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Standards for senior’s care unmet: Saskatchewan Ombudsman

May 13, 2015 | 4:07 PM

The Ombudsman of Saskatchewan says the seniors care system in the province is under strain, standards aren’t being properly met and more information has to be made public.

On Wednesday, Mary McFadyen released her report into the matter Taking Care: An Ombudsman investigation into the care provided to Margaret Warholm while a resident at the Santa Maria Senior Citizens Home.

Warholm’s family first brought her case to the legislature last fall. The senior first moved into Santa Maria in the fall of 2011. Her daughters claimed while she was being cared for there her health quickly deteriorated.

They say their mother was neglected and malnourished, losing a significant amount of weight while in frequent pain. One evening in August 2013, Warholm was being transferred from her bed to a wheelchair and her family says she fell. Two months later she was taken to the hospital where she died three days after being admitted. She died at the age of 74.

“By making their concerns public they are helping other families and other long term care residents receive better care and better information about that care. That is what we think will be the result if the government follows our recommendations,” McFadyen explained in her report.
 
Health Minister Dustin Duncan asked the Ombudsman to investigate the matter on Nov. 19, 2014. McFadyen revealed her findings with a total of 19 recommendations.
 
“In Margaret’s case we looked at her care needs and we found that Santa Maria was not meeting the standards of care in several areas,” she admitted.
 
She found staff wasn’t effectively managing Warholm’s pain and didn’t ensure her skin was free of bedsores. Information wasn’t accurately recorded in her chart, the policy was unclear regarding physically transferring a resident and guidelines weren’t met to ensure she received adequate nutrition and fluids.
 
“We don’t think this is onerous to be monitoring and to making sure the standards are in place. These standards were put in place for a reason, to make sure people were safe and clean and properly fed and they’re not being met, so they have to take steps to make sure they are being met,” she explained.

Recommendations include developing processes to make sure pain is managed, residents are properly fed and care plans are reviewed and updated. In addition, McFadyen revealed how some families and staff were afraid to bring up complaints, for fear of discipline.

A recommendation was made for Santa Maria to put a process in place so employees can raise concerns and be protected. As well, McFadyen would like to see the province to publicly report on whether each long-term care home in Saskatchewan is meeting proper guidelines.

Since the investigation started, McFadyen revealed her office has received 89 complaints from all over the province about the quality of long-term care.

McFadyen noted that there needs to be improvements to employer-employee relationships.

Minister Duncan said he accepts the recommendations and will begin work soon to implement them. He stated that there will be some process put in place to report back to the public about whether long-term care homes are fulfilling requirements.

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