Aged care homes: strident report from SA

“The evidence establishes that, in theory, there were sufficient mechanisms in place to ensure appropriate oversight in relation to complaints and reports and the investigation of incidents. In practice however these systems failed because they depended too much upon individual reporting and individual judgement. As a result nearly all of the information about the poor standard of care at the Oakden Facility was confined to those who worked there.”  – quote from the report.