COVID-19 Safety Plan
COVID 19 Safety Plan Instructions – Assisted Living
This planning tool has been designed to guide Assisted Living residences through WorkSafeBC’s six-step process to reduce the risk of COVID-19 in Assisted Living. Briefly, these steps are:
✔Step 1: Assess the risk at your workplace
✔Step 2: Implement measures to reduce the risk
✔Step 3: Develop policies
✔Step 4: Develop communication plans and training
✔Step 5: Monitor your workplace and update your plans as needed
✔Step 6: Assess and address the risks from resuming operations.
This plan is a template and is designed to be modified based on the needs of your organization.
Process:
Assemble a team including leadership and worker representatives from the Joint Occupational Health and Safety Committee (JOHSC). For sites that do not have a JOHSC, a worker safety representative must be involved in the process of developing your COVID-19 Safety Plan.
You may wish to perform an inspection of the assisted living residence as a part of developing your COVID-19 Safety Plan. SafeCare BC has developed a COVID-19 Safety Inspection Tool that can guide you through the development of your COVID-19 Safety Plan.
Once completed, forward a copy of the Safety Inspection Checklist to your Joint Occupational Health and Safety Committee, and keep a copy on file.
In accordance with the order of the Provincial Health Officer dated May 14th, 2020 a copy of the completed COVID-19 Safety Plan must be posted on your website and also made readily available at the workplace for review by workers, contractors, volunteers, suppliers, visitors, and any other person who could be providing services at the workplace.
A copy of the COVID-19 Safety Plan and other associated documentation must be provided if requested by a WorkSafeBC officer.
This COVID-19 Safety Plan should be regularly reviewed and updated as work processes change or new orders from the Provincial Health Officer (PHO) or Medical Health Officer (MHO) are implemented.
COVID 19 Safety Plan
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Organization Name |
Terraces on Seventh |
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Address |
1570 West 7th Avenue, Vancouver BC |
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Date of Creation |
March 25, 2022 |
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Date of Revision(s) |
Orders from the Provincial Health Officer (PHO) or a Medical Health Officer (MHO) that reference Assisted Living take precedence over this policy.
All employers in British Columbia have an obligation under the Workers Compensation Act to ensure the health and safety of workers and others at their workplace and to implement polices and procedures to protect workers from the risk of exposure to COVID-19.
At Terraces on Seventh, we have developed a COVID-19 Safety Plan (Safety Plan) mandated by the Provincial Health Officer Order dated May 14th, 2020. This plan outlines the policies, guidelines, and procedures put in place to eliminate, and where elimination is not possible, to reduce, the risk of COVID-19 exposure to Terraces on Seventh workers, contractors, volunteers, residents, and visitors.
This Safety Plan addresses current operating status of Terraces on Seventh. As services are gradually increased within the assisted living residence, this plan will be updated.
As a part of assessing the risk of transmission of COVID-19 in the workplace, the following groups and information sources were consulted:
✔ Terraces on Seventh staff, including front line workers, supervisors, and managers.
✔ [Joint Occupational Health and Safety Committee (JOHSC)]
The following documentation was used to assist in developing Terraces on Seventh COVID-19 Safety Plan:
✔Information about COVID-19 (BCCDC)
✔ SafeCare BC’s COVID-19 Safety Inspection Tool
✔ SafeCare BC’s Hierarchy of Control
✔ British Columbia Center for Disease Control
✔ WorkSafeBC – Health care and COVID-19 safety
✔ Orders, guidance, and notices issued by the provincial health officer relevant to Assisted Living.
✔ Infection prevention and control interim guidance for long-term care and assisted living facilities (BCCDC)
✔ Overview of Visitors in Long-Term Care and Seniors’ Assisted Living (BCCDC)
✔ West Coast Seniors Housing Management Exposure Control Plan
✔ West Coast Seniors Housing Management COVID-19 and Outbreak Management Prevention Audit Tool
This plan applies to all workers, including management, supervisors, front line workers, volunteers, and visitors to Terraces on Seventh
Current Control Measures in place at Terraces on Seventh
Workers (including Contractors & Volunteers)
✔ Access to Terraces on Seventh is limited as per the direction of the Provincial Health Officer (PHO), which limits workers from working at more than one Assisted Living residence (Facility Staff Assignment Order – Dated April 15th, 2020)
✔ Workers are encouraged to use the BCCDC Health-Care Worker Self-Check and Safety Checklist before each shift and are instructed not to come to work if they are experiencing or have COVID-19 like symptoms.
✔ Workers with signs or symptoms of illness, as well as those in self-isolation or quarantine in accordance with public health directives, are not permitted to enter the assisted living residence.
✔ Signage is posted at points of entry indicating people are not to enter if they are sick or if they are required to self-isolate in accordance with Public Health directives.
✔ Entry points to the assisted living residence have been limited, and are actively screened seven days a week, 24 hours/day.
✔ Protections for screeners have been put in place (i.e., maintaining 2-meter distance, transparent barriers).
✔ A list of all workers and visitors is maintained seven days a week, 24 hours/day.
✔ Procedures are in place for workers to follow should they develop symptoms consistent with COVID-19 while at work or after work.
✔ All workers are actively screened for signs and symptoms of illness, including COVID-19 prior to every shift. Screening results are documented.
✔ Workers who are working alone are required to follow Terraces on Seventh Working Alone Policy.
✔ Workers have received training and strategies to address the risk of violence that may arise and follow Terraces on Seventh violence prevention program.
✔ Workers are aware of how to report hazards in the workplace.
✔ Workers have received refresher training on infection control practices.
✔ Supervisors have been trained on how to support workers in following the policies/procedures and know how to monitor/respond to identified hazards.
✔ All training has been documented and can be provided upon request.
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Additional Information: 1) Workers are provided a clean medical mask upon entry into the building |
Visitors
✔ A written plan detailing practice requirements for essential and family/social visits has been developed according to BCCDC Guidelines.
✔ Family/social visits will only be allowed if there is no active COVID-19 outbreak.
✔ Visitors with signs or symptoms of illness, as well as those in self-isolation or quarantine in accordance with public health directives, are not permitted to visit.
✔ All visitors are actively screened for signs and symptoms of illness, including COVID-19 prior to every visit. Visitors with symptoms identified via screening do NOT enter the residence.
✔ Visitors must sign in when entering the assisted living residence.
✔ Visitors are instructed to adhere to infection prevention and control guidance regarding safe visitation practices such as hand hygiene, respiratory etiquette and maintaining their physical distance from other visitors and staff.
✔ Visitors must wear a medical mask while in common areas of Terraces on Seventh.
✔ Visitors are instructed on how to put on and remove any required PPE when visiting or caring for residents on droplet and contact precautions. If the visitor is unable to adhere to appropriate precautions, the visitor shall be excluded from visiting.
✔ Visitors shall be given guidance on limiting circulation/movement throughout the assisted living residence while visiting.
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Additional Information:
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Residents
✔ Residents who leave the assisted living residence are encouraged to follow appropriate public health guidelines and infection prevention measures while off site
✔ Procedures are in place to isolate residents who show symptoms of COVID-19, have been directed to self-isolate by public health, or are under order to quarantine after travel outside of Canada.
✔ During Isolation, the following measures are implemented:
- Symptomatic residents are placed on droplet precaution
- Staff are trained in proper PPE and hand hygiene protocols
- Signage is posted on suite door instructing proper donning and doffing of PPE
- PPE cart is placed outside suite, including visor masks, gloves, gowns, ABHR, sanitizing wipes, and waste bin.
- Designated staff will provide care to residents on droplet precaution. If this is not possible, staff will assist isolation suites after all non-isolation suites.
- A Rapid Antigen Test will be administered
- If positive, Terraces on Seventh will notify the Health Authority, the Emergency Response Team, and the Support Office
- Resident will be kept in isolation as per current Health Authority guidelines
✔ Residents are screened and assessed for symptoms on an ongoing basis as directed by the BCCDC.
✔ Procedures are in place if a resident is suspected of having COVID-19.
Hand Hygiene
✔ Hand hygiene practices are followed as outlined by BCCDC
✔ Hand hygiene audit tool is performed as outlined within Infection Prevention Control Audit Frequency on staff, contracted staff and/or volunteers to ensure understanding and compliance with hand hygiene
✔ Signs and posters are posted throughout the assisted living residence to promote and guide proper hand washing by workers, visitors, and residents.
✔ Alcohol based hand rub (ABHR) with at least 70% alcohol content is available at all entry and exit points, common areas, resident areas, and point-of-care in residents’ rooms.
✔ Workers must practice diligent hand hygiene before, after and during each episode or provision of care – cleaning their hands with soap and water or ABHR.
✔ Sinks are well stocked with plain soap and paper towels for hand washing.
✔ Supplies such as disinfecting wipes, tissues and waste receptacles are available as required at point-of-use.
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Additional Information:
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Respiratory Hygiene
✔ Signs and posters are posted throughout the assisted living residence to encourage and guide workers, residents, and visitors on proper respiratory hygiene.
✔ Workers are aware and are instructed on the importance of diligent respiratory etiquette. This includes covering coughs and sneezes,, avoiding touching the face, mouth, nose, eyes, and mask.
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Additional Information:
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Workplace Arrangements
✔ Hand hygiene stations are available and easily accessible at points of entry/exit to the assisted living residence.
✔ Signs are posted to promote and encourage safe physical distancing by workers and visitors.
✔ Work areas including the following have been assessed for occupancy limits and arranged (where feasible) to maintain physical distancing.
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Coffee Bistro & Piano Lounge Limited seating with more space between tables |
Lobby Barriers around reception desk if physical distancing can not be maintained. |
Worker Lunchroom/break room 3 |
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Elevators 2 |
Administrative areas Recreation office – 3 Administration office – 2 GM office – 3 Marketing office – 2 |
Staff Change room Women’s – 3 Men’s – 2 |
✔ Virtual meeting tools and/or phone calls in lieu of in-person meetings or training sessions are held whenever possible. All required control measures, such as physical distancing, must be in place if communication or training takes place in person.
✔ Workers will maintain physical distancing measures when entering/exiting the workplace, while travelling through corridors and accessing common areas.
✔ Wherever possible, work processes within the assisted living residence are re-organized to designate teams of workers to specific floors/wings of residents. If dedicated teams or workers for areas housing residents who are ill are not an option, workers must first work with asymptomatic residents before moving on to work with residents who are on droplet and contact precautions.
✔ Building ventilation systems are properly maintained.
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Additional Information:
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Personal Protective Equipment (PPE)
✔ Workers are trained on the proper use, care, maintenance, and disposal of personal protective equipment (PPE). This includes donning (putting on) and doffing (removing) PPE Airborne Precaution and doffing (removing) PPE (droplet precaution).
✔ Terraces on Seventh has trained, tested, and monitored workers’ compliance to ensure vigilant donning, wearing, and doffing of PPE.
✔ Signs are posted throughout the assisted living residence indicating PPE requirements, and Terraces on Seventh follows guidelines for PPE use as set out by the BCCDC.
✔ During the COVID-19 pandemic, all persons working in Terraces on Seventh wear a surgical/procedure mask for the full duration of their shift.
✔ Workers always follow droplet and contact precautions when entering COVID-19 units or rooms on droplet and contact precautions (i.e., rooms where residents diagnosed with confirmed or suspected COVID-19).
Cleaning and Disinfection
✔ Cleaning products and disinfectants used at Terraces on Seventh are effective against COVID-19. Disinfectants are classed as hospital grade and registered in Canada with a Drug Identification Number (DIN). Manufacturer’s instructions for dilution, contact times, safe use and material compatibility of all cleaning products is followed.
✔ Workers responsible for cleaning resident care equipment have been informed and are trained in and aware of their duties. This training has been documented.
✔ All shared equipment (phones, tablets, computers, printers etc.) are cleaned and disinfected regularly.
✔ Any furniture and surfaces in communal visiting areas will be sanitized as per the BCCDC guidelines at the end of each visit.
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Additional Information:
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Environmental Cleaning
✔ West Coast Seniors Housing Management Exposure Control Plan, includes Cleaning and Disinfection process (pg 21) and COVID-19 Environmental Cleaning Poster (Appendix F) have been developed that outlines the procedure for enhanced daily cleaning throughout the care home as well as high touch surfaces in nursing areas, staff room, common areas, hallways, resident rooms, bathrooms and other applicable areas. Environmental cleaning guidelines from the BCCDC are followed.
✔ Cleaning staff are dedicated to specific units or areas where possible. If not possible, cleaning staff should provide service to non-COVID-19 rooms/units first. Rooms on droplet and contact precautions, COVID-19 suspected or COVID-19 positive rooms to be cleaned last.
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Additional Information: Provide information about your cleaning plan. Specify who is responsible for cleaning, the cleaning schedule, and what the cleaning protocols will include (e.g., which surfaces, tools, equipment, and machines). 1) Enhanced cleaning plan is outlined in the Exposure Control Plan 2) All staff have a role in enhanced cleaning. Housekeeping staff play a particularly important role in disinfecting high-touch areas including: – Hand rails in stairwells – Chair armrests and back of chairs – Door handles – Dining room tables – Hallway seating – Hand rails in hallways – Elevator buttons – Buttons and handles on equipment and machines – Magnetic lock release buttons – Staff room – Bathrooms The staff in charge of disinfecting these high-touch areas will be cleaning these surfaces at least twice per day 3) Proper hand hygiene technique education has been provided to all staff. Staff have also been instructed, during their care for residents and before / after meals, to provide hand sanitizer to the residents 4) Recreation department will have a formal cleaning schedule of rec area and office to ensure cleaning is done as efficiently as possible |
Expansion of Services
✔ Any modifications made to the current method of service delivery/work operations will be made in full consultation with those potentially affected by those changes, as well as the latest direction from the PHO, MHO, BCCDC and WorkSafeBC.
✔ Prior to any modifications being made, workers will be notified of the updated safety controls being implemented, including any new safe work procedures. These changes will be posted to: worker intranet Itacit, OHS bulletin board, weekly email update.
Terraces on Seventh has reviewed our existing risk assessments for the jobs and areas affected in the workplace. We have considered the effects of control measures discussed in this COVID-19 Safety Plan on existing safeguards and controls and revised our risk assessments and other documentation accordingly.
A copy of Terraces on Seventh COVID-19 Safety Plan has been posted at:
Itacit and OHS bulletin board as required by the order of the Provincial Health Officer.
This template was provided by:
Templates. Safecare BC. (2022, January 18). Retrieved January 19, 2022, from https://www.safecarebc.ca/tools/templates/