A tale of two nursing homes: Night and Day

My feedback is not very positive on the first two nursing homes my mother was in.  Appalling standard of care.

Both accredited. Which I since learnt meant nothing as to the quality of care or had anything to do with resident to staff ratio.

My mother is a high care patient.  In Nursing Home A she was one of (approximately) 60 residents in that wing.

The standard of care was so bad that she needed to be visited twice a day to ensure she had a drink.  Her jug was placed diagonally across the room, often without a cup.

My mother is paralysed down one side.  She could not walk across the room to get a drink.  The jug was changed every day.  No one noticed that there was nothing used from that jug.  No one wondered how she could get access to that jug.

jug out of reach"… I just want to point out that this is during a severe gastro outbreak in nursing home.  Second bout going through. Carers congratulating my mother on being dry from 7pm at night until 10.00am following morning.

If my mother could get across the room, which she can't, as she is completely paralysed down left side.  There is no cup available to pour the thickened gunk into.

I still find it appalling that after two years in the same nursing home, they have not realised that she has never had a drink from one of these jugs and they are returned to the hallway untouched.

There is no care or supervision of my mother's hydration.  I still find that appallingly poor care…”

She suffered 8 major falls out of bed because she developed haemorrhoids as there was no preventative treatment to deal with immobile residents on a low fibre diet.  The food was disgusting.  There are no checks or balances done on medication.

When we finally had a geriatrician visit mum he was able to look at her overall care and make recommendations and amendments.  For one year she was on a 20mg norspan patch which caused her to have horrendous hallucinations.  No one would listen and then one day after a nurse asked me about a "psychotic episode" I suggested they reduce the Norspan patch which they did with a miraculous result in that she had no further hallucinations.

Who are the people running these homes?

Have they never had an immobile patient before?

Do they just put the residents with "psychotic episodes" in the dementia ward?

The standard of care was worse than I would expect for an animal.  My mother used to say that if she was a dog, somebody would be in trouble for the neglect.  No one seems to be accountable in Aged Care.

Aged Care Complaints System is an absolute joke and I have nothing but contempt for it after experiencing its investigative prowess and total inability to do anything.

Accreditation means nothing.  It does not ensure quality of care. How much money is wasted on the people who go in to nursing and tick all the boxes regarding paper work?  If this is the best we can do, then every Australian should be ashamed.  There are profits being obtained from the suffering and neglect of the elderly.

My mother is now in Nursing Home B, and the difference is like night to day.  They actually know how to feed and care for the elderly.

Nursing Home A threatened me that if I moved my mother, she would die.  I had to let her go.

We decided, better to die trying to leave that hell hole than to stay.  Two years later and my mother is thriving from excellent care, great food that is nutritionally balanced and an atmosphere of hope, love and contentment.

Most carers in the other nursing homes were extremely distressed, overworked, underpaid and bitter workers.  The requirements of elderly people are huge.

Two or three workers cannot possibly help each person to get up, washed, dressed and fed - 60 residents.  They just seemed to bounce from one crisis to another with no time for anyone who was not in desperate need.

I don't know what games are played during accreditation.  Perhaps accreditors should have to spend a week as a resident before they are in any position to have even the slightest idea of what really happens in these below standard nursing homes.

I cannot understand how accreditors do not smell the neglect when they walk in if there visit is not a carefully scripted show.

Please, all of you in aged care - do your job.

Protect those who you are paid to protect and stop falling for the platitudes and paperwork that gloss over the appalling care.

 
Posted on  Sunday, 29 July 2012 21:28
by  Mandy
As an agency nurse I could save the Accreditation team petrol and let them know the handful of nursing homes in Adelaide that should never pass any Accreditation process which actually measures what is going on in the place. But instead even the drop in unannounced spot checks are stage managed as the word quickly goes round from panicked management as they see the suits come in. I worked in a Nursing Home similar to Nursing Home A before going agency - the culture of the place was rotten to the core, management didn't want to know about abuse that was so systemic that most of the staff didn't even realize it was abuse.
Posted on  Friday, 06 July 2012 21:37
by  Kathy
All accreditations are 'carefully scripted shows'. I have worked in aged care for 12 years, been through many accreditations, and EVERY time, the level of staffing rises, the place is spring cleaned, and maintained throughout the accreditation, lots of cleaners and staff running hither and thither, who then miraculously disappear within days of the end of accreditation. It's a joke, seriously, a joke. If accreditations were serious, they should just come in and get on with it, NOT give a month's notice, plenty of time to to do bandaid bodgy, dodgy tidy ups. Even after passing, just prior to the next one, it starts all over again. Staff putting in long hours to get the paperwork up to scratch, clean the place (usually well past due), make sure all the clinical care is up to date, or at least, looks like it is. Accreditors should be able to come in completely unannounced, but they can't, they have to give notice. Such a very stupid ruling.
Posted on  Monday, 02 July 2012 12:44
by  Jenny
Thank you to the contributor of this article. It demonstrates very well the diversity in standards of care in nursing homes. It is good to see the writer call for nursing home proprietors to maintain standards of care. They have been allowed to get away with so much over the last 30 years in terms of downskilling their workforce, underpaying their staff, breaching OH and S standards and overcharging residents for the standard of care provided. Only good nursing homes set a minimum standard of training for their nursing staff, requiring them, and assisting staff to get a Cert 111 from TAFE. Only good nursing homes ensure their staff have good English skills. Only good nursing homes ensure that older staff are able to refresh their skills. Sadly there are too few good nursing homes. It is noteworthy that the ANF and NSWNA are still running their "Because We Care" Aged Care Campaign. What has been achieved by that campaign?

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