The public hearing phase of the Long-Term Care Homes Public Inquiry wrapped up at the end of September. And it ended with a submission from RNAO highlighting significant systemic issues it says need to be addressed if the ministry of health wants to ensure seniors in nursing homes receive safe, quality care.

Lawyers representing the association – which has standing at the inquiry – presented recommendations aimed at addressing two critical areas: the funding model and 
staffing ratios. 

RNAO argues the funding model in nursing homes should be changed to encourage homes rather than penalize them for implementing best practices that improve resident health outcomes, including reducing falls and lowering rates of incontinence. 

On the issue of staffing ratios, RNAO’s submission outlines the need for all homes to have a staffing mix of at least 20 per cent RNs, 25 per cent RPNs, and no more than 55 per cent PSWs. All homes should also have at least one NP per 120 residents. This is especially important given more than 50 per cent of residents in long-care homes are 85 years or older, and 90 per cent of all residents have some type of cognitive impairment.

RNAO also recommends clarifying the reporting obligations of nurses and nursing homes as it relates to resident safety. Employers should be mandated to disclose termination notices related to safety issues to prospective employers during reference checks.

The next phase of the inquiry includes formal consultations between stakeholders and the inquiry lead, Justice Eileen Gillese. To view RNAO’s closing submission, visit longtermcareinquiry.ca