Influenza Deaths Board Accountability

Ten flu deaths at nursing home amid serious management failure

Influenza Deaths Board Accountability - The Board of Governors of St. Johns Village Wangaratta is showing no signs of accepting any responsibility for this influenza deaths tragedy.

 

•  In early 2016 the Director of Care position was made redundant.


• The Board introduced a flatter management structure


• The Australian Nursing and Midwifery Federation Victorian branch alleged that St John’s had breached its enterprise bargaining agreement by not employing a director of care – and consequently jeopardised its community reputation.


• Following a letter from the Board's lawyers claiming that they believed the statement was defamatory the ANMFV apologised for any inference that the Board may have failed in its governance obligations.


• Mr. Morris was appointed as acting Care Services Manager.


• On July 10 2017 Dr Brett Sutton, Deputy Chief Health Officer (Communicable Disease), Victoria issued a warning to all Victorian Health professionals and consumers that seasonal influenza rates are up, with the overall number of confirmed influenza cases in Victoria up 81 per cent compared to the same time in the calendar year 2016.


• The Board of Governors ultimately responsible for the operation of the facility includes a medical practitioner and also a member that claims a specialty in infection prevention and control.


• August 7 first signs of illness amongst residents.


• August 16 first death.


• Aged Care Minister Ken Wyatt instructs the quality agency to conduct a review audit of the St John’s Wangaratta aged care facility to assess their performance against the 44 accreditation standards, which includes infection control systems and processes.


• Aged Care Minister Ken Wyatt announced that the Wangaratta St. John’s Nursing Home failed multiple outcomes after an audit by the Australian Aged Care Quality Agency.


• One such area listed as a fail was 1.2 Regulatory Compliance.
  “The organisation’s management does not have an effective system to identify and promote compliance with all relevant legislation, regulatory requirements, professional standards and guidelines.”

Although the Board of Governors cannot be held responsible for influenza entering the nursing home they do carry a responsibility and an accountability for what happened once it did.  Is it a strength or a weakness of an organisation that simply sheets home the blame to individuals who were placed in positions but may subsequently be shown to be without the necessary experience to fulfil the role.

Whatever any shortcomings of the now resigned Mr. Morris may be, he was appointed to the position in an acting capacity by senior management.  Whatever any shortcomings of the now resigned CEO Mr. Phelps may be, he was appointed to the position by the Board.

The responsibility and accountability for this tragedy does not rest just with the sacrificial lambs Mr. Morris and Mr. Phelps alone.  If the buck doesn't stop with the Board then who does it stop with?


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