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"Poor clinical care and really poor administrative care"

About: Peter James Centre

(as a relative),

Recently my sibling had an incomplete suicidal episode and was a police admission to a hospital where they remained for several days in the Emergency Department. With no acute psychiatric bed being available for my sibling there, they were transferred to the Peter James Centre with their clothing, house/car keys and wallet containing cash and credit cards accompanying them in a blue plastic bag. My sibling was told that the bag was to be placed in a cubicle or cubby hole in the nurses' station. Already this raises a concern as I feel it is unlikely that meets with Centre policy on the correct way to store and manage a patient's valuable items.

Arrangements were made for a friend to call in and collect the keys, go to where my sibling had left their vehicle, and take it to a secure location. However, the blue plastic bag could not be located. A search was undertaken and the bag has not been located. It is not possible to follow up on this as there is no administration in the ward where my sibling is located. I believe it is only nursing staff who have no on-going care for matters of this type - their responsibility seems to end with the conclusion of their shift.

I have made complaints to other bodies and if there is no result in 24 hours, I will ask for the police to be contacted to respond to the theft of my sibling's property. I believe it is quite foreseeable that the car keys could be used to steal the vehicle, the credit card transacted, money taken and the house keys used to steal from my sibling's house. I feel that no-one at Peter James seems to be in the least bothered by this. Now... on to the major problems.

(1) My sibling, who is acutely suicidal, refuses to give any assurances that they won't make a further attempt upon release and I believe is receiving very poor clinical care. In the course of a week, they have undergone 3 initial assessments with 3 separate psychiatrists. I feel there can be no continuity of care when they have to relate their story repeatedly to members of the clinical staff. They state that the night shift staff are extremely uncaring, preferring to converse amongst themselves in their own languages and have little time or desire to interact with patients.

(2) My sibling is at Peter James, which provides residential rehabilitation and aged-care services to over 65s. I believe this is a very inappropriate environment to mix dementia patients with my suicidal sibling.

(3) They are being sensory deprived, their room has no telephone (it takes on average 12 minutes for me to be connected with them of an evening when ringing from overseas), they have no suitable books or magazines, no radio, no ability to contact persons via the Internet.

(4) There is no-one of similar age and circumstances who they can converse with. I feel they are every bit as isolated in the Centre as they were in the community.

The above combination is having a very deleterious effect on their mental and physical well-being. I despair. I can only hope that staff can keep my sibling alive until I can return from overseas and involve myself more in their care.

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Responses

Response from David Plunkett, Chief Executive, Eastern Health 4 years ago
David Plunkett
Chief Executive,
Eastern Health
Submitted on 14/11/2019 at 1:26 PM
Published on Care Opinion at 1:28 PM


picture of David Plunkett

Dear foxtrotce78,

Thank you so much for taking the time to let us know the concerns you have with the care and wellbeing of your sibling. I take your concerns very seriously and would appreciate the opportunity to find out more. I understand you have made contact with one of our Patient Relations Advisors in the Eastern Health Centre for Patient Experience. The Associate Program Director responsible for the service your sibling is in has made contact with you via email, so trust we will be able to review the care your sibling is receiving as soon as possible. If connecting with the Associate Program Director is proving challenging, please recontact one of the Patient Relations Advisors either by calling 1800 EASTERN or by emailing feedback@easternhealth.org.au. If you choose to call please be aware that it is possible that the Patient Relations Advisors may be on another call at the time you ring and if so you will be invited to leave a message so they can return your call.

Thank you again and I trust that, based on your comments, we will be able to make improvements to your sibling's care and experience ASAP.

Kind regards

David

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Update posted by foxtrotce78 (a relative)

Nice of David to take the time and trouble, but more bad news has been uncovered.

My sibling contracted diarrhea from another patient. The response was to place them in isolation in their own room. There they stayed for over 3 days. No book, magazine, newspaper, tv, radio or Internet was provided. Complete lack of stimulation for a person who is ruminating on their suicidal ideation.

I do not believe that this meets with appropriate standards of clinical care or even human decency. It would seem that the staff are well practised in working with dementia patients and they treat everyone as if they too suffer from this debilitating illness.

My sibling was also required to wear adult nappies and I have no understanding as to why a commode chair could not be provided.

Today is my sibling's 7th day of wearing a donated pajama bottom and someone's top. Nothing on their feet. No exchange of clothing and no washing of these garments even though they wore them through the entirety of their isolation.

As advised to me by PJC about recent thefts without any apparent corporate response, I believe it is now clear that a member/s of staff stole my sibling's wallet with $390 cash, credit cards, licence, car keys, house keys and clothing, yet Eastern Health has not notified police, IBAC or the Health Department.

So, while David's words are fine in themselves, I feel they are almost like sending 'thoughts and prayers' - makes people feel good without having to actually do anything.

Response from David Plunkett, Chief Executive, Eastern Health 4 years ago
David Plunkett
Chief Executive,
Eastern Health
Submitted on 15/11/2019 at 12:23 PM
Published on Care Opinion at 1:18 PM


picture of David Plunkett

Dear foxtrotce78,

Thank you for your further update and I am very sorry this was the experience you and your sibling have had.

I acknowledge this is a very distressing situation for you and your sibling and now that connection has been made between yourself and the Associate Program Director, an urgent investigation into the issues you have highlighted is underway.

I can assure you that actions will be implemented as soon as possible and have asked the Associate Program Director to make contact with you again to let you know how this is progressing.

Kind regards

David

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