Carol Altmann – The Terrier

UPDATE:  Another one down. The third and final clinical leader in the Lyndoch Living hostel area is now on sick leave.

This means there are no clinical leaders left in an area of up to 128 residents.

All three leaders have gone on sick or stress leave in the past eight weeks and between them have 30 years, another 30 years and more than 10 years experience.

They are unlikely to return under the current management.

This part of Lyndoch, which includes the new $13m Swinton Wing and Riverside, now has nobody formally in the role of clinical leader – skilled nurses who work closely with the Nurse Unit Managers on administering medication, and implementing and monitoring the care plan for each resident.

They also work closely with the Personal Care Workers.

Now they are all gone. 

The two experienced Nurse Unit Managers for this area are also on extended leave.

In the space of two months, this area has lost all of its leaders and mentors who have built strong relationships with each other and with the residents, who miss them and hope they are okay.

I know this, because people contact me.

So far, Lyndoch’s answer to this growing crisis is to expect other nursing staff to fill the gaps: shuffle the chairs, move the chess pieces, switch and swap, and plug holes wherever they appear.

Lyndoch called a pep-talk meeting of all the PCWs on Monday which, from all accounts, only underscored how blinded senior management are to the looming crisis.

Some staff walked out not long after the pep talk started and well before it ended: they had heard enough.

They were hoping for a plan, some reassurance that more hands on deck were coming, but they were apparently given no such comfort.

Instead, according to my ever-trusty sources, they were told if Lyndoch was to have an accreditation assessment right now, it would fail.

As we know, Lyndoch is already under scrutiny from the national aged care watchdog and failed three out of four key standards, which must be addressed if it is to be re-accredited in February next year.

Re-accrediation was due in August this year, but due to Covid was delayed by six months – the Lyndoch hierarchy must be breathing a huge sigh of relief for the extension.

And yet none of this, not a word, merits any public explanation from Lyndoch Living as to what is going on, why and what is being done to address it.

The staff exodus and the impact does not warrant a peep from the Lyndoch board.

It has also not stirred any interrogation by local mainstream media: not a single question has been asked or appeared in any stories that I have seen.

And so it just rolls on and I find that shocking.

One of the few to speak up is the Australian Nursing and Midwifery Federation which last week sent a string of questions to the Lyndoch Acting Director of Nursing that it has asked to be answered by tomorrow.

It is a glimmer of hope for at least some answers and accountability.

We shall see.

Carol Altmann – The Terrier

There is still no sign of the Lyndoch Living AGM, but the Australian Nursing and Midwifery Federation is now demanding answers around staff shortages, poor staff morale, compromised resident care, a lack of leadership and the increased risk of a clinical incident for which staff could be blamed.

In other words, the union has identified all of the critical issues that Lyndoch nursing and care staff have been trying to raise these past 18 months and which many Lyndoch staff believe are now at breaking point.

This is not scare mongering.

This is a warning to Lyndoch and its board that this is no longer a situation that can be ignored or fixed by shuffling the deck chairs.

The plain fact is you cannot lose at least a dozen of your most experienced clinical and nursing staff in a couple of months and not expect an impact.

My long held fear is that it will take a “clinical incident” to bring this to a head – it will take someone’s loved one to be the victim of what is unfolding before there is an intervention. This is my genuine fear and it is one that is now shared by the ANMF.

In a two-page letter sent last Friday, the union has given Lyndoch until the end of this week to respond to its questions, which are outlined in the attached photos, including resident numbers, staff numbers, rosters and what is being done to address the chronic shortfalls.

I am so relieved to see the nurses union now stepping in, together with work behind the scenes from MPs, residents’ families, hundreds of community members, Lyndoch staff, and others who are no longer prepared to let this go on, unchallenged.

The board and the Lyndoch executive may choose silence or spin, but the community is not going to stand for it.

As a wise person reminded me the other day, the standard you walk past is the standard you accept. When it comes to our elderly and vulnerable residents, none of us – surely – can walk past. On we press.

This photo of senior Lyndoch Living staff was taken on the front lawns of Lyndoch in 2017.

Of those in the line-up, only two faces remain.

Three, if I count the CEO, pictured in the centre.

The turnover from those in this photo includes four Nurse Unit Managers, an Occupational Therapist, the Chief Financial Officer, the Director of Hotel Services, the Head of kitchen services, the Human Resources Co-ordinator, the Director of Nursing, and the Director of People and Resilience which is a title dripping with irony, because resilience doesn’t come into this.

They are all gone, regardless of their “resilience”.

Last week I posted a photo of seven experienced clinical staff who have left in the past eight weeks, but this photo dips into an exodus that has been from right across Lyndoch.

Some of those in this photo had only just started in their roles, but were gone within three years.

Why?

We have not been told why.

I have written many times now about the loss of up to 200 staff from Lyndoch Living in the past five years and still nobody has told us why.

The board, it seems, considers such a loss quite acceptable, normal even.

It is this normalisation of the abnormal which has got me thinking – was this staff purge part of the grand plan all along?

Was the idea to get rid of anyone who complained, cost too much, knew too much or who simply didn’t apply the “Lyndoch Way” of saying “yes!” even when their hearts told them to say “no, no, no”?

Maybe it has been a part of Lyndoch’s grand masterplan that, let’s face it, very few people knew much about and still don’t.

The community owns Lyndoch, but in the past five years it has been kept completely in the dark.

Who knew that Tomlinson Wing would be demolished to make way for a $22m medical clinic?

Who knew that Lyndoch had, in 2018, quietly become a Company Limited by Guarantee that would be used to cut the community out?

And who knew that so many hard-working, committed local people who worked at Lyndoch would be forced to leave in a purge that still rolls on?

The impact of these losses is already being felt and my fear is that the full impact is yet to come.

Again, for the sake of the elderly and vulnerable residents, I hope I am wrong.

Carol Altmann- The Terrier

Tonight, names and faces.

I want to share with you the names and faces in this montage, who are now among an estimated 200 people whose faces you have not seen, but who have left Lyndoch Living in the past five years.

Each of them has a name, a face and have spent years caring for our elderly – they deserve to be more than just a number.

Numbers are numbing.

It’s the names and faces that capture what has been unfolding at Lyndoch since 2015, with a trickle of staff leaving turning into a stream and now into a flood.

The seven faces here are among those, in the past eight weeks, who have either resigned from Lyndoch or taken extended sick leave.

They have been part of the backbone of Lyndoch and, between them, have decades of aged care and nursing experience:

Director of Nursing Julie Baillie, who has worked for Lyndoch for more than 20 years.

Operational Manager of Workforce Development and Registered Nurse Roselie Morey, who has worked at Lyndoch for more than a decade.

Clinical Leader and Enrolled Nurse Scott Lucas, again another decade of service.

Nurse Unit Manager and Registered Nurse Anita Plowman, who has worked at Lyndoch for almost 30 years.

Registered nurse and former Nurse Unit Manager, Maxine Lane, 20 years of service at Lyndoch.

Registered nurse and former May Noonan Hostel Manager  Jeanette Edge, another 10 years of service.

Nurse Unit Manager and Registered Nurse Cath Porter, just over 10 years of service.

All gone and unlikely to return.

So many Lyndoch staff hung in there and hung in there, until it became intolerable.

The staff can’t say that publicly, but I can: it becomes intolerable.

The Terrier has been publishing stories about this for the past two years in the hope that the Lyndoch board and the local community would sense that something wasn’t right.

The community is working it out. The board, however, is not.

As I wrote on Sunday night, the Lyndoch board was sent an anonymous letter by a group of staff way back in April last year, warning them of the changing culture, the growing toxicity, and the consequences.

At the time of the letter , about 80 to 100 staff had gone.

Since then, according to my sources, another 80 to 100 have left. There will be more.

I have spoken to dozens of these people and they all tell disturbing stories which have never been fully aired and can’t be without legal protection.

But I can tell you this – very few of them wanted to leave their jobs.

Many thought they would have life-long careers at Lyndoch.

All of them, bar none, miss the residents they cared for.

Please think of each of these 200 staff next week, on Tuesday 26 October, when Lyndoch Living holds its Annual General Meeting.

None of them will be there, they won’t be named and they won’t be celebrated, which is why I want to honour each and every one of them now.

So to all the nurses, personal care workers, human resources managers, finance officers, payroll staff, cleaners, kitchen hands, chefs, lifestyle workers, gardeners, volunteer coordinators, pastoral care workers, maintenance workers, accountants, physiotherapists, occupational therapists, executive staff, directors of nursing, nurse unit managers, clinical leaders and anybody who I may have missed in the long list of the fallen – thankyou.

One day I would like to gather all of you on the Civic Green so Warrnambool can say thank you too.

This loss should be intolerable to us, as a community which loves Lyndoch, and entrusts our loved ones to its care.

And it is why we fight on.

Carol Altmann – The Terrier

Tonight I can reveal that a group of Lyndoch staff tried to alert the Lyndoch board to a looming staff crisis more than a year ago, but was ignored.

An explosive letter has emerged that was written by a group of experienced staff to the Lyndoch board on 2 April 2020 – 18 months ago.

The letter was delivered to the board via a trusted intermediary, a Warrnambool GP.

Staff are forbidden under Lyndoch policy to approach the board directly, but the authors, who represented a cross-section of Lyndoch, clearly felt they had no choice.

“It is with grave concern that we feel compelled to formally address the Board of Directors of Lyndoch Living,” the letter begins.

“Our knowledge that this direct communication may lead to employment termination must also demonstrate the gravity of our actions and the reason we undertake this anonymously,” it says.

Between them, the letter says, the authors have more than 50 years experience in aged care and they came with a warning:

“Over the last four years we have seen a significant deterioration of staff morale, and poor and highly detrimental decision making…,” they write.

“This has resulted in a very poor culture, significant stress and distress among staff, sick leave and resignations”.

Let’s just stop there for a moment.

I wish I could publish the entire letter, but Lyndoch is too litigious for me to take that risk, so what follows is my edited version of what the authors outline as their issues of major concern, the alleged causes and the request for action.

The staff tell the board that they tried to raise their concerns through the normal channels, but have got nowhere.

In fact the situation only got worse.

“Unfortunately we have met with obstruction, denial or dismissal at each point,” they write.

Either a lack of action or consequences for speaking up, meant other staff remained silent, which led to more “inappropriate and detrimental behaviour”.

The authors say they turned to two politicians for help who were alarmed by their claims and urged the staff to contact the board directly.

So they did, via a letter that could not be more direct.

They urged the board to do a “fearless review” of Lyndoch Living that would include three things:

1. Engage an independent company to undertake a cultural staff survey. (The) previous cultural review was prepared for the law firm that represents Lyndoch Living.

2. Ensure that the recommendations within the independent survey are tabled, considered and actioned by the Board;

3. Engage an independent forensic accountant to review appropriate resident related expenditure and review the current investment portfolio and commitments in line with a not-for-profit culture.

And at the end of the letter came the kicker.

The authors offered to meet with the board, to show their faces, and to step away from anonymity.

They would do this, they said, provided they could be protected from any threat to their jobs, and assured confidentiality.

This is huge.

Anybody who knows a Lyndoch worker who wants to speak up, but doesn’t, knows that the number one reason given is fear of being targeted, or losing their job.

The courageous staff behind this letter swallowed that fear because they believed if they did nothing, the situation would only deteriorate.

They decided to trust the board.

So they wrote their letter, they had it delivered via the GP and they waited for a response via the same intermediary.

And nothing happened.

They didn’t get a reply, much less an invitation to come and talk with the board in confidence.

I know the board received the letter and I know it was discussed, but it went no further.

The board stayed silent.

And the brave staff, their hearts swollen with disbelief and disappointment, felt that they were entirely on their own. They retreated back into the shadows and got on with caring for the elderly and vulnerable residents of Lyndoch.

That was 18 months ago.

I don’t know what has happened to the staff who wrote this letter, but their predicted catastrophe has come to pass.

The steady loss of experienced and dedicated staff from right across Lyndoch over the past five years has, in recent weeks, become a flood.

And still the board says, and does, nothing.

* Board members Percy Eccles and Suzanne Coulson resigned in March and May of this year. They have not been replaced.