I have submitted a report to the Community and Protective Services Committee for discussion on February 18, 2021. You can see the full report here (including the department’s response) and a summary below.
During the COVID-19 pandemic, Long Term Care home system issues have been
highlighted. These issues are not new, existing long before COVID-19 began. Now
more than ever, within a pandemic environment, there is a pressing need to change the
system so that residents in LTC homes are safe, comfortable, and live a dignified life.
As a result, the Community and Protective Services Committee, at its meeting of
November 19, 2020, received the following Notice of Motion to be considered at a
WHEREAS the COVID19 pandemic has further highlighted the importance of quality
Long Term Care facilities and with the City of Ottawa operating 4 long term care homes;
THEREFORE BE IT RESOLVED that staff be directed to present to Committee and
Council a plan regarding transformative culture change i.e. adapting innovative models
of care such as The Butterfly Model by Q2 2021.
A transformative culture change approach is a relationship-based approach to care
where residents, staff and families feel part of a community and are treated with dignity
Transformative culture change means the way of organizing and giving care in LTC
homes changes. Residents know and feel like they are living in a warm, caring
environment which looks and feels like home. Staff deliver person-centered care which
enables them to get to know who their residents and families are - and what their life
was like before. It means schedules and routines are flexible to match the resident’s
preferences and needs. It means residents are involved in many meaningful activities
according to their abilities and what brings them joy.
There are several innovative models of care that have been implemented in LTC homes
in other countries with a few in Canada and Ontario such as Malton Village in Peel,
Henley House in St. Catharine’s, and most recently Henley Place Home in London.
Eight other long-term care homes in Ontario are in the process of implementing
innovative models of care including two in Renfrew County and one here in Ottawa at
the Glebe Centre. These models of care include The Butterfly Model, the Eden
Alternative, the Hogewey Villages and the Green House Project.
The Butterfly Model which has been adopted by LTC homes in Peel, St. Catherine’s,
and London, Ontario focuses on delivering emotion-focused care that connects with
people in a dignified, human way. It addresses the holistic needs of the individuals and
supports quality of life for each person living with dementia across the whole of their
It is time for a shift in our thinking about how we address the systemic problems in LTC
homes that have been exposed by the current pandemic and the tragic loss of lives of
so many long-term care residents. The existing innovative models embrace
transformative culture change. The available data indicates better outcomes for
residents, staff, families, and the health care system.