Director of Care in Toronto

The O'Neill Centre Long Term Care in Toronto, ON is passionate about ‘Making Every Moment Matter’™. We are seeking a candidate that shares our values - a person who has a passion to make a difference, a strong moral compass, and a commitment to teamwork. The ideal candidate is a warm and loving person who makes meaningful connections with those they are caring for.

The Director of Care (DOC) is the 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 the Administrator, Medical Director, physicians/NPs, interprofessional team, residents, families, and external partners.

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

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, procedures and clinical protocols to reflect legislation, CNO and evidence-informed practice. Prepare and present regular reports to the Administrator and Board of Directors/Board Committees on care quality and resident outcome indicators, critical incidents, complaints and risk trends, outbreaks and infection control issues, CQI initiatives and accreditation progress. Ensure timely mandatory reporting to the Ministry, Public Health and other authorities.
2. Resident Care & Clinical Leadership: Provide overall leadership for the assessment, planning, implementation and evaluation of resident care to ensure it is safe, person-centred, culturally sensitive and goal-concordant. Oversee care planning, documentation and interprofessional collaboration, including restorative, palliative and behavioural support programs. Provide leadership and oversight for key clinical programs.
3. 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. Oversee recruitment, selection, orientation, scheduling and performance management of nursing and personal support staff. Promote a psychologically and physically safe workplace.
4. Budget, NPC Envelope & Resource Management: Monitor and manage the nursing department operating budget, with specific accountability for the Nursing and Personal Care funding envelope. Lead the preparation of nursing and NPC envelope forecasts, including analysis of trends and identification of financial and operational risks.
5. Continuous Quality Improvement (CQI), Risk Management & Accreditation: Lead the nursing and personal support components of the home’s Continuous Quality Improvement work. Partner with the quality lead and Administrator to develop, implement and evaluate the home’s CQI workplan and annual report.