Aged Care Insite Issue 114 | Aug-Sep 2019 | Page 13

news that is navigable by the average client is basically absurd.” Flicker was asked what he would include if he could have a wish list of reforms that the royal commission could propose. Navigators for the My Aged Care system was one wish. Another was Aboriginal owned and operated aged care facilities. “My last wish is supporting the traditional roles of the elders, which is part of the Uluru Statement.” PERTH: JAPARA CEO UNDER THE SPOTLIGHT One hundred assaults over four-and- a-half years is not evidence of systemic issues among staff, according to Mark Sudholz, chief executive of aged care provider Japara. Sudholz appeared uncomfortable at the recent Perth hearing, and by the end of his testimony he was visibly upset. He was taken to task regarding the incidents reported the previous day concerning the assault of Noleen Hausler’s father Clarence at a Japara facility in 2015. He and the senior counsel assisting the commission, Peter Rozen, went back and forth over Japara’s definition of ‘rough handling’. They also couldn’t agree on a definition of the word ‘vexatious’, which Sudholz used to describe Hausler. In an email to his board, Sudholz wrote: “Hi all, you will be pleased to hear that we have achieved 100 per cent occupancy at Mitcham ACF for the first time ever despite the ongoing complaints and vexatious approach by Noleen Hausler and her activist group.” Sudholz was also asked about another email in which he seemed to imply that Hausler’s complaints were financially motivated. “This has been about financial gain to her, and the action she has taken is for the purpose of putting us under pressure and forcing a settlement, which we will not do,” the email to a senior employee said. Most surprisingly were his statements regarding the prevalence of assault across Japara’s 49 facilities. Rozen quizzed Sudholz over the 298 allegations of assault and the process of investigation used by Japara. Sudholz replied that they were “alleged” assaults and that the number of actual assaults was much less. “The number at the moment that I understand is under 100. And under that basis, it isn’t 298 assaults that Japara has had over four-and-a-half years. It is a figure much less than that,” he said. As his testimony ended, he was at pains to apologise to Hausler and teared up as he did so. Numamurdirdi described to the commission the spiritual hurt she endures being away from her homeland, magnified as she is the eldest in her family. “My heart is crying, yes. My heart is crying because I far away from my family. DARWIN: ‘MY HEART IS CRYING’ Because if I pass away here, I’ve got my The royal commission hearing in Darwin spirit, my culture, my ceremony way looked at aspects of care in residential, back home at home and my family, they home and flexible aged care, as well as don’t want that way, because we’ve got the issues faced by those living in rural and everything there in the home,” she said. remote communities. “I’m the eldest out of my family and Day one opened with testimony from that’s my motherland, Numbulwar.” Dr Meredith Hansen-Knarhoi, a GP who She misses the freedom of her home, visits the Terrace Gardens aged care and of things like going to the beach in her facility in Darwin, and her patient Mildred wheelchair. Numamurdirdi, an elder and traditional “We don’t have aged care closer … in our owner from Numbulwar. community. I’m asking to build aged care in Hansen-Knarhoi met our community … please,” she said. Numamurdirdi in 2018 Kim McRae, team manager when she was moved at Ngaanyatjarra from Numbulwar, Pitjantjatjara about 800km from Yankunytjatjara Darwin, after a stint (NPY) Women’s in hospital due to Council (Aboriginal They drive me, put me pneumonia. Corporation), on the ambulance ... Hansen- tries to facilitate Knarhoi told the Indigenous clients’ and I didn’t know this commission that wishes to remain on place, and I was crying Numamurdirdi country. for four weeks. has been unable “We do a lot of to return to her advocacy for people community and that around their desire the nearest aged care to continue living on facility is a five to six- country,” she said. “At times, hour drive away. This has left that puts us a little bit at odds with Numamurdirdi isolated from family, friends other service providers who may feel it and, importantly, her culture. would be more appropriate for someone Numbulwar has a small population of to live in town and get additional supports,” about 750, but this can swell up to 1500 she told the commission. depending on community events, funerals McRae suggested more needs to be done or football matches. to help people return to country for cultural “They drive me, put me on the events (if a move to city care is needed) ambulance, and they drive me, and I didn’t through better funding, and this will result in know this place, and I was crying for four better health outcomes for the patient. weeks … sad for my family,” Numamurdirdi “I think return to country is really critical said via pre-recorded video testimony. to people’s emotional and social wellbeing. Terrace Gardens is too far for her “The difficulty is the threshold around daughter and grandsons to visit, with where someone’s care needs have dangerous dirt roads and “lots of accident increased and yet they’re still saying they along the road”. want to continue to live on country. There’s She talked of her life before she a tipping point, I guess, where perhaps the moved to Darwin when her “family never medical service is starting to be concerned missed me”. They used to surround about that person.” her, sit with her, talk and laugh with McRae often helps residents visit home her. Her family would eat damper and when she has reason to drive “out bush”, whatever they had hunted, “sharing, be it a festival or outreach program, but it is family sharing”. not always possible. “They love me so much and I love “Actually finding specific funding for them so much, my children and my that to occur is getting harder and harder,” grandkids,” she said. McRae said.  ■ “ agedcareinsite.com.au 9