Director Of Care

The O’Neill Centre; Toronto; On-site; CAD 102,000 - 138,000; Full time

Job summary

The O’Neill Centre in Toronto is seeking a Director of Care (DOC), the senior nursing leader and designated Director of Nursing and Personal Care under Ontario’s FLTCA and O. Reg. 246/22.

The starting annual salary is $120,000. Reporting to the Administrator/Executive Director, you will lead clinical operations, regulatory compliance, IPAC, staffing and budget management to ensure safe, resident-centered care and compliance with accreditation standards.

Responsibilities

• Regulatory, Professional & Board Accountability: Serve as the Director of Nursing and Personal Care as defined in FLTCA and O. Reg. 246/22.
• Regulatory, Professional & Board Accountability: Ensure all nursing and personal support services comply with FLTCA, O. Reg. 246/22, CNO standards, PHIPA, HCCA, SDA, OHSA and Public Health/IPAC requirements.
• Regulatory, Professional & Board Accountability: Develop, implement and regularly review nursing/personal support policies, procedures and clinical protocols to reflect legislation, CNO and evidence-informed practice.
• Regulatory, Professional & Board Accountability: Prepare and present regular reports to the Administrator and Board of Directors/Board Committees on care quality, incidents, outbreaks and CQI/accreditation progress.
• Regulatory, Professional & Board Accountability: Ensure timely mandatory reporting to the Ministry, Public Health and other authorities.
• Resident Care & Clinical Leadership: Provide leadership for assessment, planning, implementation and evaluation of resident care, ensuring safety, person-centred care and cultural sensitivity.
• Resident Care & Clinical Leadership: Oversee care planning, documentation and interprofessional collaboration, including restorative, palliative and behavioural support programs.
• Resident Care & Clinical Leadership: Provide leadership for key clinical programs (medication management, falls, skin and wound care, pain, restraints, responsive behaviours, continence, nutrition/hydration).
• Resident Care & Clinical Leadership: Promote and support evidence-informed practice, clinical pathways and best practice guidelines.
• Staffing, Human Resources & Labour Relations: Plan, implement and monitor staffing models and skill mix to ensure sufficient and competent nursing and personal support staff on all shifts.
• Staffing, Human Resources & Labour Relations: Oversee recruitment, selection, orientation, scheduling and performance management of nursing and personal support staff.
• Staffing, Human Resources & Labour Relations: Work with HR on labour relations (collective agreement interpretation, attendance management, progressive discipline, accommodation, return-to-work).
• Staffing, Human Resources & Labour Relations: Promote a psychologically and physically safe workplace, complying with OHSA and WSIB obligations; participate in the Joint Health & Safety Committee.
• Budget, NPC Envelope & Resource Management: Monitor and manage the nursing department operating budget and NPC funding envelope in line with funding policies.
• Budget, NPC Envelope & Resource Management: Lead NPC envelope forecasts with trend analysis and risk mitigation.
• Budget, NPC Envelope & Resource Management: Conduct variance reviews and implement corrective actions while maintaining care quality and safety.
• Budget, NPC Envelope & Resource Management: Collaborate with Finance and Admin to support responsible resource allocation and planning.
• Budget, NPC Envelope & Resource Management: Provide leadership for the home’s IPAC program and ensure compliance with IPAC standards and public health guidance.
• Budget, NPC Envelope & Resource Management: Collaborate with IPAC leads to monitor practices, audits and quality improvements.
• Budget, NPC Envelope & Resource Management: Coordinate outbreak preparedness and response with Public Health Unit and communicate with residents, families and staff.
• CQI, Risk Management & Accreditation: Lead CQI work for nursing and personal care as required under FLTCA and O. Reg. 246/22.
• CQI, Risk Management & Accreditation: Develop and evaluate the CQI workplan and annual report, monitor quality indicators and improvement projects.
• CQI, Risk Management & Accreditation: Use interRAI LTCF data, clinical outcome scales and other data to identify priorities and measure improvement.
• CQI, Risk Management & Accreditation: Integrate quality tools and methods to drive improvements in care and safety.

Job description

The O'Neill Centre Long Term Care
Toronto, ON M6G3B1, CAN

Description

“How do you live in the moment?”

We are passionate about ‘Making Every Moment Matter’™. We are seeking a candidate thatshares our values - a person who has a passion to make a difference, who has a strong moral compass and who has a commitment to teamwork. The ideal candidate is a warm and lovingperson who makes meaningful connections with those they are caring for.

Reporting to the Administrator/Executive Director, and through management to the Board ofDirectors in accordance with the home’s governance structure, the Director of Care (DOC) isthe senior nursing leader and designated Director of Nursing and Personal Care under Ontario’s Fixing Long-Term Care Act, 2021 (FLTCA) and O. Reg. 246/22.

The DOC is accountable for planning, organizing, directing and evaluating all nursing and personal support services to ensure safe, effective, resident-centred care and compliance with:

• Ministry of Long-Term Care / Ministry of Health legislation, regulations, standards and directives
• Ministry of Labour requirements (OHSA and related regulations)
• Public Health and IPAC standards and guidance
• College of Nurses of Ontario (CNO) legislation, standards and guidelines
• CARF standards and requirements (where applicable to the home’s accreditation status)
• Other applicable laws and professional/organizational policies.

The DOC provides visible clinical and operational leadership, fosters a culture of safety,inclusion and continuous quality improvement, and works collaboratively with theAdministrator, Medical Director, physicians/NPs, interprofessional team, residents, families andexternal partners.

Wage Rate: The starting annual salary is $120,000

Vacancy: This is an existing vacancy.

Key Responsibilities

1. Regulatory, Professional & Board Accountability

• Serve as the Director of Nursing and Personal Care as defined in FLTCA and O. Reg.246/22.
• Ensure all nursing and personal support services comply with FLTCA, O. Reg. 246/22,CNO standards, PHIPA, HCCA, SDA, OHSA and Public Health/IPAC requirements.
• Develop, implement and regularly review nursing/personal support policies, proceduresand clinical protocols to reflect legislation, CNO and evidence-informed practice.
• Prepare and present regular reports to the Administrator and Board ofDirectors/Board Committees (e.g., Quality Committee) on:
  • Care quality and resident outcome indicators
  • Critical incidents, complaints and risk trends
  • Outbreaks and infection control issues
  • CQI initiatives and accreditation (including CARF) progress.
• Ensure timely mandatory reporting to the Ministry, Public Health and other authorities(critical incidents, abuse/neglect, outbreaks, workplace injuries etc.).

2. Resident Care & Clinical Leadership

• Provide overall leadership for the assessment, planning, implementation and evaluationof resident care to ensure it is safe, person-centred, culturally sensitive andgoal-concordant.
• Oversee care planning, documentation and interprofessional collaboration, includingrestorative, palliative and behavioural support programs.
• Provide leadership and oversight for key clinical programs (e.g., medicationmanagement, falls, skin and wound care, pain, restraints, responsive behaviours,continence, nutrition/hydration).
• Promote and support evidence-informed practice, clinical pathways and best practiceguidelines.

3. Staffing, Human Resources & Labour Relations

• Plan, implement and monitor staffing models and skill mix to ensure sufficient andcompetent nursing and personal support staff on all shifts, consistent with legislativeand funding requirements.
• Oversee recruitment, selection, orientation, scheduling and performance management ofnursing and personal support staff.
• Work with HR on labour relations (collective agreement interpretation, attendancemanagement, progressive discipline, accommodation, return-to-work).
• Promote a psychologically and physically safe workplace, complying with OHSA,workplace violence and harassment policies, and WSIB obligations; participate in/support the Joint Health & Safety Committee.

4. Budget, NPC Envelope & Resource Management

• Monitor and manage the nursing department operating budget, with specificaccountability for the Nursing and Personal Care (NPC) funding envelope and otherrelated funding, in line with Ministry funding policies and eligible expenditureguidelines.
• Lead the preparation of nursing and NPC envelope forecasts, including analysis oftrends (e.g., acuity, staffing mix, overtime, agency use) and identification of financial andoperational risks and mitigation strategies.
• Conduct regular variance reviews of the nursing/NPC budget, investigate root causes ofvariances, and implement timely corrective action plans while maintaining resident carequality and safety.
• Collaborate with Finance and the Administrator to support responsible resourceallocation, procurement and capital/operational planning as it relates to nursing andpersonal support services.
• Provide leadership and oversight for the home’s IPAC program, ensuring compliancewith provincial IPAC standards and Public Health guidance for long-term care.
• Collaborate with the home’s IPAC Lead/Designate to monitor and reinforce IPACpractices, conduct audits, and implement quality improvements.
• Coordinate outbreak preparedness and response in conjunction with the Public HealthUnit, including communication with residents, families and staff.

6. Continuous Quality Improvement (CQI), Risk Management & Accreditation (includingCARF)

• Lead the nursing and personal support components of the home’s Continuous QualityImprovement (CQI) work as required under the FLTCA and O. Reg. 246/22.
• Partner with the quality lead and Administrator to develop, implement and evaluate thehome’s CQI workplan and annual report, ensuring required quality indicators andimprovement projects are in place and monitored.
• Use interRAI LTCF data, clinical outcome scales, quality indicators and CAPs,along with other resident outcome data (e.g., incident trends, complaints,surveys), to identify priorities, monitor trends and measure improvement.
• Use resident outcome data (e.g., interrail LTCF, CIHI/OH indicators), incidents,complaints and resident/family feedback to identify priorities, monitor trends andmeasure improvement.
• Integrate quality improvement tools and methods (e