April
5, 2004
Assisted
Living is being Designed on the Fly
"When
an assisted living residence is registered, the operator
of the residence agrees to deliver services in accordance
with the assisted living health and safety standards. Compliance
with standards is assured through a complaint resolution
process established by the assisted living Registrar."
"MATTERS
OUTSIDE THE REGISTRAR'S SCOPE"
"The
Registrar does not regulate the cost of the housing or services
provided by the operator in assisted living residences.
These matters, stipulated in the occupancy agreement with
the residence operator, and other tenancy issues are outside
the Registrar's scope of responsibility."
"Questions
about access to publicly-funded residences can be directed
to the local health authority."
Consultation
Document 1, Discussion Paper on a Framework for Assisted
Living, Ministry of Health Services, October 1, 2003
The Campbell
government is again engaging in a "ready-fire-aim"
approach to public policy. This time the lives of seniors
in "assisted living" are at risk. Three discussion
papers on the Ministry's
website attempt to deliver on the promise that the "assisted
living Registrar is working to refine a set of registration,
health and safety and complaint resolution procedures for
assisted living residences." The papers do little but
raise anxieties. They discuss the development of an "industry"
to provide assisted living that will be regulated solely on
a complaints driven basis.
The registrar,
Susan
Adams, was appointed on October 10, 2003. Anyone who has
assisted a demented friend or relative knows the challenges
in determining what happens in their day. Meals can be forgotten,
bruises can appear with no recollection of a fall and personal
items can disappear. The loved one has no ability to say what
happened. Anyone in that situation needs an advocate, someone
who can be trusted to stay on top of how their loved one is
being treated. There are thousands of seniors who have no
advocate, and who may need protection from those around them.
Despite documented problems of elder
abuse, the Campbell government is proposing to regulate
assisted living through a complaint driven process.
CBC
reported that Charmaine Spencer, a gerontology researcher
at Simon Fraser University, said that the provincial government
is failing to protect seniors in assisted living units. The
CBC story quoted Health Services Minister Collin Hansen as
discounting the value of random inspections.
In the
absence of random inspections, seniors will be at risk. The
Ministry's discussion paper acknowledged that the original
legislation contemplated no regulation but after strong protests
it replaced its early 2002 exposure Bill 16 with Bill 73 passed
in November 2002. The discussion paper said during broad consultation,
"
many individuals and organizations expressed
concerns that assisted living residences were essentially
unregulated. The consensus was that a regulatory scheme was
needed to protect occupants of assisted living residences."
As of April 2004, that regulatory framework is still a work
in progress, and it appears that it will abandon those who
have no one to speak on their behalf and monitor their well
being.
The Campbell
government is truly guilty of elder abuse.
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