Residential and long-term care centre (CHSLD)

A person can always say where they would like to go. However, during the pandemic, the facility will prioritize access based on the person’s needs and the availability of places.

If the facility selected is not the one the person wanted to go to, a resident who is in a transitional CHSLD may now be transferred to the CHSLD of their choice provided that neither CHSLD has an outbreak (cold CHSLD).

Essential items can be delivered to residents.

Always keep your distance from other people, avoid direct contact and practice cough and sneeze etiquette as usual.

Families who wish to do so may wash residents’ clothes.

Residents are allowed to leave the CHSLD to go to a medical appointment. Indeed, protecting their health also means maintaining their usual medical follow-ups and consulting when necessary.

When they return to the CHSLD, the required infection prevention and control measures will be taken.

You can move someone who is living in a CHSLD out and care for them in your own home. However, certain rules apply:

  • Your loved one must be made aware of the implications of the decision, for example, they will not be able to receive home care services of the same standard as the care and services provided in the CHSLD.
  • If it is a stay of several days, you must consider their medication needs if they leave the CHSLD. You must make sure they will continue to take their medication.
  • If a resident is incompetent, the facility must make sure they obtain consent from the legal representative before authorizing the resident to leave.

You can move a loved one out of a CHSLD where cases of COVID‑19 have been reported out and care for them in your own home.

However, it is recommended that infection prevention and control measures be put in place to minimize the risk of contamination in your home. You should follow these instructions:

  • All members of the household must wash their hands frequently.
  • As much as possible, a distance of 2 metres must be maintained between people in the home.
  • Do not have visitors to the home.
  • The person you are caring for must not go out to visit other family members or to go to a public place (for example, grocery store, pharmacy, bank, etc.);
  • If the person you are caring for has to go out for health care, they must have an appointment. They should avoid using public transit and should maintain a distance of 2 metres from other people, as much as possible;
  • Other members of the household must only go out when necessary and must follow strict hand hygiene measures before, during and after doing so;
  • High-touch items and surfaces, such as door handles, faucets, switches and stair rails should be cleaned and disinfected often.

If any of the following situations apply to your loved one who lives in a CHSLD or to a member of your household, you will not, temporarily, be able to have your loved one stay with you:

  • The person who wishes to leave a facility or one of the people in the household where they would be staying has one or more symptoms of COVID‑19 (unusual cough, fever, difficulty breathing, sudden loss of sense of smell without a stuffy nose, with or without loss of sense of taste);
  • The person who wishes to leave a facility or one of the people in the household where they would be staying has specifically been told to self-isolate by public health because they:
    • have had close contact (high or moderate risk exposure) with a confirmed case of COVID-19;
    • are waiting for a COVID‑19 test result.

In these situations, you will have to wait until the person is allowed to end their self-isolation before making arrangements to move your loved one out of the CHSLD.

In CHSLDs that do not have an outbreak, as well as on units that do not have an outbreak, eating in the dining room and leisure activities can be resumed while maintaining a distance of 2 metres between people.

In CHSLDs where there is an outbreak, additional measures must be taken on the affected units. Only residents who require assistance or close supervision during meals are allowed to go to the dining room. Residents who are able to eat on their own must have their meals in their room. However, staff will offer to prepare the tray completely for them when it is delivered (open containers, cut up food, etc.) In addition, a person will be designated to supervise and attend to the needs of residents who have their meals in their room, for example, if a resident drops a utensil.

Residents in a CHSLD that does not have an outbreak can go on unsupervised outings or participate in a get-together outside the CHSLD.

In CHSLDs where there is an outbreak, if the outbreak is localized, asymptomatic residents who live in an unaffected zone (cold zone) may be allowed to go out without supervision with the authorization of the institution's Infection Prevention and Control Officer or the Director of Public Health.

CHSLDs are allowing visitors. A resident can have two visitors at a time.

CHSLD staff will screen visitors for symptoms of COVID-19. If they have symptoms, special measures will be taken to keep residents and staff safe.

Then, visitors will be escorted to make sure they comply with infection prevention and control measures.

If a resident is in isolation because of COVID-19, staff will have to help visitors put on and take off the necessary personal protective equipment.

Everyone who works in the CHSLD must comply with basic infection prevention and control practices:

  • wash their hands often with soap under warm running water for at least 20 seconds or use an alcohol-based hand rub;
  • cover their mouth and nose with their arm to reduce the spread of germs if they cough or sneeze;
  • use a tissue to blow their nose, dispose of it as soon as possible and wash their hands afterwards;
  • avoid direct contact when they greet someone, such as shaking hands.

In addition, staff use personal protective equipment as recommended by the facility’s infection prevention and control teams and by the Institut national de santé publique du Québec.

If a resident has symptoms of COVID-19, they must be separated from other residents immediately. Infection prevention and control measures are increased. The resident’s health is monitored constantly.

As of June 26, 2020, hairdressing services will be able to resume in CHSLDs that do not have an outbreak in accordance with the required infection prevention measures.

A significant caregiver can provide support to someone who lives in a CHSLD provided they comply with certain conditions.

Caregivers will have to comply with certain measures. In particular, they will have to:

  • Wear a procedure mask at all times;
  • Practice strict hand hygiene;
  • Monitor themselves closely for symptoms;
  • The caregiver may be asked to use additional personal protective equipment depending on the resident’s condition.

You can also read and print out the Information sheet for informal and family caregivers whose loved one is institutionalized - Coronavirus (COVID-19) This hyperlink will open in a new window.. It describes the infection prevention and protective measures that you will have to follow and links that you might find very helpful.

A gift can be delivered to a resident in a CHSLD. However, there may be some exceptions, depending on the CHSLD, check with it before having a gift delivered.

Homemade meals are allowed. However, the container must be able to be disinfected before being transmitted to the resident.

Flower deliveries are allowed.

Hospital centres

Yes. Health facilities are now receiving visitors under all circumstances, subject to certain conditions, in particular with respect to infection prevention.

Yes, in accordance with the conditions listed on the Guidelines for visitors to hospitals page.

Pregnancy and perinatal services

At present, pregnant women can be accompanied by a loved one when giving birth in Québec hospitals. However, hospitals may adopt certain specific measures, as is the case at the Montreal Jewish General Hospital. To obtain additional information in this regard, pregnant women can contact their hospital.

Family doctors and specialists

Regardless of why you need a medical consultation, if you have flu-like symptoms, gastroenteritis or symptoms of COVID‑19, call 418‑644‑4545, 450‑644‑4545, 514‑644‑4545, 819‑644‑4545 or 1‑877‑644‑4545 (toll free) and you will be referred to the appropriate resource.

If you do not have flu-like symptoms, gastroenteritis or symptoms of COVID‑19, you can always consult if you need to by, contacting your family doctor, medical clinic or family medicine group (FMG) to make an appointment for a consultation over the telephone or in person. If you are unable to reach your medical clinic or are not registered with a family doctor, you can call Info‑Santé 811 to speak to a nurse, get advice about what to do and be referred, if necessary, to the appropriate resource.

People who have a chronic disease (e.g., diabetes, cardiovascular disease, hypertension, degenerative disease, etc.), cancer or any other disease or condition that requires regular health follow-up are, in particular, encouraged to have these follow-ups and go to their medical appointments.

Yes, the RAMQ will from now on cover health services provided by correspondence or by means of telecommunications. This coverage includes, for example, a telephone consultation with a physician.

Caregivers

Due to the pandemic, many informal caregivers find that their everyday life has been disrupted. You may be wondering what the best way to support your loved one is. You have to solve practical problems, provide moral support, perhaps help them out financially too.

Please read the Public Health Recommendations for Informal Caregivers This hyperlink will open in a new window. brochure. It provides information about how you can:

  • take care of yourself;
  • create a support network that is adapted to the situation so that you can maintain your health and quality of life;
  • stay connected with your loved ones despite physical distancing measures and visitor restrictions in some facilities;
  • make the best possible decisions for your health and your loved ones’ health during the coronavirus disease (COVID‑19) pandemic;
  • get referred to appropriate resources for your situation.

In addition, caregiver Support Helpline counsellors are there to listen to you, answer your questions and, if necessary, refer you to programs and resources that can help you in your everyday life. Do not hesitate to call them at 1‑855‑852‑7784 or to visit the Caregiver Support This hyperlink will open in a new window. website.

You are allowed to accompany someone who is blind or visually impaired. To keep safe, you must follow the health recommendations for everyone and, if you cannot maintain a physical distance of 2 metres, wearing a mask is strongly recommended.

To prepare yourself properly for your first visit, we suggest your read the webpage Informal and family caregivers during the coronavirus disease (COVID‑19) pandemic which was created to assist you.

It contains information and video clips that will be useful for:

  • preparing for your first visit, since it is highly likely that the facility you visited before the COVID‑19 pandemic has changed significantly;
  • checking if you meet the criteria for determining that an informal caregiver is authorized to provide support in a facility;
  • letting you know what is involved and what risks are associated with going into your loved one’s facility so that you can make a voluntary and informed decision;
  • learning about the safety guidelines and hygiene and protective measures you will have to follow;
  • practical advice that will make your visit more enjoyable, such as eating and drinking well before you visit your loved one, since it might be difficult to do so once you have put the protective equipment on;
  • advice that you can read and, if necessary, follow to protect your psychological health and continue distance socializing with your loved one;
  • learning how to deal with grief during the pandemic if you have had the misfortune to lose a loved one.

You can also read and print out the Information sheet for informal and family caregivers whose loved one is institutionalized This hyperlink will open in a new window.. It describes the infection prevention and protective measures that you will have to follow and links that you might find very helpful.

Yes. While there is a firm commitment to allowing visitors and informal caregivers to provide significant assistance or support to a person who is living in a CHSLD, an intermediate or family-type resource or a RPA, a facility may deny access to informal caregivers. They may do so when:

  • you have been told to self-isolate, you have symptoms or you live with someone in either of these situations;
  • your behaviour compromises your safety and that of the resident you are providing support to, other residents and staff members;
  • there is an outbreak in the facility and visitors are not allowed to go to affected units;
  • the intermediate or family-type resource is dealing with a particular situation and it has been agreed with the institution that visits will be temporarily suspended;
  • the facility is dealing with a particular situation and it has been agreed, with the prior authorization of the Ministère de la Santé et des Services sociaux, that informal caregiver visits will be temporarily suspended.

A manager or designated person in CHSLDs, intermediate or family-type resources and RPA will be able to answer your questions and respond to your concerns if you are not satisfied with how the ministerial directives are being interpreted and applied. Contact the facility to find out who the manager or designated person is. If you are still not satisfied, you will be asked to contact the service quality and complaints commissioner. We assure you that the entire procedure will be conducted with tact, sensitivity and impartiality.

No. If someone in your home has symptoms or is self-isolating, you cannot visit your loved one even if you do not have symptoms of COVID‑19. It is important to follow this instruction to keep everyone safe. During the COVID‑19 pandemic, there might be very serious consequences for the residents, including your loved one.

Private seniors’ residences (RPA)

Visits to RPA where there is no outbreak are allowed subject to compliance with specific infection prevention and control conditions.

Food can be delivered to RPA.

Always keep your distance from other people, avoid direct contact and practice cough and sneeze etiquette as usual.

Some essential items can be delivered to residents.

Always keep your distance from other people, avoid direct contact and practice cough and sneeze etiquette as usual.

Outings are allowed.

When you return to the residence, all infection prevention and control measures must be rigorously applied. For example, you must:

  • wash your hands often with soap under warm running water for at least 20 seconds or use an alcohol-based hand rub;
  • cover your mouth and nose with your arm to reduce the spread of germs if you cough or sneeze. If you use a tissue, dispose of it as soon as possible and wash your hands afterwards;
  • avoid direct contact when you greet someone, such as shaking hands.

Outings are allowed.

When you return to the residence, all infection prevention and control measures must be rigorously applied. For example, you must:

  • wash your hands often with soap under warm running water for at least 20 seconds or use an alcohol-based hand rub;
  • cover your mouth and nose with your arm to reduce the spread of germs if you cough or sneeze. If you use a tissue, dispose of it as soon as possible and wash your hands afterwards;
  • avoid direct contact when you greet someone, such as shaking hands.

You can move a loved one out of their RPA out and care for them in your own home. However, certain rules apply:

When they return to the residence, all infection prevention and control measures must be rigorously applied. For example, you must:

  • wash your hands often with soap under warm running water for at least 20 seconds or use an alcohol-based hand rub;
  • cover your mouth and nose with your arm to reduce the spread of germs if you cough or sneeze. If you use a tissue, dispose of it as soon as possible and wash your hands afterwards;
  • avoid direct contact when you greet someone, such as shaking hands.

You can move a loved one out of a RPA where cases of COVID‑19 have been reported out and care for them in your own home.

However, it is recommended that infection prevention and control measures be put in place to minimize the risk of contamination in your home. You should follow these instructions:

  • All members of the household must wash their hands frequently.
  • As much as possible, a distance of 2 metres must be maintained between people in the home.
  • Do not have visitors to the home.
  • The person you are caring for must not go out to visit other family members or to go to a public place (for example, grocery store, pharmacy, bank, etc.);
  • If the person you are caring for has to go out for health care, they must have an appointment. They should avoid using public transit and should maintain a distance of 2 metres from other people, as much as possible;
  • Other members of the household must only go out when necessary and must follow strict hand hygiene measures before, during and after doing so;
  • High-touch items and surfaces, such as door handles, faucets, switches and stair rails should be cleaned and disinfected often.

If any of the following situations apply to your loved one who lives in a RPA or to a member of your household, you will not, temporarily, be able to have your loved one stay with you:

  • The person who wishes to leave a facility or one of the people in the household where they would be staying has one or more symptoms of COVID‑19 (unusual cough, fever, difficulty breathing, sudden loss of sense of smell without a stuffy nose, with or without loss of sense of taste);
  • The person who wishes to leave a facility or one of the people in the household where they would be staying has specifically been told to self-isolate by public health because they:
    • have had close contact (high or moderate risk exposure) with a confirmed case of COVID‑19;
    • are waiting for a COVID‑19 test result.

In these situations, you will have to wait until the person is allowed to end their self-isolation before making arrangements to move your loved one out of the RPA.

Visits to RPA are allowed provided infection prevention and control measures are complied with.

A gift can be delivered to a resident in a RPA. However, there may be some exceptions depending on the RPA, check with it before having a gift delivered.

Home-cooked meals can be accepted. However, the container must be able to be disinfected before being transmitted to the resident.

Flower delivery can be accepted. Flowers, like all other gifts, must be placed at the entrance, wrapped.

A significant caregiver can provide support to someone who lives in RPA provided they comply with certain conditions. They must, in particular:

  • Wear a procedure mask at all times;
  • Practice strict hand hygiene;
  • Monitor themselves closely for symptoms;
  • The caregiver may be asked to use additional personal protective equipment depending on the resident’s condition.

You can also read and print out the Information sheet for informal and family caregivers whose loved one is institutionalized - Coronavirus (COVID-19) This hyperlink will open in a new window.. It describes the infection prevention and protective measures that you will have to follow and links that you might find very helpful.

No, moving is allowed. The following preventive measures must be taken:

  • The health recommendations for everyone must be followed at all times by everyone involved in the move.
  • Movers or family and friends who are helping with the move must not have symptoms of COVID-19 and self-isolating instructions must be followed as needed.
  • The number of movers or family members and friends helping with the move must be kept to a minimum.
  • Movers, family and friends and the resident are not allowed to move around the residence unless it is required for the move. In this case, one or two representatives of the resident may accompany them in the residence.
  • When the movers have finished, as few family members or friends as possible may enter the unit to set up the essentials for the resident and to ensure that the space is safe. Light work can be done, in particular cleaning and painting.
  • Surfaces that may have been touched by the movers must be cleaned with the usual disinfectant products.
  • Residents must avoid going near areas where the movers went.

However, a new resident with suspected or confirmed COVID-19 are still not allowed to be admitted to a RPA that does not already have COVID-19 cases.