The report states that "even though there are 203 patients currently living in the Home, 91 of which suffer psychiatric disorders, the center only has one psychiatrist." This doctor works three times a week, which is insufficient for the care and monitoring of the total population of all psychiatric patients. The auditor states that "in the absence of the medical psychiatrist, it’s the on-call clinical doctors that are involved in the care of psychiatric residents."
The AGCBA also indicated that the Rawson Home lacks a "Mental Health Service", which in consequence makes "psychiatrist intervention basically limited to emergencies, without any permanent follow-up care." In fact, "there is no specific place for those residents with psychiatric problems; they currently live in the semi dependent or independent wing". Psychiatric patients also stay in nursing, which creates cohabitation issues between those who have affected psyches and those who don’t.
According to the report, "the elderly with psychiatric problems are dangerous to themselves and others, this exceeds the institutionalism of the home as a shelter since it is a nursing home open for seniors and not a psychiatric nursing home". Furthermore, residents are free to leave and enter the property without any limitation or control by the nursing staff.
Moreover, "the administering of psychiatric medication varies according to the patients’ present situation". If the resident is unable to administer the medication for themselves, the nurses will provide daily assistance, but in cases where "the patient can medicate themselves, they self-administer their own medication."
On that note, the Audit wishes to emphasize that "the possession of psychotropic medication by those who can self administer it, heightens the risk of ingestion of such drugs by those who are unable to discern their actions, either because they find them on the floor or because they take drugs which belong to fellow patients."
The report also states that "the personnel from the security company that guards the property has no authority to seize the residents when they enter or exit the nursing home, this makes it difficult to control the behavior of residents that suffer from alcohol addiction, since there is a strong possibility that alcohol will enter the home.”
AGCBA also indicates the "lack of specially trained human resources for the daily care of the psychiatrically affected mature." Thus, each caregiver is responsible for the care and attention of three people. The report states that this number is usually increased due to the fact that there is no substitute arrangement in place.
According to the audit, the fact that there is insufficient staff to care for the residents "is important when we take into account the needs of the population of the home: changing diapers, bathing the residents is only done once a week in winter and that number increases slightly during the summer season".
In response to this, the auditors examined some of the patients’ medical records and found that during the time the audit was taking place "54.55% of the residents evaluated had less than one medical appointment a month".
The report, approved this year on data gathered in 2010, explained that "there is no record of the medicine available as there is no complete and up to date record of delivery of the medication to the patients."
Within the records that hold the examinations there are noticeable gaps: "71.42% of the patients had no clinical examinations done and 87% had not had any psychological testing." Also, "57% of the analyzed medical records were lacking dental care."Finally, the audit found that "94.87% of the medical records showed no evidence of the flu vaccination."