Carol Altmann – The Terrier

The Lyndoch Living hostel area has failed four out of eight national aged care standards following a spot audit in April by the aged care quality watchdog.

It’s the first time the hostel has been found to be non-compliant in multiple areas, following new standards introduced in July 2019.

This means, as of today, all three residential homes of Lyndoch Living  – the lower-needs hostel area, the high-care nursing home area (Lake Lodge and the Audrey Prider dementia wing), and May Noonan Hostel in Terang – have various breaches of the national standards.

The nursing home failed three out of eight standards last September, while May Noonan failed seven of the eight standards in July last year.

A fresh report into the nursing home is expected soon.

The latest Aged Care Quality and Safety Commission report into Lyndoch was released online on Monday, following a four-day audit of the hostel which caters for around 125 residents, and includes the new $13 million Swinton Wing and Riverside.

It found the hostel non-compliant in:

Standard 1: Consumer dignity and choice (failed one of six requirements)

Standard 2: Ongoing assessment and planning with consumers (failed two of five)

Standard 3: Personal Care and Clinical Care (failed two of seven)

Standard 8: Organisational Governance (failed two of five)

The 34-page report details a number of specific concerns, including the use of chemical and environmental constraints, a lack of consent, poor care plans, gaps in risk management and a lack of documentation in critical areas.

Several residents who were subject to environmental and chemical restraint “did not have appropriate documentation completed, nor were there risk assessments documented to guide the delivery of safe and effective care and services” to these residents.

“The service’s process to manage and minimise the use of chemical restraint is not effective,” the report says.

Although there was a “framework that provides guidance to staff in relation to restraint”, the processes also failed to identify a number of residents who were subject to chemical or environmental restraint.

As a result, “there were no authorisations or consents” and the residents “did not have behavioural support plans in place”.

The report also highlighted one incident where a resident was given an “as required” psychotropic medication by a personal care worker for being “agitated, anxious and paranoid”.

There was no record, however, as to whether the PCW had – as they must – consulted a registered nurse prior to giving this medication, or if they had tried other, non-medical methods to calm the resident.

The report found gaps in documentation meant Lyndoch could not always provide evidence of assessment and planning for potential risks to the health and well-being of hostel residents.

In one example, there was no behaviour assessment or management plan in place for a particular resident, despite numerous reports of responsive behaviours, and three incident reports of aggressive behaviour, since January this year.

More broadly, the report found residents (or their representatives) were disconnected from the care plan process, with little or no involvement.

Some had not seen their care plan, or didn’t know they could request a copy, while two residents didn’t have a care plan at all.

The report says Lyndoch has since taken steps to address the various failings, but as these changes were not in place at the time of the audit and their impact has not been fully evaluated, the “non-compliance” ratings would remain.

Interestingly, the hostel – which does not have mandated staff/resident ratios – passed Standard 7 for staffing, despite resident concerns around staff shortages.

The report says residents offered “mixed feedback” in relation to staff numbers, which “at times impacts choice and call bell response times”.

Residents said staff shortages meant “personal care is not being provided as per their preferences or not being assisted at times” while families “commented on the number of experienced staff leaving the service and how they were concerned about the impact” on residents.

The report noted “vacant shifts are covered by staff from other roles or some staff working extra hours” but made no comment on whether this was sustainable.

The commission has set out 15 recommendations for improvement as a result of the audit – you can read those at the end of the report here.

Lyndoch Living is up for re-accreditation in August, following 12-month delay due to Covid.

[Lyndoch Living has been contacted for comment and any response will be published in full.]

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

The time has come to use our voices, stand up for Lyndoch and show that Warrnambool will not tolerate bullies, no matter who they are, where they come from, or what they promise.

I have now had contact with 33 people, including past and present Lyndoch workers, about the toxic culture and the warped priorities that have allegedly taken root within its walls. By the end of this weekend, I will have spoken to 36.

We can’t turn away and expect the victims of this culture to fix it; they can’t.

Instead we, as a community of terriers, need to get involved, to step up and hold the Lyndoch board to account for what is unfolding on its watch.

We did this with the Warrnambool City Council credit card scandal and we can do it again.

Some of Lyndoch’s most senior and experienced staff are among the 70 to 80 people who have left in the past two years and the resignations just keep coming, yet the board remains silent.

If this was happening in a primary school, or our hospital, or inside TAFE, it would be front page news.

So would some of the decisions around the use of public funds.

As it stands, Lyndoch Living – as a registered charity – has spent more than $100,000 on gambling via sponsoring a steeplechase and hosting a corporate marquee at the May races, and somehow this passes as core business.

We also know that Lyndoch plans to spend millions of dollars to build and run a new medical centre that nobody has asked for, while at the same time it doesn’t have enough experienced nurses to fill shifts, and basic furniture needs replacing.

Enough.

I am unable to look on while personal power trips are pursued at the expense of Lyndoch staff wellbeing and, ultimately, the care of our elderly.

So this is what we can do:

– contact the board: chair Kerry Nelson (knelson@mpower.org.au) or any of the other board members: Andrew Paton, Cr Sue Cassidy, Ron Page, Percy Eccles, Kane Grant, Peter Downs, Suzanne Coulson and Lorraine Mielnik via a letter to Lyndoch Living, 10 Hopkins Rd, Warrnambool.

– ask the board about staff morale, staff resignations and Lyndoch’s core priorities;

– contact our local MP Roma Britnell (roma.britnell@parliament.vic.gov.au) and ask her to investigate, just as her Liberal colleague Cindy McLeish did in response to the troubles at Seymour Health;

– write a letter to the editor of the local newspaper which, unfortunately, no longer does investigative journalism;

– most importantly, become a member of Lyndoch: it’s free to apply, can be done by filling out a simple form, and means you can have a say on where Lyndoch is heading and who is in charge.

 

At the moment, Lyndoch has very few members, including the nine people on the board, two life members (Ron Patterson, David Atkinson), the CEO Doreen Power, and four senior staff.

It’s a tight little shop.

Under the new rules of Lyndoch (last year it changed from an association to a company limited by guarantee), these members have significant powers, including standing for the board, voting for the board, and being involved in the AGM.

In fact, unless you are a member, Lyndoch has no obligation to even tell you when the AGM will be held.

This is what happened last October when, for the first time, the Lyndoch AGM was not advertised, nor were the board vacancies.

But here’s the rub: the board gets to decide who can become a member of Lyndoch, so even if you apply, you may not be accepted.

It’s open to all sorts of manipulation and perhaps explains why the current board is such a curious mix.

There are no GPs on the board. There is no lawyer.

But there is the former CEO of the Warrnambool Racing Club, Mr Downs, who now lives in Melbourne and works for Moonee Valley: if that’s not a massive conflict of interest between the board and Lyndoch’s support for racing, Barry the Bullshite Detector and I will run three times around the racecourse.

(Actually, Barry, we will need to do four laps, because Ms Power and Mr Downs also have shares in a racehorse.)

The Lyndoch company secretary – a former PA to Ms Power – also has no accounting or legal qualifications, despite now monitoring a multi-million-dollar organisation.

From all the evidence, none of these people in charge are asking the hard questions about Lyndoch’s operations, or none are asking them publicly.

Cr Cassidy, for example, has gone from being a power house to a mouse. The bold woman who stood up and exposed the games behind the council mayoral race has nothing to say about Lyndoch. She won’t return my calls.

Chair Kerry Nelson? Not a word.

They are supposed to be our eyes and ears, yet all we have is silence.

To me, the entire Lyndoch board and senior executive are accountable for the distress of every single Lyndoch person who is suffering or has suffered.

So I am going to keep exposing what I know, and I am going to also apply to become a member of Lyndoch, although I doubt I will be accepted, even though my mother was in Lyndoch for 10 years, and my late Dad, as a bricklayer, helped build some of it.

Warrnambool people started Lyndoch, we still own it, and we all have a stake in caring for its residents, its staff and its future.

What started as an important story for me is now a campaign – unashamedly – to restore a bold community voice inside Lyndoch and to stand up for those who need us to be strong.

On we go.

You can find the Lyndoch membership form here and its new constitution here.

Next: digging into the multi-million-dollar medical clinic.

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Carol Altmann – The Terrier

If we need a canary in the coal mine about what is unfolding at Lyndoch Living, it’s what happened at the Seymour hospital earlier this decade.

Seymour hospital was plagued with problems in the early 2000s, with a string of doctors resigning, a loss of birthing services, a dysfunctional board, and four official inquiries into the mess in less than two years.

Into this crisis came Doreen Power, who was appointed CEO of Seymour Health in 2007 and left in 2012, during which time the hospital saw many changes and the small town of 7000 people virtually imploded.

Ms Power, who is now CEO of Lyndoch Living, was hired by the Seymour hospital to get things done and she did: birthing services were resumed, the doctors came back to work, and the hard-working staff at the hospital continued to provide the best services that they could.

But behind the scenes of all this “success” was a human train wreck of broken, dis-spirited people, many of whom were allegedly treated so appallingly that they are only just starting to recover and some say they never will.

I have spoken to many people from Seymour about this period and the same stories are repeated over and over:

staff being bullied, losing their jobs for no reason, being “marched off the premises” without warning, hounded over minor issues, feeling disempowered, afraid, depressed and having “nowhere to turn” because the board either wouldn’t listen, or wasn’t told.

This sounds frightening familiar to what is now allegedly unfolding at Lyndoch Living.

“People became severely depressed and traumatised and felt there was nobody who could help them,” said one Seymour woman who spoke on the condition of anonymity.

“There was a sense the board had been hand-picked and they wouldn’t help. You were told if you approached the board, you would be dismissed…if you wanted to keep your job, you had to shut up.”

In desperation, some staff organised a Seymour version of an underground resistance by wearing green ribbons to work as a sign that they were a “safe” person to approach if you were being bullied.

Can you imagine?

The terrible reality for these Seymour staff is nobody from the hospital board stepped up, staff were too scared to speak up, and the damage rolled on until the wider community was alerted to what was happening.

An anonymous letter drop was circulated throughout Seymour in early 2012 and local state MP Cindy McLeish, now deputy Opposition leader, was bombarded by people pleading for her to intervene.

Ms Power resigned as CEO in May 2012, just two months before Ms McLeish organised a public meeting that was held in the local footy clubrooms before a capacity crowd of more than 300 people. Nobody from the hospital executive showed up.

Neither Ms Power or the executive, however, escaped the wrath of the crowd.

“The meeting saw pent-up community frustration released about perceived high staff turnover at the hospital, allegations of bullying, a “toxic” workplace, former chief executive Doreen Power and the change from a community hospital to a ‘bean counter mentality’ among other things,” the Seymour Telegraph reported.

Seymour GP Dr Elliot Jarman was among the passionate speakers in the audience. He was quoted by the paper as saying:

“Over 25 years Seymour Hospital has evolved to provide first-class services. I’m proud of that. What I am not proud of is staff absolutely in tears, intimidated…what’s happening is (wrong).

“I’ve been to the courts, I’ve been to Worksafe…(they’re) unable to help. I’ve been seeing patients and my fellow colleagues in tears. It’s just not right. Our services are being damaged by the current management style.”

Another Seymour GP, Dr Rob Peterson, told the meeting that three core issues needed to be addressed immediately: improved communications from the board to staff, allegations of bullying, and low staff morale. Bang, bang, bang.

By the time of the town meeting, it’s understood up to 50 staff had left the hospital, either from being pressured or being fired, and a string of Fair Work claims that followed – I believe up to 14 or 15 –  have only recently been finalised.

“It broke this town and I don’t think it has ever fully recovered,” said one Seymour source.

Seymour ultimately had an intervention, with a ministerial appointment made to the hospital board to report back to then Health Minister David Davis.

By the end of 2012, the hospital chair had resigned and most of the executive team had been cleaned out after their positions became untenable.

As a local blogger, Seymour Dreaming, wrote: “why has the board been conspicuously silent when the community expressed concerns over controversial events for which is was ultimately responsible?”

Why indeed?

And then this, a heart-felt letter to the paper from resident, Janet McKenzie, which says it all:

“The (hospital) board…and past and present executive staff need to be accountable for the shame, hurt, stress and humiliation that has been placed on these staff and their families.

They deserve so much better treatment, as do volunteers who have so generously given their time…

These staff and volunteers must receive an unconditional apology and compensation/reinstatement for the treatment they have received at the hands of (the hospital).

It is not acceptable that is ignored as these are staff and volunteers who have given many years of unblemished, caring and passionate service..

Finally, I, like many other family members of the above staff will be there to give support, assistance and much needed emotional care to those that the (hospital) has abandoned.”

The canary is coughing at Lyndoch Living and I hope the board is listening, because this management style hasn’t happened just once before, but twice.

Next: Plenty Valley.

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Carol Altmann – The Terrier

This Lyndoch Living story has gone to places that I never expected it to go and that includes wading into the work history of CEO Doreen Power which, to be frank, is why I am so troubled by what is unfolding here.

I will write more about Ms Power’s back story in the near future, but for now I just want to lay out the context for my concern and why I am latching on to this story for the long haul.

In the seven years before Ms Power became CEO of Lyndoch in December 2014, she held three senior positions:

First as CEO of Seymour Health for almost five years before resigning in May 2012 in the face of a virtual uprising by the small town of 7000 people.

Then as CEO of Plenty Valley Community Health for less than two years, before an interim CEO was appointed in December 2013.

And, lastly, working briefly as Director of Nursing at Tweddle Child and Family Health Service until that role was taken over by another person in February 2014.

I have spent many hours researching and talking to people about Ms Power’s time at Seymour and Plenty in particular and a disturbing pattern has emerged, one which I believe is being replicated at Lyndoch:

– a culture of bullying and dismissal

– extremely low staff morale

– a compliant board or attempts to create one

– an impact on residential care and services

– a culture of secrecy and a lack of transparency

Journalists, I can tell you, don’t have either the time or inclination to go digging into people’s work history unless it is relevant to a story unfolding now.

Ms Power’s back story is absolutely relevant and it is why I am committed to writing all that I know – based on a huge amount of research and dozens of interviews – because you need to know.

We need to know because Seymour Health and Plenty Valley Community Health, in particular, are the red flags.

Both took years to recover.

Thanks to your help, I am going to pick apart what is happening at Lyndoch – all of it – because Lyndoch was set up by the community, to care for some of the most vulnerable in our community. Full stop, end of story.

Over the coming weeks, I am going to write about:

where Lyndoch is heading, its priorities, the breaking down of resident care, its venture into building and running a commercial medical clinic, who is paying for what, who is running what, who is in charge of what, whether Lyndoch is still primarily a charity and public benevolent institution, how the board is handling complaints, the change of the Lyndoch constitution, how the board is chosen, how the public can become members, the lack of transparency around its full financials, its support for gambling via a horse race, other sponsorship deals, potential conflicts of interest, who is involved in the new company Lyndoch HealthCare, and anything else worthy of forensic examination.

I will also be telling you much more about Ms Power’s time at Seymour Health, and Plenty Valley Community Health, and explore how she became employed by Lyndoch.

It’s going to be a long, slow haul, but it is an essential one.

It’s going to be tiring work, but we have done this before, you and I – the terriers and The Terrier – and we know we can make a difference.

We can be a voice for the workers (past and present) and the residents and for the Lyndoch we know and love, and together we can step up to where the majority of the board seemingly refuses to go.

If there is one thing I have learnt from my research around Seymour and Plenty Valley, it is that we need to start now.

Strap yourselves in and on we go.

More soon.

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