Carol Altmann – The Terrier

Righto, off we go. Let’s pick up right where we left off, because after all I am like a dog with a bone, and so tonight I am gnawing on the many things that we still need to know about Lyndoch Living – our community owned aged care home.

If any readers hoped that I might be moving on to another issue, look away now, because I am not finished with what has been a three-year investigation into how Lyndoch has changed, who has been involved, why and whether we can soon rest easy.

I am seeing this through – it will remain the focus of The Terrier for now – and I hope you will too.

Ah but hang on, there is one issue we need to address first and that is Covid.

Covidcovidcovidcovid.

Covid, as we know, is still disrupting aged care homes right across Australia with lockdowns, Covid outbreaks, visitation restrictions, and worsening staff shortages, and all of this is having a terrible impact on those who are isolated from their loved ones.

I am sure we all understand this, but Covid is not and cannot be a reason to stop asking the hard questions of Lyndoch that still remain unanswered.

In my view, it is even more of a reason to probe deeply into our publicly owned aged care home, because the local community are the custodians and caretakers of Lyndoch and we want to know that it is operating at the very highest standards of care, trust, accountability and transparency.

This has been the battle for the past three years – longer for those who work there – and it is not over yet.

Let’s begin with the AGM that was held just over a month ago.

At that time, Chair Susan Cassidy said during the livestream that any questions from members would be taken on notice.

Were there any questions from members taken on notice? If so, what were these questions?

What were the answers?

I asked Ms Cassidy this in an email last week and, so far, have not had a reply.

If there were no questions from members, then Lyndoch – a $100 million publicly owned organisation – held its AGM without a SINGLE question being asked.

Not one.

Perhaps I am wrong and Ms Cassidy will be in touch shortly with the list of rigorous questions and answers.

Such as:

Why has Lyndoch’s equity (assets minus liabilities) progressively fallen by a staggering $28 million in just six years?

In 2015, Lyndoch’s net assets were $69 million.

Last year, they had fallen to $41 million.

We will learn more about the Lyndoch figures at the end of this month, when it reports to the charities commission, so I will write more fulsomely on this then.

For now, however, we know a big slice of Lyndoch’s spending goes on staff costs and that it has also borrowed big time to fund its $22m medical clinic.

So, how is staffing? What are the bed numbers and staff ratios?

We see shift shortages being leaked to this page all the time – so why, in this climate, is Lyndoch bleeding so many experienced staff? Has the board asked questions and read the exit interviews?

And is it correct that Lyndoch is poised to hire a bunch of nurses trained overseas in order to fill the gaps?

What about the accreditation of Lyndoch due next month – is it on track to address all of the failings exposed by the aged care commission and pass with flying colours?

My sense is that Covid will see this accreditation delayed, but that doesn’t change the need for reassurance that Lyndoch has addressed ALL of the failings in Warrnambool and at its May Noonan Hostel in Terang.

And how is the $22 million medical clinic shaping up? Is it on budget?

And are all the GPs who are currently contracted with Lyndoch until April intending to stay on or will they follow Dr Phil Hall if, as reported, he re-opens a clinic at the existing Liebig St site?

What if the GPs don’t renew their contracts? How will Lyndoch fill its ginormous, three-level medical centre and not create another Sam’s Warehouse scenario?

Another whole pile of questions also come from the surprise announcement at the AGM that consultant Robert Lane had been hired to sort out how board appointments, and I assume general membership to Lyndoch, will be handled from here.

Mr Lane said there would be an advisory committee, chaired by himself and made up of two current board members (Mr Kane Grant and Ms Lorraine Mielnik), who would assist the board with its decisions on memberships which, to date, have made no sense to anyone.

I will also be learning more about that whole process this week, so stay tuned.

So many questions…I hope you are well rested and ready.

On we go.

[Thanks for reading, and if you would like to buy Jock a juicy bone as a thankyou, you can visit the Tip Jar here: https://tinyurl.com/yckzankb]

Carol Altmann – The Terrier

This time a year ago, a personal care worker at Lyndoch Living faced a nightmare scenario – a resident suffered a cardiac arrest and the nurse call system failed.

The care worker desperately tried to contact the on-duty Registered Nurse, who was in another part of Lyndoch – the new Swinton Wing – but the calls failed to go through.

The nurse-to-nurse comms system hit a black spot; a wireless dead zone that has plagued parts of Lyndoch for two years.

It was only when the RN moved out of the black spot that the frantic emergency calls came piling in from the care worker.

Fortunately, in the meantime, the care worker was helped by other staff to administer CPR and the resident survived.

Twelve months on, and the nurse-to-nurse call system is still failing. It is still not 100 per cent reliable across Swinton Wing and neither is the resident call bell system, or mobile phones.

All three are different systems, and all three suffer from the wi-fi black spots that can affect calls coming into Swinton Wing, going out of Swinton Wing, or between people inside Swinton Wing.

While the near fatality is the most serious incident that I am aware of from the past 12 months, there have been other red flags in more recent times.

In one case, a resident was left on a toilet for more than 40 minutes after the call bell failed to alert a nurse.

It’s hard to believe a nursing home is allowed to operate without a 100 per cent reliable call system for nurses and residents, but Lyndoch does.

It’s even harder to believe that the area with the black spots, Swinton Wing, re-opened last year after a $13 million makeover that, my sources tell me, failed to include an IT expert in the planning.

As of today, staff are still lodging ‘black spot’ complaints.

Part of the problem, apparently, is that a key piece of wireless equipment was destroyed by a lightning strike in 2019 and has not yet been replaced because it would cost around $500,000.

There are also compatibility issues between old technology and new technology across the different wings of Lyndoch.

Added to this is what has been a tumultuous time in Lyndoch’s IT department, including its Director of Technology, Strategy & Transformation, Dr Ed Rhode, resigning in April after less than two years, and the loss of two other staff more recently.

Before these resignations, there was some progress early this year when it was announced a new nurse-to-nurse call system would be rolled out from June to December although, according to one report, there were “no guarantees it will work”.

There were “no guarantees” because the new system could suffer the same issues as the old system, unless the underlying problems were resolved.

The roll-out hasn’t happened.

First the excuse was a supply problem.

Then the delay was blamed on Covid-19 preventing experts coming on site to install the equipment, even though it;s classed as an essential service.

But sources believe – and I am trying to confirm this from Lyndoch – that things have ground to a halt because Lyndoch is not prepared or is unable to spend the money.

A proper fix must include “back end” upgrades, equipment upgrades and ongoing maintenance, and all of that costs money.

And right now, Lyndoch is plunging its money and bank loans into the $22 million medical clinic being built just 100m from Swinton Wing.

A medical clinic that will have no discernible impact on improving the safety of the residents.

It’s not surprising that Lyndoch care staff are frustrated and angry.

As one put it, they are “sick of fighting for the basics, while they continue to pour money down the drain on this medical centre”,

Others are frightened, knowing they are unwilling players in a game of Russian roulette where the consequences for a resident could be fatal.

Again, this is not scaremongering, this is real and I, for one, find it both disturbing and frightening.

I asked Lyndoch and its chair Sue Cassidy for comment on these issues today. If any is forthcoming, I will publish it in full.

Carol Altmann – The Terrier

Tonight, two photographs.

The first was taken around 1pm last Thursday 24 June and posted to Instagram by building company Nicholson Construction.

It shows members of the Lyndoch Living executive and board whooping for joy at the turning of the first sod for the $22 million medical clinic to be built on site as of this week.

Nicholson Construction is building the clinic, which as we know, despite being a $22 million project, was not put to tender.

Instead, Nicholson was appointed automatically, having previously built the $13 million Swinton Wing extension.

The second photo captures a message sent from within Lyndoch less than three hours later.

This photo shows Lyndoch’s nursing staff pleading for help to fill shifts.

They needed help to cover not one, but 12 shifts across Swinton Wing and elsewhere. Twelve.

I don’t think Lyndoch’s nursing staff were whooping for joy.

Like them, I find it hard to celebrate the turning of the first sod on a $22 million clinic that has no discernible benefit to the  vulnerable and frail residents.

A $22 million clinic also won’t fill the empty or understaffed shifts.

This is the reality of life for so many staff at Lyndoch who are either run off their feet, or stressed out, and it’s a reality that I have been reporting on for two years.

In that time, I have watched the slow wearing down and silencing of the voices who dare to question or challenge this reality.

But there is only so much you can silence.

The consequences of these staffing issues were made brutally clear by the aged care watchdog in its report which Lyndoch perhaps hoped we would never see.

As was first reported here, the Aged Care Quality and Safety Commission spoke of residents in pain, a resident chemically constrained without consent, of falls, of wounds, and of the staff mix being “inadequate” to care for residents.

The commission was not whooping for joy.

And yet the horrors within this report have been all but buried under the first sod of the medical clinic.

This clinic will soak up millions and millions of dollars from Lyndoch and make not one squat of difference to the daily lives of residents living just 200m away.

I can’t stop thinking about the residents in that report, just as I can’t stop thinking about the scabies, or the suffering of other residents whose stories are yet to surface publicly.

This is why we must keep pressing on, in the face of mounting pressure to shut up, to stop being a spoil sport and, instead, whoop for joy.

I will whoop for joy one day: when we have all the answers to all the questions and Lyndoch is once again fully accountable to the community it serves.