INDEPENDENT NEWS

Failure to provide appropriate care to rest home resident

Published: Mon 21 Oct 2019 02:09 PM
Failure to provide appropriate care to rest home resident 17HDC02219
Deputy Health and Disability Commissioner Rose Wall today released a report finding a rest home owner in breach of the Code of Health and Disability Services Consumers’ Rights (the Code) for failing to provide appropriate care to a resident.
In 2016 a woman in her 90s was discharged from a public hospital and admitted to hospital-level care at the rest home. The woman had a long-term indwelling catheter (IDC) in place, and was unable to weight bear to mobilise. She required two-person assistance and a full sling hoist for all transfers. On admission she was assessed as being at high risk of developing pressure sores, and her perineal and sacral areas were evaluated by nursing staff regularly over a four-month period. There were a number of documented issues with her catheter, including dislodgement of the catheter, leaking of the catheter and catheter bag, and urinary tract infections.
In early 2017 it was found that the skin on the woman’s sacrum had broken down, and a GP arranged for her to be transferred to hospital for review. Sadly the woman died the following month after a period of ill health.
The Deputy Commissioner was critical that incidents occurred that showed a lack of knowledge and skill regarding IDC cares by staff at the rest home. Ms Wall was critical that multiple staff did not adhere to the care plan and the rest home’s policy about catheter care. She was also critical that the rest home did not provide adequate further education to its staff on IDC management sooner, despite being aware of ongoing issues with staff skill in relation to the woman’s IDC early in her time at the rest home.
Ms Wall was also critical that hoist and transfer training did not occur more promptly and that a referral to a wound care specialist did not occur in a timely manner. She was also critical that temperatures recorded at the rest home did not comply with the rest home’s policy relating to comfortable temperature.
The woman’s son held an activated Enduring Power of Attorney for his mother’s health and well-being. He was very involved in his mother’s care and on multiple occasions he raised concerns with rest home staff about the care.
Ms Wall highlighted the importance of a good relationship between staff and family to deliver good care to residents in residential aged care settings. She considered that the rest home should have been more proactive and should have requested external support to guide its staff and support the woman’s son.
Ms Wall recommended that the rest home owner apologise to the woman’s son. She also recommended they provide training to staff, audit policy compliance and share her report among their other care homes.
The full report for case 17HDC02219 is available on the HDC website.
ENDS

Next in Lifestyle

NZ Fringe 2020 has launched
By: New Zealand Fringe Festival
Three Stocking Stuffers from Te Papa Press
By: Howard Davis
Prime Minster Delivers Erebus Apology
By: New Zealand Government
Margaret Atwood announces three NZ tour dates
By: Fane
Auckland Fringe Announces New Festival Director
By: Auckland Fringe
2019 NZ Comedy Guild Awards handed out
By: New Zealand Comedy Guild
Private ceremony marks Erebus 40 years on
By: RNZ
Seymour commends PM on Erebus apology
By: ACT New Zealand
Speech by NZ Airline Association President on Mt Erebus
By: New Zealand Airline Pilots' Association
EREBUS Civic Service for 40th anniverary
By: Erebus National Memorial
Mt Erebus disaster: The Police story - Police Museum
By: New Zealand Police
View as: DESKTOP | MOBILEWe're in BETA! Send Feedback © Scoop Media