REPORT FROM THE BOARD

The regular monthly meeting of the Board of Directors was held on 04 March 2025.

ADMINISTRATION REPORT

Ms. Lafrance’s report included: Ministry of Long-Term Care (MOLTC) Proactive Compliance Inspection (PCI), the Ministry of LTC Inspection Report, and Good News Item (St. Joseph’s Care Foundation raised $31,298 for their Lights of Hope Campaign) and Census Data. Service Accountability Agreements (SAAs) – Extension (LSAA and HSAA Extending Letters approved), Also discussed: 

Policy Approval 

The Board of Directors approved Policy #2-a-4 re. Board of Directors Conflict of Interest Disclosure as revised. 

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE (CPFPRC)

Financial Statements – The Board of Directors approved the Financial Statements for the Periods Ending January 2025 as presented.

Request for Proposal (RFP) Auditing Services – Draft – The Board approved the request for Proposal Auditing Services.

Management Fiduciary Statements – The Board of Directors approved the Management Fiduciary Statements for January 2025.

PROFESSIONAL ADVISORY COMMITTEE (PAC) REPORT 

Physician reapplication 2025 –  Dr. D. Read’s Medical Staff reapplication has been reviewed by the PAC and was recommended to the Board for approval. The Board of Directors approved the reappointment of Dr. Read to the Medical Staff for 2025 with the privileges previously held.

GOVERNANCE COMMITTEE 

Administrative Bylaws of RHSJ 

The Board of Directors reviewed and sent a final revision for the approval of the Administrative Bylaws of the Religious Hospitallers of St. Joseph of Cornwall, Ontario.

FISCAL ADVISORY COMMITTEE 

Final Draft Budget – The Fiscal Advisory Committee met and reviewed the final budget for Hotel Dieu Hospital and was approved as presented. 

PUBLIC RELATIONS AND BRANDING COMMITTEE 

Policy Approval  – The Board of Directors approved Introduction and Organization policy #1-a-145 re. Cultural Competency: Equity, Diversity and Inclusivity Workplan  as revised. 

Reaffirmation of EDI Commitment – SJCCC continues to stand by and reaffirms the commitment to EDI.

OTHER BUSINESS

Standing Item: Annual Workplan – The workplan for the month of March was reviewed.

Standing Item: Equity, Diversity and Inclusion (EDI) 

Standing Item: Policies to be Reviewed by the Board of Directors – Reviewed 

The next regular Board of Directors meeting is scheduled for Tuesday, 01 April 2025  at 1200 hours via videoconference.            

REPORT FROM THE BOARD

The regular monthly meeting of the Board of Directors was held on 04 February 2025.

BUSINESS ARISING FROM THE MINUTES – Board of Directors Policy #2-a-4 re. Board of Directors Conflict of Interest Disclosure – DEFERRED.

CORRESPONDENCE  Letter from family – Noted

Thank you Card – Noted

ADMINISTRATION REPORT

Ms. Lafrance’s report included: Strategic Direction: Ministry of Long-Term Care Inspection Report, Management Goals – Q3 Update, Provincial Pre-Budget Preparations and Good News Item (a breakfast & tour at Hotel Dieu Hospital is scheduled for February 7th, 2025 along with 7 plaques honouring our Sisters on each unit) and Census Data. Also discussed:

Ministry of Long-Term Care Inspection Report– An Order was issued regarding SJCCC’s Infection, Prevention and Control program. The Public copy was received and shared. Actions that were taken in response to the order included internal audits, checklists and in the moment education.

Policy Approval 

The Board of Directors approved the following policies as reviewed/revised:

– Board of Directors Policy #2-a-6 re Orientation Programme for Board Members and Members of Board Committees

– Corporate Policy #3-a-20 re Disagreement with a Physician’s / Nurse Practitioner’s Orders

– Corporate Policy #3-a-91 re Corporate Procurement Policy

– Corporate Policy #3-a-92 re Procurement Code of Ethics

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE (CPFPRC)

Financial Statements – The Board of Directors approved the Financial Statements for the Periods Ending 30 November 2024 and 31 December 2024 as presented.

Mortgage Renewal – The Board approved to move forward with the mortgage renewal of a 3 year term at 5.18%. 

Management Fiduciary Statements – The Board of Directors approved the Management Fiduciary Statements for November and December 2024.

PROFESSIONAL ADVISORY COMMITTEE (PAC) REPORT 

Policy to Review  – The Board of Directors approved Board of Directors policy #2-a-26 re Professional Advisory Committee as revised.

GOVERNANCE COMMITTEE 

Appointment of Board Members to Committees

The Board of Directors have appointed Steph Sanborn be appointed to the Quality Improvement and Safety Committee and that Mrs. Chantal Tessier be appointed to the CPFPRC. 

NEW BUSINESS

Policy to Review – Board of Directors policy #2-a-30 re. Directors’/Policy on Open Board Meetings has been approved as reviewed.

OTHER BUSINESS

Standing Item: Annual Workplan – The workplan for the month of February was reviewed.

Standing Item: Equity, Diversity and Inclusion (EDI) 

Standing Item: Policies to be Reviewed by the Board of Directors – Reviewed 

The next regular Board of Directors meeting is scheduled for Tuesday, 04 March 2025 at 1200 hours via videoconference. 

REPORT FROM THE BOARD

The regular monthly meeting of the Board of Directors was held on 07 January 2025.

ADMINISTRATION REPORT 

Ms. Lafrance’s report included: Strategic Direction: Magnetic Employer – Nursing Staff Training, Ministry of Long-Term Care Inspection Report and Good News Item (the holiday activities celebrated throughout the Centre) and Census Data. Also discussed:

Ministry of Long-Term Care Report 

Discussions continue to be held regarding the frequency of inspectors visiting the Centre. Due to an uptake on abuse and neglect during the Covid-19 pandemic, the Ministry has added more inspectors across the province to strengthen compliance and enforcement in Long-Term Care Homes. We continue to study trends and are committed to providing more training, support and education to all staff.

Policy approval

Board of Directors policy #2-a-4 re. Board of Directors Conflict of Interest Disclosure – DEFERRED.

NEW BUSINESS

Policy to Review

The Board of Directors approved Board of Directors policy #2-a-30 re. Directors’/Policy on Open Board Meetings has been approved as reviewed.

OTHER BUSINESS
Standing Item: Annual Workplan – The workplan for the month of January was reviewed.

Standing Item: Equity, Diversity and Inclusion (EDI)

Standing Item: Policies to be Reviewed by the Board of Directors – Reviewed

The next regular Board of Directors meeting is scheduled for Tuesday, 04 February 2025 at 1200 hours via Hybrid. 

REPORT FROM THE BOARD

The regular monthly meeting of the Board of Directors was held on 03 December 2024.

BUSINESS ARISING FROM THE MINUTES

Updated By-laws – This will be reviewed at the next Governance meeting on 17 January 2025.

ADMINISTRATION REPORT 

Ms. Lafrance’s report included: Strategic Direction: Expanding Senior Housing, Land Development – Flourish Engagement and CHAO Grant, SJCCC Evacuation Exercise, Ministry of LTC Report and Good News Item (a memorial service was held and honoured 102 former residents and patients who passed away in the previous year)  and Census Data. Also discussed:

Ministry of Long-Term Care Report 

The Ministry of Long-Term Care (MOLTC) has increased the number of inspectors in the facilities across the province to ensure that incidents are reported on time (in less than 24 hours) and action is taken on time.

QUALITY IMPROVEMENT AND SAFETY COMMITTEE

Policy to Revise

The Board of Directors approved the Board of Directors policy #2-a-20 re. Quality Improvement / Safety Committee as revised.

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE (CPFPRC)

Financial Statements

The Board of Directors approved the Financial Statement for the Period of October 2024 as presented.

Management Fiduciary Statements

The Board of Directors approved the Management Fiduciary Statement for October 2024.

Policies to Review

The Board of Directors approved the following policies as reviewed: Board of Directors policy #2-a-10 re. Comprehensive Planning, Finance and Personnel Relations Committee and Board of Directors policy #2-a-28 re. Fiscal Advisory Committee.

OTHER BUSINESS
Standing Item: Annual Workplan – The workplan for the month of December was reviewed.

Standing Item: Equity, Diversity and Inclusion (EDI)

Standing Item: Policies to be Reviewed by the Board of Directors – Reviewed

The next regular Board of Directors meeting is scheduled for Tuesday, 07 January 2025 at 1200 hours via videoconference. 

REPORT FROM THE BOARD

The regular monthly meeting of the Board of Directors was held on 05 November 2024.

BUSINESS ARISING FROM THE MINUTES

Memorandum Response re Appointment of New Board Member (Steph Sanborn & Mrs. Chantal Tessier)          -APPROVED (written). 

Updated By-laws – Discussions continue to be held and a couple more changes will be added before accepting the final version.

ADMINISTRATION REPORT 

Ms. Lafrance’s report included: Strategic Direction: Through the Lens of Equity Diversity and Inclusion (EDI), Management Goals Year 2024-25 (Q2) update and Good News Item (we celebrated Kelly Ratayczak, our hairdresser who dedicated her life to our residents with 40+ years of service at SJCCC ) and Census Data. Also discussed:

Hospital Parking Directive 

The Board of Directors accepted the Hospital Attestation of Compliance with Hospital Parking Directive re 01 September 2023 – 31 August 2024 as presented.

Land Development – Flourish Session

Ms. Lafrance shared the portfolio of our Land development session with Flourish that showcases their work through affordable housing.

Policy Approval

The Board of Directors approved the following Policy #3-a-25 re. Resuscitative Intervention for Care at End of Life as revised.

ETHICS AND MISSION COMMITTEE

Medical Assistance in Dying (MAiD)

Dr. Grant discussed an article of MAiD and the difficulties it may have in a Catholic setting.

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE (CPFPRC)

Financial Statements

The Board of Directors approved the Financial Statement for the Period of September 2024 as presented.

Management Fiduciary Statements

The Board of Directors approved the Management Fiduciary Statement for September 2024.

RFP for Audit services for year end March 31, 2026

The Board of Directors will explore various firms for Audit Services. 

GOVERNANCE COMMITTEE

Board Self-Assessment Tool

Three questions have been discussed to add to the Annual Evaluation Form in regards to the Chief of Staff. CHI is in the process of  reviewing all assessments.

PUBLIC RELATIONS AND BRANDING COMMITTEE

Standing Annual Workplan

A line will be added to the Public Relations and Branding Committee workplan to include “Oversight of Equity, Diversity and Inclusion (EDI)”. 

OTHER BUSINESS
Standing Item: Annual Workplan – The workplan for the month of November was reviewed.

Standing Item: Equity, Diversity and Inclusion (EDI)

Standing Item: Policies to be Reviewed by the Board of Directors – Reviewed

The next regular Board of Directors meeting is scheduled for Tuesday, 03 December 2024 at 1200 hours via Hybrid. 

REPORT FROM THE BOARD
The regular monthly meeting of the Board of Directors was held on 01 October 2024.

BUSINESS ARISING FROM THE MINUTES
Memorandum Response re Administrative By laws -APPROVED. (written)

ADMINISTRATION REPORT
Ms. Lafrance’s report included: Strategic Direction: Expanding Senior Housing – Land Development – Flourish Session, Good News Item (Employee Service Awards was held off-site and honoured 30 staff members and 7 retirees) and Census Data. Also discussed:

Policy Approval – The Board of Directors approved the following policies as reviewed/revised.

-Corporate Policy #3-a-66 re Privacy Breach Management
-Corporate Policy #3-a-67 re Privacy Logging and Auditing
-Corporate Policy #3-a-68 re Privacy and Security Training
-Corporate Policy #3-a-69 re Privacy Inquiries and Complaints
-Corporate Policy #3-a-70 re Privacy Policy
-Corporate Policy #3-a-71 re Lock Box Policy
-Corporate Policy #3-a-75 re Resident/Patient Record: Access to and Release of

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE (CPFPRC)
Financial Statements – The Board of Directors approved the Financial Statement for the Period of August 2024 as presented.

Management Fiduciary Statements – The Board of Directors approved the Management Fiduciary Statement for August 2024.

Benefits Renewal – The Board of Directors approved to move forward with an agreement with Collaborative Benefits.

GOVERNANCE COMMITTEE
Succession Planning – Chief Executive Officer – The Board is working on approving a policy in regards to succession planning.

NEW BUSINESS
Update Terms of members in Bylaws (QI) Committee – The Board of Directors recommended to the Members of the Corporation that Administrative Bylaws be revised to read under the Quality Improvement/Safety Committee as “Director of Continuous Care” instead of
the Nursing Care Coordinator as approved by the Board”.

Updated Bylaws of RHSJ – Draft 2024 – The proposed Administrative Bylaws of The Religious Hospitallers of St. Joseph of Cornwall, Ontario pertaining to St. Joseph’s Continuing Care Centre (SJCCC) from the Members of the Corporation were shared and discussed.

OTHER BUSINESS
Standing Item: Annual Workplan – The workplan for the month of October was reviewed.

Standing Item: Equity, Diversity and Inclusion (EDI)

Standing Item: Policies to be Reviewed by the Board of Directors – Reviewed

The next regular Board of Directors meeting is scheduled for Tuesday, 05 November 2024 at 1200 hours via video conference.

REPORT FROM THE BOARD

The regular monthly meeting of the Board of Directors was held on 03 September 2024.

BUSINESS ARISING FROM THE MINUTES

Membership Response re Annual Meeting Recommendations                  –APPROVED. (written)

Memorandum Response re Administrative By laws                                        -PENDING.

CORRESPONDENCE – Thank You Card from Tony Ingram – Noted.

ADMINISTRATION REPORT

Mrs. Lafrance-Allaire’s report included: French Language Service Remote Care Monitoring, Management Goals, the Ministry of LTC Inspection Report and CARF Accreditation – QIP Acknowledgement Good News Item (Cornwall Waterfest Dragon Boat Race was a success) and Census Data. Also discussed:

Policy Approval

The Board of Directors approved Corporate policy #3-a-10 re Complementary Services Offered by Regulated Health Professionals (RHPs) Not Employed by St. Joseph’s Continuing Care Centre as revised.

Resolution – French Language Designation – The resolution for French Language Designation at St. Joseph’s Continuing Care Centre has been approved.

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE (CPFPRC)

Financial Statements – The Board of Directors approved the Financial Statement for the Period of July 2024 as presented.

Management Fiduciary Statements – The Board of Directors approved the Management Fiduciary Statement for July 2024.

GOVERNANCE COMMITTEE

Board of Directors – Interviews – The Board of Directors recommended to the Members of the Corporation that Steph Sanborn and Mrs. Tessier be appointed to the Board of Directors for a term of 3 years.

NEW BUSINESS

Policies to Review – The Board of Directors approved the following policies as reviewed:

-Board of Directors policy 2-a-2 re Board of Directors

-Board of Directors policy 2-a-3 re Directors’ / Board Committee Members’ Code of Conduct

OTHER BUSINESS

Standing Item: Annual Workplan – The workplan for the month of September was reviewed.

Standing Item: Equity, Diversity and Inclusion (EDI)

Standing Item: Policies to be Reviewed by the Board of Directors – Reviewed

The next regular Board of Directors meeting is scheduled for Tuesday, 01 October 2024 at 1200 hours via hybrid.

Current Outbreaks:

As of April 17, 2025, a respiratory outbreak has been declared on Quinn house.

During periods of outbreak…

• Although visitation remains in effect during periods of outbreak, we encouraged families to avoid non-essential visits. Visitors are required to wear a mask on an affected unit and wear appropriate personal protective equipment as indicated outside designated rooms.
• Hand hygiene is the most important measure we all can take! It protects, our residents/patients, staff and visitors and stops the spread. Please ensure you are washing your hands on arrival, on departure, before sharing a meal, and after contact with a resident/patient.
• Social isolation is a great concern and very negatively affects your loved ones. All attempts to maintain normalcy are made while keeping your loved one safe. Group activities will be adjusted during an outbreak and restricted based on individual cases.
• Staff continue to diligently monitor residents/patients for the onset of symptoms to be placed on precautions as soon as symptoms develop.

COVID-19 and Respiratory Viruses: Information & FAQs

What precautions are St. Joseph’s Continuing Care Centre taking to keep my loved one safe?

• Enhanced masking requirements began November 7, 2023 to protect our staff and residents during peak season for respiratory viruses, including Covid-19.
  • All staff, students and volunteers are required to wear a mask in resident areas indoors.
  • Visitors are strongly recommended to wear a mask when visiting their loved ones while in common resident areas indoors. This would include all areas on the units and when in close proximity to any resident. Masks are not required while in private room of resident you are visiting, or when eating or drinking.  Visitors are welcome and encouraged to participate in activities and/or enjoy a meal with their loved ones. Masks are strongly recommended for these instances unless eating or drinking with the resident.

How can families get an update on their loved ones?

Families who are unsuccessful in reaching the nursing station for an update on their loved ones may contact the office of Patient/Resident and Family Relations at 613-933-6040 x 22370 (CCC) or ext. 22106 (LTC). Families may leave a message on the confidential voicemail and expect a return call within 24 hours of reception (Monday to Friday).

Please note: Our nurses and doctors continue to ensure prompt communication with families in the event of a significant change in medical condition during these times.

Can families take their loved ones home?

Discharges to private homes are still being permitted. Therefore, St. Joseph’s Continuing Care Centre may have your loved one discharged in your care during an outbreak; however, re-admission to the Centre will be provided on a priority basis through the Champlain LHIN, once the restrictions are lifted. For more information, please click HERE.

Tell me more about vaccines for Covid-19 and Influenza!

Vaccines to protect against Flu, RSV, Covid-19 and pneumococcal are strongly recommended for every resident and we ask all residents, family and care givers to consider getting their vaccines regularly.

You can get a Covid-19 vaccine every 6 months, Flu vaccine once a year, RSV and the new pneumococcal vaccine is one time dose.

You can get flu, Covid-19, RSV, and pneumococcal vaccines at the same if they are all available at the same time/place.

How can families help support St. Joseph’s Continuing Care Centre?

There are many ways that families can help support our Centre. First and foremost, please continue to assist our staff in presenting a united front when it comes to following Public Health recommendations and restrictions.

REPORT FROM THE BOARD

The regular monthly meeting of the Board of Directors was held on 24 June 2024.

ADMINISTRATION REPORT

Mrs. Lafrance-Allaire’s report included: Ministry of LTC Inspection Report, CARF Canada Accreditation; Hospital Board to be informed and Hospital Board to Report to Funder, Good News Item (the Auxiliary Bishop Yvan Mathieu of Archdiocese of Ottawa-Cornwall blessed and shared kind words of our new rehabilitation space during the open house on 06 June 2024) and Census Data. Also discussed:

Policy Approval

The Board of Directors approved Corporate policy #3-a-50 re French Language Services as revised.

HSAA Article 8 – Form of Compliance Declaration – HSAA Article 8 – Declaration of Compliance form is an annual requirement under the HSAA, an agreement with the Ministry.

The Board of Directors approved the signature for HSAA Article 8 – Declaration of Compliance form.

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE (CPFPRC)

Financial Statements – The Board of Directors approved the Financial Statements for the Period of April and May 2024  as presented.

Management Fiduciary Statements – The Board of Directors approved the Management Fiduciary Statements for April and May 2024.

GOVERNANCE COMMITTEE 

Board Vacancies  – There are 2 vacant positions on the Board of Directors that need to be filled. Resumes have been received and the interview process will commence.

Executive Committee recommendation

The Board of Directors recommends to Catholic Health International that Dennis Richer be nominated as Chairperson of the CPFPR Committee on the Executive Committee.

GOVERNANCE COMMITTEE 

Policy to Review

The Board of Directors approved Board of Directors policy #2-a-40 re Public Relations and Branding Committee as reviewed.

NEW BUSINESS

Chief Nursing Executive

The Board of Directors appointed Lynn Theriault as Chief Nursing Executive. 

OTHER BUSINESS

Standing Item: Annual Workplan – The workplan for the month of June was reviewed.

Standing Item: Equity, Diversity and Inclusion (EDI) – Press Release – A press release was shared with the Board of Directors. 

Standing Item – Policies to be Reviewed by the Board of Directors – Reviewed 

The next regular Board of Directors meeting is scheduled for Tuesday, 03 September 2024 at 1200 hours via video conference.

REPORT FROM THE BOARD

The regular monthly meeting of the Board of Directors was held on 14 May 2024.  The Annual Meeting of the Board was held immediately prior to the regular meeting (see Governance Committee section).

CORRESPONDENCE 

Annual Report to the Sponsor 2024 – During the Regular Board meeting, the Board Members will complete the Annual Report to the Sponsor 2024. This report is a yearly requirement from Catholic Health International. The collective responses will be sent to Catholic Health International by Administration.

ADMINISTRATION REPORT

Mrs. Lafrance-Allaire’s report included: Management Goals Year 2024-2025 (approved), Strategic Direction: Innovative Care – HDH Scheduled Therapeutic Program – Risk Management Review for 2023-2024 and Management Goals for the year 2024-2025, Good News Item (Sister Rosalia Cobey Awards were held 24 April 2024 with 13 testimonials) and Census Data. Also discussed:

Policy Approval 

The Board of Directors approved the following policy as revised:

-Corporate Policy #3-a-30 re Health and Safety Policy

The Board of Directors approved the report from Administration, including the Management Goals for 2024-2025.

ETHICS AND MISSION COMMITTEE

Policies to Review/Revise

The Board of Directors approved the following policies as reviewed:

-Corporate Policy #3-a-26 re Guidelines for Use of Advance Directives for Healthcare Decisions

-Corporate Policy #3-a-28 re Guidelines for Care at End of Life

-Corporate Policy #3-a-29 re Guidelines Regarding Sexual Intimacy

The Board of Directors approved the Mission Effectiveness Plan. 

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE (CPFPRC)

Management Fiduciary Statement – The Board of Directors approved the Management Fiduciary Statement for March 2024.

Statement of Administrative Responsibility – Noted. This document will be sent to the Members of the Corporation for information.

Draft Audited Financial Statements – The Audited Financial Statements for the Religious Hospitallers of St. Joseph of Cornwall, Ontario: St. Joseph’s Villa; Hotel Dieu Hospital; and the Consolidated Statements for the Year Ended 31 March 2024 were presented and are recommended to the Members of the Corporation for approval.

Audit Findings Report – This document was approved by the Board of Directors and referred to the Members of the Corporation for information.

GOVERNANCE COMMITTEE 

Board Member / Committee Member / Officers Appointment – In preparation for the Annual Meeting, the Committee made recommendations regarding appointment and reappointment of Directors including Officers (Mr. Paul Desnoyers, Chairperson, Mr. Mathieu Despatie, Vice-chairperson and Ms. Elizabeth MacLennan, Secretary-Treasurer), Ex-officio Members, as well as changes to some Board Committees. These recommendations were subsequently recommended at the Annual Meeting to the Members of the Corporation for approval.

Annual Reports – Annual reports from the Chairperson, Executive Director, Medical Director of Long-Term Care, Chairperson of the Ethics and Mission Committee, Chairperson of the Quality Improvement / Safety Committee and Chairperson of the Public Relations and Branding Committee were presented, approved and forwarded to the Members of the Corporation.

OTHER BUSINESS

Standing Item – Annual Workplan – The workplan for the month of May was reviewed.

Standing Item – Policies to be Reviewed by the Board of Directors – Reviewed 

The next regular Board of Directors meeting is scheduled for Monday, 24 June 2024 at 1200 hours in person.