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Ontario Residential Care Association

2155 Leanne Blvd.
Suite 218
Mississauga Ontario L5K 2K8
Toll-Free: 1-800-361-7254
Toronto Area: (905) 403-0500
Fax: 905-403-0502
Email: info@orca-homes.com
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*
  1. 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)  


  2. 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


  3. 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


  4. 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


  5. ADDITIONAL SERVICES AND MEALS (USER PAY BASIS)

    Assistance with Bathing: $___ per month
       
    Personal Laundry: $___ per month
       
    Monthly Theatre Visit
    Limousine Services:    		 $___ per month


  6. 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.]  


  7. EMERGENCY RESPONSE SYSTEM

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

    -------------------------------------------------
    -------------------------------------------------
    -------------------------------------------------


  8. 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 ____________


  9. 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 194/98, Section 7