%) 42% (MFV: 38%) 9% (MFV: 4%) 2% (MFV: 1%) 0% (MFV: 0%)
BC 48% (MFV: 61%) 38% (MFV: 33%) 10% (MFV: 5%) 2% (MFV: 1%) 1% (MFV: 0%)

Most Frequent Visitor-only Questions

49. Family member/MFV can express opinions without fear

  Always Most of the time Sometimes Rarely Never
Facility 60% 33% 2% 4% 1%
BC 70% 21% 6% 2% 1%

50. Have seen residents behave aggressively in the home

  No Yes
Facility 64% 36%
BC 54% 46%

51. Staff handle aggressive behaviour appropriately

  Always Most of the time Sometimes Rarely Never
Facility 41% 49% 11% 0% 0%
BC 52% 36% 10% 1% 0%

Caring Staff

In addition to feeling confidence in the skills and responsiveness of staff, it is important for residents to believe staff care about their health, well-being and happiness. Developing relationships with staff builds the foundation upon which residents and staff can engage and connect with each other, beyond the level of “caregiver” and “client.” Residents and MFVs were asked a series of questions designed to help give an overall picture of the level of engagement between residents and staff, as well as the involvement of MFVs in care decisions.

52. Care helps residents live life as wanted

  Always Most of the time Sometimes Rarely Never
Facility 22% (MFV: 25%) 46% (MFV: 48%) 19% (MFV: 17%) 8% (MFV: 7%) 4% (MFV: 3%)
BC 29% (MFV: 31%) 45% (MFV: 46%) 15% (MFV: 15%) 6% (MFV: 5%) 5% (MFV: 3%)

53. Have same care aide most weekdays

  Always Most of the time Sometimes Rarely Never
Facility 13% (MFV: 6%) 41% (MFV: 29%) 27% (MFV: 44%) 19% (MFV: 20%) 2% (MFV: 2%)
BC 13% (MFV: 9%) 38% (MFV: 44%) 24% (MFV: 31%) 16% (MFV: 12%) 9% (MFV: 4%)

54. Have special relationship with staff

  Always Most of the time Sometimes Rarely Never
Facility 16% (MFV: 14%) 24% (MFV: 25%) 27% (MFV: 33%) 13% (MFV: 20%) 20% (MFV: 9%)
BC 15% (MFV: 18%) 22% (MFV: 29%) 20% (MFV: 30%) 15% (MFV: 14%) 28% (MFV: 8%)

55. Residents have a staff member they consider a friend

  Always Most of the time Sometimes Rarely Never
Facility 19% (MFV: 20%) 41% (MFV: 31%) 28% (MFV: 34%) 5% (MFV: 9%) 6% (MFV: 5%)
BC 26% (MFV: 25%) 32% (MFV: 37%) 22% (MFV: 25%) 9% (MFV: 9%) 11% (MFV: 5%)

56. Staff ask how they can meet resident needs

  Always Most of the time Sometimes Rarely Never
Facility 21% (MFV: 13%) 21% (MFV: 37%) 21% (MFV: 29%) 25% (MFV: 18%) 13% (MFV: 3%)
BC 17% (MFV: 20%) 31% (MFV: 41%) 27% (MFV: 26%) 13% (MFV: 10%) 13% (MFV: 3%)

57. Staff have enough time for residents

  Always Most of the time Sometimes Rarely Never
Facility 18% (MFV: 9%) 50% (MFV: 42%) 23% (MFV: 32%) 7% (MFV: 12%) 3% (MFV: 5%)
BC 23% (MFV: 15%) 43% (MFV: 46%) 21% (MFV: 25%) 9% (MFV: 11%) 4% (MFV: 3%)

58. Staff know life story of resident

  Always Most of the time Sometimes Rarely Never
Facility 11% (MFV: 6%) 24% (MFV: 27%) 30% (MFV: 31%) 19% (MFV: 26%) 16% (MFV: 9%)
BC 10% (MFV: 11%) 23% (MFV: 38%) 27% (MFV: 34%) 18% (MFV: 13%) 22% (MFV: 4%)

59. Staff make time for friendly conversation with resident

  Always Most of the time Sometimes Rarely Never
Facility 11% (MFV: 20%) 37% (MFV: 38%) 37% (MFV: 36%) 11% (MFV: 5%) 4% (MFV: 1%)
BC 17% (MFV: 25%) 29% (MFV: 41%) 32% (MFV: 26%) 14% (MFV: 7%) 9% (MFV: 1%)

60. Problem gets solved when tell staff not happy

  Always Most of the time Sometimes Rarely Never
Facility 11% 41% 38% 6% 5%
BC 21% 39% 27% 9% 4%

61. Staff explains what they are doing when giving care

  Always Most of the time Sometimes Rarely Never
Facility 31% 41% 27% 1% 0%
BC 34% 37% 18% 6% 5%

62. Staff tries to relieve physical discomfort

  Always Most of the time Sometimes Rarely Never
Facility 29% 52% 12% 2% 5%
BC 35% 40% 16% 5% 4%

63. Staff tries to understand feelings

  Always Most of the time Sometimes Rarely Never
Facility 22% 36% 31% 6% 6%
BC 18% 38% 26% 10% 8%

64. Tell staff when not happy about something

  Always Most of the time Sometimes Rarely Never
Facility 25% 31% 29% 9% 7%
BC 26% 28% 22% 11% 13%

Most Frequent Visitor-only Questions

65. Consulted when care plan changes

  Always Most of the time Sometimes Rarely Never
Facility 39% 27% 14% 14% 7%
BC 49% 27% 12% 7% 5%

66. Family/MFVs involved in care plan development

  Always Most of the time Sometimes Rarely Never
Facility 34% 30% 18% 12% 6%
BC 43% 31% 15% 7% 4%

67. Family/MFVs Involved in decisions about care

  Always Most of the time Sometimes Rarely Never
Facility 38% 42% 13% 8% 0%
BC 58% 30% 8% 3% 1%

68. Family/MFVs kept up to date by staff

  Always Most of the time Sometimes Rarely Never
Facility 28% 39% 16% 14% 3%
BC 44% 35% 13% 6% 2%

69. Family/MFVs know who to talk to for information

  Always Most of the time Sometimes Rarely Never
Facility 39% 37% 18% 4% 2%
BC 57% 32% 9% 3% 1%

70. Staff address concerns of family/MFVs

  Always Most of the time Sometimes Rarely Never
Facility 40% 49% 7% 5% 0%
BC 54% 34% 10% 2% 0%

Food

Food is a very important part of daily life in a care home. One of the biggest adjustments some people make when they come to live in a care home is that choices around food are much more limited compared to when one lives in their own home, and that dining with a group of people for all meals creates a social environment that some will embrace more than others. It is within this complicated context that the following questions were asked to determine how well care homes have coped with meeting a diverse array of wants and needs.

71. Can eat when they want

  Always Most of the time Sometimes Rarely Never
Facility 12% (MFV: 15%) 30% (MFV: 24%) 32% (MFV: 23%) 15% (MFV: 21%) 12% (MFV: 17%)
BC 16% (MFV: 14%) 32% (MFV: 33%) 21% (MFV: 24%) 14% (MFV: 16%) 17% (MFV: 13%)

72. Enjoy mealtimes

  Always Most of the time Sometimes Rarely Never
Facility 29% (MFV: 22%) 49% (MFV: 59%) 15% (MFV: 15%) 3% (MFV: 3%) 3% (MFV: 1%)
BC 25% (MFV: 18%) 42% (MFV: 48%) 22% (MFV: 24%) 8% (MFV: 9%) 4% (MFV: 2%)

73. Enough variety in meals

  Always Most of the time Sometimes Rarely Never
Facility 17% (MFV: 24%) 54% (MFV: 52%) 20% (MFV: 18%) 6% (MFV: 5%) 4% (MFV: 1%)
BC 18% (MFV: 22%) 41% (MFV: 45%) 23% (MFV: 20%) 11% (MFV: 10%) 6% (MFV: 3%)

74. Food is the right temperature

  Always Most of the time Sometimes Rarely Never
Facility 24% (MFV: 25%) 54% (MFV: 54%) 16% (MFV: 15%) 5% (MFV: 3%) 1% (MFV: 2%)
BC 23% (MFV: 24%) 45% (MFV: 51%) 21% (MFV: 17%) 8% (MFV: 6%) 4% (MFV: 2%)

75. Get favorite foods

  Always Most of the time Sometimes Rarely Never
Facility 10% (MFV: 4%) 39% (MFV: 30%) 31% (MFV: 43%) 9% (MFV: 13%) 12% (MFV: 11%)
BC 11% (MFV: 7%) 29% (MFV: 29%) 33% (MFV: 37%) 16% (MFV: 20%) 11% (MFV: 8%)

76. Get help to eat when needed

  Always Most of the time Sometimes Rarely Never
Facility 36% (MFV: 40%) 32% (MFV: 27%) 27% (MFV: 20%) 0% (MFV: 7%) 5% (MFV: 7%)
BC 30% (MFV: 48%) 32% (MFV: 26%) 20% (MFV: 19%) 7% (MFV: 4%) 11% (MFV: 3%)

Most Frequent Visitor-only Questions

77. Staff take the time needed to feed my family member

  Always Most of the time Sometimes Rarely Never
Facility 32% 20% 16% 8% 24%
BC 36% 27% 21% 8% 8%

Physician Care

The role that physicians play in determining medication regimes, hospital transfers and diagnostics means their actions link not just to the quality of life and care for residents, but also to resource utilization in the system. It is the physician who is responsible for decisions to transfer a resident to hospital and for communicating with the resident and family about medical care decisions and medications. The survey asked questions intended to gauge how satisfied residents and their MFVs are with the role the physician plays in their care.

78. Doctor visits when NOT sick

  Always Most of the time Sometimes Rarely Never
Facility 7% (MFV: 7%) 7% (MFV: 14%) 18% (MFV: 26%) 18% (MFV: 28%) 50% (MFV: 26%)
BC 8% (MFV: 8%) 9% (MFV: 15%) 21% (MFV: 32%) 16% (MFV: 25%) 46% (MFV: 20%)

79. Doctor visits when sick

  Always Most of the time Sometimes Rarely Never
Facility 12% (MFV: 27%) 16% (MFV: 26%) 10% (MFV: 33%) 28% (MFV: 10%) 34% (MFV: 4%)
BC 22% (MFV: 34%) 21% (MFV: 32%) 19% (MFV: 20%) 16% (MFV: 9%) 22% (MFV: 5%)

80. Overall quality of care and services from doctor

  Excellent Very Good Good Fair Poor
Facility 19% (MFV: 10%) 23% (MFV: 24%) 30% (MFV: 25%) 14% (MFV: 30%) 14% (MFV: 12%)
BC 15% (MFV: 21%) 29% (MFV: 28%) 35% (MFV: 27%) 15% (MFV: 18%) 8% (MFV: 7%)

Most Frequent Visitor-only Questions

81. Doctor provides individualized care

  Excellent Very Good Good Fair Poor
Facility 14% 18% 25% 30% 14%
BC 21% 27% 26% 18% 8%

82. Doctor washes/cleans hands

  Always Usually Sometimes Never
Facility 50% 31% 0% 19%
BC 55% 23% 8% 14%

83. Family/MFVs given information from doctor

  Always Most of the time Sometimes Rarely Never
Facility 14% 17% 12% 22% 36%
BC 25% 23% 17% 18% 17%

Medications

The use, and potential misuse, of medications in residential care homes has been an ongoing area of focus for the Office of the Seniors Advocate. In its annual British Columbia Residential Care Facilities: Quick Facts Directory publication, the Office reports, for each care home in the province, the proportion of residents prescribed antidepressant medications, as well as the proportion taking antipsychotic medication without an accompanying diagnosis of psychosis. Empowering residents and their MFVs to ask about medications, along with the requirement of physicians to seek consent from either the resident or their designated decision maker, is acknowledged as the first line of defence in reducing both medication errors and over-medication.

84. Consulted about taking medications

  No Yes
Facility 46% 54%
BC 38% 62%

85. Know what medications taking

  No Yes
Facility 47% (MFV: 17%) 53% (MFV: 84%)
BC 42% (MFV: 15%) 58% (MFV: 85%)

86. If yes to above, know what taking medications for

  No Yes
Facility 3% (MFV: 1%) 97% (MFV: 99%)
BC 14% (MFV: 2%) 86% (MFV: 98%)

Most Frequent Visitor-only Questions

87. Family/MFVs consulted about medications changes

  No, and don't wish to be No, but wish to be Yes
Facility 6% 45% 50%
BC 7% 28% 65%

Hand Washing

Residents in care homes are very susceptible to infections due to the communal living environment. The risk of complications from infections is also increased in the senior population, as immune system function declines with age. Hand hygiene is one of the most effective and easiest actions that can be taken to reduce infections. Visitors to care homes need to be educated and supported in the importance of hand washing, and directed on how and where to wash their hands when visiting the care home. These survey questions on hand washing were asked only to the most frequent visitors (MFVs).

Most Frequent Visitor-only Questions

88. Care staff instruct where to get handwashing products

  Always Usually Sometimes Never
Facility 8% 6% 7% 79%
BC 17% 8% 8% 67%

89. Care staff showed MFV proper handwashing

  Always Usually Sometimes Never
Facility 5% 6% 3% 86%
BC 10% 6% 5% 80%

90. Care staff told MFV about importance of handwashing

  Always Usually Sometimes Never
Facility 13% 8% 10% 70%
BC 28% 14% 12% 47%

91. Comfortable asking if staff wash/clean their hands

  Always Usually Sometimes Never
Facility 25% 18% 6% 51%
BC 30% 16% 10% 44%

92. Other staff wash/clean hands

  Always Usually Sometimes Never
Facility 43% 28% 20% 10%
BC 48% 31% 13% 8%

Family Council

Family councils at care homes are composed of residents’ relatives or representatives. One of the key roles that a family council can play is to promote improved communication and collaboration between family members and a care home’s staff and management. This may involve working collaboratively on projects that enrich the lives of residents, making recommendations to decision makers, and communicating common concerns and ideas for improvements. Most frequent visitors (MFVs) were asked in the survey whether they attended family council meetings and whether they were informed about family councils.

Most Frequent Visitor-only Questions

93. MFV informed about the family council (multiple answers allowed)

  No, not aware of Yes, saw on
poster/brochure
Yes, by family of
another resident
Yes, by staff
Facility 41% 16% 0% 49%
BC 26% 20% 5% 56%

94. if aware, MFV attends Family Council

  Always Most of the time Sometimes Rarely Never
Facility 29% 12% 9% 17% 34%
BC 21% 11% 15% 15% 38%

How Residents View Their Health and Well-Being

The survey asked a number of questions to both residents and their most frequent visitors (MFVs) about the general physical and emotional health of the resident. These questions provide an important picture of overall perceptions of well-being.

95. General health is

  Poor Fair Good Very good Excellent
Facility 3% (MFV: 2%) 24% (MFV: 13%) 31% (MFV: 38%) 34% (MFV: 40%) 9% (MFV: 8%)
BC 6% (MFV: 16%) 20% (MFV: 37%) 39% (MFV: 34%) 27% (MFV: 12%) 9% (MFV: 2%)

96. Health limits moderate activities, e.g. walking a block

  No, not limited at all Yes, limited a little Yes, limited a lot
Facility 36% (MFV: 11%) 39% (MFV: 28%) 25% (MFV: 61%)
BC 29% (MFV: 9%) 29% (MFV: 19%) 42% (MFV: 72%)

97. Health now limits ability to bathe/dress self

  No, not limited at all Yes, limited a little Yes, limited a lot
Facility 64% (MFV: 10%) 18% (MFV: 28%) 18% (MFV: 62%)
BC 41% (MFV: 7%) 28% (MFV: 20%) 31% (MFV: 73%)

98. Accomplished less due to physical health

  Yes, all of the time Yes, most of the time Yes, some of the time Yes, a little of the time No, none of the time
Facility 11% (MFV: 9%) 9% (MFV: 28%) 22% (MFV: 24%) 13% (MFV: 15%) 46% (MFV: 24%)
BC 9% (MFV: 27%) 18% (MFV: 21%) 20% (MFV: 20%) 16% (MFV: 13%) 35% (MFV: 18%)

99. Physical health in past week limited daily activities

  Yes, all of the time Yes, most of the time Yes, some of the time Yes, a little of the time No, none of the time
Facility 7% (MFV: 14%) 7% (MFV: 22%) 18% (MFV: 28%) 14% (MFV: 16%) 54% (MFV: 20%)
BC 11% (MFV: 30%) 18% (MFV: 23%) 18% (MFV: 19%) 15% (MFV: 13%) 38% (MFV: 15%)

100. Accomplished less in past week due to emotional problems

  Yes, all of the time Yes, most of the time Yes, some of the time Yes, a little of the time No, none of the time
Facility 4% (MFV: 7%) 6% (MFV: 9%) 13% (MFV: 20%) 17% (MFV: 22%) 60% (MFV: 43%)
BC 3% (MFV: 10%) 8% (MFV: 12%) 15% (MFV: 22%) 14% (MFV: 19%) 60% (MFV: 37%)

101. Emotional problems in past week impacted activities

  Yes, all of the time Yes, most of the time Yes, some of the time Yes, a little of the time No, none of the time
Facility 4% (MFV: 6%) 4% (MFV: 9%) 18% (MFV: 17%) 8% (MFV: 26%) 67% (MFV: 42%)
BC 3% (MFV: 12%) 6% (MFV: 12%) 12% (MFV: 20%) 12% (MFV: 17%) 67% (MFV: 40%)

102. Pain interfered with normal activities in past week

  Extremely Quite a bit Moderately A little bit Not at all
Facility 2% (MFV: 1%) 14% (MFV: 10%) 9% (MFV: 14%) 11% (MFV: 42%) 64% (MFV: 34%)
BC 4% (MFV: 5%) 12% (MFV: 14%) 15% (MFV: 19%) 21% (MFV: 28%) 48% (MFV: 34%)

103. Amount of time feeling calm/peaceful in past week

  No, none of the time Yes, a little of the time Yes, some of the time Yes, most of the time Yes, all of the time
Facility 5% (MFV: 5%) 6% (MFV: 3%) 17% (MFV: 24%) 55% (MFV: 58%) 17% (MFV: 9%)
BC 4% (MFV: 2%) 8% (MFV: 8%) 16% (MFV: 22%) 52% (MFV: 60%) 19% (MFV: 8%)

104. Amount of time having a lot of energy in past week

  No, none of the time Yes, a little of the time Yes, some of the time Yes, most of the time Yes, all of the time
Facility 7% (MFV: 22%) 10% (MFV: 32%) 26% (MFV: 22%) 47% (MFV: 24%) 10% (MFV: 0%)
BC 14% (MFV: 27%) 19% (MFV: 31%) 23% (MFV: 22%) 35% (MFV: 18%) 9% (MFV: 2%)

105. Amount of time feeling downhearted in past week

  No, none of the time Yes, a little of the time Yes, some of the time Yes, most of the time Yes, all of the time
Facility 40% (MFV: 11%) 20% (MFV: 36%) 22% (MFV: 27%) 13% (MFV: 23%) 5% (MFV: 2%)
BC 37% (MFV: 16%) 26% (MFV: 29%) 20% (MFV: 31%) 14% (MFV: 21%) 3% (MFV: 3%)

106. Physical/emotional problems impacted social activities

  No, none of the time Yes, a little of the time Yes, some of the time Yes, most of the time Yes, all of the time
Facility 55% (MFV: 25%) 23% (MFV: 30%) 20% (MFV: 18%) 2% (MFV: 12%) 0% (MFV: 15%)
BC 51% (MFV: 29%) 18% (MFV: 21%) 18% (MFV: 22%) 8% (MFV: 15%) 5% (MFV: 14%)

107. Rating of physical health compared to one year ago

  Much worse Slightly worse About the same Slightly better Much better
Facility 9% (MFV: 18%) 6% (MFV: 46%) 54% (MFV: 23%) 17% (MFV: 10%) 14% (MFV: 4%)
BC 8% (MFV: 25%) 15% (MFV: 38%) 54% (MFV: 26%) 13% (MFV: 6%) 10% (MFV: 5%)

108. Rating of emotional problems compared to one year ago

  Much worse Slightly worse About the same Slightly better Much better
Facility 4% (MFV: 9%) 6% (MFV: 22%) 69% (MFV: 52%) 6% (MFV: 14%) 15% (MFV: 3%)
BC 5% (MFV: 11%) 12% (MFV: 24%) 61% (MFV: 47%) 12% (MFV: 11%) 10% (MFV: 7%)