A survey of thousands of seniors in long-term care homes in British Columbia recommends the provincial government increases staff, improves food, and boosts access to community services so that some seniors do not need to go into care at all.

The report by B.C.’s seniors’ advocate says 40% of residents surveyed at almost 300 care homes said they did not want to live there, while 60% of those newly admitted said they would have stayed home if they had support services.

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A key recommendation in the report from advocate Isobel Mackenzie says the province needs to remove barriers that stop seniors from getting home supports and ensure placement in long-term care only when all other options are exhausted.

The recommendation to increase staff has been a theme in Mackenzie’s reports since her surveys began in 2016. Yet, her report says more than half of residents said they were unable to bathe as often as they want, and over a third can’t reliably get help to eat their meals.

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The national recommendation is 4.1 hours of direct staff care per resident per day, and Mackenzie says that should be followed in B.C.

The report says the pandemic increased awareness of conditions in care homes, and while the province has increased funding by 45% over the last five years, that hasn’t yet translated to a better quality of life for most residents.