Unconscionable Situation in Manitoba Long-Term Care Homes Manitoba is experiencing
uncontrolled spread of COVID-19, and both
health officials and health care workers say the health system is being
overwhelmed. There are now 7,011 active cases, with record breaking
numbers of new cases and deaths being reported day after day. Manitoba
has 172 reported COVID-19 deaths, with most deaths
occurring during the second wave which began in October. There
are COVID-19 outbreaks at more than three dozen long-term care homes
and assisted living centres, with at least 642 cases. Sixty-four
deaths have occurred in just two Winnipeg long-term care homes, both
with ongoing outbreaks, Maples and Parkview Place. The homes are owned
by Revera, a wholly-owned subsidiary of the Public Sector Pension
Investment Board (PSP), a federal Crown corporation, and operated on a
for-profit basis. The extent of the outbreak and gross neglect of
patients at the Maples home became public only after staff called 911
on November 7. Paramedics who responded found residents who had died
and residents who were critically ill and were severely malnourished
and dehydrated. Maples had 121 residents and 55 staff members infected
with the coronavirus at the time. Revera
claimed that it had adequate staffing at the Maples home, reporting the
"normal" staffing levels for the November 7 afternoon shift -- 19
personal care attendants and seven nurses -- and the health authority
repeated this claim publicly. The Canadian Union of Public
Employees (CUPE) which represents the health care aides issued a
statement on November 8 exposing this misleading information, and
clarifying that there were actually only seven personal care attendants
to care for 200 residents. Revera claimed this "mistake" was due to
reporting scheduled workers, not workers actually providing care.
Maples also failed to report deaths from COVID-19 as required. Revera
stated this was because the nursing staff were involved in direct care
as opposed to "paperwork." The
Winnipeg police homicide unit is investigating the deaths, and the
Winnipeg Regional Health Authority (WRHA) is conducting a safety
review. There are widespread calls for the WRHA to take over the
long-term care homes, which have shown they cannot be trusted with the
care of our seniors. It is apparent that the drive for profit has
trumped everything. Even "normal" staffing would have been totally
unacceptable with the greatly increased care needs, and when everyone
knows this old "normal" was never adequate. Under conditions of an
active outbreak, to allow staff levels to drop below established
requirements in the opinion of Workers' Forum shows
that continued control by those motivated by maximizing profits is to
be outlawed. Both those directly profiting from the understaffing and
refusal to care for residents/patients and staff, as well as
those in government permiting this to happen and claiming
ignorance should be held to account. Workers must identify and hit at
the mechanism which permits
this state of affairs to continue. Once
more, the
failure to implement the recommendations of the health care workers is
leading to more tragedy and preventable deaths. The mechanism that
perpetuates this state of affairs must be identified and dismantled.
CUPE's call for an investigation into long-term care homes in
October went unheeded by the government, as have the recommendations
for staff/resident ratios that permit staff to provide humane care.[1]
Manitoba requires 3.6
hours of total care per day for each resident. The Manitoba Nurses
Union (MNU), which has for years called for an improved staff
to patient ratio, has pointed out that the standard does not
reflect actual hours
of care, but only scheduled hours. The scheduled hours of workers who
are off sick, on break, or carrying out administrative or other duties,
not direct care of residents are all counted.[2] The MNU calls for
at least 4.1 hours of direct personal care per day. Notes
1.
A report prepared by the Manitoba Nurses Union in 2018 entitled "The
Future of Long-Term Care Is Now: Addressing Nursing Care Needs in
Manitoba's Personal Care Homes" can be found here.
2. On
October 27, CUPE issued a letter to public health officials
stating, "We need to be proactive and have public officials inspect
these privately-operated homes," says Shannon McAteer, CUPE Health Care
Coordinator. "The results of the inspection during the Parkview Place
outbreak yielded important findings and recommendations,
including staffing and personal protective equipment (PPE) that can
help that facility fight the spread of COVID-19, but we cannot let
other facilities get to that point." "Government
and private operators dragged their feet before, and we
cannot have a repeat of what happened at Parkview Place," said McAteer.
"We are asking for public health inspectors to immediately conduct
in-person reviews at all private care homes with current outbreaks, and
automatically launch inspections at future outbreaks to ensure
each home is prepared for, and can prevent an outbreak."
This article was published in
Number 79 - November 19, 2020
Article Link:
Unconscionable Situation in Manitoba Long-Term Care Homes
Website: www.cpcml.ca
Email: editor@cpcml.ca
|