Latest / 360 with Katie Woolf / Katie spoke with COTA NT CEO Sue Shearer about aged care audits
Transcript
- 0:00Speaker 1: And joining me live in the studio is Sue Shira,
- 0:03Speaker 1: the CEO of the Council of the Aging here in
- 0:05Speaker 1: the Northern Territory. Good morning to you, Sue.
- 0:07Speaker 2: Good morning Katie. I wish I was here under better circumstances.
- 0:10Speaker 1: Really well, yeah, so we are going to talk. We're
- 0:13Speaker 1: going to talk about obviously the findings of an order
- 0:17Speaker 1: which have been released into an age care facility here
- 0:19Speaker 1: in Darwinin. Before I get to that, can I just
- 0:22Speaker 1: ask you very quickly have you had much of an
- 0:24Speaker 1: opportunity to hear what the Chief Minister has said this
- 0:26Speaker 1: morning in relation to our borders, the testing regime and
- 0:30Speaker 1: how it's all going to work when it comes to COVID.
- 0:33Speaker 2: I have, and I think it's a really good start.
- 0:36Speaker 2: I think it's probably maybe a little bit over the
- 0:39Speaker 2: top with the testing. But then again, talking to people
- 0:42Speaker 2: this morning, and because we have an ext registered nurse
- 0:47Speaker 2: as our age care navigator and the particular networks he
- 0:51Speaker 2: has and people in the health system and the borders
- 0:54Speaker 2: open are very worried. The people at the front line
- 0:57Speaker 2: are worried. So I think, you know, obviously this might
- 1:00Speaker 2: appease them a little bit, but we forget that the
- 1:03Speaker 2: people who are going to look after the people with
- 1:05Speaker 2: COVID are they're very worried.
- 1:07Speaker 1: Well, that's one of the big concerns and has always been,
- 1:10Speaker 1: is whether our health system is going to be able
- 1:12Speaker 1: to to withstand COVID being in the community. Hopefully, once
- 1:16Speaker 1: we reach those high vaccination rates, though, the risk of
- 1:19Speaker 1: hospitalization will minimize to some degree.
- 1:22Speaker 2: It will exactly, but I think it's a very good start.
- 1:25Speaker 2: I'm quarantining, but which I hope to do in January
- 1:29Speaker 2: after coming back from Sydney seeing my mum yep, first
- 1:32Speaker 2: time I've seen her this year, which you'll be rather wonderful.
- 1:36Speaker 2: She'll be ninety nine, so hopefully I'll be there for
- 1:38Speaker 2: that birthday. So that sort of thing is really good.
- 1:41Speaker 2: I'm not looking forward to the Hopefully you won't have
- 1:43Speaker 2: to have seven tests by then. Yeah, well that's right.
- 1:46Speaker 1: It is an awful lot. Now, so we know that
- 1:48Speaker 1: this report has revealed significant breaches of care and quality
- 1:52Speaker 1: standards at a Darwin nursing home, including incidents of residents
- 1:56Speaker 1: being harassed and inadequate care result in a choking death.
- 2:02Speaker 1: So you must be quite mortified by some of the
- 2:05Speaker 1: findings in this report.
- 2:06Speaker 2: I'm just absolutely I'll find them abhorrent, horrific. And as
- 2:11Speaker 2: we know, a lot of all our older people have
- 2:14Speaker 2: done their dues, paid their dues, they have nurtured us,
- 2:18Speaker 2: and if we can't look after them, there's something really
- 2:20Speaker 2: really wrong with our system. But I am the one
- 2:23Speaker 2: good thing about this that it was spotted, and that's
- 2:26Speaker 2: what we lobbied for right back before the Royal Commission
- 2:29Speaker 2: even started. So it took a while for these spot orders.
- 2:32Speaker 2: You know yourself. People ring up yep and they say
- 2:35Speaker 2: I'm visiting you next week. Automatically things get fixed, and
- 2:38Speaker 2: that's what we didn't want. We heard those stories before.
- 2:41Speaker 2: So these spot checks one good thing. They were found.
- 2:45Speaker 2: But unfortunately, you know, probably a little bit too late
- 2:49Speaker 2: in one way. I mean, we have reported quite a
- 2:51Speaker 2: few providers, and we've also reported providers that obviously do
- 2:58Speaker 2: the home care residential age packages in the home, and
- 3:03Speaker 2: we'd like spot checks there as well. We'd like inspectors
- 3:05Speaker 2: to turn up to provide them. So we're coming out
- 3:08Speaker 2: with you today. That's the next step, and we've lobbied
- 3:10Speaker 2: long and hard for that, so hopefully they will listen.
- 3:13Speaker 2: But the only really peace of mind we can give
- 3:18Speaker 2: to families in there is that from now on that
- 3:21Speaker 2: particular provider will be under the highest scrutiny scrutiny and yes, yeah,
- 3:28Speaker 2: they'll be ordered and checked a lot.
- 3:31Speaker 1: And so we do know that this is all part
- 3:34Speaker 1: of a report that the federal government's Age Care Quality
- 3:37Speaker 1: and Safety Commission has found that national age care providers.
- 3:41Speaker 1: So this is actually you know, Regious Age Care that
- 3:44Speaker 1: they breached eight quality standards at their TWI facility, which
- 3:49Speaker 1: as we all know, is in Darwin's northern suburbs. So
- 3:52Speaker 1: what are some of those findings that you know that
- 3:55Speaker 1: most alarmed you.
- 3:56Speaker 2: The most alarmed me and still alarms me. I guess
- 4:00Speaker 2: is the lack of staff. You can't provide the proper
- 4:03Speaker 2: care if you haven't got the staff. And I know
- 4:06Speaker 2: you noticed I gave you something from twenty eighteen that
- 4:10Speaker 2: predicted all this already, and now you know the filal
- 4:14Speaker 2: government that they're being reactive. I don't know why. It
- 4:18Speaker 2: just beggars belief, Katie, that a lot more was done
- 4:21Speaker 2: right back then when the prediction of the shortage of
- 4:24Speaker 2: staff in that area and nursing wasn't something wasn't done
- 4:28Speaker 2: about it. So that's Unfortunately, it's not a desirable career.
- 4:33Speaker 2: I don't know why really, and you can do a
- 4:36Speaker 2: CERT three and a SARCH for as we said that
- 4:38Speaker 2: there's no career path. The renumeration is absolutely appalling for
- 4:43Speaker 2: people looking after one of our most important sectors, so
- 4:47Speaker 2: that there's a whole gamut of things that need to
- 4:50Speaker 2: be still need to be looked at. And again even
- 4:53Speaker 2: in the third three and four, dementia training is an elective,
- 4:57Speaker 2: it's not a compulsory subject. Yet you've got people in
- 5:01Speaker 2: those particular facilities looking after dementsiapations, so.
- 5:05Speaker 1: We've got to make sure that they are adequately qualified.
- 5:07Speaker 1: You've got to make sure that they're adequately to attract
- 5:10Speaker 1: them well. And I suppose this is a tough thing,
- 5:13Speaker 1: but so some of these reports, I mean it's being
- 5:16Speaker 1: widely reported, you know, festering bedsaws of an elderly resident,
- 5:22Speaker 1: another who choked on food, and grandmother's being sexually harassed.
- 5:28Speaker 1: I mean, this is mortifying.
- 5:30Speaker 2: It is mortifying. And unfortunately, again when the Royal Commission
- 5:34Speaker 2: came out they said chemical restraints can't be used. Well
- 5:38Speaker 2: in this case for that particular gentleman, maybe something like
- 5:42Speaker 2: that should have been used. You don't know the whole story,
- 5:45Speaker 2: but for the safety of other residents in that facility
- 5:49Speaker 2: and turning. My mum's an ex nurse, so people with
- 5:53Speaker 2: bedstals need to be turned on a regular basis as well.
- 5:56Speaker 2: But that requires staff or two or three staff to
- 5:59Speaker 2: turn somebody who's totally immobile. Again, it goes back to
- 6:02Speaker 2: lack of staff. Most of that goes back to lack
- 6:05Speaker 2: of staff and staff training. But those quality standards, they
- 6:09Speaker 2: were brought in in to nineteen, the new standards, so
- 6:13Speaker 2: they're not hard to adhere to. But again the staffing.
- 6:18Speaker 1: So what needs to happen immediately? Do you think there
- 6:21Speaker 1: needs to be more of these spot checks to try
- 6:23Speaker 1: and avoid you know, homes being able to age care
- 6:26Speaker 1: facilities being able to sort of be prepared for checks.
- 6:30Speaker 2: They have to be really an under scrutiny to me
- 6:33Speaker 2: all the time. So those spot checks should be done
- 6:36Speaker 2: very on a regular basis. And also not just in
- 6:39Speaker 2: the age care sector, but in the disability sector. We
- 6:42Speaker 2: have had advice that there's some providers and alice who
- 6:45Speaker 2: aren't doing the right thing in the disability sector. So
- 6:48Speaker 2: that don't report. I can't say much to the reports
- 6:51Speaker 2: come out like tie. You know, I don't like to
- 6:53Speaker 2: name and shame really in one way, that's up to
- 6:56Speaker 2: the age care people to do that. But it's unfortunately
- 7:00Speaker 2: it's the industry that is grown. And we knew that.
- 7:04Speaker 2: We knew that the over sixty five we have the
- 7:06Speaker 2: highest rate of over sixty five people growing in the
- 7:10Speaker 2: northern churches. So again, where was the proactive approach for
- 7:14Speaker 2: all these people from the federal government for these packages? Again,
- 7:18Speaker 2: so they can stay at home. They shouldn't be in
- 7:20Speaker 2: rolled down in hospital. They shouldn't even lot of them
- 7:22Speaker 2: shouldn't have been in age care facility. They should be
- 7:24Speaker 2: in their own homes.
- 7:26Speaker 1: So on that, we know that the Health Minister did
- 7:29Speaker 1: announce that there is going to be more age beds
- 7:32Speaker 1: coming online. My understanding of that is that it's actually
- 7:35Speaker 1: some of these beads coming back online at regions. Are
- 7:39Speaker 1: you satisfied with that?
- 7:41Speaker 2: Not completely, to be really honest, not completely, Or they'd
- 7:44Speaker 2: have to build up a lot of trust. Somebody has
- 7:47Speaker 2: said to me, oh, they have to build up the confidence.
- 7:49Speaker 2: I said, not really, it's trust. It's trust that people
- 7:53Speaker 2: will put their loved one in that home. But again, unfortunately,
- 7:57Speaker 2: there's probably not a lot of choice, and that's why
- 7:59Speaker 2: we want particular people who are issued a bit like
- 8:03Speaker 2: the NDI is they're issued with the package, they're issued
- 8:07Speaker 2: with the bed and they can pick which bed they
- 8:09Speaker 2: want to go to, which facility they want their bed in,
- 8:13Speaker 2: rather than oh there's a vacancy here, you have to
- 8:15Speaker 2: go there. That's not on. So that's another thing that
- 8:18Speaker 2: we're pushing really really hard for what should be a
- 8:21Speaker 2: consumer choice.
- 8:22Speaker 1: We are running out of time, but so is there like,
- 8:25Speaker 1: have we got an opportunity here or should there be
- 8:27Speaker 1: an opportunity for those who are able to stay at
- 8:30Speaker 1: home but do need a regular you know, regularly someone
- 8:34Speaker 1: coming to check on them. Should there be more of
- 8:37Speaker 1: that opportunity for some territories.
- 8:41Speaker 2: We are weighing as thirty thousand packages should be released
- 8:45Speaker 2: Australia wide and there's four hundred four hundred territorians waiting
- 8:49Speaker 2: for their packages. So yes, I mean that's where the
- 8:52Speaker 2: federal government should play their part. They put eight billion
- 8:55Speaker 2: into age care packages at home, but eight billion needs
- 8:59Speaker 2: every it's a shortage and it's just horrific. Again, and
- 9:04Speaker 2: this is what is creating a lot of these problems
- 9:06Speaker 2: in our hospital that they I've known people too waiting
- 9:10Speaker 2: two years for Level four package and they've ended up
- 9:13Speaker 2: in hospital. So no, there needs to be I know
- 9:16Speaker 2: they're probably very busy with COVID in camera, but life
- 9:19Speaker 2: still goes on. So let's really look at the age
- 9:23Speaker 2: care packages. It is happening Australia White, but in the
- 9:25Speaker 2: church as well, and just release the funding for the packages.
- 9:29Speaker 1: So four hundred territories right now are waiting for those packages.
- 9:36Speaker 1: It's a large number.
- 9:37Speaker 2: It's a very large number. So imagine if they get
- 9:40Speaker 2: a little bit sicker, where will they go?
- 9:43Speaker 1: Well, that's exactly right. They'll end up at the hospital.
- 9:46Speaker 1: I'll end up taking a bid and you know, and
- 9:48Speaker 1: we need to make sure that we're caring for them.
- 9:50Speaker 1: But if they're able to actually be at home and
- 9:52Speaker 1: be cared for, surely that would be an ideal scenario.
- 9:55Speaker 2: And we did a survey a while ago, again in
- 9:57Speaker 2: the church, but Australia White and everybody would like to
- 10:00Speaker 2: stay home in familiar, familiar surroundings where their family can
- 10:05Speaker 2: either look after them or visit them. But then get
- 10:07Speaker 2: obviously help with the Level one package, which they get
- 10:10Speaker 2: domestic chores done for them and then obviously go up
- 10:14Speaker 2: to level two, level three, level four which is the highest.
- 10:16Speaker 2: So it is imperative that the federal government has been
- 10:21Speaker 2: underfunded since it came into existence, so really do have
- 10:24Speaker 2: to look at funding for those packages well.
- 10:27Speaker 1: Su Shira, the CEO of Council of the Aging here
- 10:30Speaker 1: in the Northern Territory, always appreciate your time.
- 10:32Speaker 2: Thanks for coming on pleasure Katie, thanks for having me.
- 10:35Speaker 1: Thank you