Seniors

The Ombudsperson has initiated an investigation that will consider a variety of seniors' care services including home support, assisted living, and residential or long-term care. The investigation will look at issues such as the standards of care and how they are established, monitored and enforced, and on decision-making processes, including the adequacy of information provided, how decisions are communicated and how concerns about decisions are reviewed.

This form is designed to provide seniors, their families and those involved in providing support to seniors with an opportunity to provide input into the Ombudsperson’s investigation. You may complete this form and choose whether or not to include your name and phone number. We can assure you that, pursuant to the Ombudsperson Act, if you include your contact information, we will not reveal it to any public agency or in our public report. 

You may submit this form online, by faxing a completed form to our office at: (250) 387-0198, or by mailing a completed form to the Office of the Ombudsperson at P.O. Box 9039, Stn. Prov. Govt., Victoria, BC, V8W 9A5. Click here for a printable form that you can complete and then fax or mail to us.

Please note: You may only submit ten lines of information in each of the boxes below. If you use more than ten lines, you will not be able to submit your form.

1. Are you a senior who is receiving, or has received, home support, assisted living or long-term care services?

Yes          No

A) If yes, please explain the type of services received.

               

2. Are you a relative or friend of a senior who is receiving, or has received, home support, assisted living or long-term care services?

Yes           No

A) If yes, please explain the type of services received.

3. Do you have any concerns about the care that is being, or was provided?

Yes            No

A) If yes, what are your concerns?

 

4. Do you know all the different authorities you can go to if you have a complaint about the care that you or a relative or friend has received? 

Yes            No

A) If yes, who are they?

5. If you have complained about the care that you, a friend or relative has received, were you satisfied with how the complaint was handled?

   Yes             No

A) If not, why not?

6. Do you have access to enough information to make informed decisions about care?

   Yes             No

A) If not, please explain your concerns.

7. Do you have adequate opportunities to provide input into decisions affecting care?

Yes               No

A) If not, please explain your concerns.

8. Would you be willing to provide further information to our office, if we wish to contact you?

Yes              No

A) If yes, please provide your name and telephone number.

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