Ottawa Citizen

Quebec OKs cameras in long-term care homes

- BLAIR CRAWFORD With files from The Canadian Press bcrawford@postmedia.com Twitter.com/getBAC

Quebec unveiled new rules Tuesday governing the use of surveillan­ce cameras in the province’s long-term care facilities and an advocate for Ontario’s elderly says the Ontario government should consider doing the same.

The new Quebec rules, which come into effect on March 7, give the green light for long-term care residents to install cameras or use smartphone­s for video surveillan­ce, with or without permission from the institutio­ns. But the cameras can only be used to monitor the residents’ well-being and must not be used to spy on roommates or others.

The Quebec regulation­s make the rules clear for everyone on a subject that Canadian law is otherwise largely silent on, said Jane Meadus, a lawyer with Torontobas­ed Advocacy Centre for the Elderly (ACE).

“It would be very helpful. We certainly see that things are all over the map,” Meadus said. “We’ve had people (in Ontario) who were told by homes, ‘You can’t use (cameras),’ and I think the Quebec government has decided to clarify that. They said, ‘Yes, you have the right and these are the situations.’ They gave it some parameters and that’s a good thing.”

The Quebec regulation­s say residents need permission from any roommates before installing cameras and require the institutio­n to post signs saying that the area may be under video surveillan­ce, without identifyin­g where the cameras are.

Francine Charbonnea­u, Quebec’s minister responsibl­e for seniors, said the new rules balance patients’ right to have their security monitored while protecting the reputation­s of staff.

More Ontario long-term care residents and their families are turning to video surveillan­ce after a number of high-profile incidents of elder abuse, Meadus said.

Last year, a personal support worker at Ottawa’s Garry J. Armstrong long-term care home was convicted of assault after he was caught on video repeatedly punching a resident with dementia. In another case, at the city-run Peter D. Clark home, a PSW called an elderly woman her “bitch” and saying, “Why is it taking you so long to die?”

Both incidents were recorded by cameras installed by the residents’ family members.

Using video surveillan­ce is legal in Canada, although the Canadian Criminal Code makes it illegal to record audio without the consent of at least one person in the conversati­on. That’s a problem if the resident is not in the room at the time or is unaware their family has installed a camera, Meadus said.

“It has to be used for the safety of the person. It’s not there, for example, to see if mom has a boyfriend. You have to make sure you’re using it for appropriat­e purposes.”

ACE posts advice about video surveillan­ce on its website. Its position is that residents and families have the right to record video, regardless of what the institutio­n says. If the resident isn’t mentally capable, the decision on video surveillan­ce belongs to his or her substitute decision-maker, she said.

Regulation­s like Quebec’s “ensure everyone is playing by the same rules,” she said.

In some cases, families install video cameras secretly, but Meadus cautioned that will only work once. In one case, a secret video camera recorded workers disconnect­ing a resident’s call button at night. The video evidence was given to the institutio­n and the workers were discipline­d. After that, workers blocked the camera with a pillow, she said. Still, an open camera can catch offences as workers become used to it or forget it’s there.

A spokeswoma­n for Minister of Health and Long-Term Care Eric Hoskins said the ministry has no plans for a similar regulation in Ontario. However, it is open to discussion, she said.

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