Carol Altmann – The Terrier

On Monday afternoon just gone, the hostel area of Lyndoch Living was allegedly operating with only one staff member to cover two wings, and another to cover one wing.

That is two people for around 41 residents, spread across three wings, from 2pm to 10pm.

These staff, according to my sources, were personal care workers.

There was, I am told, no Registered Nurse or Enrolled Nurse on duty for the afternoon shift because there was nobody available.

There was also nobody on duty in one wing of the hostel to serve dinner later in the day.

Residents in that wing were told that if they wanted dinner, they needed to go to another wing in the hostel which involved walking a considerable distance and down a ramp.

As a result, some residents did not have dinner.

In light of these allegations, I emailed Lyndoch Living for comment yesterday before writing this post tonight and asked this specific question:

“Are you able to comment on these allegations and, if correct, what is the cause of the staff shortages in the hostel area and what is being done to address them as Lyndoch moves toward reaccreditation in August?”

There was no reply.

Carol Altmann – The Terrier

Lyndoch Living can be a mind-bender, it really can.

Take, for example, the fact that Lyndoch will appeal the refusal of a permit for its big corporate sign.

Lyndoch has decided to challenge the decision by the Warrnambool City Council through VCAT.

This, you may recall, is the corporate sign that was installed just over a year ago by Lyndoch without a permit because it didn’t apply for one.

It then applied retrospectively for a permit in a classic “do it, then ask later” manoeuvre, but it was rejected by the WCC because the sign is too large under planning laws.

End of story? No way!

So now more aged care funds will be spent by Lyndoch on nurses, oops, lawyers to appeal a sign that was erected illegally in the first place.

And here is the mind-bending, “this-could-only-happen-in-Warrnambool” part:

Lyndoch is fighting a decision made by the staff of one of the board members of Lyndoch.

Andrew Paton, as we know, is a board member of Lyndoch and the Director of City Growth at WCC.

Mr Paton’s staff, who I assume he trusts to know the law, made the decision to reject this sign.

But Lyndoch is now spending aged care funds to fight that decision.

And the council – which employs Mr Paton – will spend ratepayers’ funds, in a roundabout way, defending that decision.

My head hurts.

My head also hurts, and perhaps yours does too, when I see the barrage of public relations pouring out of Lyndoch on its Facebook page at the moment without so much as a whiff of an update on how it’s dealing with its multiple challenges.

Last Tuesday, for example, there was a pile of happy snaps from the “grand opening” of new works at May Noonan Hostel in Terang.

It was all speeches and smiles, but not a word about May Noonan in July failing seven out of the eight national aged care standards – or almost half of the 42 benchmarks –  and the 19 specific areas it must address to avoid sanctions.

There was not a peep of an update on how the squad that has finally been assembled to help with May Noonan is actually performing.

Nothing to see here folks! Pass the microphone!

And on this same day that the Lyndoch CEO and Chair were celebrating the new furnishings at May Noonan, the Lyndoch nursing home (Lake Lodge and Audrey Prider Centre), had one of its worst days for staff shortages – about half of the staff required.

It was, I am reliably informed, a nightmare.

Some Registered Nurses at Lyndoch are now working nine to 12 hour shifts to help try and cover the shortages.

This, as we know, is a direct consequence of a culture that has taken root and eroded Lyndoch and left so many good staff on the scrapheap, wondering what they did wrong and why – after decades of service – they are being made to carry the can.

We know it, we read it, we hear it and we feel sick about it and I feel even sicker when I see the pap now streaming out of Lyndoch which is designed to cheer everyone up – as all good propaganda is designed to do –  but doesn’t fix anything.

What will fix it and turn Lyndoch around are serious interrogations by the authorities with the power to act, such as WorkSafe, which as of last week is now involved because of serious concerns around staff fatigue.

The Annual General Meeting this Tuesday is an opportunity for some truths.

We have lodged our 31 questions; let’s see if we get even a single answer.

Carol Altmann – The Terrier

I know we are all still digesting the distressing fact that Lyndoch Living has slipped further in its duty of care to look after the elderly, but this is important:

Before breaking that story yesterday, I had planned to post these roster shortages for the Audrey Prider Centre and Lake Lodge – the two, high-care areas that make up what is called the “nursing home”.

These are the very same areas that were the focus of yesterday’s bombshell that Lyndoch had failed four more national standards of care.

These are the areas that were found by the Aged Care Quality and Safety Commission to be under stress from severe staff shortages.

That was based on the commission looking closely at Lyndoch in September.

September.

Yet here we are, and nothing has changed. These are the shift shortages for the past couple of days: it is dire.

So if things were grim in September, I can only imagine what the commission would report if it turned up now.

And I hope they do turn up, unannounced, very soon because this cannot wait until the reaccreditation at the end of February. The commission has the power to do this. It can apply sanctions at any time.

Our local Federal member Dan Tehan gave a statement to the local paper today which says the commission is still deciding what to do in response to the latest failings.

I hope they intervene, because these rosters show that we cannot hope that things will miraculously improve. They won’t.

A stream of experienced staff have gone on sick leave, stress leave or resigned since the commission’s last audit in September. They want to work at Lyndoch, but they can no longer tolerate what is going on.

This has nothing to do with national staff shortages, Covid, or the Royal Commission. It has everything to do with the Lyndoch culture and priorities.

We know it, the staff know it, and surely the commission is starting to catch on.

Yet while the walls crumble around them, Lyndoch once again shows no contrition or remorse for these failings. It once again tells the paper that it has “an action plan”. It said the same thing earlier this year.

Clearly, that action plan is not working and Lyndoch is going backwards, from failing one standard, to now failing four.

My hope is the commission does not wait for it to deteriorate even further before taking action, because at the centre of all this are real people, elderly, vulnerable people, beautiful people from our local community, who are not able to smile and laugh for the Lyndoch Facebook page, but who are instead in need of our help. We are there for them, and those who care for them.

Thankyou to every single one of you who is prepared to stay the course and fight this fight.

Exclusive

Carol Altmann – The Terrier

The Lyndoch Living nursing home has again failed a string of care standards set down by the national aged care watchdog.

In another damning report released online today by the Aged Care Quality and Safety Commission (ACQSC), the nursing home has again failed to meet key measures in personal care and clinical care, staffing, and also governance. [Download the report here.]

The nursing home area is made up the two high-care units: the Audrey Prider Centre, for dementia residents, and Lake Lodge.

An ACQSC audit from September 8 to 15 revealed poor wound management, poor pain management, a lack of monitoring and documentation after resident falls, and inadequate staffing, with unfilled rosters, and remaining staff being unable to cope with the workload.

The extent and impact of understaffing at Lyndoch is graphically highlighted by the report.

It found the nursing home is unable to demonstrate that its current mix and qualifications of its workforce could deliver and manage safe and quality care and services.

“Rosters evidence that not all care shifts are filled when staff are deployed elsewhere within the service or when staff call in sick,” the report says.

“Personal care staff interviewed advised they do not always complete all tasks allocated to them.”

The report says Lyndoch management described how they are in the process of recruiting more nursing and care staff to cover current vacancies, but this has done little to address the concerns of residents and their families.

“Whilst the service was able to evidence improvements, four out of five consumer representatives expressed ongoing dissatisfaction with staffing levels within the service,” the report says.

Short staffing was also raised in regard to poor wound and pain management.

“(Lyndoch) did not demonstrate best practice clinical care in relation to wound and pain management,” the report says.

In particular, the commission found:

– Wound management plans did not always reflect wound reviews including dressing changes, photography and measurements.

– Inconsistent wound photographs and wound measurements are taken and recorded.

– The healing progress of each wound is not clearly demonstrated.

Nursing staff told the commission that staff shortages limited the ability of staff to attend to wounds as required, and to reposition residents to reduce pressure.

“Clinical staff described how wound care is impacted by staff shortages including delayed dressing and repositioning of consumers,” the report says.

The report also outlines failings in monitoring residents who had suffered falls.

Unwitnessed falls were not always documented in reports and a sample found that three out of four residents who had fallen were not effectively monitored afterward, including neurological observations and pain monitoring.

Not surprisingly, the nursing home also failed on risk management.

“The service did not demonstrate systems are in place to prevent harm from high impact or high prevalence risks such as falls,” the report says.

Despite hiring an adviser to help with its governance activities, the service “has not demonstrated current systems and processes are adequate in identifying and managing high impact or high prevalence risks”.

It is the second time this year that the Lyndoch nursing home has failed a ACQSC audit.

In July this year May Noonan Hostel in Terang, bought by Lyndoch in 2018, also failed seven out of the eight aged care standards.

The ACQSC is the peak federal body for assessing and accrediting aged care homes.

I will seek comment from Lyndoch this afternoon and update this story if or when a comment is received. In the meantime, I stand with the care staff and the poor residents.

Carol Altmann – The Terrier

Tonight, a message to the Lyndoch board from the front line: help.

This entire Lyndoch campaign by The Terrier has had one simple motivation, which is to expect the best of care for our elderly and vulnerable residents.

That must be the priority.

But Lyndoch is drowning.

I have written so much about this, I have shown you so many photographs of the shift shortages, like the one above, and now we are in uncharted territory.

Because Lyndoch, for the first time and unlike any other nursing home in Warrnambool, is facing sanctions unless it gets its act together after failing care standards set by the Aged Care Quality and Safety Commission.

And it’s facing this battle while suffering acute staff shortages and losing more senior staff in one sweep than, I would argue, at any time in its 60 year history.

In the past four weeks the Director of Nursing has gone. The head of May Noonan Hostel in Terang has gone.

At least one nurse unit manager has resigned.

And another two, experienced senior staff last week joined the growing list of those taking extended sick or stress leave. There will be more.

Between them, these individuals have decades of nursing experience that is not easily replaced.

Some Registered Nurses are working double shifts, with the second shift overnight when they are the only RN in the entire Lyndoch complex.

They are tired.

Other care staff are “top and tailing” – starting their shifts two hours early, or finishing two to three hours late, just to help cover the gaps.

Everybody I have contact with is exhausted or upset, but they keep pressing on because they care deeply for the residents.

I could write reams, based on the cries for help that come in each week from Lyndoch staff.

But instead I will convey the message of just one person who summed it all up.

This person has never contacted The Terrier before, but they are someone you need to hear, and we recently spoke for an hour.

They could no longer stay silent, they said, after reading that highly experienced SWHC nurse Kate Sloan had her membership application rejected by the board.

This, they said, proved the board was not listening.

It was not listening to the care staff who have been trying to hold it all together in the hope of change.

Staff have tried to raise their concerns, but if they speak up publicly, comment on this page, or approach the board directly, they are disciplined. (Test: see how many Lyndoch nursing staff comment on this post.)

Lyndoch staff surveys have come and gone.

Secret meetings between Lyndoch staff and local MPs have come and gone.

Senior staff have raised warnings in exit interviews and, in some cases, been brutally direct about an individual who cannot be named for legal reasons.

And little changes, other than staff continue to leave, the deck chairs are shuffled, and the gaps keep getting bigger.

I asked this person at the end of our long conversation what message they wanted to pass on to the Lyndoch Living board:

“I want the public and the board to know that the situation is every bit as bad as what it is.

“The staffing situation has become diabolical…the shortages are near impossible to deal with. What you are saying, it’s happening, it’s telling it like it is.

“The board need to get a sense of the immense pressure the staff are under so please, listen, come down and speak to the staff directly. Please be interested in what is actually going on.”

This begs a question, does the Lyndoch board know what is going on?

Chair Sue Cassidy (Unisexcuts), Vice Chair Kerry Nelson (ex MPower CEO), Treasurer Kane Grant (Sinclair&Wilson), Prof Rob Wallis, Lorraine Mielnik, Ron Page, Andrew Paton (WCC) – do you ask? Are you told? Have you ever met with the non-executive staff?

All good questions for the AGM on 26 October which Kate Sloan, had she been accepted as a member, could have asked, and that is precisely why she wasn’t.