24-hour admission care plan
 24. (1) Every licensee of a long-term care home shall ensure that a 24-hour admission care plan is developed for each resident and communicated to direct care staff within 24 hours of the resident’s admission to the home.  O. Reg. 79/10, s. 24 (1). (2) The care plan must identify the resident and must include, at a minimum, the following with respect to the resident: 1. Any risks the resident may pose to himself or herself, including any risk of falling, and interventions to mitigate those risks. 2. Any risks the resident may pose to others, including any potential behavioural triggers, and safety measures to mitigate those risks. 3. The type and level of assistance required relating to activities of daily living. 4. Customary routines and comfort requirements. 5. Drugs and treatments required. 6. Known health conditions, including allergies and other conditions of which the licensee should be aware upon admission, including interventions. 7. Skin condition, including interventions. 8. Diet orders, including food texture, fluid consistencies and food restrictions.  O. Reg. 79/10, s. 24 (2). (3) The licensee shall ensure that the care plan sets out, (a) the planned care for the resident; and (b) clear directions to staff and others who provide direct care to the resident.  O. Reg. 79/10, s. 24 (3). (4) The licensee shall ensure that the care set out in the care plan is based on an assessment of the resident and the needs and preferences of that resident and on the assessment, reassessments and information provided by the placement co-ordinator under section 44 of the Act.  O. Reg. 79/10, s. 24 (4). (5) The licensee shall ensure that the resident, the resident’s substitute decision-maker, if any, and any other persons designated by the resident or substitute decision-maker are given an opportunity to participate to the extent possible in the development and implementation of the resident’s care plan, and in reviews and revisions of the care plan.  O. Reg. 79/10, s. 24 (5). (6) The licensee shall ensure that the care set out in the care plan is provided to the resident as specified in the plan.  O. Reg. 79/10, s. 24 (6). (7) The licensee shall ensure that the staff and others who provide direct care to a resident are kept aware of the contents of the resident’s care plan and have convenient and immediate access to it.  O. Reg. 79/10, s. 24 (7). (8) The licensee shall ensure that the provision and outcomes of the care set out in the care plan are documented.  O. Reg. 79/10, s. 24 (8). (9) The licensee shall ensure that the resident is reassessed and the care plan is reviewed and revised when, (a) the resident’s care needs change; (b) the care set out in the plan is no longer necessary; or (c) the care set out in the plan has not been effective.  O. Reg. 79/10, s. 24 (9). (10) When the care plan is being revised because care set out in the plan has not been effective, the licensee shall ensure that different approaches are considered in the revision of the care plan.  O. Reg. 79/10, s. 24 (10). (11) The licensee shall ensure that the resident, the resident’s substitute decision-maker, if any, and any other persons designated by the resident or substitute decision-maker are given an explanation of the care plan.  O. Reg. 79/10, s. 24 (11). (12) Subsection (11) does not require the disclosure of information if access to a record of the information could be refused under the Personal Health Information Protection Act, 2004.  O. Reg. 79/10, s. 24 (12). (13) Nothing in this section limits a right of access to a care plan under the Personal Health Information Protection Act, 2004.  O. Reg. 79/10, s. 24 (13). (14) The following provisions of the Act and this Regulation apply to a care plan under this section as if the care plan were a plan of care under section 6 of the Act: 1. Paragraph 11 of subsection 3 (1) of the Act. 2. Subsection 30 (4) of the Act. 3. Subsections 31 (1) and (2) of the Act. 4. Subsections 33 (3) and (4) of the Act. 5. Section 29 of this Regulation. 6. Subsection 34 (2) of this Regulation. 7. Clause 51 (2) (b) of this Regulation. 8. Clause 117 (a) of this Regulation.  O. Reg. 79/10, s. 24 (14). (15) This section ceases to apply with respect to a resident when a plan of care is developed for the resident under section 6 of the Act.  O. Reg. 79/10, s. 24 (15). (16) A licensee is exempt from this section with respect to a resident, (a) who is being relocated to another long-term care home operated by the same licensee and section 208 of this Regulation applies; or (b) who is transferring to a related temporary long-term care home, a re-opened long-term care home or a replacement long-term care home operated by the same licensee.  O. Reg. 79/10, s. 24 (16).