Serving Residential and Community Care Homes for the Elderly in Manitoba

COVID-19 has taught us seniors need to be a priority July 22nd, 2020

Knowing that Manitoba accounts for just one of the approximately 6,000 COVID-19 deaths in personal care homes in Canada, you’d be forgiven for thinking we place a higher priority on senior care than do people in other provinces. The owners of 29 of Manitoba’s non-profit personal care homes would like to correct that mistaken impression.

These owners have the first-hand experience to know the people who live in long-term care are not high on the priority list of most Manitobans nor the provincial government.

If these seniors were a priority, would provincial funding for basic operations have been frozen for 10 years?

The average resident in a personal care home today is not the same as the average resident 20 or 30 years ago. Years ago, many residents were relatively healthy, independent, and ambulatory. Today, the majority of residents in a Manitoba personal care home are over 85 years old and have acute and complex healthcare challenges, including dementia. While it costs more to care for these high-needs residents, most personal care homes in Manitoba—and all our homes in Winnipeg—have received no increase in their operating budget for more than 10 years. This at a time when dietary expenses at homes have increased by 36 percent and nursing supplies and incontinent supplies have increased 50 percent.

Clearly, something’s got to give. So managers of these homes are forced to take money away from things like social and recreational programs that help provide the quality of life residents deserve, and from things like maintenance, housekeeping and ancillary services in order to pay the grocery bill.

If seniors in care were a priority, wouldn’t the government allow more time for nurses and aides to meet the increasingly complex needs of personal care home residents?

The higher needs of today’s residents mean they need more help with things like getting dressed, bathing, brushing their teeth, using the bathroom and eating. Many require two- person assistance and greater supervision. Experts say at least 4.1 hours of care are required per resident per day, but the province provides funding for only 3.6 hours—a number that has not changed since 2009. This means assistance is not always available when residents need it. As well, bureaucratic regulations mean nurses are having to spend more and more time filling out paperwork, leaving less time for them at the bedside to provide and oversee resident care.

If seniors’ living conditions were a priority, would government have frozen funds for capital repairs and improvements for 25 years?

It’s not just Ontario and Quebec that have antiquated, multi-bed facilities that make infection control difficult. There are also personal care homes in Manitoba that are over 40 years old and have multiple beds per room. In the non-profit sector, our homes need an average $6 million in upgrades per home. Owners need to repair leaking roofs, replace faulty boilers and make long overdue renovations.  Yet provincial money for repairs was basically frozen for a quarter century, even though inflation over those years was 57 percent.  As a result, the only repairs made at most personal care homes have been those required by new fire and building codes—and new money finally announced by government last month can be used only for further fire safety upgrades. Those upgrades are important but they won’t fix crumbling infrastructure.

To make matters worse, it typically takes 10 to 12 years for the province to approve a capital expense. So personal care home managers often give up in frustration and try instead to raise the needed funds from community members.  We have often been successful, but of course community groups and members eventually get tapped out and so the next upgrade that would improve resident care and quality of life simply doesn’t happen.

With more than 100 years of experience caring for seniors in our communities, the owners of community-based, non-profit homes want to work as partners with government to jointly find solutions to the long-term problems of under-funding, inadequate staffing, and unsuitable polices and regulations.

Most of all, we want the provincial government to significantly increase funding to our personal care homes to allow us to provide safe, appropriate care to our residents. At minimum, we must receive annual increases equal to the cost of inflation for both operating and capital expenses.

We hope Manitobans who care about their elderly relatives and friends will join us in telling government that chronic under-funding of personal care homes is not compatible with excellent care. And that the COVID-19 nightmare in other provinces has reinforced that it’s high time seniors moved up a few pegs on everyone’s priority list.

NON-PROFIT NURSING HOMES CALL FOR FUNDING INCREASE, HIGHER STAFFING July 13th, 2020

Winnipeg, July 6, 2020 — As the COVID-19 pandemic shines a light on long-term care facilities in Canada, the owners of 29 of Manitoba’s private, non-profit personal care homes are calling for immediate funding and staffing increases to help improve resident care.

The Manitoba Association of Residential and Continuing Care Homes for the Elderly (MARCHE) says personal care homes in Manitoba have been chronically underfunded for years and resident care is suffering as a result.

“Lack of funding, human resource challenges and aging infrastructure are issues not just in Ontario and Quebec,” says MARCHE Executive Director Julie Turenne-Maynard. “Many personal care homes–including all of those in Winnipeg—have not seen any funding increase for basic operations in more than 10 years. During that same time, dietary expenses at MARCHE homes increased by 36% and the cost of incontinent supplies increased 50%. Funding of these items had to come at the expense of other departments.”   

MARCHE says money for repairs, renovations and replacement of critical infrastructure is also insufficient. Many homes are over 40 years old and have multiple beds per room, thus facilitating the spread of infectious diseases. In the non-profit sector, homes need an average $6 million in upgrades per home. Yet a recent 25-year period saw little to no increase in provincial funding, while inflation over those years was 57%.

“At minimum, all personal care homes must receive operating budgets that reflect the annual cost of inflation, the increased needs of residents, and basic upkeep of their capital infrastructure,” Turenne-Maynard says.

MARCHE is also calling on the provincial government to fund higher staffing levels in order to provide the care residents require.  The average resident in a Manitoba personal care home is more than 85 years old and has acute and complex healthcare challenges, including dementia. Although resident needs have increased, staffing levels have remained the same since 2009. MARCHE is calling on the provincial government to increase the hours of care from 3.6 hours per resident per day to a minimum 4.1 hours.

“The critical issues facing personal care homes are not new, and we have been raising them with government for a decade,” Turenne-Maynard points out. “Faith-based and community-supported organizations have been providing services to elderly Manitobans for over 100 years and have a wealth of experience. We can be an effective partner to government in jointly finding solutions to the long-term problems of under-funding, inadequate staffing, and unsuitable polices and regulations.”

More than 80% of COVID-19 deaths in Canada have been linked to long-term care facilities. Manitoba has had seven deaths in total, with one related to a personal care home.

“While we have been successful so far, we cannot be complacent about COVID-19,” says Turenne-Maynard. “We know that having to provide increasingly complex care without adequate funding leaves personal care home residents and staff vulnerable—now more so than ever before.”

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For more information or to arrange an interview with a MARCHE personal care home:

Julie Turenne-Maynard

Executive Director, MARCHE 204-771-5585


Report on the Financial Sustainability of the Non-Profit Personal Care Home Sector November 12th, 2019

MARCHE Report FINAL without_printers_marks

MARCHE Partners IHCAM and CHAM present at Bill 6 hearings August 2nd, 2012

MARCHE has partnered with the Interfaith Health Care Association of Manitoba (IHCAM) and the Catholic Health Association of Manitoba (CHAM) to oppose Bill 6. IHCAM ( IHCAM Presentation)and CHAM (CHAM Presentation)presented at the June 11, 2012 before the Legislative Committee chaired by Health Minister Theresa Oswald.

 

 

MARCHE presents to Bill 6 Legislative Committee

On June 11, 2012, MARCHE Board Chair Gerald Pronyk presented our members opposition to Bill 6 in front of Legislative Committee chaired by Health Minister Theresa Oswald  Bill 6 MARCHE Presentation ..

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