Response 940566454

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Introduction

2. Do you give consent for your submission to be published in whole or in part?

Please select one item
(Required)
Ticked Yes
No

Details about you

3. Are you answering on behalf of an organisation?

Please select one item
Yes
Ticked No

4. Where do you live or where is your organisation based?

Please select one item
NSW
Vic
Qld
WA
SA
Tas
Ticked ACT
NT
City/Town
Canberra

More details about you

8. What role best describes you?

Please select one item
Aged care consumer
Family and/or carer for an aged care consumer
Aged care worker/professional
Aged care advocate
Clinician/geriatrician
Ticked Health worker/professional
Other

Questions about accreditation and monitoring compliance of residential aged care services

11. Do you think that processes to accredit and monitor residential aged care services are effective?

Accreditation process
Please select one item
Yes, always Yes, mostly Yes, sometimes Ticked No Don’t know
Monitoring process
Please select one item
Yes, always Yes, mostly Yes, sometimes Ticked No Don’t know

12. Do you think processes to review and investigate non-compliance with the accreditation standards are effective?

Please select one item
Yes, always
Yes, mostly
Yes, sometimes
Ticked No
Don’t know

13. Are you aware that sanctions can be imposed on residential aged care services when they fail to comply with the accreditation standards?

Please select one item
Ticked Yes
No

14. Do you think these sanctions are effective?

Please select one item
Yes, always
Ticked Yes, mostly
Yes, sometimes
No
Don’t know

15. What features of the existing assessment and monitoring process should be retained?

Retain assessment & monitoring processes
Aged care services should continue to be regularly monitored and undergo accreditation and unannounced visits from the Agency.

16. What features of the existing assessment and monitoring process should be changed?

Change assessment & monitoring
Unannounced visits are made on the premise that it will otherwise be 'business as usual'. In my experience, due to administrative requirements, Agency assessors often do not arrive at the wing/ community/ ward until around half an hour after arriving at the facility. I have witnessed first hand, Care Managers running to nurses stations as soon as the initial meeting with the Agency is complete, to make certain that all of their resident's notes and charts are up to date. I have been informed that some Care Managers have falsified documents by backdating signatures on charts for treatments etc that have not been administered, for example. While I am not certain of the logistics, or the associated costs, all aged care service providers could be required to install certain software which enables the recording of treatments, medications etc electronically. The Agency could have direct access to this system, and thus be able to conduct unannounced audits of Care Plans, GP and allied health treatment orders, notes and charts as required. Visits to the aged care service provider could continue to be conducted, but this would be for review of higher level administration etc, rather than resident records.

Questions about complaints

17. Have you made a complaint about a residential aged care service in the last 10 years?

Please select one item
Yes
Ticked No

Never made a complaint

25. Please identify why a complaint has not been made.

Please select all that apply
No reason to make a complaint
Didn't know how to
Too much effort required
Ticked Fear of retribution for making a complaint
No confidence in the handling of a complaint
You are welcome to provide further details on your response
I was working for a number of aged care providers in an agency capacity, and was employed for a short period as a Care Manager.

Additional comments

27. Do you have anything else that you would like to contribute to the Review?

Additional comments
While I understand that this may be outside of the review, I strongly believe that there must be a requirement for specialist training prior to working in aged care. I have witnessed first hand extremely poor nursing care in a number of ACT aged care homes. Of greatest concern is the absolutely terrible wound care- there appears to be no awareness at all of different dressings and their appropriateness for individual wounds. Across all facilities there is a very lax attitude towards medications- S8's can be signed for without a valid order; a large majority of residents who would greatly benefit from analgesia, and who have had pain relief ordered by their GP, do not receive it- there is a widely held belief that the elderly are not able to be provided pain relief. Certainly it needs to be closely monitored etc, but to disallow pain relief when needed is inhuman. Very often medications run out before being reordered, leaving residents without necessary medication for days. Massages are most certainly not done as stated in resident's charts- I have witnessed one massage being performed in my years of working in aged care, even though they are often signed for. Heat packs are often provided without a heat test, and are administered by an AIN. These things were ongoing during multiple accreditation and Agency visits, and were not picked up at any stage. I attempted to inform an Agency officer on one visit, however she mentioned my comments and my name to our General manager, resulting in me being reprimanded.