The report was ordered by the Aged Care Minister Ken Wyatt after 10 residents died from influenza.
Following a review audit the Quality Agency decided that the Hostel section of the complex failed to meet 12 of the 44 expected outcomes of the Accreditation Standards.
The full report is available for download here :- http://www.aacqa.gov.au/publications/reports/stjohnsretirementvillagehostel3293-5.docx/@@download/file/stjohnsretirementvillagehostel3293-5.docx
The following is a summary of the audit findings for the Hostel section of the complex.
The information obtained through the audit indicates the Hostel does not meet the following expected outcomes:
Standard 1 – Management systems, staffing and organisational development
1.1 Continuous improvement
“The organisation does not have an effective system that demonstrates a proactive approach to continuous improvement across the Accreditation Standards. ”
1.2Regulatory compliance
“Management did not have systems to ensure management and staff followed all relevant guidelines in identifying, actioning and monitoring the influenza and respiratory outbreak in a timely manner from the onset of symptoms. ”
1.3 Education and staff development
“Management and staff cannot demonstrate they had the appropriate knowledge and skills to identify, contain and manage the influenza and respiratory outbreak of August 2017 and September 2017. These skill and knowledge deficits impacted negatively on care recipients.”
1.4 Comments and complaints
“During the review audit, stakeholders raised concerns about staffing levels and clinical care during the influenza and respiratory outbreak in August 2017 and September 2017. In addition, they raised concerns about infection control, cleaning and the level of communication during that time. ”
1.6 Human resource management
“The organisation did not maintain a sufficient number of appropriately skilled and qualified staff during the influenza and respiratory outbreak of August 2017 and September 2017. ”
1.8 Information systems
“The respiratory outbreak case list used to provide accurate information to the Department of Health and Human Services was incomplete and did not reflect all care recipients’ hospitalisations and deaths.”
Standard 2 – Health and personal care
2.1 Continuous improvement
“Clinical monitoring and reporting mechanisms are ineffective and management cannot show key performance data that exceeded specified risk thresholds has been actioned, for example, falls, hydration status and number of medications prescribed.”
2.4 Clinical care
“During the influenza and respiratory outbreak in August 2017 and September 2017 a number of care recipients did not receive appropriate clinical care. Not all care recipients who received treatment for respiratory illness were referred to a medical officer at the onset of their illness.”
Standard 3 – Care recipient lifestyle
3.2 Regulatory compliance
“Management said until September 2017 they were not aware they had to maintain a consolidated record of incidents where discretion not to report is used.”
Standard 4 – Physical environment and safe systems
4.1 Continuous improvement
“Systemic failures were identified in relation to the monitoring and actioning of the processes within the quality system in relation to Standard 4 Physical environment and safe systems. ”
4.2 Regulatory compliance
“Management were not aware of their responsibilities in relation to the reporting of the hospitalisation of care recipients with influenza or respiratory illness within 24 hours and did not comply with these requirements. ”
4.3 Education and staff development
“The home did not have an effective system to ensure management and staff had the required knowledge and skills to identify and contain infection during the influenza and respiratory outbreak of August 2017 and September 2017.”
4.7 Infection control
“Organisational policies and procedures to direct staff response during a respiratory outbreak are not in line with current Australian Government and Victorian Government infection control guidelines that define an outbreak as three or more people (care recipients or staff) showing symptoms within the same three day period. ”
4.8 Catering, cleaning and laundry
“Management cannot demonstrate that hospitality services are provided in a way that enhances care recipients’ quality of life and the staff working environment. Infection control cleaning procedures were not consistently implemented during the influenza and respiratory outbreak of August 2017 and September 2017.”
St Johns Hostel Fails AACQA Audit.
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