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Emma Dangerfield / Stuff
The Ultimate Care Karadean Court nursing home in Oxford has come under fire for caring for a patient by the Commission on Health and Disability.
A man died of septicemia and facial cellulitis in hospital after staff at a North Canterbury nursing home failed to respond adequately to the man’s deteriorating condition, the Health and Disability Commission (HDC) found.
Ultimate Care Karadean Court in Oxford was ordered to apologize to the man’s family, provide training to its staff, conduct an audit and review staffing levels.
The man, in his 80s, had been admitted to the center for hospital care six years ago. His health deteriorated during his stay, requiring interventions to control his continence, hydration, medication, diabetes, chiropody and pain, according to the report.
Deputy Commissioner for Health and Disabilities Rose Wall said several staff members did not pay attention or respond to the man’s deteriorating condition. The clinical administrators had not provided adequate supervision.
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He was finally transferred to the hospital after two unsuccessful attempts to administer antibiotics. The patient died as a result of septicemia and facial cellulitis.
Wall found that the men’s incontinence care was not adequately reviewed; his podiatry check-ups weren’t arranged for him; his diabetes was not adequately monitored; and his pain relief was not properly managed.
He criticized the inaccurate recording of documentation on the care of men’s wounds and monitoring of men’s pressure wounds, the lack of advice from a specialist in a timely manner, and the insufficient number of registered nurses available to supervise junior staff.
“I believe that the deficiencies in the care provided by various staff members represent systemic problems in [the facility],” she said.
He recommended that Karadean train his staff on pressure area prevention, pain management, and clinical manager supervision.
It also recommended that it should audit compliance with the policies developed in response to the complaint; review your staffing levels, induction and training program, and equipment and supplies; and provide a formal written apology to the man’s family.