Accreditation is an ongoing process of assessing Circle of Care against national and global standards to identify our strengths and areas for improvement. Hospitals, doctor’s offices, seniors and residential homes, rehabilitation centres, home care agencies, medical labs, health education programs, and many other health care settings go through the process of Accreditation.

Accreditation helps organizations like ours:

• Understand how to make better use of their resources
• Increase efficiency
• Enhance quality and safety
• Reduce risk
• Highlight to our clients and community that we are an organization that continuously evaluates and re-evaluates our practices in order to ensure our work is high quality and aligns with best practices

Earning the Accreditation Canada seal is a sign that an organization has worked hard to meet standards related to safe, high-quality care.

Meet Our Surveyors

Sharon Goodwin

David Keselman

David Keselman is a healthcare executive with more than 30 years of leadership experience across community care, homecare, acute care, long-term care, and public health. As CEO of Louis Brier Home & Hospital and Weinberg Residence, he has championed several initiatives around patient and family centered care, quality improvement, and system transformation.

A Required Organizational Practice (ROP) is a mandatory process we must have in place to reduce risks, improve client and staff outcomes, and be Accredited with the highest standing.

The following are the ROPs associated with each standard:

Infection Prevention and Control (IPAC)

• Policy 01.25 IPAC Routine Practices and Additional Precautions
• Hand Hygiene – Circle of Care Volunteer Portal

**The examples provided above represent key organizational evidence. Please check with your program or service area for additional supporting evidence.

Service Excellence

• Policy 01.20 Clients At Risk
• Volunteer Orientation Manual Pg 29
• More information on suicide escalation procedures are available in volunteer orientation and in program specific volunteer manuals

**The examples provided above represent key organizational evidence. Please check with your program or service area for additional supporting evidence.

Home Support Services

• Policy 01.07 Two factor identifier
• The ALC Checklist – Circle of Care Volunteer Portal

**The examples provided above represent key organizational evidence. Please check with your program or service area for additional supporting evidence.

Medication Management

• Policy 05.13 Volunteer Scope of Practice

**The examples provided above represent key organizational evidence. Please check with your program or service area for additional supporting evidence.

Leadership

• Health & Safety – Circle of Care Volunteer Portal
• The ALC Checklist – Circle of Care Volunteer Portal
• Policy 01.56 Workplace Violence
• Policy01.55 Workplace Harassment
• Policy 08.05 Event Reporting
• Policy 08.11 Vulnerable Population Abuse Prevention and Reporting
• Policy 08.03 Disclosure of Client Safety Incidents Causing Harm

**The examples provided above represent key organizational evidence. Please check with your program or service area for additional supporting evidence.

Governance

• Circle of Care Strategic Plan 2025 2030
• Circle of Care Website – Board of Directors ​
• Circle of Care Website – Mission, Vision, Values

**The examples provided above represent key organizational evidence. Please check with your program or service area for additional supporting evidence.

When surveyors from Accreditation Canada visit us on-site from October 13-16, they may occasionally ask you a few questions about your work.

Please know that this is not a punitive process, and surveyors are not expecting perfection. Their goal is simply to understand how we work, ensure we’re following best practices, and see how we provide safe, high-quality care. They may ask about where you find information, how you escalate any concerns you might have, or how you carry out your role.

There will otherwise be no disruptions to your role during Accreditation.

Accreditation Bingo

As you reflect on how your program or service aligns with the Accreditation standards, we invite you to use our Accreditation Bingo activity. Not every section will be relevant to your day-to-day work – focus on the standards that are most applicable to your role and use them as a starting point for meaningful conversation and reflection.

Accreditation Huddles

Accreditation huddles are weekly virtual sessions where we review important Accreditation content. Below, you’ll find previous recordings, slides, and notes in case you were unable to attend.