Ontario Retirement Communities Association

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	Residential Tenancies Act
	Sample Care Home Information Package
	List of ORCA's Mandatory Standards for all Member Retirement Homes
	Unresolved Complaints
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Care Home Information Package

A sample Care Home Information Package (CHIP) is shown below. All residents of care homes in Ontario should sign similar agreements when finalizing tenancy agreements. A CHIP must contain:

List of the different types of accommodation provided and the alternative packages of care services and meals available as part of the total charges;
Charges for the different types of accommodation and for the alternative packages of care services and meals;
Minimum staffing levels and qualifications of staff;
Details of emergency response system, if any, or a statement that there is no emergency response system;
List and fee schedule of the additional services and meals available from the landlord on a user pay basis;
Internal procedures, if any, for dealing with complaints, including a statement as to whether tenants have any right of appeal from an initial decision, or a statement that there is no internal procedure for dealing with complaints.

Here is the sample CHIP:

FICTIONAL CARE HOME

CARE HOME INFORMATION PACKAGE*

TYPES OF AVAILABLE ACCOMMODATION AND ALTERNATIVE PACKAGES OF CARE SERVICES AND MEALS

Accommodation:

One Bedroom	includes 4 piece bathroom and kitchenette (small refrigerator and two ring hotplate)

Studio	includes 4 piece bathroom and kitchenette (small refrigerator and two ring hotplate)

Shared Studio

Care Services and Meals Packages:

Basic Plan	(described below)

Extra Care/Assisted	(described below)

Living Plan (only available in shared studio accommodation)

TOTAL CHARGES FOR ACCOMMODATION TYPES WITH PACKAGES

One Bedroom with Basic Plan:	$3000. Per month

Studio with Basic Plan:	$2500. Per month

Shared Studio with Basic Plan:	$2000. Per month

Shared Studio with Extra Care Plan:	$3000. Per month

CHARGES FOR CARE SERVICE, MEAL PACKAGES AND DESCRIPTION**

Basic Plan:

Charge: $1500. Per month

call-bell monitoring (personal emergency response services)
supervision of nursing requirements
medication administration/dosette management
activation program tailored to meet needs of residents
housekeeping [describe the level of housekeeping in some detail, especially how often]
provision of bed linens and towels (including laundering)
3 meals and 2 snacks per day, 7 days per week
meals available on tray delivered to room, when authorized by Director of Nursing
therapeutic diets available, upon authorization of Director of Nursing

Extra Care Plan:

Charge: $2000. Per month

Only available in shared studio accommodation on ___ floor

Includes the following care services, in addition to those care services and meals described in the Basic Plan:

availability of one Health Care Aide per ___ residents between hours of ___ a.m. and ___ p.m.
assistance with bathing
ambulatory assistance
weekly personal laundry
dressing assistance
assistance with personal hygiene

** Note: Detailed description of services is now optional

FREQUENCY OF INCREASES (Now Optional)

increases occur to the care service and meal charges set out above no more frequently than once every twelve months, on notice

ADDITIONAL SERVICES AND MEALS (USER PAY BASIS)

Assistance with Bathing:	$___ per month

Personal Laundry:	$___ per month

Monthly Theatre Visit Limousine Services:	$___ per month

MINIMUM STAFFING LEVELS AND STAFF QUALIFICATIONS

Director of Nursing	On-site 9 a.m. to 5 p.m. B.Sc.Nur., R.N.

RN on call	Minimum 1, 24 hours per day RN

Health Care Aides	Minimum 2, 9 a.m. to 10 p.m. Community College Certificate

Housekeeping Supervisor	On-site 9 a.m. to 5 p.m.

*[etc.]*

EMERGENCY RESPONSE SYSTEM

[describe below - if none, - state no emergency response system is in place]

-------------------------------------------------
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COMPLAINT PROCEDURE

[if none - state no internal procedure in place for dealing with complaints]

initial complaint may be to be made to _________
if not satisfied, any further concerns may be raised with ____________

GENERAL INFORMATION (Optional)

The undersigned acknowledges receipt of this Care Home Information Package on the ____ day of ______________, 20__.

___________________
WITNESS

___________________
Resident/Prospective Tenant

*See Ontario Regulation 516/06, s. 47.

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