62 (1) When a resident commences his or her residency in a retirement home, the licensee shall, within the prescribed times, ensure that the resident is assessed and that a plan of care is developed based on the assessment and in accordance with this section and the regulations.  2010, c. 11, s. 62 (1). Assessment only with consent, etc. (2) Nothing in this section authorizes a licensee to assess or to reassess a resident without the resident’s consent.  2010, c. 11, s. 62 (2). Performance of assessments, etc. (3) All assessments and reassessments mentioned in this section that a licensee performs shall be performed in accordance with the prescribed criteria.  2010, c. 11, s. 62 (3). Contents of plan (4) The licensee of a retirement home shall ensure that there is a written plan of care for each resident of the home that sets out, (a) the care services that are part of a package of care services that the resident is entitled to receive under the resident’s agreement with the licensee, whether or not the resident receives the services; (b) the planned care services for the resident that the licensee will provide, including, (i) the details of the services, (ii) the goals that the services are intended to achieve, and (iii) clear directions to the licensee’s staff who provide direct care to the resident; (c) if the resident has consented to the inclusion of the information in the plan of care, the planned care services for the resident that external care providers will provide with the consent of the resident, to the extent that such information is available to the licensee after the licensee has taken all reasonable steps to obtain such information from the resident and the external care provider, including, (i) the details of the services, and (ii) the goals that the services are intended to achieve; and (d) a statement indicating whether the resident has provided consent to the licensee to collect information from external care providers, to use such information and to disclose the contents of the plan of care to external care providers and others.  2010, c. 11, s. 62 (4). Involvement of resident, etc. (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 in the development, implementation and reviews of the resident’s plan of care.  2010, c. 11, s. 62 (5). Assessment of resident (6) The licensee shall ensure that the plan of care is based on an assessment of the resident and the needs and preferences of the resident.  2010, c. 11, s. 62 (6). Assessment by external provider (7) If a resident advises the licensee at any time that the resident wishes to have an assessment done by an external care provider, the licensee shall facilitate the resident’s access to the provider.  2010, c. 11, s. 62 (7). Integration of assessments and care (8) The licensee shall ensure that there are protocols to promote the collaboration between the staff, external care providers and others involved in the different aspects of care of the resident, (a) in the assessment of the resident so that their assessments are integrated and are consistent with and complement each other; and (b) in the development and implementation of the plan of care so that the different aspects of care are integrated and are consistent with and complement each other.  2010, c. 11, s. 62 (8). Persons who approve plans of care (9) The licensee shall ensure that the following persons have approved the plan of care, including any revisions to it, and that a copy is provided to them: 1. The resident or the resident’s substitute decision-maker. 2. The prescribed person if there is a person prescribed for the purpose of this paragraph. 3. A person with the requisite expertise in assessing the suitability of care services for the resident in light of those set out in the plan, if there is no person prescribed for the purpose of paragraph 2.  2010, c. 11, s. 62 (9). Compliance with plan (10) The licensee shall ensure that the care services that the licensee provides to the resident are set out in the plan of care and are provided to the resident in accordance with the plan and the prescribed requirements, if any.  2010, c. 11, s. 62 (10). Documentation (11) The licensee shall ensure that the following are documented in accordance with the regulations, if any: 1. The provision of the care services set out in the plan of care. 2. The outcomes of the care services set out in the plan of care. 3. The effectiveness of the plan of care.  2010, c. 11, s. 62 (11). Reassessment and revision (12) The licensee shall ensure that the resident is reassessed and the plan of care reviewed and revised at least every six months and at any other time if, in the opinion of the licensee or the resident, (a) a goal in the plan is met; (b) the resident’s care needs change or the care services set out in the plan are no longer necessary; or (c) the care services set out in the plan have not been effective.  2010, c. 11, s. 62 (12).