Friday, July 21, 2017

May 10 · AHS report on continuing care problems in Lacombe, Alberta to be complete soon Alberta Health Services



AHS report on continuing care problems in Lacombe, Alberta to be complete soon Alberta Health Services
Identified by Red Deer College students while training at site
reddeeradvocate.com
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Julie Ali
Julie Ali The solution to this problem of poor auditing by zone staff will not be resolved in my opinion by the use of a province wide AHS team. Why are we having AHS auditing itself or the folks at Alberta Health auditing itself? Haven't we learned from the 2016 audit of this place that showed none of the problems found in the 2017 audit? There needs to be an independent of AHS and Alberta Health agency doing all continuing care system audits--for all facilities in Alberta including supportive living and group homes. http://www.reddeeradvocate.com/.../lacombe-continuing.../ Huband said an audit done later in 2016 did not show the concerns found in the April 2017.

The new audit process for continuing care health service standards should be ready for the first part of September, she said.

“The audit would be exactly the same in terms of what we’re auditing and the tools that we are using. But instead of an audit being done by, like the Central Zone, it will now be done by a team that does all of the audits across the province. They won’t be done by a geographic area.

“It’s the tool we’ve used in the past, but it’s the people and how it will be done, and where those people report, that gives its independence and takes away any perception of bias or conflict of interest.”
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Donna Gold Rodin
Donna Gold Rodin seems to be an issue in many long-term care facilities
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Jay Whopper
Jay Whopper It's because they've been monopolized and are inefficient
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Donna Gold Rodin
Donna Gold Rodin I think a lot of i comes down to not having enough staff. Too many cutbacks in that area.
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Julie Ali
Julie Ali It would be helpful to have the CCHSS audits and Quality Audits made available to the public to determine the extent of these non-compliances in the public and private continuing care facilities; without such information we are not able to assess the quality of care being provided. It's troubling that accommodation reports are put up for a short period by the government but these are also removed. I believe it is essential to have a permanent repository of all the audits conducted on all facilities in Alberta. There is no rationale why the GOA denies us this information unless the government is attempting to protect third party business interests or the reputation of providers. If the care is compliant why would there be any problems in releasing this data?
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Julie Ali
Julie Ali Donna Gold Rodin There is also a problem with staff not being trained by the facilities or not having the required skill sets. Its both a professional duty as well as a requirement for the facilities to ensure that staff are working in the scope of their job descriptions; failure to be trained to do the job and failure to get the training at the site --will result in liability issues.
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Jeannette Lafrance McLachlan
Jeannette Lafrance McLachlan Kudos to the nursing students
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Julie Ali
Julie Ali Let us hope they do not face the retribution faced by advocates like Ruth Adria of the Elder Advocates of Alberta Society which includes banning, removal from facilities by security as well as lawsuit. Families are also banned as the case in Grande Prairie recently indicates: https://www.facebook.com/stephen.tucker.334 Stephen Tucker added 4 new photos — with Tammilee Rideout-Tucker.
April 27 ·
PLEASE SHARE!!!! It breaks by heart to have my mom in a emergency room bed were at least dad can now visit her . A care home in grande prairie has abused my mom for the last time . We are now taking up space in an emergency room while awaiting for a doctor to help us find a spot . The care home today slammed the door in my face as I tried to talk to them. As I had to remove mom s belongings out of there so the abuse can't continue. Dad fought with them for years with documentation and pics plenty of proof to put them under . But everyone turns a blind eye to the abuse and call it un founded . The judge without any looking at foundings or proof just say your banned and any further cost comes to dad? How does a retirement man pay for lawyer fees. I want this banning my dad from the care home for a full year without visiting rights to go viral . He has legal guardianship to be her voice from a court but means nothing . How does the justice system work ? She cannot speak for herself . Please share the shit outta this . Media here I come.
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Rian Greentree






It is nice to get up in the morning and lie in bed like a crust of bread on a plate. Younger boy is still sleeping. Soon mum will be here.
Younger boy will be sitting with grandma for a bit today as I have Elder Advocates of Alberta stuff to do.
Most of the work I do will be pointless since I have no power but it is still useful to do it because if nothing changes at least I have documented the lack of change.
Sometimes junk goes on for centuries until the moment in time when folks just get plain pushed to the end of the line and then you get lemming change.
The storm we had yesterday was very graphic with tornado like skies and an abrupt end to my walk with the flash flooding type of downpour.
It is cool inside the house, I am packed to go to the Calgary hike which hopefully will not be smoke filled and all I have to do is the meeting for the Elder Advocates of Alberta.
I guess this group could be best described as folks who want to change the world for seniors.
All of us will become seniors. It is puzzling to me why we avoid this fact. And then if some of us can't maintain independence we will end up in the continuing care system in Alberta.
Would any of us like to end up in a place like the Lacombe long term care place where they had a clean audit apparently in 2016 followed by an accurate audit in 2017 plus four years of accommodation reports that were problematic?
I think we would not like to live with non-compliances, poorly trained staff and a management team that ignores family and health / safety concerns would we?
So this is why I am working with Ruth Adria to change the situation in the continuing care system.
I know we are pretty much powerless but who cares?
We will still do the little we can do.
Here is the most recent report on the Lacombe long term care non-compliances where the GOA tells us they have solved the problem of AHS auditing itself to give us unbelievable reports by now having AHS still audit itself but on a province wide format rather than a zone format.
If you read these GOA solutions too long your head might explode.
Lacombe continuing care reviews complete
Four staff members were placed on leave while Alberta Health Services investigated issues with infection prevention, cleanliness and medication handling
SUSAN ZIELINSKI
Thu Jul 13th, 2017 5:55pm
LOCAL NEWSNEWS



A more rigorous audit process will be implemented province-wide for publicly-funded continuing care facilities as a result of the serious health care concerns identified at Lacombe Hospital and Care Centre in March.
Four staff members, called leaders, were placed on leave while Alberta Health Services investigated issues with infection prevention, cleanliness, medication handling and training in the long-term care wing of the facility.
Effective June 27, those four staff were no longer working for AHS.
Reviews undertaken by AHS looked at clinical and administrative practices and found a general lack of respect for residents, a culture of dependency on the use of wheelchairs, inappropriate incontinence care, and competency concerns regarding professional practice and care delivery.
Frequent and ongoing audits will continue until AHS and Alberta Health are satisfied the site is meeting standards.
Brenda Huband, vice-president and chief health operations officer for AHS Central and Southern Alberta, said a lot has been learned.
“We really are trying to look at this as an opportunity for improvement. We’ve been able to develop a more robust relationship with families and residents so out of a not so good situation we’ve had some good things happening,” Huband said on Thursday.
In March, Wildrose leaked documents about the Lacombe investigation that showed serious breaches including: expired aseptic sterile supplies like catheters; soiled linen and garbage overflowing into hallways; slings being used communally without a clear, consistent cleaning process; medication left unsecured, unlabelled, unattended; and lack of proper training in medication management and assistance, dementia care, risk management, fall prevention, CPR, palliative/end-of-life care, safe lifts, restraints, and bathing.
The 40-page audit detailed 80 standards breached.
Concerns were initially identified by Red Deer College licensed practical nursing students while training at the facility in March.
An investigation led to thorough health assessments done on all 75 long-term care residents, along with a thorough cleaning of the wing, education sessions for staff, and improved communication between caregivers, residents and families.
Huband said an audit done later in 2016 did not show the concerns found in the April 2017.
The new audit process for continuing care health service standards should be ready for the first part of September, she said.
“The audit would be exactly the same in terms of what we’re auditing and the tools that we are using. But instead of an audit being done by, like the Central Zone, it will now be done by a team that does all of the audits across the province. They won’t be done by a geographic area.
“It’s the tool we’ve used in the past, but it’s the people and how it will be done, and where those people report, that gives its independence and takes away any perception of bias or conflict of interest.”
szielinski@reddeeradvocate.com
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