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Carol Altmann – The Terrier

I am technically taking a break, but some stories can’t wait until the new year, and this is one of them – a confirmed outbreak of scabies in the Audrey Prider Centre at Lyndoch Living.

What a Christmas gift to residents in APC, which is a high-care dementia wing and home to some of the most vulnerable people in Lyndoch aged care.

The scabies diagnosis confirms what Lyndoch nursing staff and some residents’ families have long suspected, with a nasty rash coming and going through APC for months and months.

Lyndoch management finally brought in skin specialist Dr Werner Sinclair on 5 December and he has since issued a formal diagnosis of scabies for at least two residents.

I understand that up to eight residents are now potentially affected by what is a highly contagious infestation.

But this diagnosis by Dr Sinclair didn’t just happen.

It followed an intervention by the Australian Nursing and Midwifery Federation on behalf of nursing staff who were sick to death of being fobbed off.

As reported by The Terrier, the union wrote a letter to Lyndoch on 27 November demanding answers on whether there had been any suspected or confirmed cases of scabies in APC in the past six months and, if so, what had been done about it.

Some of its members, the union wrote, had been “actively treated” for suspected scabies, as had some residents, but nursing staff were “of the view” that they were not to talk about it with residents’ families, or each other.

The ANMF was also told by its members that “minimal infection control measures” had been put in place.

If what the union says is correct, this is pure damage control, if not a cover up.

One thing is certain, and that is that it took the union to put a rocket up the backside of Lyndoch about this outbreak and to bring in the experts.

This begs the bigger and more important question of why?

Why must it take the intervention of a union to see the immediate welfare of residents and staff in Audrey Prider Centre shoot to the very top of Lyndoch’s priorities?

And if the union had not intervened, would the outbreak have ever been formally diagnosed and responded to? Or would the itch just go on?

The families of some of those infected are absolutely furious by what has unfolded.

Their stories are ones of confusion and misinformation.

One woman said she learned of her mother’s scabies via a phone call from Lyndoch last Monday – December 14 – by which time her family had been to visit her mother several times and been potentially exposed.

In another case, a family member of an APC resident who is being treated for scabies, has scabies.

While scabies is not deadly, it causes an intense, almost maddening itch from tiny, burrowing mites that get under the victim’s skin.

Treatment is via either oral medication or an external lotion applied all over the body.

According to a document sent to me, Lyndoch is using the services of an infection control consultant – Victorian Infection Prevention Services – to help manage its outbreak.

Bulk supplies of one lotion, Benzemul, have been brought it to protect APC nursing staff, who were urged to start applying the lotion to themselves as of last Monday, 14 December.

It’s understood residents are also being treated with a lotion.

To contain the outbreak, APC staff must also wear long sleeves and gloves when dealing with infected residents, wash their hands after every resident contact, and dispose of all used linen immediately into a laundry skip rather than carrying it.

Scabies, to put it bluntly, is a bastard of a thing to catch, and to contain.

And all of this comes to light as the Lyndoch Living executive gathers tonight for its Christmas break up. I hope they are having a good time, because those with the scabies are certainly not.

I emailed the Lyndoch CEO Doreen Power, chair Susan Cassidy, and the Lyndoch media unit at 11am this morning for comment. I will update this piece if any comment is provided.

The Terrier – Carol Altmann

Young Gunditjmara woman Jess Chatfield speaks from the heart about her fight to save Framlingham forest and the Hopkins River from a bluestone quarry that is proposed for land nearby.

This 8min work was created by Jess under the guidance of Warrnambool’s best digital storyteller, Colleen Hughson, who is an extraordinary teacher.

This digital storytelling mentorship was funded by the Judith Neilson Institute for Journalism and Ideas, who generously supported an idea put forward by The Terrier and which has now come to life.

Jess is a natural storyteller and it has been a privilege to be a part of this mentorship and to learn so much from Jess and her family along the way. I am going to miss our Fridays, but this will not be the last you hear from Jess, I just know it.

Carol Altmann – The Terrier

As the year comes to a close, I wish I could do more for those who contact me about Lyndoch Living.

Whenever I write about Lyndoch aged care, I get a stream of messages from readers, most of whom thank me for just listening, even if I can’t help.

People care about Lyndoch and its residents, including the staff who have to go to extraordinary lengths just to get a message to me, for fear of being “caught” talking to The Terrier, but also the families of residents, and friends of residents.

I find so many of these messages heartbreaking and I feel powerless, because I can’t fix it.

All I can do is tell you – the wider community – what I have learnt and what I have investigated and hope that you, like me, won’t look away.

Like this message from a reader about the new $13 million Swinton Wing extension:

“..residents from (Tomlinson) have now been moved to the second floor of the new “dementia building” (my words). This means that all ambulant dementia residents are now “trapped” upstairs with no free access to an outside area where they can feel the breeze or sun on their face, walk on a “return” path through an enclosed garden area, and see birds hopping around.

“They now have no chickens to care for and secured outside areas for unsupervised activities are now nonexistent. ….. the new building is very impressive and state of the art, but soulless and clinical.

“Whoever thought that this was an improvement to the quality of residents’ lives has no understanding of the ageing and their needs. My alarm bells are going off and I feel this needs further investigation. Please.”

Please.

This is the new Lyndoch, I have learned, where pictures are not allowed on the new walls of the new rooms and the new TV that comes with the new room is the one a resident MUST use, even if they don’t know how to work the freakin’ new remote control.

And then there are the messages about “the rash”.

I have had so many messages about a “rash” that has been coming and going through the Audrey Prider Centre at Lyndoch for six months and I can – at last – write about it because the Australian Nursing and Midwifery Federation (ANMF) has taken up the issue on behalf of their members – the nursing staff on the front line.

In a letter to Lyndoch last week, the ANMF has asked the question up front: is this rash scabies? And if it is, what is being done about it, and what has been done to support residents and staff?

The union has asked for a response by tomorrow (Dec 4).

If this rash is not scabies – I have since heard that it ISN’T – then what is it?

It is enough to have staff and family of some residents demanding more answers.

Another worry that has filtered through to The Terrier these past weeks is the mobile “black spots” within Lyndoch that means families calling after-hours to check on sick loved ones are finding the phones are either not answered (because nursing staff are in a black spot) or the call drops out.

All of those millions spent on expanding Lyndoch – and adding an IT specialist to the executive team – and the phone system is unreliable.

Perhaps instead of worrying about awards and nominations and getting its name up in fairy lights, Lyndoch needs to make sure it responds to these concerns – and I am only able to share a few of them here.

Speaking of lights, the big, new, illuminated, illegal corporate logo on Swinton Wing will be approved retrospectively by the WCC, but will not be lit up.

The lighting breaks the planning laws, but it took neighbours to tell them that.

Given the WCC head of planning is on the Lyndoch board, we can only assume that he had no idea this sign was going ahead.

I really hope Lyndoch receives a refund on the LED.

And I really hope that those who have concerns and fears and worries about Lyndoch will keep speaking up and find the strength to stand up, to light up, knowing that we – the community – has their back.

On we go.

[This is my last post for 2020. Thankyou so much to all of the terriers who have helped The Terrier to keep going in more ways than one. You are the voices behind this voice and I couldn’t do any of it without you.]

Carol Altmann – The Terrier

Lyndoch Living is definitely getting bigger, but is it getting better? The numbers say no.

The reason I keep writing a lot about our community-owned aged care home is to put on the public record what is happening under the change of leadership and change of direction since 2015.

It’s important that we – as the community who own Lyndoch – keep track of what is going on, because nobody else is telling us.

We are the custodians of Lyndoch and the community will be here way past whoever happens to be in charge, so yes, we need to keep track of what is going on.

We owe it to Lyndoch, the residents, the staff, and those who helped create Lyndoch more than 50 years ago.

This is why tonight I am running this little chart, because it captures how Lyndoch is travelling financially.

It shows that before 2015, Lyndoch ran at a small profit/surplus or was break even.

This year, it posted its biggest loss – close to $2 million.

Lyndoch has run at a loss for five of the past six years. From my research, this is unprecedented in recent times.

At the same time, its assets have gone up, but so have expenses – they have more than doubled.

This has meant a $20m cut to its net assets in just six years.

Is this visionary? It is sustainable? And why, when it comes to cost cutting, do we hear of cuts at the coalface, and not in the corporate?

Speaking of which, it’s worth remembering that the very first thing to happen under the $100m masterplan now being rolled out by Lyndoch was an upgrade of the corporate area.

Out with former CEO Rhys Boyle’s old wooden furniture and in with the fingerprint resistant glass table.

We still don’t know how much that corporate re-vamp cost but it was an early sign of the shifting priorities.

We still don’t know, exactly, how much the Swinton Wing re-vamp and extension cost, but estimates are it blew out by $2m to $13 million.

And coming up next is a new two-storey medical clinic to be built next to Scoborio Reserve with, it is said, radiology, pathology, acute care and educational facilities alongside up to 20 GPs.

Lyndoch will bulldoze Tomlinson Wing and its gardens to make way for more glass and cement.

How much will that all cost to build and set up? We don’t know.

Is this all necessary? Is it all sustainable?

These are the questions I would like to ask the board – our eyes and ears at the table – and I am sure you would like to ask too.

In the face of their silence, we just keep pressing.

Carol Altmann – The Terrier

Update: Turns out the new, swish piece of illuminated corporate branding at Lyndoch Living is illegal – there is no permit for this sign to be installed on the side of Swinton Wing.

As readers know, this sign, which is bright-white at night (disclaimer: I live not far away, but these photos were taken by another nearby resident), was installed last week by Cassign, which is the business owned and operated by the husband of the new Lyndoch board chair, Sue Cassidy.

We still don’t know if all the signage works undertaken by Cassign at Lyndoch Living these past months went to tender (Steve Moore, did you have any luck finding out?), but I do know that there is no council permit for this one.

This means a permit must be sought retrospectively from the Warrnambool City Council.

How does Lyndoch think it can get away with it?

Meanwhile, as the corporatisation of Lyndoch rolls on, I continue to get calls and emails and messages every second day from families worried about staff shortages, staff exhaustion and the impact of both on some residents.

Yes, yes, we all know these complaints can be taken here, and reported there, but what happens as a result? Nothing.

Nothing seems to change and the staff become more tired, and families of those residents affected become more frustrated.

I know not all families are affected and we all know that Lyndoch’s hard working staff do the very best they can, but the resignations keep coming – from the nursing staff to those working at Waterfront Living.

I hear about them all, and I despair that nothing happens to fix it and turn things around.

All I see is more corporate branding, more executive appointments, more staff surveys, and fluff stories about Lyndoch trying to win awards.

Who will step up? Who is going to step forward and say, enough of this?

This whole story is much bigger than a sign on a building, but that illegal, unnecessary and expensive sign – to me – sums up the changing priorities of Lyndoch Living, the arrogance, and a corporate culture that cares more about image than substance.

We own Lyndoch, we must never forget that, but we have lost control of its destiny and we no longer recognise its soul and I am not sure how we can reconnect with both, but every time I speak to those families and workers who are in the thick of it, I know we have to keep trying.