Mealtime at a residential care home for seniors. (B.C. Care Providers Association)

NDP’s Adrian Dix tackles seniors’ residential care gap

Nine of 10 seniors’ homes don’t meet provincial standard

Health Minister Adrian Dix says he needs to find not only more residential care beds for increasingly frail seniors, but an additional 1,500 care aides to bring their care up to the province’s own standard.

The NDP minister says the need is across the province, with baby boomers reaching retirement age and moving to B.C., people living longer and a residential care system that hasn’t kept up with demand. And it’s more than just increasing numbers. It’s memory loss, dementia and other chronic conditions of advanced age.

“A lot of care homes in B.C. used to deal mainly in what you’d call intermediate care, but the acuity of patients across care homes in B.C. has gone up,” Dix said in an interview with Black Press.

More publicly funded beds and staff mean hundreds of millions in additional dollars in the health care budget, which is approaching half of all provincial spending. The B.C. Liberal government succeeded in slowing the growth rate for health care spending, after Ottawa imposed a cap on transfer payments that were rising by six per cent each year. Dix is now dealing with the downside of that spending restraint.

RELATED: B.C. Liberals promise better senior care

B.C.’s Seniors Advocate Isobel Mackenzie has been surveying the need, and one of her most startling findings is the number of seniors who aren’t receiving the province’s care standard of 3.36 care hours per day. For residential care, the standard means they might get two baths a week instead of one, or be allowed to use a walker to get to the dining room instead of being pushed there in a wheelchair to save time.

“In reports by the Seniors Advocate, in reports by the ministry, it was discovered before the election that 90 per cent didn’t meet that standard, and that was a significant fact,” Dix said.

Former health minister Terry Lake responded to Mackenzie’s findings with a pledge of $500 million more in the B.C. Liberals’ pre-election budget. Mackenzie also defined the staffing need as 1,500 more positions, and Dix has pledged to meet both of those goals in the first NDP budget in February.

Taking over private beds

One pressing area of need is Fraser Health, with the largest and fastest-growing population of B.C.’s five provincial health regions. In September, Fraser Health announced the addition of 20 beds at care homes in Chilliwack and 18 in Langley.

These are not newly constructed beds, but private beds taken over by the public system, making residents eligible for subsidies based on their income and care needs.

RELATED: New public beds added in Chilliwack

“It does happen from time to time that we draw on surplus private beds in the community to increase our publicly funded bed stock,” Fraser Health spokesperson Tasleem Juma said in an interview. “It’s not unusual to look to our contractors and say, ‘if you’ve got private bed stock that is surplus, we would be interested in moving it to the public side’.”

Fraser Health is also increasing resources for home care visits, to keep more seniors out of residential care as called for by Mackenzie. Another issue in urban areas is the soaring cost of housing, pushing seniors into care facilities because they can’t afford rent.

Dix notes that these and other additional publicly funded beds are being funded to meet the hours of care standard.

Families seeking vacancies

For families looking for a space for a senior, the B.C. Care Providers’ Association has a website at mycarefinder.ca that tracks the inventory of subsidized and unsubsidized residential care.

Membership in the association is voluntary, and members agree to abide by its code of ethics, including compliance with all regulations. The code calls for members to treat patients and families with courtesy and dignity, and “refrain from conduct that undermines the role of the association and the credibility of the sector.”

Not all B.C. care homes are members.

Workers want fair treatment

Dix said recruiting care aides is difficult today, partly because of working conditions and the practice of contract care homes to reincorporate and rehire staff with new union contracts.

“I think it’s a serious problem,” Dix said. “It’s now not just a question of justice for workers and the flipping of contracts and the effect that has on care for seniors, but not respecting the sector is a genuine recruitment problem, a health human resources problem.”

Dix vows to improve job security for care aides, and also work with the B.C. Care Providers Association in an “aggressive campaign” to recruit and retain the needed staff.

B.C. Liberal critic Joan Isaacs says she is pressing Dix to get the additional funds promised by the previous government. She defends the practice of care homes reorganizing when taxpayer-subsidized public sector union benefits are too costly. With falling interest rates on safe investments, defined-benefit pensions have been eliminated in much of the private sector. Public sector unions battle to hold onto them.

“The biggest challenge is union contracts where we have to fund the pensions and employee benefits, and that becomes a huge cost for the sector to bear,” Isaacs said. “And I think this is where we have to be mindful of what is the most important thing, and that is that we deliver some form of accountability to our seniors so that our care is being delivered, whether it’s private or public, in a manner where people have a quality of life and get the care and attention that they deserve.”

– with files from Paul Henderson in Chilliwack

Just Posted

Ucluelet talks pot shops

Two applications are being considered as cannabis retailers.

Ahousaht students kick off school year with inspirational field-trip

Maaqtusiis kicks off year with two-night stay at Cedar Coast Field Station on Vargas Island

Surf’s Up event in Tofino offers a wave of positivity for families living with autism

“There’s no other opportunity like this for kids like Rylan.”

2019 FEDERAL ELECTION: Meet the candidates for the Courtenay-Alberni riding

In an effort to inform the Courtenay-Alberni riding constituents, we have supplied… Continue reading

Crew keeps worried mother at bay while rescuing entangled baby humpback near Ucluelet

“These animals are massive, they’re powerful and it really is dangerous.”

Shambala named best music festival in North America

Shambala Music Festival is held at the Salmo River Ranch in B.C.

B.C. MLA calls on province to restrict vaping as first related illness appears in Canada

Todd Stone, Liberal MLA for Kamloops-South Thompson, introduced an anti-vaping bill in April

Chilliwack woman wins right to medically assisted death after three-year court battle

Julia Lamb has been the lead plaintiff in a legal battle to ease restrictions on Canada’s assisted dying laws

B.C. bus crash survivor petitions feds to fix road where classmates died

UVic student’s petition well over halfway to 5k signature goal

NDP, Liberals promise more spending, while Tories promise spending cuts

Making life more affordable for Canadians a focus in the 2019 election

UPDATE: Police probe third threat against a Kamloops high school in eight days

Police have not released any further details into what the threat includes

Charges dropped against Mountie involved in shooting death of Surrey man

‘I feel like I’ve lost Hudson all over again,’ says mom

B.C. Interior caribou protection area big enough, minister says

Proposals sparked protest in Kootenays, Williams Lake region

Two B.C. women selected to compete on ABC’s The Bachelor

Mykenna Dorn and Alexis Thind will compete for bachelor Peter Weber’s heart

Most Read