# h1

## h2

**bold**
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1. [l2](elderado.ca)

![image](https://storage.googleapis.com/elderado-staging-photos/-mggFH0bz-1.jpeg)

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https://www.youtube.com/watch?v=1EF0VOd3WGA
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New Blog

Content goes here reference to closed home

**Written by: Rachel Merucci, Licensed Paralegal**

**Note: Information applies to residents of Ontario, Canada only.**

*About 6 years ago (2018), I was faced with the challenge of jumping into caregiving together with my dad, who was quickly losing the ability to care for my mom (his wife) later diagnosed with severe dementia (suspected Alzheimer's). My parents refused all help, and by the time I was "allowed" into their world my mother was not "mentally capable" of creating a Power of Attorney (POA) of any kind.* 

*With much research, pieces of information eventually led me to the idea of "Adult Guardianship". It was (and still is) difficult to find a lawyer providing this service. And the legal fee to attempt the Guardianship process was much higher than my father or I could afford. 
Inspired by my experience as a caregiver, I recently became an Ontario licensed Paralegal. Equipped with this knowledge, I want to share how Adult Guardianship can support your caregiving journey.*

Ideally, every adult should have a legal Will and Powers of Attorney properly prepared and in place, but unfortunately many adults do not. Sometimes, people who suffer from various forms of dementia are diagnosed "too late" and the individual is no longer mentally capable of creating Powers of Attorney. Sometimes our care recipients develop or are born with a developmental disability and therefore may not have the mental capacity to create Powers of Attorney. In either of these scenarios, caregivers, or Substitute Decision Makers (SDM) of the individual should be referred to information regarding how to obtain "Adult Guardianship" to ensure their care recipient's personal care and their property finances are properly and securely managed. 

# There are two types of Powers of Attorney:
1. Continuing Power of Attorney for Personal Care
2. Continuing Power of Attorney for Property

You must be considered "mentally capable" to create these documents, and the definition of "mentally capable" is different for each document. When Powers of Attorney have not been, or cannot be created, Adult Guardianship may be the solution. 

Adult Guardianship is when someone steps in, of their own volition, and is appointed by the Office of the Public Guardian and Trustee, or appointed by a judge in court, to make decisions for the adult person who is incapable. 

# There are two main types of Adult Guardianships
1. Guardian of Personal Care
2. Guardian of Property

These guardianships essentially "mirror" the purpose of Powers of Attorney. To date, legal fees for seeking Guardianship of Personal Care, Guardianship of Property, or both which is called Guardianship of the Person, can cost caregivers up to approximately $25,000.00. 

Fortunately, for a resident of Ontario, Canada, a default "Substitute Decision Maker" is AUTOMATICALLY appointed to them for medical decisions they are incapable of making, under the Health Care Consent Act. Having an "Automatic SDM" gives the caregiver the opportunity to decide if obtaining Guardianship of Personal Care (or Guardianship of the Person) is necessary since medical decisions can and are made without this legal documentation. 

To learn more about Substitute Decision Maker in Ontario, please review [the Ontario Making Substitute health Care Decisions document](https://www.attorneygeneral.jus.gov.on.ca/english/family/pgt/ISBN-0-7794-3016-6.pdf).

## But what happens to the incapable adult's property? 

"Property" in this context means not only real estate, but also managing the incapable adult's bills, belongings, bank accounts, taxes, etc. It contains many required, daily tasks the incapable adult cannot manage. Without legal documentation such as a POA/or Guardianship of Property, caregivers are unable to act on behalf of the incapable adult, REGARDLESS of their relationship. That means even spouses cannot step in to act on behalf of their husband/wife, and parents cannot step in to act on behalf of their incapable adult child once they are 18 years old. 

## There are two ways to become someone's Guardian:

1. Through a judge in court - for one or both guardianship types. (If seeking both guardianships, together it is called "Guardian of the Person")
2. Through the Office of the Public Guardian and Trustee (PGT) by application - only available for certain individuals, and only available for Guardian of Property. 

## Things to keep in mind: 

- It is difficult to obtain Guardianship of Personal Care or Guardianship of the Person without the help of a lawyer who specializes in the area of healthcare. (ie: a health lawyer)
- You should thoughtfully consider whether obtaining this is necessary for the benefit of your incapable care recipient.

Process for obtaining Guardianship of the Person through a lawyer can be:
- Lengthy in time,
- Involves extensive paperwork,
- A significant out of pocket expense in legal fees/disbursements. 

For most caregivers and SDMs, Guardianship of Property is the one type of Guardianship that is needed and will ultimately save them much unnecessary hardship. *NOTE: If the incapable adult will be admitted to Long Term Care, POA of Property or Guardian of Property is required to apply for the government of Ontario's Long-Term Care Home Rate Reduction Program.*

Having been in your shoes, my goal is to help caregivers understand and obtain "Adult Guardianship of Property" at an affordable fee. Service is available and applicable to residents of Ontario, Canada only. 

**For more information, please email info@tbhlegal.ca, visit [www.tbhlegal.ca](www.tbhlegal.ca/adultguardianship) or call Rachel Merucci, Licensed Paralegal at 519-777-9303.** 


What Caregivers need to know about Adult Guardianship

The Collision Conference brought some of the biggest names in tech, marketing, AI, and healthtech to Toronto to talk about where we are headed, and showcase innovative startups.  We were on the lookout for what's new in elder care, and these 4 startups stood out.

## ElderPRIME

```
https://youtube.com/shorts/pTevC_8kSV8?si=7DwV3iSsWbpkYXzT
```

[ElderPRIME](https://www.elderprime.com/) helps aging adults and their families accurately track and communicate health needs and record, retain and securely share doctors' instructions to improve health outcomes, reduce diagnostic error, and prolong seniors' independence.  Rob Parker, ElderPRIME Co-Founder & CEO, showed us a demo.  We especially liked the ability for family members to add notes (if given permission).  This can be especially helpful in a scenario where a loved one mentioned an issue or pain over the phone, but may not note it themselved on ElderPRIME.  That family member can add the note so it's in the app the next time their loved one visits the doctor.


## Petalz Mosaic

```
https://youtube.com/shorts/GcJEjb0Wbek?feature=share
```

[Petalz Mosaic](https://petalzmosaic.com/) is a private social media platform that aims to combat loneliness and build family unity.  Basic plans begin at $19.99 and include a POD with 5 members.  Anything shared on Petalz can only be seen by other members of your POD.  This means families can feel comfortable to share images more freely than on traditional social media networks.  The daily messaging feature, which is similar to an Instagram Story, is a popular feature to share a short daily video with your loved ones.  Petalz Mosaic had been designed to run on Apple and most Android devices. However, Petalz Mosaic also offers an option to purchase a pre-configured device for $299.00 CAD.


## Whimble

```
https://www.youtube.com/shorts/y01I-EKYQFI
```

[Whimble](https://www.whimble.ca/) connects seniors and people with disabilities with on-demand support, so that no matter when unexpected issues arise, you can get the assistance you need to get back to what matters.  Currently, Whimble is exclusive to Ottawa, but you can join their waitlist if you want to see Whimble near you.  

Emma, the founder of Whimble, told us care is $35/hour, and it can be arranged the same day - even with just a couple of hours of notice!  Caregivers on Whimble must submit a vulnerable sector check via local police services, provide a minimum of 2 references who can speak to their relevant work experience, and undergo a live interview process to review their skills and qualifications.


## ConSoul Inc

```
https://youtube.com/shorts/y3dRcfdb510?si=4iayT_NxK6tuNFUd
```

[ConSoul](https://www.consoulapp.com/) aims to provide caregivers with the support and resources they need to prioritize their well-being and prevent burnout.  ConSoul helps those caring for people with chronic, terminal or elderly illnesses to plan for what's next, connect with family and friends, and narrate their journey.

ConSoul was born from the shared belief that everyone should have access to tools that support their individual health journeys and bring them closer to those who want to support and rally around them. 




Elder care innovation at Collision 2024

Wellesley Central Place is hosting a Pride Party, and you're invited!

**Who?** You are invited.

**What?** 2SLGBTQI+ Rainbow Seniors at Pride.  It's a free events highlighting local queer performances with food, ice cream, music, & Special Guest Sofonda!

**When?** Saturday, June 15, 2024 from 1:00PM–3:00PM.

**Where?** The Rekai Centre at Wellesley Central Place, 160 Wellesley Street East, Toronto. ([Google Maps](https://maps.app.goo.gl/dRdqJynijwZrkr6V6))

**Why?** For a celebrations of 2SLGBTQI+ Rainbow Seniors at Pride.

[HERE](https://www.rekaicentre.com/assets/pdf/Rainbow%20Seniors%20Event%20Rekai%20&%20Pride%20Toronto%20June%2015th,%202024.pdf) is a link to the invitation.

![image](https://storage.googleapis.com/elderado-prod/wd5STLTB-Rainbow%20Seniors%20Event%20Rekai%20%26%20Pride%20Toronto%20June%2015th%2C%202024.jpg)

## Home to the first 2SLGBTQI+ Rainbow Wing in Long-Term Care in North America

The Rainbow Wing at Wellesley Central Place became the first Long-Term Care Home in North America to offer a wing designated to members of the 2SLGBTQI community in 2022. To facilitate this change staff were provided cultural education about providing care for the 2SLGBTQI+ community. Additional support and programs catering to the inclusive needs of our residents continue to be offered to staff. The physical changes to the Rainbow Wing have already begun with reflective artwork. The Rainbow Wing helps Wellesley Central Place to provide residents as well as the general community with the assurance that they offer an inclusive environment that respect and values the needs of the 2SLGBTQI+ community.

## The Rekai Centres

The Rekai Centres, a non-profit, charitable corporation owns and operates two Long-Term Care Homes in downtown Toronto. The Rekai Centres strive to enrich the lives of their residents by transforming its long-term care model, ensuring that they remain part of their downtown community.



2SLGBTQI+ Rainbow Seniors at Pride

Long-term care projects that still haven't broken ground, a new Minister of Long-Term Care, a call for comment on the role of resident support personnel, and 15,000 new caregivers from abroad.  It's June 7, 2024, this is the week in elder care news.

## Four Windsor-Essex long-term care projects still haven't broken ground
CBC is reporting that construction on 4 long-term care homes in the Windors-Essex area that was supposed to begin sometime over the last 2 years still hasn't begun.  These 4 projects represent 200 news beds, and 504 upgraded beds, that were part of the plan to add 30,000 new beds by 2028.  Advocates and community members say these delays are frustrating and show that seniors aren't a priority.

The 2022 announcement promised that the following four homes would receive upgrades: 

- Banwell Gardens Care Centre: 192 upgraded care beds. Construction was supposed to begin summer 2022.
- Berkshire Care Centre: 11 new and 181 upgraded beds in a new facility. Construction was expected to begin summer 2023.
- Chateau Park Long-Term Care Home: 101 new and 59 upgraded beds in a new facility. The home will move from Windsor to Amherstburg. Construction was expected to start fall 2023. 
- Regency Park Long-Term Care Home: replaced by a brand-new building with 88 new and 72 upgraded beds. Construction was supposed to start winter 2023. 

[CLICK HERE](https://www.cbc.ca/news/canada/windsor/windsor-essex-long-term-care-projects-1.7224452) for the full story.

## Natalia Kusendova-Bashta is the new Minister of Long-Term Care
[Natalia Kusendova-Bashta](https://www.ola.org/en/members/all/natalia-kusendova-bashta/about) is taking over as the Minister of Long-Term Care.  Since March 28, Natalia has been Parliamentary Assistant to the Minister of Long-Term Care, and Parliamentary Assistant to the Minister for Seniors and Accessibility.  Stan Cho, the outgoing Minister of Long-Term Care, is taking over the role of Minister of Tourism, Culture and Gaming, with responsibility for OLG.

Global News coverd the entire cabinet reshuffle [HERE](https://globalnews.ca/news/10550832/ontario-cabinet-reshuffle-2024/). 

## Have your say on the formalization of the role of resident support personnel in long-term care
You have until June 15, 2024 to reply to the [call for comment](https://www.ontariocanada.com/registry/view.do?postingId=47253&language=en&fbclid=IwZXh0bgNhZW0CMTEAAR0ZB031hmid1fBlfbG9NBkPVE7foLL7Tm9eZUUN8QisQVM_3zHwSY28TJk_aem_AaNyWe0hS4HlwIlMPMzxEPvJRYhj-jwt77cqZ0igHr20qbDLMX1N60Gw_tkbfMO3icDkxNxmeZ-caP0SWm9EqsKU) regarding formalizing the role of resident support personnel in long-term care.  You can read our dedicated blog to this story [HERE](https://www.elderado.ca/blog/126/the-role-of-resident-support-personnel-in-long-term-care-homes).

## Canada to provide permanent residence to 15,000 caregivers
Canada has announced two programs to attract 15,000 new caregivers to move here to work with the promise of permanent residence. Through these new pilot programs, candidates interested in working in Canada’s home care sector will be eligible to apply if they meet the following criteria:

- Attain a minimum of level 4 based on the Canadian Language Benchmarks (CLB)
- Hold the equivalent of a Canadian high school diploma
- Have recent and relevant work experience
- Receive an offer for a full-time home care job

You can find the details [HERE](https://www.canada.ca/en/immigration-refugees-citizenship/news/2024/06/canada-announces-new-pilot-programs-to-support-caregivers-and-canadian-families.html).


Delayed long-term care projects, a new Minister of Long-Term Care, and more.  This is the week in elder care news

Are Resident Support Personnel going to replace PSWs in long-term care?

```
https://www.youtube.com/shorts/HtoTdasmDgg
```

## Resident Support Personnel

Resident Support Personnel, or RSPs, provide some personal support services to low-risk residents (for example, helping brush a resident's hair or teeth).  RSPs have acted as a stopgap solution to help support largely understaffed healthcare teams in long-term care.  The Ministry is [currently seeking feedback](https://www.ontariocanada.com/registry/view.do?postingId=47253&language=en&fbclid=IwZXh0bgNhZW0CMTEAAR0ZB031hmid1fBlfbG9NBkPVE7foLL7Tm9eZUUN8QisQVM_3zHwSY28TJk_aem_AaNyWe0hS4HlwIlMPMzxEPvJRYhj-jwt77cqZ0igHr20qbDLMX1N60Gw_tkbfMO3icDkxNxmeZ-caP0SWm9EqsKU) to amend the Fixing Long-Term Care Act, 2021 to give RSPs a more formalized role.

The Ministry is working to stabilize the role of resident support personnel beyond July 1, 2025. To achieve this, they consulted the Regulatory Registry from September 29, 2023, to November 20, 2023. The consultation focused on whether these personnel should be allowed to permanently provide personal support services to low-risk residents or if their role should be limited after July 1, 2025.

The feedback from the consultation generally supported maintaining the role of resident support personnel in long-term care as a supplement to personal support workers. Key points from the feedback include:

- Resident support personnel provide timely care and help reduce the workload of personal support workers and nurses, allowing them to focus on specialized tasks.
- This role offers a pathway for individuals to enter and explore careers in the long-term care sector.
- Concerns were raised about whether resident support personnel have sufficient training to provide direct care without supervision.
- There is a call for the Ministry to provide additional guidance on the role of resident support personnel.

## Resident Support Personnel Plan

The Ministry is planning to change a rule so that long-term care homes can keep using resident support personnel after July 1, 2025. Here's what they are proposing:

- Long-term care homes can hire people to work as resident support personnel, even if they don't have personal support worker education, as long as they have the right skills and the Director of Nursing agrees.
- The Director of Nursing will make sure that the right staff member is assigned to each resident, based on their care plan and needs.
- Resident support personnel can help low-risk residents with personal care, but they might be supervised by a nurse or personal support worker, depending on the resident's needs.
- Resident support personnel cannot provide personal care to high-risk residents.
- Care plans must always be based on what residents need and prefer, including their choice of caregiver (like a nurse or personal support worker).
- The ministry will give guidelines to homes on how to safely use resident support personnel, including what tasks they can and cannot do.
- The ministry also supports resident support personnel in becoming personal support workers through the Learn & Earn Accelerated Program, and they will look for more ways to help them advance their skills.

![image](https://storage.googleapis.com/elderado-prod/uI8BgDxO-EN%20-%20Addendum%20Resident%20Support%20Personnel%20Approach%20in%20Practice%20y%C3%8C%C2%81%20Flow%20Chart.png)
[CLICK HERE](https://www.ontariocanada.com/registry/showAttachment.do?postingId=47253&attachmentId=61023)


## What do you think?

What do you think of the plan to formalize the role of RSPs in long-term care?  Is it a good idea to improve staffing levels, or a slippery slope that could leave us with even fewer healthcare professionals in long-term care homes?  

Want your voice heard?  Make sure you respond to the [public call for comment](https://www.ontariocanada.com/registry/view.do?postingId=47253&language=en&fbclid=IwZXh0bgNhZW0CMTEAAR0ZB031hmid1fBlfbG9NBkPVE7foLL7Tm9eZUUN8QisQVM_3zHwSY28TJk_aem_AaNyWe0hS4HlwIlMPMzxEPvJRYhj-jwt77cqZ0igHr20qbDLMX1N60Gw_tkbfMO3icDkxNxmeZ-caP0SWm9EqsKU) that's open until June 15, 2024.

The Role of Resident Support Personnel in Long-Term Care Homes

You need to file a complaint about something in a long-term care home, how do you do it?

# How do I file a complaint about long-term care?

1. File the complaint with the long-term care home.
2. Contact the Long-Term Care Family Support and Action Line.
3. Escalate your complaint to the Patient Ombudsman.

## 1. File the complaint with the long-term care home

The first step is filling the complaint with the home.  Every long-term care home is required to post the process to file a complaint in a place where it is easy for residents and the public to see.  If you can't find the process, speak to office staff at the home. If your complaint is in regard to harm or risk of harm to a resident, the home must investigate the complaint right away. They must also immediately send the complaint to the Ministry of Long-Term Care.

For all complaints, a member of staff must let you know that the home has received your complaint within 10 business days.

If the home finds your complaint is valid, they must call or write to let you know:

- what they are doing to resolve your complaint now
- what they plan to do to resolve your complaint in the future
- when you can expect the complaint to be resolved

If the home believes there is no cause for complaint, they must explain why.

## 2. Contact the Ministry of Long-Term care with your complaint 

If you are not happy with the home’s response to your complaint, the next step is to contact the Ministry of Long-Term Care.  For the quickest response, call the Long-Term Care Family Support and Action Line at: 1-866-434-0144.  The Long-Term Care Family Support and Action Line is available 7-days a week from 8:30 a.m. – 7:00 p.m.

If your concern is not time sensitive, you can contact the Ministry of Long-Term Care by email, at mltc.correspondence@ontario.ca, or by mail, at:

Director
Long-Term Care Inspections Branch
Long-Term Care Operations Division
Ministry of Long-Term Care
438 University Avenue, 8th floor
Toronto, ON M7A 1N3

## 3. Escalate to the Patient Ombudsman

If you weren't satisfied after speaking to the home, and the Long-Term Care Family Support and Action Line didn’t resolve the issue, you can escalate it to the Patient Ombudsman.  You submit your complaint online [HERE](https://www.patientombudsman.ca/Complaints/Make-a-complaint/Submit-Complaint) or call 1-888-321-0339.  The Patient Ombudsman acts as a neutral body of last resort for complaints about the healthcare system in Ontario.


*Find more information about filing a complaint about something happening in a long-term care home in Ontario on [Ontario.ca.](https://www.ontario.ca/page/long-term-care-home-complaint-process)*

How to file a complaint about long-term care in Ontario? Test

Trudeau says housing needs to retain its value to protect people's retirement, Long-term care nurses get a raise, the NDP calls for an amendment to stop retirement home evictions.  It's Friday May 31, 2024, this is the week in elder care news.

## Trudeau says housing needs to retain value for peoples' retirement

Prime Minister Trudeau commented on the Globe and Mails City Space Podcast, *“Housing needs to retain its value...It’s a huge part of people’s potential for retirement and future nest egg.”*  Many Canadians view their homes as their single largest asset and as a way to support their retirement, but this makes it more challenging for renters and Canadians looking to purchase their first home.

You can listen to the podcast [HERE](https://open.spotify.com/episode/2FXHujVid80h9FLNQEICl5?si=q_Vbsv1xRU6hIXTpN3qhYg).
You can read the full story [HERE](https://www.theglobeandmail.com/business/article-trudeau-house-prices-affordability/).

## Ontario long-term care nurses get a raise

Nurses in Ontario long-term care homes are getting a much deserved raise!  A recent arbitration decision grants members of the Ontario Nurses’ Association a pay raise of approximately 11.5% over two years. The top rate for nurses will increase $5.82 to $54.60 over 2 years.

Learn more [HERE](https://lanarkleedstoday.ca/2024/05/26/114496/#).


## NDP call for amendments to the Residential Tenancies Act to prevent the eviction of Ontario retirement home residents
The Ontario NDP are calling for changes to amend the Residential Tenancies Act to prevent the eviction of Ontario retirement home residents.  The demand comes in the wake of the eviction of more than 200 residents of Heritage Glen Retirement Residence in Mississauga.  Chartwell says it has helped more than 170 Heritage Glen residents find alternative accommodations as part of an assistance package, but some residents and their families say the eviction has turned their life upside down.

Find the full story [HERE](https://www.thestar.com/business/ndp-calls-for-amendment-to-end-unconscionable-seniors-homes-evictions-in-ontario/article_b5b2889a-1dcf-11ef-a7a8-fb64cab68c04.html).

Housing prices need to remain high for retirees, nurses get a raise, and the Ontario NDP calls on the provincial government to protect retirement home residents

A new approach to caring for seniors with dementia, Community Paramedicine helping seniors stay out of the hospital, and a new class of PSW graduates.  It's May 24, 2024, this is the week in elder care news.

## A new approach to long-term care for seniors with dementia
A new long-term care home has opened in Châteauguay, Quebec, that is using a 'small household' model to care for residents.  Each of the 10 small households have 12 residents that share a large communal space and kitchen, which makes it welcoming for family and friends to visit, and even cook a meal together.  Families say it feels welcoming, and they notice their loved ones feel cared for - not pushed aside.  46 long-term care homes like this have been planned for Quebec.

Find the full story [HERE](https://globalnews.ca/news/10504165/long-term-care-residence-montreal-new-way-care-for-seniors/).

## Community Paramedicine for Long-Term Care program is helping keep seniors out of the hospital
Sudbury’s community services committee says the Community Paramedicine for Long-Term Care program has reduced emergency department visits by 24%.  Last year Community Paramedicine attended to 975 calls, and of those calls there were 700 instances where residents were able to avoid going to the hospital.  The program is helping keep seniors out of the hospital who don't need to be there, and saving the healthcare system money.

[HERE](https://northernontario.ctvnews.ca/community-paramedicine-program-reduces-911-calls-visits-to-emergency-dept-1.6895044) is a link to the full story.

## 165 new PSWs graduate from Fanshawe College
Fanshawe College said it graduated 165 students in the winter term.  Many of the new PSWs will be working in retirement homes and long-term care, and we want to take a moment to celebrate them, and wish them a long and fulfilling career.

Read more [HERE](https://www.cbc.ca/lite/story/1.7210220).


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What Caregivers need to know about Adult Guardianship

Elder care innovation at Collision 2024

2SLGBTQI+ Rainbow Seniors at Pride

Delayed long-term care projects, a new Minister of Long-Term Care, and more. This is the week in elder care news

The Role of Resident Support Personnel in Long-Term Care Homes

How to file a complaint about long-term care in Ontario? Test

Housing prices need to remain high for retirees, nurses get a raise, and the Ontario NDP calls on the provincial government to protect retirement home residents

A new approach to caring for seniors with dementia, Community Paramedicine, and a new class of PSWs

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